【摘要】 患者张某某,2015年5月22日因"停经45 d,下腹胀2 d"入院,入院诊断:异位妊娠,行腹腔镜探查,拟残角子宫妊娠行腹腔镜下右侧残角子宫+右输卵管切除术,术后病理:残角子宫部分性葡萄胎。术后未行预防性化疗,随诊1个月患者血HCG不降反升,体格检查及影像学检查未发现实体病灶,诊断:残角子宫葡萄胎恶变(滋养细胞肿瘤),未能行临床分期,预后评分1分,予甲氨蝶呤(Methotrexate,MTX)单药化疗,0.4 mg/(kg·d),肌注,连续5 d,间隔2周,4个疗程后血HCG降至正常,巩固化疗2个疗程。现随访至2017年2月,患者无异常。更多还原

【Abstract】 Patient Zhang, was admitted to the hospital on May 22, 2015 due to menopause of 45 d and hypogastrium distention of 2 d, and the admission diagnosis: ectopic gestation, laparoscopic exploration, rudimentary horn pregnancy,laparoscopic right rudimentary horn of uterus and right salpingectomy, postoperative pathology, rudimentary horn of uterus partial hydatidiform mole, and the predictive chemotherapy is not conducted after operation, and the serum HCG increases after 1-month follow-up, and the lesions are discovered through the physical examination and imaging examination, diagnosis: rudimentary horn of uterus deteriorative hydatidiform mole(gestational trophoblastic tumor), and the clinical staging is not conducted, and the prognosis score is 1 mark, and Methotrexate single chemotherapy, 0.4mg/kg.d intramuscular for five days in a row, 2 weeks interval, after four treatment courses, the serum HCG reduces to the normal, and the chemotherapy is consolidated for two treatment courses, and the patient is normal until February 2017.更多还原