Radikov N
Akush Ginekol (Sofiia). 1989;28(2):15-9.
Twelve women with hydatidiform mole were studied between 12 and 20 weeks-gestation. The level of SP1 was determined by radioimmunologic method. The author found statistically significant increase of SP1 over 90th percentile of gestational age (p less than 0.001). Examining the level of SP1 after evacuation of hydatidiform mole it was established that SP1 was eliminated more quickly than human chorionic gonadotropin (HCG) in urine during early pregnancy. Quite the contrary was discovered in women with advanced pregnancy, in whom the concentration of SP1 disappeared more slowly, while HCG was eliminated for a shorter time. The observed dissociation in elimination of SP1 and HCG showed that the combined examination of HCG and SP1 provided better information in the follow-up of women with trophoblastic disease. The author think that treatment of trophoblastic disease should continue till complete elimination both of HCG and SP1.
对12例妊娠12至20周的葡萄胎女性进行了研究。采用放射免疫法测定SP1水平。作者发现,SP1水平在超过胎龄第90百分位数时具有统计学意义的升高(p<0.001)。在葡萄胎排空后检测SP1水平,结果表明,在妊娠早期,SP1在尿液中的清除速度比人绒毛膜促性腺激素(HCG)更快。而在晚期妊娠女性中发现情况恰恰相反,其中SP1浓度消失得更慢,而HCG清除时间更短。观察到的SP1和HCG清除的分离现象表明,在滋养细胞疾病女性的随访中,联合检测HCG和SP1能提供更好的信息。作者认为,滋养细胞疾病的治疗应持续至HCG和SP1完全清除。