200例子宫平滑肌瘤的临床病理分析

• 作 者: 牟英辉
• 机 构: 陕西省宝鸡市人民医院,
• 出 处: 中国肿瘤临床与康复
• 发表日期: 2014年10期
• 关键词: 临床病理分析 肌壁间肌瘤 子宫平滑肌瘤 不规则阴道流血 恶性潜能 经期延长 早期诊断 经量 子宫平滑肌 透明变性

目的探讨200例子宫平滑肌瘤的临床病理特点。方法收集2008年1月至2012年5月就医的200例子宫平滑肌瘤患者的临床及病理资料,并进行分析总结。结果子宫平滑肌瘤的高发年龄为41~50岁(占52%),主要临床为包括月经周期缩短(62.0%)、经期延长(61.0%)、经量过多(60.0%)及不规则阴道流血(60.5%),主要合并症为子宫内膜增生过长(13.5%)及腺肌症(6.5%)。主要为单个肌瘤(60.5%)、肌壁间肌瘤(71.0%),以透明变性(9.5%)及红色变性(8.5%)多见,恶性潜能未定有3例(4.5%),平滑肌肉瘤有1例(0.5%)。结论早期诊断是改善子宫平滑肌瘤患者手术效果的关键因素,应综合临床及病理资料等及时判断。

Objective To investigate the clinicopathological features of 200 cases of uterine leiomyoma. Methods The clinical and pathological data of 200 patients with uterine leiomyoma treated from January 2008 to May 2012 were collected and analyzed. Results The prevalence of uterine leiomyomas was 41 to 50 years old (52%). The main clinical manifestations included shortening of the menstrual cycle (62.0%), prolongation of menstruation (61.0%), excessive menstruation (60.0%) and irregular vagina Bleeding (60.5%), the main complications of endometrial hyperplasia (13.5%) and adenomyosis (6.5%). The main single myxoma (60.5%), intramural fibroids (71.0%), with transparent degeneration (9.5%) and red degeneration (8.5%) more common malignant potential undetermined in 3 cases (4.5%), leiomyosarcoma In 1 case (0.5%). Conclusion Early diagnosis is the key factor to improve the surgical effect of uterine leiomyoma patients. The clinical and pathological data should be integrated to timely judge.