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目的:探讨子宫静脉内平滑肌瘤病的临床特点和治疗情况。方法:回顾分析2013年1月~2014年4月吉林大学第一医院收治的经术后病理证实子宫静脉内平滑肌瘤病8例。结果:8例患者病变均位于盆腔内,1例术后15个月复发,余无手术史。2例未生育,6例生育1~3次不等。1例行子宫肌瘤切除术,5例行全子宫切除术,2例行全子宫及双侧附件切除术。结论:子宫静脉内平滑肌瘤病发病率低,主要发生在有生育史的育龄妇女;临床表现无特异性,诊断主要依靠病理检查;临床以手术治疗为主,抗雌激素治疗可改善预后。
Objective: To investigate the clinical features and treatment of leiomyoma of the uterus. Methods: Eight cases of uterine venous leiomyoma confirmed by postoperative pathology were retrospectively analyzed from January 2013 to April 2014 in the First Hospital of Jilin University. Results: All 8 patients were located in the pelvic lesions, 1 patient relapsed 15 months after operation, I no history of surgery. 2 cases did not give birth, 6 cases gave birth 1 ~ 3 times. 1 cases of myomectomy, 5 cases of hysterectomy, 2 cases of hysterectomy and bilateral attachment resection. Conclusions: The incidence of leiomyoma in uterus is low, mainly in women of childbearing age with reproductive history. The clinical manifestations are nonspecific. The diagnosis mainly depends on the pathological examination. The main clinical treatment is surgery. Anti-estrogen therapy can improve the prognosis.