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目的:探讨子宫特殊类型平滑肌瘤患者的临床病理特点以及对其进行病理诊断的应用价值。方法:选取我院2009年12月—2011年12月子宫特殊类型平滑肌瘤患者82例作为A1组,选择我院2011年12月-2013年12月患有同种疾病患者82例作为A2组。对患者进行为期1年-5年的随访,对比A1组、A2组患者的年龄、对患者选择的手术方法、患者肌瘤在再次复发的概率以及肌瘤恶变的具体情况,对两组患者子宫特殊类型也进行详细比较。结果:对比两组患者的年龄、对患者进行手术的方法、患者肌瘤再次复发的概率没有表现出明显差异(P>0.05)。并且在A1组与A2组患者中,都没有出现肌瘤恶变的患者。结论:子宫特殊类型平滑肌瘤属于一种良性疾病,对于没有确定是否会转变为恶性的肌瘤,在对其实施病理诊断的过程中应该谨慎认真。
Objective: To investigate the clinicopathological features of the patients with special types of leiomyomas and its value of pathological diagnosis. Methods: Choose 82 cases of uterine special type leiomyoma in our hospital from December 2009 to December 2011 as the A1 group, select 82 patients with the same disease in our hospital from December 2011 to December 2013 as A2 group . The patients were followed up for a period of 1 year to 5 years. Comparing the age of patients in group A1 and group A2, the surgical methods selected, the probability of recurrence and the malignant fibroids, Special types are also compared in detail. Results: Comparing the age of the two groups of patients, there was no significant difference (P> 0.05) in the probability of recurrence of fibroids between the two groups. And in the A1 group and A2 group of patients, no patients with fibroid malignancies. Conclusion: Uterine leptomyoma is a benign disease. For those fibroids that have not been determined to be malignant, they should be cautiously conscientious in their pathological diagnosis.