2000-2016年广东地区部分葡萄胎病例临床病理分析

发布时间：2018-04-29 23:37

  本文选题：葡萄胎 + 临床特征　； 参考：《实用医学杂志》2017年18期

【摘要】：目的了解近年来广东地区葡萄胎的病理类型构成特点。方法对广东地区2000-2016年间的432例葡萄胎病例的临床病理特征进行统计分析,并与2000年以前该地区葡萄胎病例的基本临床病理特征进行比较。结果 432例葡萄胎中,部分性葡萄胎占葡萄胎总例数的75.9%,较2000年之前明显增多,以21~25岁年龄组的构成比最高;停经天数与90年代相比明显减少,即早期发现早期诊断增多;阴道流血仍然是常见的伴随症状;有妊娠史是无妊娠史葡萄胎发病的15.7倍,经产者葡萄胎发病是0产者的1.4倍,有人流史葡萄胎的发病是无人流史者的2.8倍,差异均具有统计学意义。结论 2000年以来至今广东地区葡萄胎发病以部分性葡萄胎为主;确诊时间提早,21~25岁年龄段人群居多;既往妊娠经历是广东葡萄胎发病的重要危险因素。
[Abstract]:Objective to investigate the pathological types and characteristics of hydatidiform mole in Guangdong in recent years. Methods the clinicopathological characteristics of 432 cases of hydatidiform mole from 2000 to 2016 in Guangdong province were analyzed and compared with those before 2000. Results among 432 cases of hydatidiform mole, partial hydatidiform mole accounted for 75.9% of the total cases of hydatidiform mole, which was obviously increased than that before 2000, with the highest proportion in the 21 ~ 25 age group, and the number of days of menopause was significantly lower than that in 1990s, that is, the early diagnosis increased. Vaginal bleeding is still a common accompanying symptom, the incidence of hydatidiform mole with history of pregnancy is 15.7 times as high as that without history of pregnancy, the incidence of hydatidiform mole with history of abortion is 1.4 times as high as that with zero delivery, and the incidence of hydatidiform mole with history of abortion is 2.8 times as high as that of those without history of abortion. The difference was statistically significant. Conclusion since 2000, the incidence of hydatidiform mole in Guangdong area is mainly partial hydatidiform mole, the early diagnosis time is 21 ~ 25 years old, and the previous pregnancy experience is an important risk factor for the occurrence of hydatidiform mole in Guangdong Province.
【作者单位】： 南方医科大学病理学系;南方医科大学公共卫生与热带医学学院;南方医科大学病理学系南方医院病理科;
【基金】：国家自然科学基金资助项目(编号:81271729)
【分类号】：R737.33
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本文编号：1822103