高危因素对葡萄胎后继发妊娠滋养细胞肿瘤的影响分析

Impact Analysis of High Risk Factors on Gestational Trophoblast Cells Following Mole Placenta

目的分析高危因素对葡萄胎后继发妊娠滋养细胞肿瘤的影响。方法随机选取含有高危因素的葡萄胎患者27例作观察组,另选取27例不含有高危因素的葡萄胎患者作对照组,对比两组有、无高危因素的葡萄胎患者继发妊娠滋养细胞肿瘤发生情况。结果 (1)54例含有高危因素的观察组葡萄胎患者发生继发妊娠滋养细胞肿瘤的几率明显高于不含有高危因素的对照组患者;(2)两组葡萄胎患者均存阴道流血、下腹痛等临床症状,但含有高危因素的观察组患者伴有的其它临床症状更多,增加了治疗困难度,病情更易恶化;(3)54例患者均成功治愈后出院,但含有高危因素的观察组中4例患者因继发妊娠滋养细胞肿瘤而行子宫切除术。结论正确的、科学的预测和评估高危因素对葡萄胎后继发妊娠滋养细胞肿瘤的影响,能够为妇科医学临床提供更多的治疗依据,并制定出有效的、科学的治疗方案,及时选期手术,能够提升疾病治愈率,减轻患者痛苦,有利于患者早日康复。

Objective to analyze the effect of high risk factors on the gestational trophoblast tumor after the mole of the mole.Methods 27 cases with high risk factors were selected as the observation group, and 27 cases without high risk factors were selected as the control group. The incidence of gestational trophoblast tumor was compared between the two groups with and without high risk factors.Results（1） 54 patients with high risk factors in the observation group of patients with gestational trophoblast tumor incidence was significantly higher than the control group with no risk factors;（2） two groups of patients with vaginal bleeding, abdominal pain and other clinical symptoms, but the observation group with high risk factors associated with other clinical symptoms, increase the difficulty of treatment, 54 cases were successfully cured and discharged, but the observation group containing high risk factors in 4 cases of gestational trophoblast tumor and hysterectomy. Conclusion the correct and scientific prediction and evaluation of high risk factors on the pregnancy after pregnancy trophoblast tumor effect, can provide more treatment for gynecological clinical basis, and develop effective and scientific treatment options, timely selection of surgery, can improve the cure rate of disease, reduce the pain of patients, is conducive to the early rehabilitation of patients.