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我院1986年至1996年中经手术及病理证实子宫肌瘤患者233例。根据其临床表现、肌瘤生长部位,合并症及卵巢有无病变以确定恰当的手术范围并进行临床分析。结果表明,患者中平均年龄46岁,临床表现以月经量过多最多。行全子宫切术71例,改良式子宫切除术36例,次全切除术69例,肌瘤剔除或摘除术52例,保留双侧卵巢186例,保留一侧卵巢29例,切除双侧卵巢18例,说明子宫肌瘤虽属多见,但每一患者都有其不同表现,手术治疗效果及预后与术式选择有明显关系(P<0.005)。
Our hospital from 1986 to 1996 by surgery and pathology confirmed 233 cases of uterine fibroids. According to their clinical manifestations, fibroids growth sites, complications and ovarian presence or absence of lesions to determine the appropriate surgical range and clinical analysis. The results showed that the average age of 46 patients, the clinical manifestations to the most excessive menstrual flow. 71 cases of hysterectomy, modified hysterectomy in 36 cases, subtotal resection in 69 cases, myomectomy or excision in 52 cases, retained bilateral ovarian in 186 cases, retained the side of the ovary in 29 cases, bilateral ovarian resection 18 cases, uterine fibroids, although more common, but each patient has its different manifestations, surgical treatment and prognosis and surgical options have a clear relationship (P <0.005).