诊断性刮宫结合人绒毛膜促性腺激素测定在诊断早期异位妊娠中的作用

目的探讨诊断性刮宫（简称诊刮）结合血人绒毛膜促性腺激素（ｈＣＧ）测定，在诊断早期异位妊娠中的作用。方法对临床症状、体征及实验室检查可疑异位妊娠的６１例患者进行了诊断性刮宫、病理检查及血ｈＣＧ测定。结果子宫刮出物有绒毛组织，确诊为子宫内妊娠患者有１７例；刮出物无绒毛组织，２４小时后血ｈＣＧ继续升高诊断为异位妊娠患者２６例；子宫刮出物无绒毛组织，２４小时后血ｈＣＧ下降者１８例，其中有子宫内妊娠也有异位妊娠患者，多数毋需处理。结论采用诊刮结合血ｈＣＧ测定可以鉴别子宫内妊娠和早期异位妊娠，并为进一步处理提供参考依据。

Early diagnosis of ectopic pregnancy by uterine curettage with serum hCG assay

Objective To explore the value of uterine curettage combined with serum hCG assay in the diagnosis of early ectopic pregnancy (EP). Methods 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. Results 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 disgnosed having either intrauterine pregnancy or EP, mostly no futher intervention. Conclusion Diagnostic curettage with serum hCG determination can be used for differentiating intrauterine pregnency from EP and it can also provide a reference for further arrangement.