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我院1964～1983年共收治绒癌116例,现将有关资料做一总结,以探讨影响绒癌疗效的有关因素及死亡原因。一般资料本组病例中,年龄最大53岁,最小14岁,平均33.5岁。116例中1例为非妊娠性绒癌(0.9％),2例为葡萄胎同时发生绒癌(1.7％),59例为葡萄胎后绒癌(52.2％),25例为流产后绒癌(22.1％)。其中自然流产3例,过期流产1例,人工流产20例,宫外孕1例,29例为产后绒癌(25.7％)。按宋鸿钊氏分期标准,本组Ⅰ期44例(37.9％),Ⅱ_A期3例(2.6％)。Ⅱ_B期4例(3.4％),Ⅲ_A期19例(16.4％),Ⅲ_B期26例(22.4％),Ⅳ期20例(17.2％). 治疗方法本组治疗方法共分单纯手术,手术为主加化疗,化疗为主加手术及单纯化疗等四组。其中单纯手术组
In our hospital from 1964 to 1983, a total of 116 cases of choriocarcinoma were received, the information is now a summary to explore the impact of choriocarcinoma efficacy of the factors and causes of death. General information The patients in this group, the oldest 53 years old, minimum 14 years old, an average of 33.5 years old. One case of 116 cases was non-pregnant choriocarcinoma (0.9%), two cases of choriocarcinoma (1.7%), 59 cases of hydatidiform mole (52.2%) and 25 cases of post-abortion choriocarcinoma (22.1%). Among them, 3 cases of spontaneous abortion, 1 case of abortion, 20 cases of induced abortion, 1 case of ectopic pregnancy and 29 cases of postpartum choriocarcinoma (25.7%). By Song Hong Zhao staging standards, the group Ⅰ 44 cases (37.9%), Ⅱ_A period in 3 cases (2.6%). Ⅱ B period in 4 cases (3.4%), Ⅲ_A period in 19 cases (16.4%), Ⅲ_B period in 26 cases (22.4%), Ⅳ period in 20 cases (17.2%) .Treatment methods of this group were divided into simple surgery, surgery Plus chemotherapy, chemotherapy-based plus surgery and chemotherapy alone four groups. Simple surgery group