总结我院十年来治疗恶性滋养叶肿瘤的变迁。1972～1982年以临床分期为基础,采用更生霉素、氟脲嘧啶、小量氨甲喋啶化疗,加以手术切除子宫。1983～1985年对患者进行Bagshawe Goldsten 评分,分低危、高危状态。用大剂量MTX 或MAC 等联合疗法。后者比前者所需疗程次数、手术比例减少,化疗效果较好。 Summary of our hospital ten years of treatment of malignant trophoblastic tumor changes. From 1972 to 1982 on the basis of clinical staging, the use of dactinomycin, fluorouracil, a small amount of methotrexate chemotherapy, surgery to remove the uterus. Patients from 1983 to 1985 Bagshawe Goldsten score, low-risk, high-risk state. With high-dose MTX or MAC and other combination therapy. The latter than the former required number of courses, the proportion of surgery to reduce the better effect of chemotherapy.