Transvaginal Ultrasound Compared with Serum β-hCG Level for Diagnosis of Ectopic Pregnancy in Symptomatic Patients

Autor: Fatemeh Ghatreh Samani, Ali Nourian, Laya Farzadi
Jazyk: perština
Rok vydání: 2018
Předmět:
Zdroj: Majallah-i dānishgāh-i ̒ulūm-i pizishkī-i Arāk, Vol 20, Iss 10, Pp 90-100 (2018)
Druh dokumentu: article
ISSN: 1735-5338
2008-644X
Popis: Abstract Background: Ultrasonography (US) is the most important imaging modality in detecting both intrauterine and ectopic pregnancies. This study aimed to compare serum β-hCG level with Transvaginal Ultrasound in symptomatic patients with ectopic pregnancy. Materials and Methods: A total of 210 patients with definite diagnosis of ectopic pregnancy were enrolled prospectively. All patients underwent transvaginal US by an experienced radiologist who was blind to the final status of the patient. Serum levels of β-hCG and the time gap between US examination and last menstrual period (LMP) were compared between patients with positive and negative US findings. Results: US were positive in 194 patients (92.4%) and negative in the remaining 16 patients (7.6%). The two groups were similar in terms of age (median, 31 years vs. 30.5 years, respectively; p=0.57). Both the median time gap between US and LMP (median, 43 days vs. 34 days, p=0.03) and serum level of β-hCG (median, 1027 mIU/ml vs. 172.5 mIU/ml, p
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