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目的观察分析绒癌误诊为胎盘残留的案例,总结其经验教训及临床意义。方法选取我院2012年2月收治的1例绒癌误诊为胎盘残留的病例,对其临床诊断及处理资料进行回顾性分析。结果给予行子宫全切术,术后将切下子宫送病理检查,报告显示为子宫绒毛膜上皮癌,查血β-HCG水平为6.1ug/ml,术后一周给予5-氟尿嘧啶联合更生霉素静脉化疗1个疗程,住院16d,出院后失访。结论针对晚期产后出血的患者,应高度警惕存在滋养细胞肿瘤的可能,应常规做相关细致检查,以免误诊误治,具有重要的临床意义。
Objective To observe and analyze the cases of misdiagnosis of placenta carcinoma as placental residue and summarize the experience and clinical significance. Methods One case of choriocarcinoma admitted to our hospital in February 2012 was misdiagnosed as placental residue, and its clinical diagnosis and treatment data were analyzed retrospectively. The results were given hysterectomy, uterus after surgery will be sent to the pathological examination, the report showed uterine choriocarcinoma, blood test for β-HCG level of 6.1ug / ml, after a week to give 5-fluorouracil combined with dactinomycin Venous chemotherapy 1 course of treatment, hospitalized 16d, lost to follow-up after discharge. Conclusion Patients with advanced postpartum hemorrhage should be highly vigilant for the possible presence of trophoblastic tumors. Relevant careful examination should be done routinely so as to avoid misdiagnosis and mistreatment and have important clinical significance.