静脉内平滑肌瘤病的影像学诊断  

Imaging Diagnosis of Intravenous Leiomyomatosis

作　　者：付海花 连欣怡 张军海 杨明娟[4] 

机构地区：[1]临朐县卫生健康局,山东 临朐 [2]青岛大学附属医院放射科,山东 青岛 [3]临朐县爱国卫生服务中心,山东 临朐 [4]临朐县人民医院,山东 临朐

出　　处：《临床医学进展》2021年第12期6074-6078,共5页Advances in Clinical Medicine

摘　　要：目的:探讨静脉内平滑肌瘤病(IVL)的影像学特点,以期提高该疾病的诊断水平。方法:回顾性分析我院经病理证实的12例IVL患者的影像学资料,分析其影像学特点。结果:12名患者均有子宫肌瘤病史,10例为首次发病,2例为复发。9例通过宫旁静脉–髂内静脉–髂总静脉的途径进入下腔静脉,其中又有2例通过下腔静脉进入右心房。3例通过左卵巢静脉–左肾静脉的途径进入下腔静脉,其中又有1例通过下腔静脉进入右心房。结论:表现为子宫肌瘤合并静脉、心包内占位的疾病应首先考虑IVL,影像学检查在该疾病的诊断、后续治疗中发挥着重要的作用。Objective: To investigate the imaging features of intravenous leiomyomatosis (IVL) and to improve the diagnostic level of IVL. Methods: The imaging data of 12 patients with IVL confirmed by pathology in our hospital were retrospectively analyzed and their imaging characteristics were analyzed. Results: All 12 patients had a history of uterine fibroids, 10 cases were first onset and 2 cases were recurrence. 9 cases entered the inferior vena cava through the paracardiac vein, internal iliac vein and common iliac vein, and 2 cases entered the right atrium through the inferior vena cava. 3 cases entered the inferior vena cava through the left ovarian vein to the left renal vein, and 1 case entered the right atrium through the inferior vena cava. Conclusion: IVL should be considered first in patients with uterine fibroids complicated with venous and pericardium space occupying, and imaging examination plays an important role in the diagnosis and follow-up treatment of this disease.

关 键 词：静脉内平滑肌瘤病 体层摄影术 X线计算机 

分 类 号：R73[医药卫生—肿瘤]