6例子宫血管平滑肌瘤病的临床分析  

Clinical Analysis of 6 Patients with Uterine Intravenous Leiomyomatosis

作　　者：王文翔[1] 高玉霞[1] 张付美[2] 陈彩霞[1] WANG Wen-xiang GAO Yu-xia Zhang Fu-mei et al(Department of Gynecology and Gynecology Oncology, Central Hospital of Xinxiang, Xinxiang 453000, Henan Province, Chin)

机构地区：[1]河南省新乡市中心医院妇科妇瘤一科 [2]河南省新乡市中心医院病理科,河南新乡453000

出　　处：《罕少疾病杂志》2017年第4期45-47,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨子宫血管平滑肌瘤病的临床诊治。方法回顾性分析6例子宫血管平滑肌瘤的临床病理资料。结果患者平均年龄40.1岁;平均孕产次分别为3,1.7;33.3%患者有子宫相关手术史。临床表现主要为盆腔包块(4/6),月经改变(2/6),无1例术前确诊,均以"子宫肌瘤"收治。术中瘤体呈白色条索状分布,沿子宫血管方向生长,6例均为术后诊断。40岁以上病变弥漫者行全子宫切除及盆腔肿瘤切除,病灶局限于宫体的年轻患者行病灶切除。随访时间1-25月,1例复发(首次手术时未全部切除肿瘤)。结论子宫血管平滑肌瘤育龄期女性多见,临床表现无特异性,确诊依靠病理组织检查,手术宜彻底切除肿瘤累及区域,术后应严密随访。Objective To explore the clinical characteristics, pathology and treatment of uterus intravenous leiomyomatosis.Methods A total of 6 cases of intravenous leiomyomatosis which confirmed by pathologically were analyzed retrospectively. Results The mean age of 6 patients was 40.1, average times of pregnant and labor were 3 and 1.7. 33.3% patients had a history of uterine-related surgery. Most common symptoms were pelvic mass and abnormal uterine bleeding. None of them was diagnosed preoperative. The pathological manifestation was smooth muscle cell grow along the blood vessels. All patients were diagnosed by postoperative pathology. Over 40 years old patients with diffuse lesions were performed hysterectomy and pelvic tumor resection. Young patients with lesions confirmed to uterus were performed leimyoma resection. The follow-up time was 1-25 months, one patient relapsed （not completely resection）. Conclusion Intravenous leiomyomatosis had no specific symptoms, and it mostly affects the women with childbearing age. Pahtology is most valuable for the diagnosis. Radically resection is the main treatment for intravenous leiomyomatosis. All patients need routine follow-up after the operation.

关 键 词：血管平滑肌瘤 子宫 

分 类 号：R73[医药卫生—肿瘤] R81[医药卫生—临床医学]