异位葡萄胎的诊断与治疗——附三例病例报告

Diagnosis and treatment of ectopic molar pregnancy

目的 探讨异位葡萄胎的诊断与治疗。方法 回顾性分析我院收治的 3例异位葡萄胎患者的临床资料。结果 异位葡萄胎患者的临床表现根据异位的部位不同表现各异 ,异位葡萄胎早期易发生局部浸润和远处转移 ,数字减影血管造影术、彩色多普勒超声、腹腔镜等检查在异位葡萄胎的诊断中具有重要作用。规范的化学治疗及耐药病灶的手术切除仍为其主要治疗手段。结论 异位葡萄胎患者应强调预防性化学治疗的重要性 。

Objective To summerize the experience in the diagnosis and treatment of ectopic molar pregnancy Methods Clinical data of 3 cases of women with ectopic hydatidiform mole in Peking Union Medical College Hospital were analyzed retrospectively Results The clinical characteritics of ectopic molar pregnancy depend upon the site of the disease It can be metastasized distantly in early stage Digital subtraction angiography?colour ultrosound and laparotomy may play very important roles in the diagnosis of ectopic molar pregnancy Regular chemotherapy and resection of drug resistant focus are still the main methods of treatment Conclusions Prophylactic chemotherapy for ectopic molar pregnancy should be emphasized It is very important to make an early diagnosis of malignant metastasis and to give a regular treatment for the patients