目的 探讨静脉血与腹腔血β-HCG定量检测在诊断异位妊娠中的临床价值.方法 对65例以腹腔内出血入院的患者进行系统回顾性研究,采用血清化学发光法定量检测腹腔血β-HCG和静脉血β-HCG值,并对结果进行比较分析.结果 确诊为异位妊娠患者62例,其腹腔内血β-HCG明显高于静脉血,差别有统计学意义(P＜0.01),其确诊率为100％;另外3例中1例为妊娠合并黄体破裂,其腹腔血值稍低于静脉血无统计学差异(P＞0.05)；2例为黄体破裂,腹腔血与静脉血均为阴性.腹腔血β-HCG值的高低与腹腔出血量无统计学差异(P＞0.05).结论 腹腔血联合静脉血查β-HCG能提高异位妊娠诊断率,对鉴别腹腔内出血的类型有临床应用价值,值得临床推广.%Objective To explore the diagnosis value of ectopic pregnancy by β-HCG (hunman chorionic gonado-tropin) quantitative analysis with vein and intra-abdominal hemorrhage. Methods 60 patients with intra-abdominal hemorrhage were retrospectively analyzed. Results 62 patients with ectopic pregnancy were diagnosed. The β-HCG of abdominal cavity blood was significantly higher than that of serum (P<0. 01). Abdominal blood level of β-HCG values were no correlated with intra-abdominal bleeding. Conclusion It is significant for β-HCG in intra-abdominal hemorrhage and vein in diagnosing ectopic pregnancy.
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