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通过对46例子宫恶性滋养细胞疾病连续B超检查,发现其典型的声像图表现为子宫增大,肌层内见粗强反射光点、团块影,峰窝状液性暗区经化疗后声像图表现病灶逐渐缩小、消失。作者认为葡萄胎清宫后,产后、流产后不规则出血患者连续B超检查有助于恶性滋养细胞疾病的早期诊断,对评价化疗效果、指导治疗、判断预后有重要参考价值。
Through continuous B-ultrasound examination of 46 cases of uterine malignant trophoblastic disease, it was found that the typical sonogram showed an increase in uterus, thick and strongly reflected light spots, mass shadows in the muscular layer, and peak-like fluid dark areas after chemotherapy. The posterior sonogram shows the lesion gradually shrinking and disappearing. After the hysterectomy, continuous B-ultrasound examination of postpartum and postabortion patients with irregular hemorrhage contributes to the early diagnosis of malignant trophoblastic disease, which has important reference value for assessing the effect of chemotherapy, guiding treatment, and determining prognosis.