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目的:在异位妊娠诊断和治疗过程中,监测指标为β-HCG和B超对附件区包块的动态观察,长期临床研究证明其价值有一定的局限性。目前研究发现,早期EP时彩超监测附件区包块血流信号和血清β-HCG、孕酮测定在EP的早期诊断和药物治疗中可能有其重要的价值,是一种行之有效的方法。本文就彩超收缩期峰值流速、舒张末期流速、阻力指数血流监测和血清β-HCG、PROG测定在早期EP诊断和治疗中的临床应用作一综述。
OBJECTIVE: In the process of diagnosis and treatment of ectopic pregnancy, the monitoring indicators are the dynamic observation of the mass in the annexed area by β-HCG and B-ultrasound. Long-term clinical studies have proved its value has some limitations. The current study found that the early EP epaulets, the monitoring area attached mass flow signal and serum β-HCG, progesterone determination in the early diagnosis and drug treatment of EP may have important value, is an effective method. This article reviews the clinical application of the monitoring of early diagnosis and treatment of EP by monitoring the peak systolic flow velocity, the end diastolic velocity, the resistance index blood flow monitoring and the serum β-HCG and PROG determination.