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本文总结了我院融合细胞性子宫内膜炎之恶变率为21.74%。结合有关文献复习我们认为本病是与滋养叶疾患并存的一种疾病,部份呈恶性的经过。特别是年龄在30岁以下,40岁以上者,在首次葡萄胎排出4周以上再次刮宫仍为融合细胞性子宫内膜炎者恶变率大大增高,尿绒毛促性腺激素持续阳性或异常升高者恶变可能更大,应予严密观察、随访或采取预防措施。对已发展为恶性者则完全按恶性滋养叶肿瘤处理。在诊断本病时应避免与绒癌混淆。
This article summarizes our hospital fusion cell endometritis with malignant transformation rate of 21.74%. Combined with the literature review, we think this disease is a disease coexisting with trophoblastic diseases, some of the vicious process. Especially in the age of 30 years of age, 40 years of age or more, in the first hydatidiform mole discharge more than 4 weeks curettage is still fusion cell endometritis, malignant transformation rate was significantly increased, urine villus gonadotropin sustained positive or abnormally elevated Malignant changes may be greater, should be closely observed, followed up or take preventive measures. Those who have developed into malignant tumors are completely treated by malignant trophoblastic tumors. Avoid confusion with choriocarcinoma when diagnosing the disease.