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目的探讨子宫颈巨大平滑肌瘤在其诊断及治疗上的特殊性。方法对2007年10月-2010年3月收治的11例子宫颈巨大平滑肌瘤患者的临床资料进行分析,对其发病率,诊断和手术治疗进行评价。结果 11例子宫颈巨大平滑肌瘤中黏膜下2例,腹膜后9例。术前9例出现误诊,其中误诊为盆腔包块5例,子宫体肌瘤3例,子宫肉瘤1例。6例行经腹子宫全切加双附件切除,2例行经腹子宫切除术,1例行经腹肌瘤挖除术,1例行经阴道肌瘤摘除术,1例行经腹肌瘤挖出加宫颈残端切除术。结论子宫颈巨大平滑肌瘤由于其位置的特殊性,尤其是凸向腹膜后的肌瘤,由于盆腔器官被挤压,使盆腔解剖结构发生改变,术前易被误诊。且手术过程中易出现损伤及出血,因此术前估计充分,术中仔细认清各器官解剖关系,可有效地减少术中损伤和控制出血。
Objective To investigate the specificity of cervical giant leiomyomata in its diagnosis and treatment. Methods The clinical data of 11 cases of cervical giant leiomyomata treated from October 2007 to March 2010 were analyzed and the incidence, diagnosis and surgical treatment were evaluated. Results 11 cases of cervical giant leiomyoma in the submucosal 2 cases, 9 cases of retroperitoneal. There were 9 cases misdiagnosed before operation, including 5 cases of pelvic mass misdiagnosis, 3 cases of uterine myoma and 1 case of uterine sarcoma. 6 cases undergone total hysterectomy plus double attachment resection, 2 cases underwent abdominal hysterectomy, 1 case of abdominal fibroids removed, 1 case of vaginal myoma excision, 1 case of abdominal fibroids Dug up and cervical stump resection. Conclusion Cervical giant leiomyomata because of its special location, especially to the retroperitoneal fibroids, the pelvic organ is squeezed, so that pelvic anatomy changes, preoperative misdiagnosis. Surgery and prone to injury and bleeding, so preoperative estimates, surgery carefully identify the anatomical relationships of various organs, which can effectively reduce intraoperative injury and control bleeding.