Rehbock J, Ziegler L, Schramm T, Maassen V
I. Universitätsfrauenklinik, München.
Geburtshilfe Frauenheilkd. 1990 Nov;50(11):893-5. doi: 10.1055/s-2008-1026388.
A case report of a mola destruens is presented including the clinical monitoring and the therapeutical conclusions. Control parameters were the HCG, ultrasound and DSA. The DSA in a new and improved technique, provided helpful information during a critical phase of the disease, when changing from mono- to polychemotherapy was necessary. Furthermore, the excellent vascular mapping enables planning of radiological interventions. In case of tumour bleeding hysterectomy can be avoided by embolisation. There may thus be more time for conservative treatment by chemotherapy.
本文报告了1例破坏性葡萄胎的病例，包括临床监测及治疗结论。控制参数包括人绒毛膜促性腺激素（HCG）、超声和数字减影血管造影（DSA）。采用新的改良技术进行的DSA，在疾病的关键阶段，即在必须从单一化疗改为联合化疗时，提供了有用的信息。此外，出色的血管成像有助于规划放射介入治疗。万一肿瘤出血，可通过栓塞术避免子宫切除。因此，可能有更多时间进行化疗保守治疗。
