我国葡萄胎发病率为1∶1290次妊娠,葡萄胎与胎儿共存约占葡萄胎的2.5%--5%[1],其发病率约占妊娠总数的0.005%--0.01%。根据1987年关于葡萄胎的分类,又可分为完全性葡萄胎与胎儿共存（complete hydatidiform mole and coexisting fetus,C...我国葡萄胎发病率为1∶1290次妊娠,葡萄胎与胎儿共存约占葡萄胎的2.5%--5%[1],其发病率约占妊娠总数的0.005%--0.01%。根据1987年关于葡萄胎的分类,又可分为完全性葡萄胎与胎儿共存（complete hydatidiform mole and coexisting fetus,CHAF）及部分性葡萄胎与胎儿共存两种完全不同的类别（partial hydatidiformmole and coexisting fetus,CHAF）及部分性葡萄胎与胎儿共存两种完全不同的类别（partial hydatidiformmole and coexisting fetus，PHAF）。展开更多
BACKGROUND: A twin gestation comprising a complete hydatidiform mole and a coexisting normal fetus is a rare and high-risk condition. Only a few such gestations have resulted in live infants. We report a case with a v...BACKGROUND: A twin gestation comprising a complete hydatidiform mole and a coexisting normal fetus is a rare and high-risk condition. Only a few such gestations have resulted in live infants. We report a case with a very large molar component presenting as a placenta previa. CASE: A live infant was delivered by cesarean at 31 weeks of gestation. The delivery incorporated prophylactic temporary balloon occlusion of the internal iliac arteries. The patient did not develop persistent gestational trophoblastic disease. CONCLUSION: We recommend that intra-arterial balloon catheters be considered before cesarean delivery in cases of complete hydatidiform mole with a coexisting normal fetus if the molar pregnancy presents as a previa. The size of the molar gestation is not an independent risk factor for persistent or metastatic disease.展开更多
文摘葡萄胎与胎儿共存(hydatidiform mole and co-existing fetus,HMCF)是产科的罕见疾病,包括完全性葡萄胎与胎儿共存(complete hydatidiform mole with co-existing fetus,CHMCF)和部分性葡萄胎与胎儿共存(partial hydatidiform mole with co-existing fetus,PHMCF)。报道1例CHMCF病例通过妊娠期连续监测甲状腺功能、人绒毛膜促性腺激素和胎儿状况妊娠至37周,剖宫产分娩一活婴。CHMCF是一种临床罕见的高风险疾病,妊娠期应联合超声、磁共振成像和染色体核型分析仔细鉴别诊断,并在有产前诊断和妇科肿瘤中心的机构严密监测妊娠、分娩及产后随访。
文摘妊娠合并葡萄胎罕见,包括完全性葡萄胎(complete hydatidiform moles,CHM)和部分性葡萄胎(partial hydatidiform mole,PHM)。PHM合并妊娠胎儿多为三倍体,常不能存活。CHM合并妊娠其双胎之一为葡萄胎,另一胎儿为正常妊娠,称为双胎妊娠完全性葡萄胎与胎儿共存(complete hydatidiform mole and coexistent fetus,CHM and CF),发生率为1/100000~1/22000[1],国内外多以个案或小样本报道。胎儿活产率达40%左右[2]。本文报道1例CHM and CF,且足月活产,妊娠期间无严重合并症,产后随访2月母女平安。
文摘我国葡萄胎发病率为1∶1290次妊娠,葡萄胎与胎儿共存约占葡萄胎的2.5%--5%[1],其发病率约占妊娠总数的0.005%--0.01%。根据1987年关于葡萄胎的分类,又可分为完全性葡萄胎与胎儿共存（complete hydatidiform mole and coexisting fetus,CHAF）及部分性葡萄胎与胎儿共存两种完全不同的类别（partial hydatidiformmole and coexisting fetus,CHAF）及部分性葡萄胎与胎儿共存两种完全不同的类别（partial hydatidiformmole and coexisting fetus，PHAF）。
文摘BACKGROUND: A twin gestation comprising a complete hydatidiform mole and a coexisting normal fetus is a rare and high-risk condition. Only a few such gestations have resulted in live infants. We report a case with a very large molar component presenting as a placenta previa. CASE: A live infant was delivered by cesarean at 31 weeks of gestation. The delivery incorporated prophylactic temporary balloon occlusion of the internal iliac arteries. The patient did not develop persistent gestational trophoblastic disease. CONCLUSION: We recommend that intra-arterial balloon catheters be considered before cesarean delivery in cases of complete hydatidiform mole with a coexisting normal fetus if the molar pregnancy presents as a previa. The size of the molar gestation is not an independent risk factor for persistent or metastatic disease.
