Dissertation
Dissertation > Medicine, health > Obstetrics and Gynaecology > Obstetrics > Pathological pregnancy ( abnormal pregnancy ) > Ectopic pregnancy ( ectopic pregnancy )

The Study of the Relationship between Serum hCG Levels and Different Depth of Trophoblastic Infiltrition into the Tubal Wall

Author GaoXinPing
Tutor YanHua;BoXianLu
School Hebei Medical University
Course Obstetrics and Gynaecology
Keywords Tubal pregnancy Trophoblastic Serum hCG RI values S / D value
CLC R714.22
Type Master's thesis
Year 2005
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Objective: tubal pregnancy is a common disease of women of childbearing age in China , accounting for more than 95% of ectopic pregnancy , in recent years, its incidence has increased year after year . The past , the treatment of the disease with ipsilateral salpingectomy recent years, with the rapid development of the B- blood , urine β-hCG determination and laparoscopic techniques , ectopic pregnancy early diagnosis , from the early 1980s conservative treatment , to get attention, and has become one of the important means of treatment of tubal pregnancy . However , the rate of early diagnosis and patients with ectopic pregnancy increase the functional requirements of the preserve fertility , the fixed traditional conservative treatment of ectopic pregnancy drug indications ( stable vital signs , under the premise of no active bleeding , the blood of hCG lt ; 2000mIu / ml, adnexal mass lt ; 3cm = can not meet the clinical needs and the size of the mass of ordinary B- only judgment , while unable to provide more information about embryo vitality , it is often indications Select improper happened , resulting in about 3% -20 % of patients have persistent ectopic pregnancy occurs mainly with trophoblastic vitality high and failed to completely remove relevant . the tubal pathology study found ruptured tubal pregnancy due to trophoblastic invasion of the wall muscularis above , hCG is a sign of the number and vitality of the trophoblast , implantation of a fertilized egg in the the tubal wall also showed characteristic changes in blood flow in the CDFI serum hCG in the experimental study of tubal pregnancy , , and CDFI the CDFI measurement tubal mass blood flow resistance index ( RI ) values ??and systolic and diastolic ratio (S / D) tubal wall trophoblastic invasion of the differences of the different stages and three , provide the basis for conservative treatment methods

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