葡萄胎一经确诊,如无特殊情况,均应根据不同的指征,行经阴道或经腹取胎术,这是对葡萄胎的常规处理方法。经阴道取胎术比剖腹取胎术简单迅速,对病人的身体损失少,所以受痛苦与经济负担较小,虽然经阴道取葡萄胎有某些缺点,但在一定条件下仍较剖腹取胎术为佳,过去有些人主张凡子宫增大超过12周妊娠大小与宫颈紧闭者,须施行经腹剖宫取胎术;近来如 JEFFCOATE 氏仍如此主张。然而,对葡萄胎的处理,如无特殊指征,均不应行剖腹取胎术,而行经阴道取胎术。目前将葡萄胎患者宫底达脐平以上及宫颈紧闭者列为剖腹取胎指征之一。如阴毓璋氏主张:“有的患者子宫大达脐部或脐部以上,自会阴刮宫流血的威胁太大,可以行子宫切开术取出胎块。”李宝星、吴一颚氏主张“在高度子宫扩张病例,子宫底可升至脐平,而颈管甚紧,则可用腹部子宫切开术”。杨邦锡氏主 Mole once diagnosed, if there is no special circumstances, should be based on different indications, vaginal or transabdominal fetus, which is the conventional treatment of hydatidiform mole. Transvaginal fetus fetus than the cesarean section fetus surgery is simple and quick, the patient’s body loss less, so less painful and less financial burden, although the vaginal hydrops have some drawbacks, but under certain conditions still take more than a cesarean section Surgery is better, in the past some people claim that the uterus increases the size of more than 12 weeks of pregnancy and cervical tightness, to be performed through the abdomen Caesarean; recently such as JEFFCOATE’s still claim so. However, the treatment of hydatidiform mole, without special indications, should not be cesarean fetus fetus, vaginal fetus fetus surgery. Currently hydatidiform mole patients with uterine up above the uterine barrier and cervical tightness as cesarean section fetus one of the indications. Such as the Yin Yu Zhang’s assertion: “Some patients up to the Umbilical umbilical or umbilical portion above the threat of bleeding from the bully will be too large, you can hysterectomy remove the block.” Li Po, Wu Yizhi advocate “at High cases of uterine dilatation, the end of the uterus can be raised to the umbilical level, and very tight neck canal, you can use abdominal hysterectomy. ” Yang Bang Sishi Lord