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目的:应用临床症状、血清β-h CG及经阴道超声检查预测不明位置妊娠(PUL)女性的妊娠结局。方法:选取2010年1月~2014年3月就诊于新疆医科大学附属中医医院的PUL患者207例,观察其停经时间、阴道出血、腹痛、血清β-h CG水平、子宫内膜厚度与最终临床诊断之间的关系。结果:异位妊娠组、宫内妊娠流产组和生化妊娠组的0 h和48 h血清β-h CG水平、48 hβ-h CG/0 hβ-h CG及子宫内膜厚度比较差异有统计学意义(P<0.05)。结论:0 h和48 h血清β-h CG水平、48 hβ-h CG/0 hβ-h CG及子宫内膜厚度能有效提示PUL的妊娠结局。
OBJECTIVE: To predict the pregnancy outcome of women with unknown location pregnancy (PUL) using clinical symptoms, serum β-h CG and transvaginal ultrasonography. Methods: A total of 207 patients with PUL admitted to the Affiliated Chinese Medicine Hospital of Xinjiang Medical University from January 2010 to March 2014 were enrolled in this study. Their duration of menopause, vaginal bleeding, abdominal pain, serum levels of β-h CG, endometrial thickness, The relationship between the diagnosis. Results: The levels of serum β-h CG, the level of 48 hβ-h CG / 0 hβ-h CG and endometrial thickness at 0 h and 48 h in ectopic pregnancy, uterine pregnancy and abortion group and biochemical pregnancy group were statistically different Significance (P <0.05). CONCLUSION: Serum β-h CG levels at 48 h, 48 h β-h CG / 0 hβ-h CG and endometrial thickness can effectively predict the outcome of PUL.