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目的:分析针对部分性葡萄胎患者行超声诊断的临床价值。方法:择取2010年2月-2015年11月我院妇产科收治的部分性葡萄胎患者41例作为本次研究对象,针对全部患者均实施超声诊断检查,并将检查过程中获取的相关结果与临床病理组织检查获取的结果实施对照。结果:本组41例患者在超声检查条件下均诊断为部分性葡萄胎,且经由临床病理组织检查,有32例患者确诊证实为部分性葡萄胎,其诊断准确率为78.05%(32/41)。有9例患者在超声检查条件下发生误诊,其中5例患者为稽留流产,3例患者为不全流产,1例患者为正常胎儿与葡萄胎并存,且胎儿实现足月正常分娩。本组有5例患者存在症状显著的单侧卵巢囊肿。结论:针对部分性葡萄胎患者行超声诊断,能够针对大部分患者获取准确的诊断,同时存在一定程度的误诊发生率,需要针对检查结果不典型患者结合运用病理组织检查和其他实验室检查手段加以确诊,应当引起临床医师的密切关注。
Objective: To analyze the clinical value of ultrasonic diagnosis in partial mole patients. Methods: From February 2010 to November 2015 in our hospital obstetrics and gynecology 41 cases of partial mole patients as the object of this study, for all patients were performed ultrasound diagnostic tests, and obtained during the inspection process The results were compared with those obtained by clinicopathological examination. Results: All the 41 patients were diagnosed as partial hydatidiform moles under ultrasound examination, and 32 cases were diagnosed as partial hydatidiform mole by clinicopathological examination. The diagnostic accuracy was 78.05% (32/41) ). Nine patients underwent misdiagnosis under ultrasound examination. Five patients were missed abortion, three patients had incomplete abortion, one patient had normal fetus with hydatidiform mole and the fetus achieved full term normal delivery. Five patients in this group have significant symptoms of unilateral ovarian cysts. Conclusion: For some patients with hydatidiform moles ultrasound diagnosis, can get accurate diagnosis for most patients, and there is a certain degree of misdiagnosis, the need for the results of atypical patients combined with the use of pathological examination and other laboratory tests to be taken Diagnosis, clinicians should cause close attention.