超声诊断妊娠合并葡萄胎的研究进展

妊娠合并葡萄胎是一种复杂的异常妊娠,其临床发生率极低,诊断困难,常伴随严重的母婴并发症。妊娠合并葡萄胎的早期症状易被忽视,主要通过超声及实验室检查进行诊断,但最终确诊需依靠超声检查结合病理结果。本文旨在对妊娠合并葡萄胎的超声影像学特点、鉴别诊断、超声在妊娠合并葡萄胎发生发展预后中的作用及妊娠合并葡萄胎的病因、发生机制,可能出现的母婴并发症等进行综述。

Ultrasound in diagnosis of hydatidiform mole coexisting with live fetuses

Hydatidiform mole coexisting with fetus is a kind of rare and complex abnormal pregnancy, which is diagnosed difficultly, and often associated with serious maternal and fetal complications. The signs and symptoms of hydatidiform mole coexisting with fetus is easy to be neglected, and it is early diagnosed mainly through ultrasound and laboratory tests. The final diagnosis need to combine with ultrasonography and pathological results. Ultrasonographic features of hydatidiform mole coexisting with fetus, the differential diagnosis, the role of ultrasonography in the development and prognosis of hydatidiform mole coexisting with fetus and the etiology and mechanism, possible complications were reviewed in this paper.