子宫角部位妊娠与恶性滋养细胞肿瘤的超声声像图及血清绒毛膜促性腺激素的对比研究  

Comparative study of uterine horn pregnancy site trophoblastic tumor with malignant sonographic and serum human chorionic gonadotropin

作　　者：黄钰华 

机构地区：[1]广州市番禺区南村医院,广州511442

出　　处：《中国当代医药》2013年第32期34-35,共2页China Modern Medicine

摘　　要：目的 对比子宫角部位妊娠（CP）与恶性滋养细胞肿瘤（TT）的超声声像图特点及血清绒毛膜促性腺激素（β-HCG）的水平,以增加它们在鉴别诊断CP与恶性TT中的准确性.方法 回顾性分析2010年1月～2013年3月在本院进行治疗的CP患者和恶性TT患者的超声声像图表现与血清β-HCG水平.结果 恶性TT组的筛网状血流分布比CP组更加常见,CP组的条状血流分布比恶性TT组更加常见,差异有统计学意义（P＜0.05）;CP组的血清β-HCG水平、收缩期峰值流速（PSV）和舒张末期流速（EDV）均明显低于恶性TT组,RI明显高于恶性TT组,差异有统计学意义（P＜0.01）.结论 超声检查对CP和恶性TT的鉴别具有十分重要的临床意义,当它结合血清β-HCG水平进行检测时,能够为临床治疗方案的制订提供尤为重要的信息.Objective To compare the uterine horn parts of pregnancy （CP） and malignant trophoblastic tumor （TF） ul- trasonographie image characteristics and serum human chorionic gonadotropin （β-HCG） level in order to increase their differential diagnosis of CP and malignant the TT accuracy.Methods A retrospective analysis of sonographic manifes- tations and serum β-HCG levels was developed for the patients with treatment of CP and patients with malignant TT from January 2010 to March 2013 in our hospital.Results Compared with CP group,the mesh blood flow distribution of TT group was more common,and CP group＇s strip blood flow distribution was more common than malignant TT group, the difference was significant （P〈0.05）.The levels of serum β-HCG,PSV and EDV in CP group was significantly lower than that of malignant TT group,the RI was significantly higher than that of malignant TT group,the difference was sig- nificant （P〈0.01）.Condusion The uhrasonography has very important clinical significance for the CP and the identifi- cation of malignant TT,when it is combined with the detected of serum β-HCG levels,it is possible and particularly important for the clinical treatment plan to provide the information.

关 键 词：子宫角部位妊娠 恶性滋养细胞肿瘤 超声 血清绒毛膜促性腺激素 

分 类 号：R714.224[医药卫生—妇产科学]