Gokhan Acmaz, MD, Assistant Professor, Dept. of Obstetrics and Gynecology, Kayseri Training and Education Hospital of Medicine, Kayseri, Turkey.
Huseyin Aksoy, MD, Dept. of Obstetrics and Gynecology, Kayseri Military Hospital Kayseri, Turkey.
Pak J Med Sci. 2013 Sep;29(5):1216-20. doi: 10.12669/pjms.295.3391.
Objective : There is an increasing rate of ectopic pregnancy with the use of assisted reproductive techniques. There is currently no serum test to differentiate ectopic pregnancy from miscarriage. Early and accurate detection of ectopic pregnancy may prevent the development of complications. The aim of this study was whether the ratio of serum/curettage material hCG could provide us with reliable and early diagnosis in distinguishing miscarriage and ectopic pregnancies and also to measure the diagnostic accuracy rate of this method.
A total of 24 patients were evaluated. Twelve of them were diagnosed as an ectopic pregnancy and 12 of them were diagnosed as a miscarriage. All the patients' diagnoses were confirmed pathologically. Non-of the patient had viable fetus. All participants underwent curettage protocol. Serum and curettage material were obtained at the same time. HCG measurements were done from blood and curettage material.
Ratio of Blood/Curettage Material HCG provides fast and reliable results within a few hours with 91.7% accuracy rates.
Ratio of blood/curettage material HCG can be used as a reliable method for differentiating ectopic pregnancy and miscarriage.
目的：随着辅助生殖技术的应用，宫外孕的发生率不断上升。目前尚无血清学检测方法可以区分宫外孕和流产。早期准确地诊断宫外孕可以预防并发症的发生。本研究旨在探讨血清/刮宫组织 hCG 比值能否为我们提供可靠的早期诊断，以区分流产和宫外孕，并测量该方法的诊断准确率。
共评估了 24 例患者。其中 12 例诊断为宫外孕，12 例诊断为流产。所有患者的诊断均经病理证实。无存活胎儿。所有患者均行刮宫术。同时采集血清和刮宫组织。从血液和刮宫组织中检测 HCG 水平。
血/刮宫组织 HCG 比值可在数小时内提供快速、可靠的结果，准确率为 91.7%。
血/刮宫组织 HCG 比值可作为区分宫外孕和流产的可靠方法。
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