中国实用妇科与产科杂志

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滋养细胞肿瘤患者再妊娠相关问题

赵峻向阳   

  1. 作者单位:中国医学科学院 中国协和医科大学 北京协和医院妇产科,北京100730
  • 出版日期:2013-05-01 发布日期:2013-04-23

  • Online:2013-05-01 Published:2013-04-23

摘要:

妊娠滋养细胞肿瘤(GTN)包括侵蚀性葡萄胎、绒毛膜癌、胎盘部位滋养细胞肿瘤和上皮样滋养细胞肿瘤。由于GTN多发生于育龄妇女,治疗的同时保留患者的生育功能显得尤为重要。文章详细阐述了保留生育功能治疗GTN的方法(包括化疗、栓塞治疗、保守性手术、放疗等)及其对生育功能的影响,并对治疗后再妊娠的结局进行了阐述。

关键词: 妊娠滋养细胞肿瘤, 保留生育功能治疗, 再次妊娠

Abstract:

Abstract:Gestational trophoblastic neoplasm includes invasive mole, choriocarcinoma, placental site trophoblastic tumor and epithelial trophoblastic tumor. Fertility sparing therapy for these patients is especially important because these diseases often involve reproductive aged women. This article expounds fertility sparing therapy for GTN including chemotherapy, embolotherapy, conservative surgery, and radiotherapy. The outcome of successor pregnancies after fertility sparing therapy is reviewed as well.

Key words: gestational trophoblastic neoplasms, fertility sparing therapy, successor pregnancies

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