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The value of luteum blood classification by ultrasound for predicting the effect of Medical treatment of women with tubal pregnancy |
The 7th People's Hospital of Zhengzhou City, Henan Province, 450000 |
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Abstract Objective: To analyze the value of luteum blood classification by transvaginal color doppler ultrasound for predicting the effect of drug treatment of women with tubal pregnancy. Methods; 123 women with tubal pregnancy by drug therapy were selected as the study subjects from January 2016 to December 2016, and the women were divided into group grade 0, group grade 1, group grade 2, and group grade 3 according to luteal blood classification detected by transvaginal color doppler ultrasonography. The levels of blood β-HCG and tubal pregnancy mass changes at different times of women after drug treatment were compared among the four groups. Results: There were no significant difference in bloodβ-hCG level and the mean diameter of tubal pregnancy mass before treatment among the four groups (P>0.05). On the 1st ,5th, 7th , and 14th day after treatment, the decreased degree of β-hCG level of women in group grade 2 and group grade 3 was significant less than that of women in group grade 0 and group grade 1 (P<0.05),but there was no significant difference in the decreased degree of β-hCG level of women between group grade 0 and group grade 1 (P>0.05). On the5th, 7th, and 14th day after treatment, the decreased degree of the diameter of fallopian tube pregnancy mass of women in group grade 2 and group grade 3 was significant less than that of women in group grade 0 and group grade 1 (P<0.05), but there was no significant difference in the decreased degree of the diameter of fallopian tube pregnancy mass of women between group grade 0 and group grade 1 (P>0.05).The effective rate of women in group grade 3 was the lowest (P<0.05), but there was no significant difference in the effective rate of women among the other three groups (P<0.05). The time of the mass disappearance or the time of bloodβ-hCG retured to normal level of women in group grade 3 was the longest (P<0.05), but those of women in group grade 0 had no significant different to those of women in group grade 1 (P<0.05). Conclusion: luteum blood classification by transvaginal color doppler ultrasound can predict the effect of drug treatment of women with tubal pregnancy. The classification is higher, the treatment time is longer and the curative effect is poor.
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