围绝经期妇女葡萄胎超声影像特点及临床转归分析

The relationship between characteristics of images and clinical changes with hydatidiform mole in peri-menopausal women

目的:探讨围绝经期妇女葡萄胎超声影像特点及临床转归的关系。方法:对19例围绝经期葡萄胎患者进行二维超声检查及彩色多普勒观察,并行血HCG测定,与经手术和病理证实的检查结果进行分析。结果:良性葡萄胎声像图表现可分为3种类型,彩色多普勒无特异性表现。侵蚀性葡萄胎均表现为蜂窝状回声,肌壁间病灶内可见丰富的低阻血流信号。结论:对于阴道不规则出血的围绝经期妇女,不能忽视葡萄胎的诊断,当超声图像不典型时,要注意结合血HCG的测定进行鉴别诊断,减少误诊率。

Objective：To investigate the relationship between characteristics of images and clinical changes in peri-menopausal women with hydatidiform mole by ultrasonography.Methods：Nineteen cases of peg-menopausal patients were diagnosed with color Doppler ultrasonography and human chorionic gonadotropin （HCG）,and the results confirmed by surgical operations and pathologic finding.Results：Hydatidiform mole：its images could show in three types,and clor Doppler flow did not show any peculiarity.Invasive mole-all cases showed honey combed patterns,and the abundant colored flows of low resistance could be shown in the lesions.Conclusion：It is necessary to maintain a high level of suspicion for the diagnosis of hydatidiform mole in peri-menopansal women who have abnormal vaginal bleeding.Especially when their uhrasonographic images were atypical,it is important to refer to fest HCG for differential diagnosis.