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甘肃兰州读者米某来信说:今年43岁,8年前患浆膜下子宫肌瘤,属多发性,最大的肌瘤2.9×3.2厘米。去年8月检查,子宫偏右偏大,最大肌瘤5.6×4.7厘米,其他无异常。请专家指点是否需要手术,并指导治疗方案。 答米女士: 子宫肌瘤为女性生殖道最常见的良性肿瘤,由平滑肌组织增生形成。多发于中年妇女,发病率可达20％。根据子宫肌瘤生长部位,分为浆膜下肌瘤(向子宫外生长,占20％～30％)、肌壁间肌瘤(占60％～70％)、粘膜下肌瘤(向宫腔内生长,占10％～15％)。发病因素与长期大量雌激素刺激及雌、孕激素受体含量有关,绝经以后随雌激素水平下降而逐渐萎缩。
A reader of Ms. Lanzhou, Gansu Province, said: This year 43 years old, 8 years ago, it suffered from subserosal uterine fibroids, which is multiple, and the largest fibroid is 2.9 x 3.2 cm. In August last year, the right uterus was larger on the right and the largest myoma was 5.6 x 4.7 cm. No other abnormalities were found. Ask experts to point out if surgery is needed and guide the treatment plan. Ami Ms: Uterine fibroids are the most common benign tumors of the female reproductive tract and are formed by smooth muscle tissue hyperplasia. Occurred in middle-aged women, the incidence rate of up to 20%. According to the site of uterine fibroid growth, divided into subserosal fibroids (outside the uterus, accounting for 20% to 30%), intramural fibroids (60% to 70%), submucosal fibroids (to the uterine cavity Ingrown, accounting for 10% to 15%). The onset factors are related to long-term massive estrogen stimulation and the content of estrogen and progesterone receptors. After menopause, they gradually shrink with the decrease of estrogen levels.