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血清孕酮及刮宫术在异位妊娠鉴别诊断中的应用

Serum progesterone and uterine curettage in differential diagnosis of ectopic pregnancy.

作者信息

Stovall T G, Ling F W, Carson S A, Buster J E

机构信息

Department of Obstetrics and Gynecology, University of Tennessee-Memphis.

出版信息

Fertil Steril. 1992 Feb;57(2):456-7. doi: 10.1016/s0015-0282(16)54866-3.

DOI:10.1016/s0015-0282(16)54866-3
PMID:1735503
Abstract

The implementation of a serum P less than 5.0 ng/mL is important because it resolves the differential diagnosis of EP by enabling timely uterine curettage. Curettage with examination of curettings or documentation of falling hCG can be used to prevent unnecessary laparoscopies in patients undergoing spontaneous abortions and can make possible definitive diagnosis and medical treatment of EP completely eschewing anesthesia and surgery.

摘要

血清P低于5.0 ng/mL的实施很重要,因为它通过及时进行刮宫术解决了异位妊娠(EP)的鉴别诊断问题。刮宫并检查刮出物或记录hCG下降情况,可用于防止自然流产患者进行不必要的腹腔镜检查,并有可能对EP进行明确诊断和药物治疗,从而完全避免麻醉和手术。

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1
Serum progesterone and uterine curettage in differential diagnosis of ectopic pregnancy.血清孕酮及刮宫术在异位妊娠鉴别诊断中的应用
Fertil Steril. 1992 Feb;57(2):456-7. doi: 10.1016/s0015-0282(16)54866-3.
2
There is no role for uterine curettage in the contemporary diagnostic workup of women with a pregnancy of unknown location.在当代对妊娠位置不明的女性进行诊断性检查时,刮宫术并无作用。
Hum Reprod. 2006 Oct;21(10):2706-10. doi: 10.1093/humrep/del223. Epub 2006 Jun 21.
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Serum progesterone and human chorionic gonadotropin in very early pregnancy: implications for clinical management.妊娠极早期的血清孕酮和人绒毛膜促性腺激素:对临床管理的意义
Eur J Obstet Gynecol Reprod Biol. 1989 Aug;32(2):71-7. doi: 10.1016/0028-2243(89)90186-x.
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[Early diagnosis of ectopic pregnancy by uterine curettage with serum hCG assay].[通过刮宫术联合血清人绒毛膜促性腺激素检测早期诊断异位妊娠]
Zhonghua Yi Xue Za Zhi. 1997 Jun;77(6):415-7.
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Timely diagnosis of early ectopic pregnancy using a single blood progesterone measurement.
Fertil Steril. 1987 Dec;48(6):1048-50. doi: 10.1016/s0015-0282(16)59607-1.
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Single serum activin a testing to predict ectopic pregnancy.单次血清激活素A检测用于预测异位妊娠。
J Clin Endocrinol Metab. 2007 May;92(5):1748-53. doi: 10.1210/jc.2006-2188. Epub 2007 Mar 6.
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Clinical utility of serum reproductive hormones for the early diagnosis of ectopic pregnancy in the first trimester.血清生殖激素在孕早期异位妊娠早期诊断中的临床应用价值
J Obstet Gynaecol Res. 2013 Feb;39(2):528-35. doi: 10.1111/j.1447-0756.2012.02001.x. Epub 2012 Nov 14.
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Early diagnosis of ectopic pregnancy using receiver-operator characteristic curves of serum progesterone concentrations.利用血清孕酮浓度的受试者工作特征曲线对异位妊娠进行早期诊断。
Hum Reprod. 1993 May;8(5):775-9. doi: 10.1093/oxfordjournals.humrep.a138139.
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Combined use of progesterone and human chorionic gonadotropin determinations for differential diagnosis of very early pregnancy.联合使用孕酮和人绒毛膜促性腺激素测定法对早早孕进行鉴别诊断。
Fertil Steril. 1991 Mar;55(3):492-6. doi: 10.1016/s0015-0282(16)54173-9.
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Improved sensitivity and specificity of a single measurement of serum progesterone over serial quantitative beta-human chorionic gonadotrophin in screening for ectopic pregnancy.在异位妊娠筛查中,单次血清孕酮检测比连续定量检测β-人绒毛膜促性腺激素具有更高的敏感性和特异性。
Hum Reprod. 1992 May;7(5):723-5. doi: 10.1093/oxfordjournals.humrep.a137725.

引用本文的文献

1
A case of fallopian tube adenofibroma: difficulties associated with differentiation from ectopic pregnancy.一例输卵管腺纤维瘤:与异位妊娠鉴别相关的困难。
Clin Med Insights Case Rep. 2014 Nov 27;7:135-7. doi: 10.4137/CCRep.S18859. eCollection 2014.
2
The Values of CA-125, Progesterone, ß-HCG and Estradiol in the Early Prediction of Ectopic Pregnancy.CA-125、孕酮、β-人绒毛膜促性腺激素及雌二醇在异位妊娠早期预测中的价值
Oman Med J. 2012 Mar;27(2):124-8. doi: 10.5001/omj.2012.26.