典型性子宫内膜息肉样腺肌瘤27例临床分析  

Clinical Analysis of 27 Cases of Endometrial Typical Polypoid Adenomyoma

作　　者：任健[1] 吴霞[1] 张立芳[1] REN Jian;WU Xia;ZHANG Lifang(Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100026,China)

机构地区：[1]首都医科大学附属北京妇产医院,北京100026

出　　处：《中国医学创新》2018年第15期123-126,共4页Medical Innovation of China

摘　　要：目的:探讨子宫内膜典型性息肉样腺肌瘤的临床特征及治疗方法。方法:选取2010年4月-2016年2月在本院妇科治疗的子宫内膜典型性息肉样腺肌瘤患者27例为研究对象,分析其临床特征、B超特点及治疗情况。结果:27例患者中,40岁以上23例,绝经者占51.9%。48.1%的患者无明显临床症状,25.9%表现为阴道不规则出血。55.6%的患者阴道超声提示"子宫内膜回声不均"。27例患者均经宫腔镜手术切除病灶,病理诊断均为子宫内膜息肉样腺肌瘤,其中4例腺体呈不同程度增生。术后随访26例患者6~72个月,无一例复发。结论:息肉样腺肌瘤好发于围绝经期女性,多无明显临床症状,阴道超声可提高疾病检出率,首选宫腔镜检查及手术治疗,预后良好。Objective：To investigate the clinical features and treatment of endometrial typical polypoid adenomyoma（TPA）.Method：A total of 27 cases of patients with endometrial typical polypoid adenomyoma treated in our hospital from April 2010 to February 2016 were selected as the research objects.The clinical features,ultrasound characteristics and treatment of TPA were analyzed.Result：All 27 patients,23 cases were over 40 years old,51.9% were menopausal persons.48.1% of patients hadn＇t any obvious clinical symptoms,25.9% showed irregular vaginal bleeding.55.6% of patients showed ＂endometrium echo imbalance＂ by transvaginal ultrasound.The lesions were resected by hysteroscopy in all 27 patients,the pathological diagnosis were endometrial polypoid adenomyoma,4 cases of who showed hyperplasia of different degree.26 patients were followed up for 6-72 months without recurrence.Conclusion：Polypoid adenomyoma is more likely to occur in perimenopausal women,most of whom have no obvious clinical symptoms. Transvaginal ultrasound can improve the detection rate of the disease.Hysteroscopy and surgical treatment are the first choice,the prognosis is good.

关 键 词：子宫内膜典型性息肉样腺肌瘤 临床特征 治疗方法 

分 类 号：R737.33[医药卫生—肿瘤]