Rahman Rahana Abd, Ahmad Shuhaila, Ismail Nor Azlin Mohd, Mahdy Zaleha Abdullah
Department of Obstetrics and Gynecology, National University of Malaysia, Cheras, Malaysia.
J Reprod Med. 2012 Sep-Oct;57(9-10):456-8.
The incidence of a coexistent normal fetus is quoted in literature as 1 in 22,000 to 100,000 pregnancies and may be associated with multiple complications including persistent trophoblastic neoplasia.
A 35-year-old woman with a complete mole and a coexistent normal fetus presented with multiple complications but was successfully managed until 30 weeks' gestation and gave birth to a healthy, normal female fetus. After delivery the mother recovered completely with no evidence of persistent trophoblastic disease.
Although termination of pregnancy is an option chosen by most patients, continuing the pregnancy while optimizing the maternal condition by appropriate management of complications can result in a successful outcome.
文献报道，正常胎儿与葡萄胎共存的发生率为每22,000至100,000次妊娠中有1例，可能伴有多种并发症，包括持续性滋养细胞肿瘤。
一名35岁女性，怀有完全性葡萄胎且伴有一个正常胎儿，出现了多种并发症，但在妊娠30周前得到了成功处理，并产下一名健康、正常的女婴。产后母亲完全康复，无持续性滋养细胞疾病的迹象。
尽管大多数患者会选择终止妊娠，但通过适当处理并发症来优化母体状况的同时继续妊娠，也可获得成功结局。
