超声检查在葡萄胎诊断及治疗中的临床价值(摘要)

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葡萄胎在我国为常见病,是绒毛膜滋养层细胞不规则增生和绒毛发生水肿变性,各个绒毛的乳头变为数毫米至2~3cm大小不等的水泡,它们之间有干梗相连,极似一串串葡萄形状,故称葡萄胎。病因尚不清楚,可能与营养不良、种族因素、病毒感染、卵巢功能失调、细胞遗传学因素有关。葡萄胎的主要病理变化:除以上所述,并有绒毛间质内血管消失。葡萄胎可发生于生育期的任何年龄,临床症状主要为闭经,早孕反应,停经2~4个月间开始阴道出血,严重时可造成贫血,检查子宫较孕月大,伴严重孕吐、腹痛、常合并妊娠中毒症,当子宫急速增大时可引起腹痛,水泡状胎块可穿破子宫造成内出血,出现急腹症甚至发生休克。葡萄胎的B超诊断已为临床公认。本文对我院1996年2月至1998年6月9例葡萄胎 Hydatidiform mole in our country as a common disease is the irregular proliferation of chorionic trophoblast cells and edema degeneration villi, nipples of each villi into a few millimeters to 2 ~ 3cm size blisters of different sizes, with a stem between them connected, like A string of grape shapes, it is called mole. Etiology is not clear, may be associated with malnutrition, ethnic factors, viral infections, ovarian dysfunction, cytogenetics. Mole main pathological changes: In addition to the above, and villus stromal vascular disappear. Hydatidiform mole can occur at any age of growth stage, the main clinical symptoms of amenorrhea, early pregnancy reaction, menopause 2 to 4 months to start vaginal bleeding, can cause severe anemia, check the uterus than the big month, with severe morning sickness, abdominal pain, Often merged with gestosis, when the uterus is rapidly increased can cause abdominal pain, blister-shaped block can be caused by the uterus bleeding, acute abdomen or even shock occurred. Mole diagnosis of B-ultrasound has been clinically recognized. This article on our hospital from February 1996 to June 1998 9 cases of mole
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