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目的探讨子宫交界性平滑肌瘤的治疗方法及对患者预后的影响。方法回顾性分析1993年1月至2007年1月我院住院手术的11例子宫交界性平滑肌瘤患者的临床资料。结果子宫全切术6例,子宫次全切除术1例,腹式子宫肌瘤剔除术4例。随访:术后2例足月妊娠,1例产后出血。复发2例,再次手术切除全子宫,病理同前。无一例恶变及死亡。4例富于细胞型;2例奇异型;3例核分裂活跃型;2例恶性潜能不定型平滑肌瘤。结论子宫交界性平滑肌瘤预后较好,可以观察治疗。
Objective To investigate the treatment of uterine borderline leiomyoma and prognosis of patients. Methods The clinical data of 11 patients with borderline myoma of uterus from January 1993 to January 2007 in our hospital were analyzed retrospectively. Results Hysterectomy in 6 cases, subtotal hysterectomy in 1 case, abdominal myomectomy in 4 cases. Follow-up: 2 cases of full-term pregnancy, 1 postpartum hemorrhage. Recurrent in 2 cases, again surgery to remove the entire uterus, with the same pathology. No case of malignant transformation and death. 4 cases were rich in cell type; 2 cases were singular; 3 cases were mitotic active; 2 cases were malignant potential irregular leiomyoma. Conclusion The prognosis of borderline leiomyoma is better and can be observed and treated.