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本文对怀疑子宫恶性滋养细胞肿瘤的39例患者作盆腔动脉造影共44次,其中盆腔动脉造影(PGA)普通照片法18次,数字减影盆腔动脉造影(PDSA)26 ;次,结果显示:葡萄胎多无异常图相,侵蚀性葡萄胎及绒癌的异常图相两者相似,部分侵蚀性葡萄胎有半园形或分叶状充盈缺损。盆腔动脉造影能确切地反映子宫及盆腔内病变的部位及大小,可用于侵蚀性葡萄胎与绒癌的早期诊断,估计化疗效果及介入治疗。此种方法的应用在滋养细胞肿瘤的诊治中有其一定的价值。
In this paper, 39 cases suspected of uterine malignant trophoblastic tumor pelvic arteriography were 44 times, of which routine pelvic artery angiography (PGA) 18 times, digital subtraction pelvic arteriography (PDSA) 26 times, the results showed that: grape Abnormal fetus and no abnormal phase, the erosion of mole and choriocarcinoma of abnormal patterns are similar to some of the invasive hydatidiform mole or lobulated filling defect. Pelvic artery angiography can accurately reflect the location of the uterus and pelvic lesions and size can be used for early diagnosis of invasive mole and choriocarcinoma, chemotherapy and interventional effects estimated. The application of this method has certain value in the diagnosis and treatment of trophoblastic tumors.