静脉内平滑肌瘤病9例临床分析  

Clinical analysis of 9 cases of intravenous leiomyomatosis

作　　者：桑秀波 龚萍[1] 白文佩[1] SANG Xiubo;GONG Ping;BAI Wenpei(Department of Gynaecology and Obstetrics,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学附属北京世纪坛医院妇产科,北京100038

出　　处：《中国优生与遗传杂志》2023年第11期2312-2316,共5页Chinese Journal of Birth Health & Heredity

基　　金：北京市医院管理中心“登峰”计划专项经费资助项目(DFL20190701)。

摘　　要：目的 总结静脉内平滑肌瘤病(IVL)的不同临床特征及诊疗经验,实现早诊早治。方法 回顾性分析北京世纪坛医院诊治的9例静脉内平滑肌瘤患者的临床资料,随访治疗结局。结果 患者年龄40~53岁,4例患者有经量增多、贫血,4例患者有下腹坠痛。5例超声提示子宫肌瘤,2例提示附件区不规则低回声,1例提示妊娠子宫、附件区肿瘤,1例提示皮肤浅表蜂房样低回声。9例患者均进行了手术治疗,随访至今均未见复发。结论 静脉内平滑肌瘤病是一种罕见肿瘤,临床表现及影像学检查缺乏特异性,术前诊断困难。手术为主要治疗方式。充足的手术范围、术后规律复查与患者预后密切相关。Objective To summarize the clinical characteristics and experience of intravenous leiomyomatosis(IVL)and improve its diagnosis and prognosis.Methods Retrospectively analyze clinical data of 9 patients with IVL in Beijing Shijitan Hospital,and follow up their prognosis.Results The age of the 9 patients ranged from 40 to 53.4 patients had excessive menstruation,4 patients had lower abdominal pain,5 patients were diagnosed with uterine myoma,2 patients with cystic-solid lesion in pelvic cavity,1 patient was pregnant with cystic-solid lesion in pelvic cavit.1 patient was diagnosed with subcutaneous mass.All patients underwent surgical treatment.All patients were followed up and there was no recurrence.Conclusion The manifestations and imaging examination of IVL were nonspecific.It is difficult to diagnose before surgery.The main treatment for IVL is surgery.The key point for prognosis is appropriate operation and follow-up regularly.

关 键 词：回顾性研究 静脉内平滑肌瘤 手术 

分 类 号：R737.33[医药卫生—肿瘤]