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应用彩色多普勒超声对30例恶性滋养细胞肿瘤的血管形态学改变进行了观察及分型,对其峰值血流速度及阻力指数进行了测定,定量测量血β-HCG水平监测化疗反应,23例葡萄股清宫术后恢复正常患者作为对照组。结果表明:①滋养细胞肿瘤血流图分为三型:弥漫型、血窦型、及实质型;②11例获病理诊断,包括1例弥漫型及5例血窦型结果为恶性葡萄胎,4例实质型,3例为绒毛膜癌,1例为化疗后变性坏死物;③不同类型血流阁与血β-HCG、子宫血流动力学改变及对化疗的反应相关性好。
The vascular morphological changes of 30 cases of malignant trophoblastic tumors were observed and classified by color Doppler ultrasound. The peak blood flow velocity and resistance index were measured, and the serum β-HCG levels were measured to monitor the chemotherapy response. 23 Cases of grapes returned to normal after surgery as a control group. The results showed that: 1 The trophoblastic tumor blood flow map was divided into three types: diffuse type, sinusoid type, and parenchymal type; 211 cases were diagnosed by pathology, including 1 case of diffuse type and 5 cases of sinusoid type. The result was malignant mole, 4 Cases of parenchymal type, 3 cases of choriocarcinoma, 1 case of degenerative necrosis after chemotherapy; 3 different types of blood flow pavilion and blood β-HCG, uterine hemodynamic changes and response to chemotherapy are good.