宫颈葡萄胎的临床特点及诊治附1例病例报告及文献复习.pdfVIP

Journal r，Vd．23,No．2中日友好医院学报2009年第23卷第2期 95 ofChina-Japan胁n出^咖Hospital,2009Ap 宫颈葡萄胎的临床特点及诊治 (附1例病例报告及文献复习) 谢玲1，阳艳军2‘，卞美璐2 (1．青海省妇女儿童医院妇产科．青海西宁810007；2．中日友好医院妇产科，北京100029) 摘要 目的：探讨宫颈葡萄胎的I临床特点和诊治方案。方法：报告l例宫颈葡萄胎的临床资料，总结国内外相关 个案报道，对宫颈葡萄胎的临床表现、诊断和治疗进行分析。结果：宫颈葡萄胎发病率低，临床表现为阴道出血 时间长、量多，腹痛不明显，宫颈形状异常，血B一人绒毛膜促性腺激素(13-HCG)较宫颈妊娠高，B超提示宫颈部 位葡萄胎改变等，治疗上以5一氟脲嘧啶为主的化疗，效果良好。结论：宫颈葡萄胎l临床罕见。临床表现特殊，血 HCG和B超可辅助诊断，治疗应选择以5一氟脲嘧啶为主的化疗。 关键词：宫颈；葡萄胎：化疗 中图分类号：R737．33 文献标识码：A 文章编号：1001-0025(2009)02-0095-03 doi：10．3969／j．issn．1001-0025．2009．02．010 Clinic methodandtreatmentofcervical mole／／XlE characteristic，diagnostic hydatidiformLing，YANG Mei-lu／／Journaiof Yan-j岫，BIAN China-JapanFriendshipHospital。2009Apr。23(2)：95-97 Abstract reseachtheclinic methodof andtreatmentofcervical Objective：To characteristic，thediagnosis clinicaldataofthe casewas wit}Itheothereases hydatidiformmole．Methods：The present analyzedcombining the and in world．Theclinical treatmentwemreviewed．Results：Cervical reposed manifestation．diagnosis hyda- tidiformmole incidence and evidentab— showed low massive extremely rate，longperiod vaginalbleeding，no dominal of uterine chorionic the blood pain，abnormalshape cervix，higher13-human gonadotrophin(B—HCG) of is thancervical and B ultrasound．About risk pregnancyspecificimage type treatment，theoperation very and with5-flurouracilshow