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绒癌和侵蚀性葡萄胎(恶葡)是妇女较为常见的恶性肿瘤,自采用以化疗为主的治疗方法后已取得巨大成就,绒癌死亡率由过去的90%下降至20%左右,恶葡由过去的25%左右下降接近于零.我院近14年共收治恶性滋养细胞肿瘤214例,死亡27例,本文就27例死亡病例总结分析如下.临床资料1 资料来源我院自1975年至1989年共收治恶性滋养细胞肿瘤214例,其中绒癌110例,死亡22例,病死率为20%(22/110);恶葡104例,死亡5例,病死率4.8%(5/104).27例入院时的临床分期为:绒癌Ⅲa18例,Ⅳ4例,恶葡Ⅱb1例,Ⅲb4例(按宋鸿钊诊断标准分类).6例死于住院期间,21例出院后随访1～4个月死亡.
Choriocarcinoma and invasive hydatidiform mole (EAP) are the more common malignant tumors in women. Since the introduction of chemo-based treatment, great achievements have been made. The mortality of choriocarcinoma has dropped from 90% to 20% Portuguese from the past about 25% decline close to zero in our hospital nearly 14 years treated a total of 214 cases of malignant trophoblastic tumors, 27 cases of death, the 27 cases of death in this paper are summarized as follows Clinical data 1 Source In our hospital since 1975 A total of 214 cases of malignant trophoblastic tumors were treated in 1989, including 110 choriocarcinoma cases and 22 deaths, with a mortality rate of 20% (22/110); 104 cases of malignant poxia and 5 deaths with a mortality rate of 4.8% (5/104 ) .27 cases were admitted to the clinical stage: choriocarcinoma Ⅲ a18 cases, Ⅳ Ⅳ cases, evil Ⅱb1 cases, Ⅲ b4 cases (according to Song Hongzhao diagnostic criteria classification) .6 cases died during hospitalization, 21 cases were followed up 1 to 4 Month of death.