8885例早孕人工流产中葡萄胎发生情况调查

目的:探讨葡萄胎发病率及其相关因素。方法:根据8885例早期人工流产患者术后病理结果筛选出葡萄胎患者,对其进行血β-hCG随访及相关检查,应用统计学分析方法,寻找临床出现葡萄胎表现之前的葡萄胎发生的可能指征及其影响因素。结果:8885例早孕人工流产患者中有14例发生葡萄胎,发病率为1.57‰;稽留流产患者葡萄胎发病比例(0.78%)显著高于正常妊娠者(0.10%);葡萄胎患者与正常妊娠者术后转经时间无差异。结论:生育旺盛年龄妇女是发生葡萄胎的主要人群,人流患者(特别是稽留流产患者)的绒毛组织做常规病理学检查可提高葡萄胎的检出率。

Survey of Hydatidiform Mole Incidence among 8 885 Patients after Artificial Abortion

Objective: To explore the rate of hydatidiform mole and its correlative factors through the survey of 8 885 patients after artificial abortion in Shanghai. Methods: The cases of hydatidiform mole were determined by the analysis of pathology tests of these patients. Then the β-hCG and other related tests were carried out. The rate of hydatidiform mole without clinical symptom and its correlative information were collected and analyzed with statistics methods. Results: Fourteen cases of hydatidiform mole were determined among 8 885 patients received artificial abortion. The incidence rate was 1.57‰. The missed abortion patients showed higher risk of developing hydatidiform mole (0.78%) than normal gestation women (0.10%). Conclusion: More cases of hydatidiform mole are observed in women at reproductive active age than other age groups .