我科自1978年1月至1984年12月,共收治萄葡胎患者265例,其中包括经院外剖宫后住院的26例。同时期住院分娩数为19.335例,萄葡胎共占分娩总数的1.37％。本文着重诊断方面进行讨论。资料与方法一、年龄、孕产次 265例中,最大52岁,最小16岁。多见于20～29岁,共199例(75.17％),与一般年龄大者易患葡萄胎的意见不一致。本组初孕妇145例,经孕妇1例,14不详6例,各占54.7％、43.01％及2.26％。初孕妇多于经孕妇,和只生一胎的计划生育政策有关,在诊断上无意义。二、临床症状与体征 (一)阴道流血:本组记载有无阴道流血者251例,其中有阴道流血的246例(98％),无阴道流血者5例,从闭经到开始阴道流血的妊娠周数,以孕5～12周最多,共168例(68.92％);其次为13～20周,61例(24.79％);两者合计229例,占阴道出血例数的93.08％。在诊断上值得注意的是在孕4周内发生阴道流血的有5例(2.03％)。出血最晚的1例妊娠第30周。记载阴道流血持续时间的209例中,阴道流血在4周内就诊者158例(75.59％),就诊最晚的1例在阴道出血的第18周。 (二)子宫增大,记载子宫增大与孕周关系者 Our department from January 1978 to December 1984, a total of 265 cases of gravidarum patients, including 26 cases of hospitalizations after cesarean section. In the same period, the number of hospital deliveries was 19.335 cases, and the total number of deliveries was 1.37%. This article focuses on the diagnosis of the discussion. Materials and methods First, the age, parity of 265 cases, the largest 52 years old, minimum 16 years old. More common in 20 to 29 years old, a total of 199 cases (75.17%), and older people generally prone to hydatidiform mole inconsistent views. The group of early pregnant women in 145 cases, 1 pregnant woman, 14 unknown in 6 cases, each accounted for 54.7%, 43.01% and 2.26%. First pregnant women more than pregnant women, and only one child of family planning policy, meaningless in the diagnosis. Second, the clinical symptoms and signs (A) vaginal bleeding: This group records 251 cases of vaginal bleeding, including 246 cases of vaginal bleeding (98%), 5 cases of non-vaginal bleeding, from amenorrhea to the beginning of vaginal bleeding in pregnancy Weeks, the most pregnant 5 to 12 weeks, a total of 168 cases (68.92%); followed by 13 to 20 weeks, 61 cases (24.79%); a total of 229 cases of both, accounting for 93.08% of cases of vaginal bleeding. It is noteworthy in the diagnosis that 5 cases (2.03%) of vaginal bleeding occurred during the first 4 weeks of pregnancy. One case of bleeding the last 30 weeks of pregnancy. Vaginal bleeding records 209 cases of vaginal bleeding in 158 patients (75.59%) within 4 weeks of treatment, the latest case of a diagnosis of vaginal bleeding in the first 18 weeks. (B) of the uterus increases, record uterus and gestational age increased