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本文对100例子宫平滑肌瘤作了前瞻性研究。本组病人年龄25~55岁,87%为中年(35~50岁)妇女。对伴有肌瘤的内膜和卵巢的周期性组织学变化进行了比较。结果显示:≤40岁的内膜,同步95.7%,不同步4.3%;>40岁的内膜,同步79.7%,不同步13.6%,增生过长和息肉各2例占6.7%。不支持肌瘤常与内膜增生过长共存的观点。100例采用HE、组织化学技术和8例用电镜对比观察了肌瘤和正常肌层。结果显示,肌瘤细胞和肌层SMC的彤态学基本相似。电镜并显示SMC可产生胶原原纤维和胶原纤维。基于这个观察,我们支持肌瘤可能源自肌层SMC的观点。
This article made a prospective study of 100 cases of uterine leiomyoma. This group of patients aged 25 to 55 years old, 87% of middle-aged (35 to 50 years old) women. The histological changes of the endometrium and ovary with fibroids were compared. The results showed that: ≤ 40-year-old endometrium, synchronized 95.7%, not synchronized 4.3%;> 40-year-old endometrium, synchronized 79.7%, out of sync 13.6%, hyperplasia and polyps in 2 cases accounted for 6.7%. Does not support the view that fibroids often coexist with intimal hyperplasia. In 100 cases, fibroids and normal muscle layers were observed using HE, histochemical techniques, and 8 electron microscopes. The results showed that the fibroid cells and myometrial SMC were basically similar in morphology. Electron microscopy and show that SMC can produce collagen fibrils and collagen fibers. Based on this observation, we support the idea that fibroids may be derived from muscular SMC.