异位葡萄胎的临床诊治分析  

Clinical diagnosis and treatment of ectopic hydatidiform mole

作　　者：辛晓玲 苏志红 杨娇娥 赵汝珠 

机构地区：[1]解放军兰州总医院产科,甘肃兰州730050

出　　处：《西北国防医学杂志》2017年第12期819-821,共3页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的:探讨异位葡萄胎的临床诊治过程及疗效,并评价其预后。方法:回顾性分析近15年我院收治的4例异位葡萄胎病例诊治资料。结果:所有病例均有停经及不规则阴道出血史,3例以异位妊娠进行手术治疗,其中术中及术后病理检查证实为输卵管葡萄胎2例,阔韧带葡萄胎1例;另1例为子宫壁异位葡萄胎,因患者未婚未育,最终经动脉灌注化疗2个疗程,静脉化疗4个疗程后痊愈出院。结论:异位葡萄胎同异位妊娠临床表现极相似,确诊主要依据病理结果,以手术治疗为主,术后应予以预防性化疗。子宫壁异位葡萄胎极其罕见,与侵蚀性葡萄胎鉴别困难,但通过化疗可以取得满意的治疗效果。Objective：To evaluate the clinical diagnosis and treatment of ectopic hydatidiform mole,and to evaluate its prognosis. Methods： Four cases of ectopic hydatidiform mole in our hospital in recent 15 years were analyzed retrospectively. Results： All cases had history of menopause and irregular vaginal bleeding,3 cases received surgical treatment because of ectopic pregnancy and were diagnosised by pathology examination during or after operation, 2 cases were confirmed the oviduct hydatidiform mole, the other was broad ligament hydatidiform mole. Another case was ectopic hydatidiform mole of uterine wall, because the patient was unmarried, she received 2 course of arterial infusion chemotherapy and 4 courses of intravenous chemotherapy, left hospital after recovery. Conclusion： The clinical manifestation of ectopic hydatidiform mole and ectopic pregnancy are very similar, diagnosis is mainly based on pathologic results,main treatment is operation,chemotherapy should be given after operation. Ectopic hydatidiform mole of uterine wall is extremely rare, it is difficult to identify with erosive hydatidiform mole, however, satisfactory therapeutic effect can be achieved by chemotherapy.

关 键 词：异位葡萄胎 临床诊治 预后 

分 类 号：R737.33[医药卫生—肿瘤]