绝经后子宫肌瘤104例临床病理分析  

Clinical and pathological analysis to 104 cases of postmenopausal uterine myoma patients

作　　者：荣春红[1] 王扬[1] 凌斌[1] 卞美璐[1] 

机构地区：[1]中日友好医院妇产科,北京100029

出　　处：《中日友好医院学报》2015年第5期267-269,273,共4页Journal of China-Japan Friendship Hospital

摘　　要：目的：分析绝经后子宫肌瘤的临床病理,探讨其治疗方法。方法：回顾我院2011年3月~2014年3月间104例行手术治疗的绝经后子宫肌瘤患者的临床资料,并与病理结果进行对照分析。结果 ：104例术前诊断为子宫肌瘤的患者的术后病理：95例为子宫平滑肌瘤无合并恶性肿瘤,4例为合并交界或癌前病变,5例为卵巢或子宫的恶性肿瘤。肌瘤患者年龄及绝经年限均高于合并恶性肿瘤者,而后者CA125水平、肌瘤增长显著高于前者（P〈0.05）。结论：绝经后非萎缩性子宫肌瘤建议手术,病理以良性病变为主。对于绝经后子宫肌瘤短时增大合并囊性变、CA125增高,应重点临床评估,不应忽视内膜病变及术中病理。Objective ：To discuss the clinical and pathological characteristics of postmenopausal uterine myoma and treatment.Methods：We collected 104 cases diagnosed as postmenopausal uterine myoma who were under- gone myomectomy from March 2011 to March 2014.We analyzed their clinical and pathological characteristics. Results：According to the pathologic data,95 cases were benign myoma,4 cases complicated with precancerous lesion and borderline tumor,5 cases misdiagnosed were malignant ovary or uterine tumor.There were significant differences between malignant tumor and benign tumor in average age and age of menopause ,growth of the myoma,level of CA125 （P〈0.05）.Conclusion：The benign tumor consists most of uterine myoma.Signs such as myoma grow rapidly after menopause, cystic degeneration, increasing level of CA125 suggested malignant le- sions.

关 键 词：子宫肌瘤 绝经 恶性肿瘤 

分 类 号：R737.33[医药卫生—肿瘤]