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>Journals >Ginecología y Obstetricia de México >Year 2013, Issue 10


Tovar-Rodríguez JM, Medel-Lagunes IC, Acosta-Altamirano G, Vargas-Hernández VM
VVF: laparoscopic versus open surgical abdominal
Ginecol Obstet Mex 2013; 81 (10)

Language: Español
References: 42
Page: 578-586
PDF: 179.57 Kb.


Full text




ABSTRACT

Background: The molar pregnancy is complicated with hypertension before 20 weeks, divided into complete mole and partial mole, and in diploid and triploid hydatidiform mola depending on the fetal chromosomes.
Objective: To determine clinical and laboratory characteristics of patients with hydatidiform mole with and without hypertension, and choriocarcinoma, correlate serum chorionic gonadotropin (hCG) and hypertension.
Material and methods: We reviewed 55 cases with histopathologically proven mole, separately analyzed clinical, laboratory and hCG.
Results: The prevalence of mole with hypertension was 1:7; with the choriocarcinoma is 1:11. The age and sexual initiation of mole with hypertension was higher (p =. 004 and .002 respectively), liver transaminase AST (p =. 004) and lactate dehydrogenase are higher in the group with hypertension (p =. 000). Positive correlation was obtained r = .246 p =. 044 statistically significant between mean arterial pressure and hCG. We reviewed 31 cases of 28 national and international articles, in patients with diploid hydatidiform the product is allowed to live normal and high blood pressure is showing mild preeclampsia, while partial moles are triploid, malformed products, incompatible with life and with hypertension severe like severe pre-eclampsia.
Conclusions: The molar pregnancy is partially diagnosed with hypertension in our environment, is not properly analyzed and that most of the products of curettage were not performed genetic testing. The hCG probably participate in the hypertensive disorders of pregnancy.


Key words: Hydatidiform mole, preeclampsia.


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>Journals >Ginecología y Obstetricia de México >Year 2013, Issue 10
 

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