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1.病例介绍 患者,女,26岁,停经43天,B超检查:宫体大小6.6×5.1×4.3cm~3,宫腔内可见两个相连的液性暗区,大小分别为1.2×1.0cm~2、1.1×O.9cm~2,内无明显心血管搏动。B超提示:早孕(双胎)。停经64天患者阴道有少量出血,B超再次检查,官体大小8.7×6.25×8cm~3,宫腔内可见多个大小不等圆形、椭圆形透声暗区,内无胚胎组织。提示:完全性葡萄胎。清宫术清出约250g左右大小不等水泡样组织。病检结果:水泡状胎块,滋养叶细胞轻度增生。2.误诊原因分析
1. Case description Patients, women, 26 years old, 43 days of menopause, B-ultrasonic examination: Palace size 6.6 × 5.1 × 4.3cm ~ 3, the uterine cavity can be seen in two connected liquid dark areas, the size is 1.2 × 1.0 Cm~2,1.1*O.9cm~2, there is no obvious cardiovascular pulse. B-tip: early pregnancy (twin). After 64 days of menopause, there was a small amount of bleeding in the vagina. The B-scan was examined again. The size of the official body was 8.7×6.25×8cm~3. There were many round and oval sound-transparent regions within the uterine cavity, and there was no embryonic tissue inside. Tip: Complete moles. The Qing technique clears about 250 g of blister-like tissue of varying sizes. Medical examination results: vesicular-like cysts, mild proliferation of trophoblast cells. 2. Analysis of misdiagnosis reasons