Truc J B, Poitout P, Musset R, Amiel J L
J Gynecol Obstet Biol Reprod (Paris). 1977 Apr-May;6(3):383-90.
Early diagnosis of a developing hydatidiform mole gives an opportunity to evacuate this by intrauterine suction. This atraumatic procedure which is sure in its outcome has considerably lowered the indications for curettage, for hysterectomy and for hysterotomies. On the other hand, when trophoblastic disease persists chemotherapy is indicated so long as the indications are strictly grounded on biological criteria. The real indication for surgery is found when an isolated focus is resistant to medical treatment.
葡萄胎早期诊断为通过宫内吸引术清除葡萄胎提供了机会。这种结果确定的无创操作已大大降低了刮宫、子宫切除术及子宫切开术的指征。另一方面，当滋养细胞疾病持续存在时，只要严格依据生物学标准有指征，就应进行化疗。当出现对药物治疗耐药的孤立病灶时，才是手术的真正指征。
