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目的:通过对不典型葡萄胎二维超声特点的分析,使得诊断的符合率大大提高。方法:选取本院近几年来的葡萄胎病例,共有40例,对这些病例进行分析,并和病理的结果相对照。结果:经过超声诊断,发现有24例病例是典型的葡萄胎,这些都经过了病理的证实;不典型的葡萄胎共有16例,并且其中还包括6例被误诊为不全流产。结论:单从临床表现和超声声像图这两个方面是难以将不典型的葡萄胎和不全流产区分开,不典型葡萄胎除上述两个方面的诊断,还需综合分析和随访血清β-HCG的生化检查以及宫腔诊刮病理,只有这样才能对不典型葡萄胎作出正确的诊断。
Objective: Through the analysis of the characteristics of two-dimensional ultrasonography of atypical hydatidiform mole, the coincidence rate of diagnosis is greatly improved. Methods: We selected 40 cases of hydatidiform mole in our hospital in recent years, analyzed these cases and compared with the results of pathology. Results: After ultrasonic diagnosis, 24 cases were found to be typical hydatidiform moles, all of which were confirmed by pathology. There were 16 cases of atypical hydatidiform mole, and 6 cases were misdiagnosed as incomplete miscarriage. Conclusion: It is difficult to separate the atypical hydatidiform mole and incomplete abortion from the two aspects of clinical manifestations and ultrasonography. In addition to the above two aspects, it is necessary to make a comprehensive analysis and follow-up of serum β- HCG biochemical examination and uterine curettage pathology, the only way to make the right diagnosis of atypical mole.