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双胎之一葡萄胎16周成功引产阴道分娩一例

蒋诗阳 彭萍 刘欣燕

蒋诗阳, 彭萍, 刘欣燕. 双胎之一葡萄胎16周成功引产阴道分娩一例[J]. 协和医学杂志, 2020, 11(3): 309-313. doi: 10.3969/j.issn.1674-9081.20170229
引用本文: 蒋诗阳, 彭萍, 刘欣燕. 双胎之一葡萄胎16周成功引产阴道分娩一例[J]. 协和医学杂志, 2020, 11(3): 309-313. doi: 10.3969/j.issn.1674-9081.20170229
Shi-Yang JIANG, Ping PENG, Xin-Yan LIU. Successful Labor Induction and Vaginal Delivery of Twin Pregnancy with Hydatidiform Mole and a Coexistent Fetus at 16 Weeks of Gestation: A Case Report[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(3): 309-313. doi: 10.3969/j.issn.1674-9081.20170229
Citation: Shi-Yang JIANG, Ping PENG, Xin-Yan LIU. Successful Labor Induction and Vaginal Delivery of Twin Pregnancy with Hydatidiform Mole and a Coexistent Fetus at 16 Weeks of Gestation: A Case Report[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(3): 309-313. doi: 10.3969/j.issn.1674-9081.20170229

双胎之一葡萄胎16周成功引产阴道分娩一例

doi: 10.3969/j.issn.1674-9081.20170229
详细信息
    通讯作者:

    彭萍 电话:010-69156208,E-mail:pengping2164@sina.com

  • 中图分类号: R715.2

Successful Labor Induction and Vaginal Delivery of Twin Pregnancy with Hydatidiform Mole and a Coexistent Fetus at 16 Weeks of Gestation: A Case Report

More Information
  • 摘要: 葡萄胎是一种良性妊娠滋养细胞疾病。双胎之一葡萄胎极为罕见,其诊断通常较晚,并常由于严重的阴道出血或其他并发症导致妊娠终止,但关于双胎之一葡萄胎终止妊娠方式的选择尚无明确指南。本文报道一例双胎之一葡萄胎16周引产阴道分娩病例,分析其诊断、处理原则及分娩方式选择。
    利益冲突  无
  • 图  1  孕5周时超声可见宫内两个孕囊(箭头)

    图  2   孕10周时超声可见宫内妊娠囊(白色箭头)及葡萄胎组织(黑色箭头)

    图  3  孕14周时盆腔MRI可见胎儿影(白色箭头)及葡萄胎组织异常信号(黑色箭头)

    图  4  清宫术后见正常发育胎儿(左)、正常胎盘(中)及葡萄胎组织(右)

    图  5   术后病理HE染色后见葡萄胎, 滋养细胞中度增生

    图  6   患者术后血清β-hCG水平

    β-hCG:人绒毛膜促性腺激素

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    [10] 祝洪澜,李艺,刘国莉,等. 34例双胎妊娠完全性葡萄胎与正常胎儿共存临床特征的荟萃分析[J]. 中国妇产科临床杂志, 2015,06:523-527. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgfcklczz201506013
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出版历程
  • 收稿日期:  2017-11-01
  • 刊出日期:  2020-05-30

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