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恶性滋养细胞肿瘤子宫造影与临床分析

The Hysterography and Clinical An Analysis of Malignant Trophoblastic Tumour
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摘要 为了观察用76%复方泛影葡胺子宫造影的效果,本文对41例恶性滋养细胞肿瘤患者进行了观察,发现该药显影迅速,对比度清晰,注射后无任何反应,安全性大。其中11例行子宫全切术,1例行病灶挖除术,术后病理与诊断相符合。敢用76%复方泛影葡胺子宫造影对确立诊断帮助很大,其效果同40%的碘化油,且无付作用。41例中同时作B超者30例,符合诊断者22例,占73.43%;应用彩色多普勒血流显像技术观察恶性滋养细胞肿瘤患者27例,22例符合,符合率达81.48%。所以,除详询病史及血绒毛膜促性腺激素(HCG)测定外,用子宫造影,B超,彩色多普勒血流显像技术联合应用有助于恶性滋养细胞肿瘤的早期诊断。 41 Patients with malignant trophoblastic tumour who accepted hysterography using 76% Compound Meglumini Diatrizoas were observed.The results showed:This method of developing is rapid,clear,safe and no side-effects.In these patients, 11 cases have beperformed total hysterectomies and 1 have be performed focal cleaning.The pathological results of isolated uteri and focal lesion were coincident with the results of hysterography.Based on the results,a suggestion was made:the hysterography. using 76% Compound Maglumini Datrizoas is very helpful to established diagnosis of malignent trophoblastic tumor and is as good 40% iodized oil roentgenograph.Compared with the hysterography, B-ultrasound applied to 30/41 patients (22 were positive, success rate of 73. 43%) and color Doppler flow imaging (CDFI) applied to 27/41 patients (22 were positive, success rate of 81. 48% ). This research also suggest that combined application of hysterography, B-scan and CDFI is useful important to early diagnosis of malignant trophoblastic tumor except for taking history and assay the level of β-HCG of serum.
出处 《现代医用影像学》 1996年第2期76-78,共3页 Modern Medical Imageology
关键词 子宫造影 恶性 滋养细胞肿瘤 临床分析 Hysterography Trophoblastic tumor
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  • 1周克平,陈镇东,谭新洛.完全性葡萄胎和部分性葡萄胎[J]国外医学妇产科学分册,1984(04).

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