腹腔镜手术在以宫体占位为主的可疑妊娠滋养细胞肿瘤诊
断中的价值
李晓川;冯凤芝;向阳;万希润;任彤;杨隽钧
【期刊名称】《中华妇产科杂志》 【年(卷),期】2015(050)012
【摘要】Objective To evaluate the value of laparoscopic surgery in the diagnosis of suspected gestational trophoblastic neoplasia (GTN) cases with uterine mass.Methods The clinical characteristics of patients underwent laparoscopic surgery for a suspected diagnosis of GTN with uterine mass in Peking Union Medical College Hospital from November 2009 to November 2014 were retrospectively reviewed and analyzed.GTN and other pregnant-related disease were definitely diagnosed by pathological findings.The prognoses of the GTN cases were also investigated.Results Sixty-two patients with a suspected diagnosis of GTN with uterine mass were studied.Among them,17 cases were definitely diagnosed as GTN,including 8 choriocarcinoma,5 invasive mole and 4 placental site trophoblastic tumor(PSTT).The other 45
cases
were
diagnosed
as
benign
pregnancy-related
diseases,including 29 cornual pregnancy,6 cesarean scar pregnancy,5 placenta accreta,4 intramural uterine pregnancy and 1 exaggerated placental site.There were no significantly differences between the two groups in average age,preoperative value or tendency of β-hCG,and
腹腔镜手术在以宫体占位为主的可疑妊娠滋养细胞肿瘤诊断中的价值
