Chandra L, Jain A
Department of Biochemistry, Lady Hardinge Medical College and Smt. S.K. Hospital, New Delhi, India.
Int J Gynaecol Obstet. 1995 Apr;49(1):21-3. doi: 10.1016/0020-7292(95)02340-i.
To evaluate the role of serum creatine kinase as a possible marker for diagnosis of tubal pregnancy.
Five groups of patients were included in this prospective study: group A, 20 patients with tubal pregnancies; group B, 20 patients with missed abortions; group C, 20 patients with pelvic inflammatory disease; group D, 10 patients with acute appendicitis; group E (controls), 20 patients with normal pregnancies matched for age and gestation. Total creatine kinase levels were measured in the serum of all five groups.
Creatine kinase levels were found to be > or =75 IU/l in all patients with tubal pregnancies, which was significantly higher than in the other four groups (P < 0.0001).
Our results indicate that maternal serum creatine kinase can be an important biochemical marker in suspected tubal pregnancy.
评估血清肌酸激酶作为输卵管妊娠诊断潜在标志物的作用。
本前瞻性研究纳入五组患者:A组,20例输卵管妊娠患者;B组,20例稽留流产患者;C组,20例盆腔炎患者;D组,10例急性阑尾炎患者;E组(对照组),20例年龄和孕周匹配的正常妊娠患者。检测所有五组患者血清中的总肌酸激酶水平。
所有输卵管妊娠患者的肌酸激酶水平均≥75 IU/l,显著高于其他四组(P < 0.0001)。
我们的结果表明,孕妇血清肌酸激酶可能是疑似输卵管妊娠的一项重要生化标志物。