葡萄胎30例临床治疗分析

Analysis Clinical Treatment of 30 Cases of Hydatid Mole

目的：探讨葡萄胎临床治疗方法效果。方法选取2012年6月～2014年6月葡萄胎患者30例临床治疗方法资料分析。结果临床可采取清宫、预防性化疗、子宫切除、化疗等治疗，30例患者中无死亡病例，HCG测定正常，临床治愈率为100%。结论葡萄胎一经确诊应尽早予以清除，通常采用吸官方法，或葡萄胎清宫术后，仍有部分葡萄胎组织残存宫内，影响子宫复旧，出现阴道持续少量出血，血或尿HCG测定持续阳性，需再次刮宫，通过预防性化疗可降低恶变率。

Objective To explore the clinical effect treatment of hydatid mole. Methods Selected 30 cases with hydatid mole from June 2012 to June 2014 of clinical data were analyzed. Results The clinical treatment can be taken kiyomiya, chemotherapy of preventive, hysterectomy , chemotherapy, and no deaths occurred in 30 cases, HCG determination normal , the clinical cure rate was 100%. Conclusion Once diagnosed hydatid mole should be cleare as soon as possible , usually suck ofifcial method, or hydatid mole curettage surgery, there are still some remnants of intrauterine gestational tissue , uterine involution , sustained vaginal bleeding , blood or urine hCG measurement continued positive , need to re-curettage, through preventive chemotherapy can reduce the rate of malignant transformation .