Suzuki M, Matsunobu A, Wakita K, Nishijima M, Osanai K
Obstet Gynecol. 1980 Sep;56(3):384-8.
A case of hydatidiform mole with a coexistent live fetus--an extremely rare condition--is reported. This is the only known case with delivery of a surviving fetus in which the diagnosis was made antepartum, and the grounds for it are discussed. The rationale for allowing the pregnancy to continue after this diagnosis at the 20th week of pregnancy is also discussed. The values for numerous blood and urinary measurements of fetal and placental status are presented, and the mechanisms of some of these are discussed. Spontaneous labor occurred at the 32d week of pregnancy, and a 1435-g living female infant was delivered. The uterus was evacuated manually and the recovered contents are illustrated, described, and discussed. The infant showed no physical or mental abnormalities at the age of 12 months. Her weight and height were 7170 g and 67.7 cm, respectively, and she had good development.
本文报告一例葡萄胎合并存活胎儿的病例，这是一种极其罕见的情况。这是已知唯一一例产前诊断出葡萄胎且胎儿存活并分娩的病例，并对其诊断依据进行了讨论。文中还探讨了在妊娠20周诊断出葡萄胎后仍允许妊娠继续的理由。列出了众多反映胎儿和胎盘状况的血液及尿液检测值，并对其中一些检测值的机制进行了讨论。妊娠32周时自然分娩，产下一名体重1435克的存活女婴。手动清空子宫，并展示、描述和讨论了取出的内容物。该婴儿在12个月大时未表现出身体或智力异常。其体重和身高分别为7170克和67.7厘米，发育良好。
