摘要
根据水泡状胎块第一次刮宫、阴道转移结节及切除子宫的病理资料及尿中hCG测定的分析,发现水泡状胎块在排空前发生转移结节的12例,在切除子宫标本中无一例发生滋养细胞及绒毛的深肌层浸润。水泡状胎块排空后30例发生转移结节的切除子宫标本中,有11例呈深肌层浸润。经统计学处理P<0.05,差异有显著性。尿中hCG测定在排空前发生转移结节11例在4周内转为阴性;排空后发生转移的15例在4～8周转为阴性,4例在8周以上转为阴性,故此认为,单纯阴道转移发生在水泡状胎块发生前,比排空后预后更好。
Forty-two cases of hydatidiform mole with simple vaginalmetastatic nodules were studied with correlation to the depthof invasion into uterine myometrium, and the time required forthe disappearance of hCG from urine between pre--& post-evacuative cases. The results showed that there was no myo-metrial invasion in all the 12 cases of simple vaginal nodulesoccurred preevacuativelly. The hCG returned to normal less than4 weeks in 11 out of 12 cases. There were 30 cases uterus resected showed deep myometrialinvasion, 11 cases pre-& the rest post-evacuative. Urine hCG re-turned to negative within 4 weeks in all pre-evacuated cases, with-in 4-8 weeks in 15 post-evacuated cases & more than 8 weeks in 4cases. The difference is significant (P<0.05). It indicated that theprognosis is better in the pre-than in the postevactiative cases. Af-ter follow-up of all the 12 patients for 7-14 years, there was noteven one single death occurred.
出处
《临床与实验病理学杂志》
CAS
CSCD
北大核心
1989年第2期82-84,共3页
Chinese Journal of Clinical and Experimental Pathology
关键词
水泡状胎块
阴道结节
病理
vaginal nodule
pre- & postevacuation
hydatidiform mole
