1诊断输卵管侵蚀性葡萄胎。2诊断依据①患者19岁,有性生活史,既往月经规律,停经47天,阴道流血,伴下腹疼痛。②下腹部压痛阳性,以右下腹为著,反跳痛可疑,宫颈举痛阳性,右附件区增厚,压痛明显。③B超提示右附件囊实性包块,盆腔积液。④β-HCG7474·5U/L。根据以上症状及体征首先 1 diagnosis of tubal erosive mole. 2 diagnosis based on ① patients 19 years old, with a history of sexual life, previous menstrual regularity, menopause 47 days, vaginal bleeding, with abdominal pain. ② lower abdominal tenderness positive to the right lower abdomen, reflex pain suspicious, cervical pain positive, right attachment area thickening, tenderness significantly. ③ B ultrasound prompted the right attachment capsule solid mass, pelvic fluid. ④ β-HCG7474 · 5U / L. According to the above symptoms and signs above all