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目的探讨经阴道和经腹部彩色多普勒联合检测侵蚀性葡萄胎的诊断价值,同时分析检测人绒毛膜促性腺激素(β-HCG)水平的临床应用价值。方法应用经阴道和经腹部彩色多普勒联合检测32例侵蚀性葡萄胎患者,获得并分析超声声像图及相关数据,同时观察血β-HCG水平变化。结果 32例侵蚀性葡萄胎患者超声声像图可见宫壁回声增粗,有些伴有低回声结节、血流丰富;同期检测的血β-HCG增高。超声声像检测结果与病理检查及其他检查结果相一致。结论经阴道和经腹部彩色多普勒超声联合检测侵蚀性葡萄胎在诊断中具有重要的临床应用价值,同时检测血β-HCG也有一定的参考意义。
Objective To investigate the diagnostic value of transvaginal and transabdominal color Doppler combined with the detection of invasive hydatidiform mole and to analyze the clinical value of detecting human chorionic gonadotropin (β-HCG). Methods 32 cases of invasive hydatidiform mole were examined by transvaginal and transabdominal color Doppler to acquire and analyze the sonographic data and the related data. Meanwhile, the level of β-HCG in blood was also observed. Results Echocardiography of 32 cases of invasive hydatidiform moles showed thickening of the uterine wall, some with hypoechoic nodules, and abundant blood flow. The blood β-HCG in the same period was increased. Ultrasound imaging results and pathological examination and other examination results are consistent. Conclusion Transvaginal and transabdominal color Doppler ultrasound combined detection of invasive hydatidiform mole in the diagnosis of important clinical value, while the detection of blood β-HCG also has some reference value.