妊娠滋养细胞疾病722.pptVIP

 gestational trophoblastic disease ( GTD)  妊娠滋养细胞疾病 2011.7.22 Introduction gestational trophoblastic disease ( GTD) are a group of diseases from the placenta nourish cells of the disease, it includes hydatidiform mole , invasive hydatidiform mole , velvet carcinoma and rare placenta parts nourish cell tumors.妊娠滋养细胞疾病( gestational trophoblastic disease，GTD)是一组来源于胎盘滋养细胞的疾病，它包括葡萄胎、侵袭性葡萄胎、绒癌及罕见的胎盘部位滋养细胞肿瘤 In addition to hydatidiform mole GTD outside the call of pregnancy nourish cell tumors (gestational trophoblastic neoplasia, GTN) 除葡萄胎以外的GTD称之妊娠滋养细胞肿瘤 years to imaging diagnosis GTD mainly depends on the type ultrasound and color doppler ultrasound .多年来影像学诊断GTD主要依赖B型超声及彩色多普勒超声 Magnetic resonance imaging (magnetic resonance imaging, magnetic resonance imaging) reported less磁共振成像 ( magnetic resonance imaging，MRI) 的相关报道较少 Clinical manifestations  hydatidiform mole is benign lesions, according to the organization for the fetus or pregnancy embryonic composition, will hydatidiform mole divided into the completeness and some sex hydatidiform mole .葡萄胎属良性病变，根据妊娠组织中有无胎儿或胚胎成分，将葡萄胎分为完全性与部分性葡萄胎 Do not understand about the etiology, more than 40 years old or less than 20 years old, incidence 病因不甚明了，大于40岁或小于20岁，发病率增高 The main and yunkun defect, and empty the eggs are fertilized, double sperm to fertilise relevant 主要与孕卵缺损，空卵受精、双精子受精有关 Presented with postmenopausal bleeding as the main symptoms of pregnancy often early, heavy, reaction long临床上以停经后阴道出血为主要症状，妊娠反应往往早、重、长 Clinical manifestations  Abnormal uterine body check, individuals can increase a abdominal pain and pregnancy-induced hypertension merger .体查子宫异常增大，个别人可有腹痛及合并妊高症 Flavin cyst in completeness hydatidiform mole incidence of 30-50% 黄素囊肿在完全性葡萄胎发生率为30—50% The ultrasonic inspection for the main method and in combination with B-HCG abnormal increases, the rush hour extended and symptoms, signs may diagnose disease超声为主要检查方法，结合B-HCG异常升高，高峰时间延长及症状、体征可诊断