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滋养细胞肿瘤即使已有广泛转移,对化疗仍十分敏感。但在处理本病之前,必须对肿瘤的范围作出正确的估价,明确子宫内有无病灶存在,以便决定子宫切除与否,尤其年轻而未生育的患者可否保留生育机能更为重要。为此目的,我们对B超探测恶性滋养细胞肿瘤子宫内病灶的情况作了初步探讨,并将超声图与子宫造影、腹腔镜检查、手术标本病理检查进行对照,对各种检查作出初步评价。资料与方法我院1983年2月至1984年1月对38例恶性滋养细胞肿瘤(绒癌6例,恶葡32例)做了B超探测子宫,其中21例行子宫碘油造影术,17例做腹腔镜检查,20例做子宫切除术或子宫内病灶挖出术。本组做上述两项检查者21例,3项检查者16例,4项检查者4例。
Trophoblastic tumors are still very sensitive to chemotherapy, even after extensive metastases. However, before the treatment of this disease, we must make a correct assessment of the scope of the tumor, clear the presence or absence of lesions in the uterus in order to determine whether the hysterectomy or not, especially young and unborn children retain reproductive function is more important. To this end, we conducted a preliminary study on the detection of intrauterine lesions of malignant trophoblastic tumor with ultrasound B, and compared the ultrasound images with uterine angiography, laparoscopy and pathological examination of surgical specimens to make preliminary evaluations on various examinations. Materials and Methods From February 1983 to January 1984, 38 cases of malignant trophoblastic tumor (choriocarcinoma, 32 cases of malignant uterine cancer) were examined by B ultrasound in our hospital from January 1983 to January 1984, including 21 cases of uterine lipiodography, 17 Case done laparoscopy, 20 cases of hysterectomy or intrauterine lesions excision. The group to do the above two check in 21 cases, three examiners in 16 cases, 4 examiners in 4 cases.