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患者葡萄胎清宫术后 2 个月意外妊娠 1 例

A case of unplanned pregnancy at 2 months after uterine curettage in a patient with a hydatidiform mole.

机构信息

First Clinical Medical College, Shanxi Medical University, Taiyuan, China.

Department of Gynecology, First Hospital of Shanxi Medical University, Taiyuan, China.

出版信息

J Int Med Res. 2020 Jun;48(6):300060520925961. doi: 10.1177/0300060520925961.

Abstract

Whether an unplanned pregnancy should be terminated during follow-up of a hydatidiform mole is controversial. We report a patient who had an unplanned pregnancy with a hydatidiform mole at 2 months after uterine curettage when the human chorionic gonadotropin level had decreased to a negative value. Hydatidiform mole was confirmed by histopathology. Uterine curettage was performed twice and regular follow-ups were performed after surgery. The patient achieved a full-term pregnancy. The Apgar score of the newborn was 10 at 1, 5, and 10 minutes, and the newborn had no malformations. We conclude that the pregnancy outcome might be good in an unplanned pregnancy when the human chorionic gonadotropin level is negative.

摘要

葡萄胎随访中是否应终止意外妊娠尚有争议。我们报告了 1 例患者,在人绒毛膜促性腺激素水平降至阴性后 2 个月行刮宫术时发现意外妊娠伴葡萄胎。组织病理学检查确诊为葡萄胎。患者行刮宫术 2 次,术后定期随访。患者足月妊娠,新生儿 1、5、10 分钟阿普加评分为 10 分,新生儿无畸形。我们的结论是人绒毛膜促性腺激素水平阴性时,意外妊娠的妊娠结局可能良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a21/7273807/1c923b8d477d/10.1177_0300060520925961-fig1.jpg

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