宫腔镜治疗宫腔及宫颈管血管平滑肌瘤31例  

Hysteroscopic Treatment for 31 Cases of Angioleiomyomas in the Uterine Cavity and Cervical Canal

作　　者：柳倩 蒋建发[1] Liu Qian;Jiang Jianfa(Department of Gynecology,Xiangya Third Hospital,Central South University,Changsha 410013,China)

机构地区：[1]中南大学湘雅三医院妇科,长沙410013

出　　处：《中国微创外科杂志》2024年第12期791-794,共4页Chinese Journal of Minimally Invasive Surgery

基　　金：中南大学湘雅三医院汇智育才计划(YX202112)。

摘　　要：目的探讨宫腔及宫颈管血管平滑肌瘤的宫腔镜治疗效果。方法回顾性分析2012年3月~2023年10月31例宫腔镜治疗宫腔及宫颈管血管平滑肌瘤的临床资料。表现为异常子宫出血23例,体检超声提示宫内异常回声或子宫内膜增厚7例,自觉外阴脱出肿物1例。结果宫腔镜检查病灶位于宫腔26例,宫颈管5例;单发27例,多发4例;宫腔镜诊断肌瘤22例,息肉4例,无法确定类型5例。均在宫腔镜下完整切除病灶,术后病理诊断血管平滑肌瘤。术后随访3~142个月,中位数69个月,B超提示均未复发。结论对于宫腔及宫颈管血管平滑肌瘤,宫腔镜完整切除病灶是有效的治疗方法。Objective To explore the therapeutic effect of hysteroscopic treatment for angioleiomyomas in the uterine cavity and cervical canal.Methods A retrospective analysis was conducted on clinical data of 31 cases of hysteroscopic treatment for angioleiomyomas in the uterine cavity and cervical canal from March 2012 to October 2023.The manifestations included abnormal uterine bleeding in 23 cases,abnormal intrauterine echoes or thickened endometrium indicated by ultrasound in 7 cases,and self-reported protrusion of a mass from the vulva in 1 case.Results Hysteroscopic examination revealed that the lesions were located in the uterine cavity in 26 cases and in the cervical canal in 5 cases,with single lesions in 27 cases and multiple lesions in 4 cases.Hysteroscopic diagnosis identified 22 cases of fibroids,4 cases of polyps,and 5 cases of undetermined types.All the lesions were completely excised under hysteroscopy,and the postoperative pathological diagnosis was angioleiomyomas.Postoperative follow-ups ranged from 3 to 142 months,with a median of 69 months.Ultrasound indicated no recurrence.Conclusion For angioleiomyoma located in the uterine cavity and cervical canal,complete excision of the lesion through hysteroscopy is an effective treatment method.

关 键 词：血管平滑肌瘤 宫腔镜 子宫 

分 类 号：R737.33[医药卫生—肿瘤]