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患者24岁,住院号1350.孕1产0,末次月经为1990年12月19日.因停经8周恶心呕吐1周于1991年2月5日在外院做 B 超,诊断为葡萄胎(恶葡不能除外),当日转入我院.查体:一般状况良,腹部于脐下2指可触及一约新生儿头大的包块,质硬,叩诊呈实音.妇科检查:外阴及阴道正常,宫颈光滑,活动性差,双侧附件区未触及肿物.入院后再次 B 超:子宫增大12.2×9.2×10.5cm,宫内回声不均,可见大小不等蜂窝状低回声区.子宫后壁及子宫底部似有侵袭.提示:葡萄胎.2月8日行吸宫术,宫腔9cm,吸出两个绒毛团及蜕膜组织,未见水泡状物.术后在宫腔置探针下做 B 超检查,盆腔内可见双子宫影像,前方子宫明显增大,子宫内回声不均,呈大小不等蜂窝状改变,并侵袭至子宫壁及子宫底部,于该子宫后方
Patient 24 years old, hospital number 1350. Pregnancy 1 0, the last menstruation was December 19, 1990. 8 weeks due to nausea and vomiting for 1 week on February 5, 1991 in the outer court to do B-, diagnosis of hydatidiform mole (evil Portuguese can not be excluded), transferred to our hospital the same day. Physical examination: the general condition is good, the abdomen below the umbilicus 2 refers to a newborn can touch a large head mass, hard, percussion was solid tone. Gynecological examination: vulva and vagina Normal, cervical smooth, poor activity, bilateral attachment area did not touch the tumor.After admission B again: uterus increased 12.2 × 9.2 × 10.5cm, unequal intrauterine echo, showing the size of the cellular hypoechoic area ranging from the uterus Posterior wall and the bottom of the uterus seems to have attack. Tip: hydatidiform mole .8 February line aspiration, uterine cavity 9cm, sucked out two villi and decidual tissue, no blisters .Postoperative uterine exploration Needle under the B-ultrasound, pelvic visible dual uterine images, the front of the uterus was significantly increased, uneven uterine echo, ranging from honeycomb-like changes and invasion to the uterine wall and the bottom of the uterus in the rear of the uterus