| 摘要: |
| 目的：本文探讨异位葡萄胎的超声影像学特征。方法：回顾性分析2012年1月至2018年12月我院病理诊断为异位水泡状胎块的患者9例，收集其临床资料、超声图像、手术情况、病理特征等信息。结果：9例患者平均年龄为37.3岁，首发临床症状为停经、阴道异常流血和腹痛，均行手术治疗，其中1例发展为葡萄胎后妊娠滋养细胞肿瘤。超声检查表现为葡萄胎发生部位为输卵管（4/9），前峡部疤痕处（3/9）和宫角（2/9），所有病灶定位与手术一致。病灶的超声表现为：蜂窝样不均质回声（6/9），不整形胚囊样暗区伴或不伴卵黄囊及胚芽（3/9），与宫内葡萄胎相似。结论：超声影像学检查可以明确异位葡萄胎发生部位，组织学性质依赖于组织学确诊。异位葡萄胎也同样具有发展为妊娠滋养细胞肿瘤的特征，需要手术后密切随访。 |
| 关键词: 异位葡萄胎 经阴道超声检查 异位妊娠 |
| DOI： |
| 投稿时间：2019-02-27修订日期：2019-03-07 |
| 基金项目:1. 浙江省医药卫生一般研究计划，2019KY092，2016KYB164 2. 国家自然科学基金青年项目，81601515 3. 浙江省公益技术研究社会发展项目，2016C33153 |
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| Transvaginal Ultrasonographic Features of Ectopic Hydatidiform Mole |
| yu na,qin jia le |
| (Women''''s Hospital, Zhejiang University School of Medicine) |
| Abstract: |
| Objective:This study tried to analyse the ultrasonographic features of ectopic hydatidiform moles. Methods: This was a retrospective study to analyze 9 cases with ectopic vesicular block confirmed by pathologic diagnosis from January 2012 to December 2018. The clinical characters, ultrasound files, treatment and pathological diagnosis were reviewed.Results:The mean age of 9 patients was 37.3 years. The initial clinical symptoms were menopause, abnormal vaginal bleeding and abdominal pain. All patients preformed surgerical treatment. One of them developed into gestational trophoblastic neoplasia. Ultrasound images showed that the location was in fallopian tube (4/9), anterior isthmic scar (3/9) and uterine horn (2/9), which were totally consistent with the situation in the operation. The sonographic appearance of the lesion was snow-strom sign (6/9), embryo sac-like heterogeneous echo with or without follicular sac and germ (3/9), which was similar to intrauterine hydatidiform mole. Conclusion: Transvaginal ultrasound is able to decide the EMP location, but need to be confirmed by pathological diagnosis. Close follow-up for EMP is required due to the potential character of developing to gestational trophoblastic neoplasia. |
| Key words: ectopic hydatidiform mole transvaginal ultrasound ectopic gestation |
