Fu Q Z, Jiang S
Affiliated Hospital of Shandong Medical University, Jinan.
Zhonghua Fu Chan Ke Za Zhi. 1990 Nov;25(6):352-4, 383-4.
The results of combined use of ultrasonography and beta-hCG determination for diagnosis of pelvic lesions of malignant trophoblastic disease in 73 cases were reported. Abnormal ultrasonograms and elevated beta-hCG levels were found in 53 of 55 cases of invasive mole and all 20 cases of choriocarcinoma. The location and extent of the pelvic lesions were clearly defined by ultrasonography. Moreover, there was a high correlation rate between ultrasonograms and beta-hCG levels. Surgico-pathological diagnosis was available in 17 cases. Based on these data, the authors emphasize that in improving the accuracy of diagnosis and locating the pelvic lesions ultrasonography in combination with beta-hCG determinations should be used as a routine procedure in suspected cases of pelvic lesion of malignant trophoblastic disease.
本文报告了联合应用超声检查和β - 绒毛膜促性腺激素（β - hCG）测定诊断73例恶性滋养细胞疾病盆腔病变的结果。55例侵蚀性葡萄胎中的53例以及所有20例绒毛膜癌均发现超声检查异常及β - hCG水平升高。超声检查清晰地显示了盆腔病变的部位及范围。此外，超声检查结果与β - hCG水平之间存在较高的相关性。17例患者获得了手术病理诊断。基于这些数据，作者强调，为提高诊断准确性及确定盆腔病变位置，对于怀疑有恶性滋养细胞疾病盆腔病变的病例，应将超声检查与β - hCG测定联合作为常规检查方法。
