| 检测阴道液hCG水平诊断胎膜早破的价值 |
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| 引用本文： | 汪炼,漆洪波,向世碧,颜萍. 检测阴道液hCG水平诊断胎膜早破的价值[J]. 实用妇产科杂志, 2002, 18(1): 37-38 |
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| 作者姓名： | 汪炼 漆洪波 向世碧 颜萍 |
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| 作者单位： | 1. 重庆市江北第一人民医院,重庆,400020
2. 重庆医科大学附属第二医院,重庆,400010 |
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| 摘 要： | 目的 :探讨阴道液 h CG的测定能否用于胎膜早破的临床诊断。方法 :对 73例晚期孕胎膜早破的孕妇和 5 7例正常晚期孕妇 ,采集阴道液进行 h CG定性和定量检测。结果 :阴道液 h CG定性检测诊断胎膜早破的敏感性为 90 .4 % ,特异性为 93.0 % ,阳性预测值为 94 .3% ,阴性预测值为 88.3%。阴道液 h CG定量检测 (h CG>4 0 IU/ L为界限值 )诊断胎膜早破的敏感性为 97.3% ,特异性为 94 .7% ,阳性预测值为 95 .9% ,阴性预测值为 96 .4 %。结论 :阴道液 h CG检测是胎膜早破的标志物而且简单、快速、可靠
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| 关 键 词： | 阴道液 人绒毛膜促性腺激素 胎膜早破 |
| 文章编号： | 1003-6946(2002)01-037-02 |
| 修稿时间： | 2001-09-25 |
Diagnosis of Premature Rupture of Membranes by the Identification of hCG in Vaginal Secretions |
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| WANG Lian ,QI Hong bo ,XIANG Shi bi ,YAN Ping. Diagnosis of Premature Rupture of Membranes by the Identification of hCG in Vaginal Secretions[J]. Journal of Practical Obstetrics and Gynecology, 2002, 18(1): 37-38 |
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| Authors: | WANG Lian QI Hong bo XIANG Shi bi YAN Ping |
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| Affiliation: | WANG Lian 1,QI Hong bo 2,XIANG Shi bi 1,YAN Ping 1 |
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| Abstract: | Objectives:To study the diagnostic value of hCG in premature rupture of membranes(PROM).Methods:hCG in vaginal secretions from 57 normal third trimester pregnant women and 73 third trimester pregnant women with PROM were determined by quantitative and qualitative analysis Results:The sensitivity,specificity,positive predictive value(PPV),negative predictive value(NPV)by qualitative analysis were 90.4%,93.0%,94.3%,88.3%,respectively.The sensitivity,specificity,PPV,NPV by quantitative analysis(40 IU/L threshold)were 97.3%,94.7%,95.9%,96.4%,respectively.Conclusions:Measuring hCG in vaginal secretions is a marker of PROM.It is simple,rapid and reliable. |
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| Keywords: | Vaginal secretions Human chorionic gonadotropin Premature rupture of membranes |
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