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四川万县读者李丽问:人工流产时检查吸出物偶可见到有水泡,是否可诊断为葡萄胎,如何处理?答:人工流产时常规检查吸出物是必要的,除防止漏吸及发现未破裂的异位妊娠外,检查时偶可发现吸出物中有少量水泡,这种情况在过期流产的刮出物中更较多见.此种在正常的绒毛中有少量水泡的临床现象称“绒毛水泡样变”或“胎盘退化变性”。病理检查发现此种绒毛有滋养细胞间质水肿变性,但细胞增生不活跃,甚至发生退行性变.故从临床检查及病理改变均不难与葡萄胎鉴别.因此,人工流产、自然流产及过期流产的流出物或刮出物中发现少量水泡不能诊断为葡萄胎.依据既往的传统理论,在人工流产或过期流产的刮出物中虽有少数水泡存在,但不需特殊处理及追踪
Sichuan Li County, Wan County readers Q: Abortion inspection can be seen when there are blisters, even if it can be diagnosed as hydatidiform mole, how to deal with? A: Abortion routine inspection of aspiration is necessary, in addition to prevent leakage and found that the rupture is not broken Ectopic pregnancy, the examination even found a small amount of aspiration in the blisters, which is more common in the case of expired abortion scraps of such a small amount of blisters in normal villi clinical phenomenon called “villus blisters Like change ”or“ degeneration of the placenta. ” Pathological examination found that the degeneration of trophoblastic stromal edema, but cell proliferation is not active, or even degenerative changes. Therefore, clinical examination and pathological changes are not difficult to identify with hydatidiform mole, therefore, induced abortion, spontaneous abortion and expiration Small amount of blisters found in abortion effusions or scraps can not be diagnosed as hydatidiform mole.According to the traditional theory of the past, although there are a few blisters in the abortion of abortion or outdated abortion, but do not need special treatment and follow-up