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1980年1月至1988年12月收治葡萄胎患者共153例。根据症状、体征,初诊者即做血清hCG测定,辅以B超和胸部X线摄片等检查,最后经病理确诊。发病年龄最小20岁,最大58岁,20～30岁者113例,占73.9％。农民患者117例,占76.5％。153例均行吸宫术,血清hCG测定,吸宫前平均为10484μg/L,吸宫后8周内降至正常者126例,占82.4％;超过8周者21例,占13.7％。本文就发病因素、咯血症状、二次刮宫及预防性治疗措施作了重点讨论。
January 1980 to December 1988 a total of 153 cases of patients with hydatidiform mole. According to the symptoms, signs, the initial diagnosis of serum hCG, supplemented by ultrasound and chest X-ray examination, the final pathological diagnosis. The youngest 20 years of age, maximum 58 years old, 20 to 30 years old in 113 cases, accounting for 73.9%. 117 cases of peasant patients, accounting for 76.5%. 153 cases underwent aspiration and hCG determination. The mean before aspiration was 10484μg / L, 126 cases (82.4%) declined to normal after 8 weeks and 21 cases (13.7%) over 8 weeks. This article focuses on the incidence of factors, hemoptysis symptoms, secondary curettage and preventive treatment measures were discussed.