Fang Y X, Kong Q Y
San Yat Sen University of Medical Science, First Affiliated Hospital, Guangzhou.
Zhonghua Fu Chan Ke Za Zhi. 1991 Jan;26(1):28-30, 61.
B-scan ultrasonography was used in 94 cases of hydatidiform mole (benign group), 62 cases of invasive mole and 29 cases of choriocarcinoma (malignant group). A correct diagnosis was made in 91.5% of cases of the benign group and 91.3% of the malignant group. Chemotherapy was given to all patients with invasive mole or choriocarcinoma, and hysterectomy was done in 47 cases after chemotherapy. During chemotherapy a gradual regression of the intramural lesions was demonstrated by ultrasonography with fall of hCG titer. The authors suggest that the B-scan ultrasonography is a safe and useful method in monitoring the response of the trophoblastic tumors to chemotherapy.
对94例葡萄胎（良性组）、62例侵蚀性葡萄胎和29例绒毛膜癌（恶性组）进行了B超检查。良性组91.5%的病例和恶性组91.3%的病例做出了正确诊断。对所有侵蚀性葡萄胎或绒毛膜癌患者均给予化疗，化疗后47例行子宫切除术。化疗期间，超声检查显示肌壁间病变逐渐消退，同时hCG水平下降。作者认为，B超检查是监测滋养细胞肿瘤化疗反应的一种安全有效的方法。
