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本文对本院672例妇科疾病患者进行血清β-HCG RIA,现将结果报告如下。 对象和方法 一、对象: (一)妇科疾病患者:672例。均为我院1992～1996年门诊及住院病人。年龄22～45岁,平均31岁。其中先兆流产83例;不全流产42例;葡萄胎56例;附件包块130例;盆腔炎、子宫功能性出血143例;卵巢囊肿、黄体破裂120例。宫外孕98例。 (二)正常育龄妇女:120例。 二、方法:取病人静脉血、后穹窿穿刺血,离心后分出血清和不凝血上清液,冰箱保存,当日检测。采用放射免疫分析法,试剂盒由上海生物制品研究所提供,按说明书操作。采用上海日环仪器厂SN-682型放射免疫γ-计数器测定。 结果 正常育龄妇女120例:停经<40天48例3.1～20ng/ml,停经40～60天64例>50ng/ml;其中8例3.1～6.2ng/ml经复查排除早孕。 先兆流产83例:孕5～8周23例3.1～8.9ng/ml未免流产60例3.1～11.9ng/ml经临床给予“安胎”治疗,β-HCG回升达20～>50ng/ml,保胎成功。 不全流产42例:孕5～8周28例3.1～5.7ng/ml;14例5.8～8.9ng/ml,其中8例二次清宫治疗后<3.1ng/ml;25例随访观察二周后<3.1ng/ml;9例未追踪观察。
This article on 672 cases of gynecological diseases in our hospital serum β-HCG RIA, the results reported below. Objects and methods First, the object: (A) gynecological diseases: 672 cases. Our hospital from 1992 to 1996 outpatient and inpatient. Aged 22 to 45 years old, average 31 years old. Among them, 83 cases of threatened abortion, 42 cases of incomplete abortion, 56 cases of hydatidiform mole, 130 cases of accessory mass, 143 cases of pelvic inflammatory disease and uterine bleeding, 120 cases of ovarian cyst and corpus luteum rupture. 98 cases of ectopic pregnancy. (B) normal women of childbearing age: 120 cases. Second, the method: take the patient venous blood, culdocentesis blood, centrifuged after separation of serum and non-coagulated supernatant, the refrigerator to save the day of testing. Using radioimmunoassay, kit provided by the Shanghai Institute of Biological Products, according to instructions. Shanghai Rinnai Instrument Factory SN-682 type radioimmunoassay γ-counter. Results 120 cases of normal women of childbearing age: 48 cases of menopause <40 days 3.1 ~ 20ng / ml, 40 to 60 days menopause 64 cases> 50ng / ml; 8 cases 3.1 ~ 6.2ng / ml ruled out by the review of early pregnancy. Threatened abortion 83 cases: pregnant 5 to 8 weeks 23 cases 3.1 ~ 8.9ng / ml immortality 60 cases 3.1 ~ 11.9ng / ml clinically given “tocolysis” treatment, β-HCG recovery of 20 ~> 50ng / ml, Paul Tire success. 42 cases of incomplete abortion in 28 cases: 3.1 ~ 5.7ng / ml in 28 cases of pregnancy and 5.8 ~ 8.9ng / ml in 14 cases, of which 8 cases were treated with <3.1ng / ml after secondary curettage; 25 cases were followed up for 2 weeks < 3.1ng / ml; 9 cases did not follow the observation.