Human chorionic gonadotropin ratio of hemoperitoneum versus venous serum improves early diagnosis of ectopic pregnancy  

Oleh:

YuDong, Wang ; Hong, Zhao ; YinCheng, Teng

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 93 no. 03 (Feb. 2010), page 702-705 .
Topik: REPRODUCTIVE HEALTH; Peritoneal serum; venous serum; hCG ratio; ectopic pregnancy

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2010.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective To analyze the value of the hCG ratio of peritoneal serum versus venous serum (RP/V) for early diagnosis and prognostic evaluation of ectopic pregnancy (EP). Design Retrospective clinical study. Setting University hospital. Patient(s) One hundred three women with hemoperitoneum and positive urine hCG tests underwent laparoscopy or laparotomy. Intervention(s) Venous serum and peritoneal serum samples were obtained; ultrasound was performed in all the patients; dilatation and curettage was used in 28 patients. Main Outcome Measure(s) Quantitative hCG and RP/V. Result(s) The RP/V in EP (5.55 ± 4.32) is apparently greater than that in hemoperitoneum with intrauterine pregnancy (hIUP; 0.61 ± 0.18). The median RP/V is 4.07 in the EP group versus 0.60 in the hIUP group, with a suggested threshold value of 1.0 for their differential diagnosis. Moreover, the RP/V of EP shows the dominant difference between the patients with active bleeding (8.03 ± 3.29, n = 24) and the patients without active bleeding (4.59 ± 3.88, n = 16) when the hCG level of venous serum is more than 1500 U/L. Conclusion(s) RP/V could instantly diagnose ectopic pregnancy and differentiate it from hIUP.

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