【摘要】 <正> 绒毛膜癌(以下简称绒癌)约有50%来自葡萄胎,其余系发生于足月产、早产及各种流产之后。近年来为了予防绒癌的发生。加强了葡萄胎后的随诊,有些并施行了预防性化疗,所以葡萄胎后绒癌有减少趋势。但对足月产及各种流产后绒癌尚无积极预防措施,因此它的发病有相对增加的苗头。本文更多还原

【Abstract】 The article has summerized 159 cases of gestational chorio-carcinoma in our hospital for 21 years. The differences have been analysed between choriocarcinoma after term birth or abortion and after hydatiform mole in age at onset, incubation period, clinical findings, staging,prognosis and mortality rate. The author found that the cases of choriocarcinoma after term birth and abortion relatively increased in recent years. In order to make early detection, the author suggested that if a woman who experienced pregnancy suffer from vaginal bleeding the urine HCG examination should be taken. It was also found that the age of these patients was younger and the incubation period was short, but quite a few cases had the incubation periods over five years. Accroding to the literature the prognosis is related to the incubation period:the shorter the period, the better the prognosis is. But it is not always true in our observations. For half of the cases attacked within three months after term birth proghosis is extremely unfavorable, but for half of those attacked over five years the prognosis is favorrable.更多还原