先兆流产患者妊娠丢失的超声和实验室预测:一项为期三年的观察性研究

A. Salah
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摘要

目的:本研究的目的是评估卵黄囊不同异常、血清癌抗原125 (CA-125)水平和血清β -人绒毛膜促性腺激素(β -HCG)水平作为先兆流产患者早期妊娠丢失的早期预测指标之间的关系。方法:本前瞻性观察研究对292例妊娠6 ~ 13周的先兆流产孕妇进行了研究。经阴道超声显示卵黄囊及卵黄囊直径。同时测定母体血清CA-125和β HCG。妊娠结局为主要结局指标。收集数据并制成表格。结果:YS大小与妊娠结局有极显著相关(P<0.001)。CA-125和β-HCG是预测流产的良好指标,准确率分别为88%和81.5%。结论:卵黄囊大小、母体血清CA-125和β-HCG是早期先兆流产妊娠结局的良好预测指标。
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Ultrasonic and Laboratory Predictors of Pregnancy Loss in Patients with Threatened Miscarriage: A Three-Year Observational Study
Objectives: The aim of this study was to assess the relation between different abnormalities of the yolk sac, serum level of Cancer Antigen 125 (CA-125) and serum level of Beta Human Chorionic Gonadotropin (β –HCG) as early predictors of first trimester pregnancy loss in patients with threatened miscarriage. Methods: This prospective observational study was conducted on 292 pregnant women between six to 13 weeks of gestation who were suffered threatened miscarriage. Visualization of yolk sac and diameter were recorded by transvaginal ultrasound . Maternal serum CA-125 and β HCG were also measured. Pregnancy outcome was the main outcome measure. Data was collected and tabulated. Results: There was highly Significant relation between YS size and pregnancy outcome (P<0.001). CA-125 and β-HCG were good predictors of miscarriage with accuracy 88%and 81.5% respectively. Conclusions: Yolk sac size and maternal serum CA-125 and β-HCG are good predictors of pregnancy outcome in first trimester threatened miscarriage.
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