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目的:分析孕早期不典型葡萄胎的超声误诊原因,进一步明确其与胚胎停育的诊断与鉴别诊断。方法:我院2008年超声诊断为胚胎停育的92例患者均行清宫术,术后将组织物送病检。结果:有9例病检为葡萄胎,其中水疱状胎块7例,部分性葡萄胎2例。结论:不典型葡萄胎与早孕期流产致胚胎停育单纯从临床表现、声像图等方面二者难以区别,还应结合血清β-HCG生化检查和宫腔诊刮物病检综合分析得出最终诊断。
OBJECTIVE: To analyze the causes of misdiagnosis of atypical hydatidiform mole in the first trimester of pregnancy and to further confirm its diagnosis and differential diagnosis of embryo suspension. Methods: In our hospital in 2008, 92 patients who underwent ultrasound diagnosis for stopping the embryo were treated with euthanasia and the tissues were sent for pathological examination. Results: Nine cases were diagnosed as hydatidiform mole, of which 7 cases were blister-like and 2 partial hydatidiform moles. Conclusion: It is indistinct to distinguish between atypical hydatidiform mole and embryo abortion caused by miscarriage in the first trimester from the clinical manifestations, sonography and so on. It should be combined with the comprehensive analysis of biochemical examination of β-HCG and intrauterine curettage Final diagnosis.