论文部分内容阅读
妊娠滋养叶疾患(GTD)对于化疗有独特的反应性,即使存在广泛转移也仍有效。用各种单一药物及联合化疗都有显著疗效。尽管如此,在化疗前仍需彻底分析肿瘤病变的程度。除化疗外,对某些病人手术治疗也起重要作用。子宫出血、感染或顽固性子宫肿瘤时,子宫切除至关重要。子宫切除也可显著减少滋养叶肿瘤负荷,因而减少非转移及转移性GTD为达到促性腺激素恢复作用所需化疗的次数。所以治疗持久性的GTD时,子宫受累的检查极为重要。盆腔动脉造影能准确显示滋养叶侵入子宫,但因操作可引起并发症。盆腔超声图象能准确诊断葡
Gestational trophoblastic disorders (GTD) have a unique reactivity to chemotherapy and are effective even in the presence of extensive metastases. With a variety of single-drug and combination chemotherapy have a significant effect. In spite of this, the extent of neoplastic lesions needs to be thoroughly analyzed before chemotherapy. In addition to chemotherapy, some patients also play an important role in surgical treatment. Hysterectomy is crucial when uterine bleeding, infection or intractable uterine tumors. Hysterectomy also significantly reduces trophoblastic tumor burden, thus reducing the number of non-metastatic and metastatic GTD chemotherapy required to achieve the role of gonadotropin recovery. Therefore, the treatment of persistent GTD, uterine involvement test is extremely important. Pelvic artery angiography can accurately show nourishing leaves invade the uterus, but can cause complications due to the operation. Pelvic ultrasound images can accurately diagnose glucose