论文部分内容阅读
目的 探讨绝经后子宫肌瘤的临床处理。方法 回顾性分析 117例手术治疗绝经后子宫肌瘤的临床病理情况。结果 117例患者 ,平均年龄 5 7.5岁 ,平均绝经年数 7.7年 ,肌瘤并发变性 16例 (13 .7% ) ,合并子宫内膜增生 3 6例 (3 0 .8% ) ,恶性肿瘤 2 0例 (17.1% ) ,附件肿物 2 1例 (17.9% )。绝经后肌瘤不萎缩或渐增大者 43例 (3 6.7% ) ,其并发肌瘤变性 14例 (3 2 .6% ) ;绝经后伴阴道出血者 5 3例 (45 .3 % ) ,其合并妇科恶性肿瘤 17例 (14 .5 % )。结论 绝经后肌瘤不萎缩或反而增大 ,多与肌瘤变性有关 ;绝经后子宫肌瘤发生阴道出血者 ,其生殖器官恶性肿瘤发生率明显高于单纯绝经后阴道出血患者 ,绝经后子宫肌瘤患者合并附件肿物多为赘生性肿瘤 ,且恶性肿瘤也较多 ,应积极手术治疗
Objective To investigate the clinical treatment of postmenopausal uterine fibroids. Methods A retrospective analysis of 117 cases of surgical treatment of postmenopausal uterine fibroids clinical and pathological situation. Results A total of 117 patients with an average age of 7.57 years and a mean age of menopause of 7.7 years had 16 cases of fibroids degeneration (13.7%), 36 cases of endometrial hyperplasia (30.8%), 20 cases of malignant tumors Cases (17.1%), appendages in 21 cases (17.9%). Postmenopausal fibroids did not shrink or increased in 43 cases (3 6.7%), with fibroids degeneration in 14 cases (32.6%); postmenopausal vaginal bleeding in 53 cases (45.3%), The combined gynecological malignant tumors in 17 cases (14.5%). Conclusions Postmenopausal fibroids do not shrink or increase, but more related to fibroid degeneration; vaginal bleeding in postmenopausal uterine fibroids, the incidence of genital malignancies was significantly higher than those in patients with simple postmenopausal vaginal bleeding, postmenopausal uterine muscle Tumor patients with annex tumor masses are mostly neoplastic tumors, and more malignant tumors should be actively treated