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目的探讨子宫静脉内平滑肌瘤病(intravenous leiomyomatosis,IVL)的发病机制,分析其临床特征,加强对特殊子宫平滑肌瘤的认识。方法对2015年9月煤炭总医院妇产科收治的1例IVL患者进行临床分析并复习相关文献。结果患者于手术中确诊,术前有子宫肌瘤的手术史。该类疾病为子宫平滑肌肿瘤的特殊生长方式,临床罕见,可转移到下腔静脉、心脏等。结论该类疾病临床表现缺乏特异性,具有恶性生物学行为,临床误诊率高,具有激素依赖性,手术切除是主要的治疗方法。
Objective To investigate the pathogenesis of intravenous leiomyomatosis (IVL) in uterus, analyze its clinical features and strengthen the understanding of special uterine leiomyomas. Methods One case of IVL patients admitted to the Department of Obstetrics and Gynecology of Coal General Hospital from September 2015 to September 2015 was reviewed and relevant literature reviewed. Results The patient was diagnosed during the operation. The operation history of uterine fibroids was preoperative. Such diseases for the special growth of uterine smooth muscle tumors, clinically rare, can be transferred to the inferior vena cava, heart and so on. Conclusion The clinical manifestations of these diseases lack specificity, with malignant biological behavior, high rate of clinical misdiagnosis, with hormone dependence, surgical excision is the main treatment.