论文部分内容阅读
目的探讨子宫平滑肌瘤的临床病理特征。方法回顾性分析了272例子宫平滑肌瘤的临床病理资料。结果272例子宫平滑肌瘤患者妊娠24例,合并变性15例;非妊娠248例,合并变性14例。妊娠变性率高于非妊娠者(15/24与14/248,P<0.001)。绝经患者23例,7例合并变性;非绝经患者249例,30例合并变性。绝经合并子宫内膜病变率较非绝经者高(7/23与30/249,P<0.05)。结论妊娠期合并肌瘤易发生变性,绝经患者更易合并子宫内膜病变。对绝经后妇女合并肌瘤者应常规术前诊刮。
Objective To investigate the clinicopathological features of uterine leiomyomas. Methods A retrospective analysis of 272 cases of uterine leiomyoma clinical and pathological data. Results 272 cases of uterine leiomyoma 24 cases of pregnancy, combined degeneration in 15 cases; 248 cases of non-pregnancy, combined degeneration in 14 cases. The rate of pregnancy degeneration was higher than that of non-pregnant women (15/24 vs 14/248, P <0.001). 23 cases of menopause, 7 cases with degeneration; 249 cases of non-menopausal patients, 30 cases with degeneration. The rate of menopausal and endometrial lesions was higher than that of non-menopause (7/23 and 30/249, P <0.05). Conclusion Pregnancy complicated with fibroids degeneration, menopause patients more likely to merge with endometrial lesions. Postmenopausal women with fibroids should be routine preoperative curettage.