超声在妊娠合并滋养细胞疾病中的诊断价值

The value of ultrasonography in diagnosis of gestational trophoblastic disease

目的探讨超声在妊娠合并滋养细胞疾病中的诊断价值。方法应用彩色多普勒(CDFI)、能量多普勒(CDE)、三维超声(3D),结合血HCG值,分析17例活胎、29例死胎妊娠合并滋养细胞疾病,结果与术后病理对照。结果早孕中合并部分性葡萄胎21例、合并完全性葡萄胎4例、合并侵蚀性葡萄胎5例、合并绒癌3例;中孕合并部分性葡萄胎6例、合并完全性葡萄胎3例、合并侵蚀性葡萄胎1例;晚孕合并部分性葡萄胎2例、合并完全性葡萄胎1例。结论超声诊断是妊娠合并滋养细胞疾病的首选检查手段,具有早期、快速、无创、敏感性高的特点,对临床治疗及监测有指导意义。

[Objective] To explore the value of ultrasonic diagnosis in gestational trophoblastic disease. [Method] application of Color Doppler Energy （CDFI）, Doppler （CDE）, three-dimensional ultrasound （3D）, combined with blood HCG value was adopted. The analysis of 17 cases of live birth, still birth in 29 cases of pregnancy with gestational trophoblastic disease, results and postoperative pathology were undertaken. [ Results ] During early pregnancy, 21 cases with partial hydatidiform mole, 4 cases are with complete hydatidiform mole, 5 eases were with invasive hydatidiform mole and 3 cases were choriocarcinoma; During mid-pregnancy, 6 cases of pregnancy complicated with partial hydatidiform mole, 3 cases with complete hydatidiform mole, 1 ease invasive hydatidiform mole; During ]ate pregnancy, 2 cases were Combined with partial hydatidiform mole and 1 case with complete hydatidiform mole. [ Conclusion ] ultrasound is the preferred examination with gestational trophoblastie disease, with early, rapid, noninvasive, high sensitivity, which has the guiding sense to the clinical treatment and monitoring.