不典型葡萄胎6例超声诊断与误诊分析
Chinese Journal of Misdiagnostics(2009)
Abstract
目的:探讨不典型葡萄胎的声像图特征、诊断、误诊原因及鉴别诊断要点。方法:对经病理证实的6例超声诊断考虑为葡萄胎患者的声像图表现、临床症状、相关检验进行对照分析。结果:确诊为葡萄胎4例,占67%;确诊为胎盘水肿变性者1例,占16.5%;确诊为过期流产者1例,占16.5%。结论:不典型葡萄胎的超声诊断仅凭声像图表现难与胎盘水肿变性、过期流产、子宫肌瘤变性等鉴别,结合临床表现、血-βHCG及CDF I,可以显著提高诊断的准确率。
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