子宫脉管内平滑肌瘤29例临床分析  

Clinical Analysis of Intravenous Uterine Leiomyoma——29 Cases Report

作　　者：席勇[1] 邓燕杰[1] 

机构地区：[1]大连市妇产医院,辽宁大连116031

出　　处：《实用妇产科杂志》2008年第10期609-611,共3页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:探讨子宫脉管内平滑肌瘤的临床特点、诊断要点和治疗方式。方法:对29例子宫脉管内平滑肌瘤患者进行临床和病理资料分析。结果:15例(51.7%)以经期延长、经量增多为主诉;12例(41.4%)以盆腔包块为主要表现。术前B超检查均提示为子宫肌瘤或子宫腺肌病。术前均未确诊。29例中16例术中行冰冻切片检查确诊;余者经术后病理检查确诊。29例患者均手术治疗。结论:子宫脉管内平滑肌瘤术前误诊率高,具有不良生物学行为和独特的病理特征,以手术治疗为主,术后应密切随诊。Objective： To study the clinical characteristics, diagnostic highlights and therapeutic methods of intravenous uterine leiomyoma. Methods： The clinical and palhological data of 29 cases with intravenous uterine leiomyomawere collected and analyzed. Results： 15 patients（51.7%） complained of prolonged menstrual duration and menomhagia. The manifestations of 12 patients （ 41. 4% ） were pelvic mass. B-type ultrasound examination showed there were multiple leiomyoma or adenomyosis in all of the cases, but diagnosis was undetermined before operation. 16 of 29 cases were mede a definite diagnosis by frozen section dudng operation. The others were made a definite diagnosis by pathologic examination after operation. The total hysterectomy was performed in all cases. Conclusions. Intravenous uterine leiomyoma has a high misdiagnosis rate before operation. Moreover, Intravenous uterine leiomyoma has malignant biological behaviour and special pathological characteristics. The main treatments should be operatk）n and closely follow-up.

关 键 词：子宫脉管内平滑肌瘤 临床特点 诊断 治疗 

分 类 号：R737.33[医药卫生—肿瘤]