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作者报告一例25岁早孕吸刮宫流产病例,从术后第9周至6个月因反复阴道大出血曾6次入院治疗。第一次入院时子宫增大,宫口开。刮宫有血块及子宫内膜碎悄。病检为蜕膜样改变。以后几次入院子宫基本正常大小,宫口闭,尿检未测出HCG。经刮宫、抗生素、多次输血及大量炔诺酮等治疗无效,病情恶化,终于流产后6个月切除子宫。子宫标本9×5×3.5cm,内膜轻度瘜肉样变,血凝块复盖宫体血管突出处。镜检此处为一肿块,壁厚、深入肌层,表面有弯曲的血管突起。许多宫内膜及其下方肌层的动脉透明变性,有的管腔扩大。血管透明变性部分未见肌组织及弹性组织,有些部位有退化的非绒毛性滋养层细胞,此种细胞
The authors report a case of 25-year-old early pregnancy sucking curettage cases, from the 9th week to 6 months after recurrent vaginal bleeding had 6 admission treatment. The first admission to the uterus increases, cervix open. Curettage of blood clots and endometrial fragmentation. Disease examination for decidual changes. Several times after admission, the basic normal size of the uterus, cervix closed, urine test did not detect HCG. The curettage, antibiotics, multiple blood transfusions and a large number of norethisterone treatment ineffective, the disease deteriorated, finally abortion 6 months after the removal of the uterus. Uterine specimens 9 × 5 × 3.5cm, endometrial mild pterygium-like changes, blood clots cover the Palace of vascular prominence. Microscopic examination here is a lump, wall thickness, in-depth muscle, the surface of curved blood vessels protruding. Many of the endometrium and its muscular arteries below the transparent degeneration, and some lumen expansion. Transparent degeneration of the part of the muscle and elastic tissue was not seen, in some parts of degenerative non-trophoblastic cells, such cells