患者 女,35岁,G3P1。9年前顺娩足婴,7年前患葡萄胎,5年前孕40余天行人工流产术。不规则出血3月余,尿妊娠试验阳性,行诊刮术。术中未见绒毛组织,未送病理。术后淋漓出血月余,并腹痛、阴道出血、昏厥、休克以宫外孕待除外行急症手术。术中发现子宫如孕2个多月大小,表面散在数个0.5～1.5cm大小紫蓝色斑点,宫底两处直径1cm大 Female, 35 years old, G3P1.9 years ago delivery of proven spontaneous hydatidiform mole 7 years ago, 5 years ago, more than 40 days of pregnancy induced abortion. Irregular bleeding more than 3 months, urine pregnancy test was positive, curettage surgery. No villi surgery, did not send pathology. After surgery, dripping bleeding more than a month, and abdominal pain, vaginal bleeding, syncope, shock to ectopic pregnancy to be excluded from emergency surgery. Uterine intraoperative findings such as pregnancy more than 2 months in size, the surface scattered in a few blue and purple spots of 0.5 ~ 1.5cm size, two at the end of the palace at a large diameter of 1cm