ULTRASONOGRAPHIC STUDIES ON FIRST PREGNANCY FOLLOWING MOLAR PREGNANCY

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概要

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• The first pregnancy following molar pregnancy feared to have recurrence of hydatidiform mole or to change to destructive mole or chorioepithelioma and showes a high incidence of abortion and premature labor, not leading to normal pregnancy and labor in many cases. Recently, we have studied 25 cases which showed amenorrhea and high hCG values after hydatidiform mole. Primary ultrasonographic diagnosis showed normal pregnancy 13 cases, lower implanted placenta 4 cases, lower implanted placenta in twin pregnancy 1 case, hydatidiform mole 1 case, threatened abrtion 2 cases and incomplete abortion 4 cases. Final results showed normal labor 16 cases, of which 3 cases were lower implanted placenta (of them, one case being twin pregnancy), 5 cases spontaneous abortion, 2 cases hydatidiform mole, 1 case destructive mole and 1 case chorioepitherioma. Thus, we were able to find changes in the intrauterine echogram during a period from the initial ultrasonographic diagnosis to final results. Where hCG value was high in follow-up patients after hydatidiform mole, it is therefore important from a view point of follow-up pregnant women to make observations by ultrasonograph at an interval of 1 to 2 weeks at first in normal pregnancy or threatened abortion or incomplete abortion not to mention destructive mole or chorioepithelioma for early detection and also to make follow-up observations thereafter since abortion due to lower implanted placenta, premature labor or placenta previa are likely to occur often even in cases of normal pregnancy.

• 社団法人日本産科婦人科学会の論文
• 1978-04-01

著者

• 高柳 真

  香川県立津田病院

• Yoshida Atsushi

  Department of Sagami Junkannki Clinic, Kitasato University School of Medicine

• 高柳 真

  Department of Obstetrics and Gynecology, School of Medicine Tokushima University

• MATSUSHITA Teruhiko

  Department of Obstetrics and Gynecology, School of Medicine Tokushima University

• WATANABE Kiminari

  Department of Obstetrics and Gynecology, School of Medicine Tokushima University

• SAIKI Mieko

  Department of Obstetrics and Gynecology, School of Medicine Tokushima University

• SOGAWA Takatoshi

  Department of Obstetrics and Gynecology, School of Medicine Tokushima University

• NAKAYAMA Takayoshi

  Department of Obstetrics and Gynecology, School of Medicine Tokushima University

• SHIMADA Hozumi

  Department of Obstetrics and Gynecology, School of Medicine Tokushima University

• ADACHI Haruo

  Department of Obstetrics and Gynecology, School of Medicine Tokushima University

• NAKA Osamu

  Department of Obstetrics and Gynecology, School of Medicine, Tokushima University

• Naka Osamu

  Department Of Obstetrics And Gynecology School Of Medicine Tokushima University

• Saiki Mieko

  Department Of Obstetrics And Gynecology School Of Medicine Tokushima University

• Adachi Haruo

  Department Of Obstetrics And Gynecology School Of Medicine Tokushima University

• Shimada Hozumi

  Department Of Obstetrics And Gynecology School Of Medicine Tokushima University

• Sogawa Takatoshi

  Department Of Obstetrics And Gynecology School Of Medicine Tokushima University

• Nakayama Takayoshi

  Department Of Obstetrics And Gynecology School Of Medicine Tokushima University

• 高柳 真

  徳島大学

• Watanabe Kiminari

  Department Of Obstetrics And Gynecology School Of Medicine Tokushima University

• Matsushita Teruhiko

  Department Of Obstetrics And Gynecology School Of Medicine Tokushima University

• Yoshida Atsushi

  Department Of Media And Telecommunications Engineering Faculty Of Engineering Ibaraki University

• Yoshida Atsushi

  Department Of Obstetrics And Gynecology School Of Medicine Tokushima University

• Yoshida Atsushi

  Department Of General Infectious Diseases Dokkyo Medical University Hospital

• Yoshida Atsushi

  Department Of Breast Surgery St. Luke's International Hospital

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