Abnormal pregnancy: early diagnosis by US and serum chorionic gonadotropin levels
| Autor: | Dakir L. Duarte Filho, David A. Nyberg, Barry S. Mahoney, Faye C. Laing, Roy A. Filly |
|---|---|
| Rok vydání: | 1986 |
| Předmět: |
endocrine system
medicine.medical_specialty medicine.drug_class Physiology Abnormal Pregnancy Abortion Chorionic Gonadotropin Human chorionic gonadotropin Molar pregnancy Pregnancy medicine Humans Radiology Nuclear Medicine and imaging Amnion reproductive and urinary physiology Ultrasonography Gynecology urogenital system business.industry Obstetrics and Gynecology General Medicine medicine.disease Threatened abortion Abortion Spontaneous Pregnancy Complications embryonic structures Gestation Female Gonadotropin business hormones hormone substitutes and hormone antagonists |
| Zdroj: | Radiology. 158:393-396 |
| ISSN: | 1527-1315 0033-8419 |
| DOI: | 10.1148/radiology.158.2.3510444 |
| Popis: | Simultaneous sonography and quantitative serum human chorionic gonadotropin (HCG) levels from 126 women with threatened abortion were compared. Of 56 women with normal outcome, 39 (70%) had a gestation sac greater than or equal to 5 mm in mean sac diameter, and in each case the HCG level was 1,800 milli-international units (mIU/ml) or greater. The serum HCG levels strongly correlated with the gestation sac sizes to a mean sac diameter of 25 mm. Of 70 abnormal pregnancies, 31 demonstrated a gestation sac. Of these, 20 women (65%) had disproportionately low HCG levels relative to sac size, including 12 in whom the HCG level was less than 1,800 mIU/ml. One woman with an early molar pregnancy had a disproportionately elevated HCG level. Correlation of sonograms with a simultaneous measurement of serum HCG level is a useful method for evaluating threatened spontaneous abortion. A disproportionately low HCG level relative to gestation sac size is evidence for an abnormal pregnancy. |
| Databáze: | OpenAIRE |
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