中文摘要：

目的探讨联合检测催乳激素（PRL）和抗心磷脂抗体（ACA）在子宫内膜异位症（EMS）诊断中的应用价值。方法将90例EMS患者按美国生育学会（AFS）修正的分期法分为轻度组（Ⅰ／Ⅱ期）41例和重度组（Ⅲ／Ⅳ期）49例，以10例正常生育年龄妇女做为对照组。采用时间分辨荧光免疫法检测血清PRL，ELISA法检测血清ACA。结果（1）EMS轻度组和重度组血清PRL水平及ACA阳性率分别为（642．60±419．69）u／ml、（647．97±289．76）u／ml和63．4％、71．4％，差异无统计学意义（P〉0．05），但均明显高于健康对照组（P〈0．05）。（2）轻度组血清ACA阳性率34．1％，显著高于重度组和对照组（P〈0．05）。结论联合枪测I缸清PRL和ACA,右曲千EMS的诊断和分蝴．

英文摘要：

Objective The study was to investigate the value of serum PRL and ACA detection in the diagnosis of endometrisis. Methods Serum PRL by time - resolved fluorescence assay and ACA by ELISA were detected in 41 EMS patients with stageⅠ/Ⅱ ,49 EMS patients with stage Ⅲ/Ⅳ and 10 normal women. Results （ 1 ） The positive rate and average concentrations of PRL in EMS patients with stage Ⅰ/Ⅱ and stage Ⅲ/Ⅳ were obviously higher compared with healthy control （ P 〈 0.05 ）. （ 2 ） The positive rate of ACA in EMS patients with stage Ⅰ/Ⅱ was 34.1% and was obviously higher compared with EMS patients with stage Ⅲ/Ⅳ and healthy control （P 〈 0. 05 ）. Conclusion Measurement of serum PRL and ACA may provide a valuable tool in the diagnosis and estimation of endometrisis.