Liu Z, Lang J, Huang R
Peking Union Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing.
Zhonghua Yi Xue Za Zhi. 1997 Jun;77(6):415-7.
To explore the value of uterine curettage combined with serum hCG assay in the diagnosis of early ectopic pregnancy (EP).
Judgement was done by uterine curettage pathologic examination of uterine content and determination of serum hCG in 61 patients with suspected EP with clinical symptoms, signs and auxillary examinations.
Intrauterine pregnancy was confirmed in 17 patients by the presence of chorionic villi in the uterine contents. 26 patients were diagnosed as having EP by the absence of chorionic villi and elevated levels of hCG 24 hours after curettage. 18 patients who had no chorionic villi and the level of hCG fall down spontaneously after curettage were diagnosed having either intrauterine pregnancy or EP, mostly no further intervention.
Diagnostic curettage with serum hCG determination can be used for differentiating intrauterine pregnancy from EP and it can also provide a reference for further arrangement.
探讨刮宫术联合血清人绒毛膜促性腺激素（hCG）检测在早期异位妊娠（EP）诊断中的价值。
对61例有临床症状、体征及辅助检查提示疑似EP的患者，通过刮宫术获取子宫内容物进行病理检查并测定血清hCG来进行判断。
17例患者子宫内容物中存在绒毛，确诊为宫内妊娠。26例患者刮宫术后24小时子宫内容物未见绒毛且hCG水平升高，诊断为EP。18例患者刮宫术后子宫内容物未见绒毛且hCG水平自行下降，诊断为宫内妊娠或EP，大多无需进一步干预。
诊断性刮宫联合血清hCG检测可用于鉴别宫内妊娠与EP，也可为进一步的处理提供参考。
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