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异位妊娠早期诊断标志物

Ectopic pregnancy early diagnosis markers.

作者信息

Segal S, Mercado R, Rivnay B

机构信息

Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Lincoln Medical Center, Weill Medical College of Cornell University, New York, NY, USA.

出版信息

Minerva Ginecol. 2010 Feb;62(1):49-62.

Abstract

Ectopic pregnancy (EP) is a high-risk medical condition with an incidence of 1.9% in reported pregnancies, and has proven to be the most common cause of pregnancy-related deaths in the first trimester. The clinical symptoms can mimic non-EP conditions, thus creating a challenge for developing diagnostic criteria and new diagnostic tools. Early diagnosis of ectopic pregnancy is essential in order to minimize the morbidity and to assess the need for urgent surgical intervention. Currently, ultrasound and serum biomarkers are used by clinicians for early detection and diagnosis. This review summarizes and comments on the available literature on the various markers including their utility and their statistical parameters.

摘要

异位妊娠(EP)是一种高危疾病,在已报告的妊娠中发生率为1.9%,并且已被证明是孕早期与妊娠相关死亡的最常见原因。其临床症状可能与非异位妊娠情况相似,因此对制定诊断标准和新的诊断工具构成挑战。为了将发病率降至最低并评估紧急手术干预的必要性,异位妊娠的早期诊断至关重要。目前,临床医生使用超声和血清生物标志物进行早期检测和诊断。本综述总结并评论了关于各种标志物的现有文献,包括它们的效用及其统计参数。

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