如果您无法下载资料，请参考说明：
1、部分资料下载需要金币，请确保您的账户上有足够的金币
2、已购买过的文档，再次下载不重复扣费
3、资料包下载后请先用软件解压，在使用对应软件打开
ContentsDefinitionClassificationofGTDEpidemiologyandRiskFactors(1)ObstetricHistoryPriorunsuccessfulpregnanciesPersonalhistoryofGTDOtherFactorsCombinationoralcontraceptive(COC)pilluseVitaminAandcarotenedeficiencyHighereducationallevels,smoking,irregularmenstrualcyclesNormalvilliTheKaryotypeofMolarPregnancyHydatidiformMole(MolarPregnancy)CompletemolevspartialmoleGrossfinding：Hugeamountofgrape-likestructuresNoembryocomponentsMicroscopicfindings：TrophoblasticproliferationVillousedemaGrossfinding：Focalmolar,varysizeNormalplacentatissueIdentifiblefetaltissuesMicroscopicfindings：MarkedvillousscallopingLesstrophoblasticproliferationStromaltropboblasticinclusionvaginalbleeding停经后阴道出血(>80%)excessiveuterinesize子宫异常增大变软(~30%)thecaluteinovariancysts卵巢黄素化囊肿hyperemesisgravidarum妊娠剧吐(8%)Preeclampsia子痫前期征象(1:74)abdominalpain腹痛Hyperthyroidism甲亢征象FeaturesofCompleteandPartialHydatidiformMolesDiagnosis1.子宫明显大于相应孕周2.宫腔内“落雪状“或“蜂窝状“回声3.子宫肌层内无或稀疏血流4.Partialmole：可见到胎儿部分TreatmentofHydatidiformMoleFollowupofHydatidiformMole2468101214妊娠滋养细胞肿瘤GestationalTrophoblasticNeoplasia,GTDGestationalTrophoblasticTumor,GTTMolarvilliinfiltratedintomyometrium；Atypicaltrophoblasticproliferation；ApparentmolarvesiclesDiffusehemorrhageandnecrosisWithoutchorionicvilliLackofvaculazationAtypiaST,CTandITClinicalFindingsCriteriafortheDiagnosisofGTNFIGOStagingModifiedWHOPrognosticScoringSystemasAdaptedbyFIGOTreamentofGTNSurgicalmanagementPSTTFollowupSummary--1Summary--2Summary--3OB/GYNHospitalofFudanUniversity
立即下载
