摘要
目的:探讨子宫静脉内平滑肌瘤病(IVL)的临床特点。方法:回顾性分析1997年8月-2009年12月云南省大理州人民医院诊治的13例子宫IVL的临床和病理资料。结果:13例IVL中,7例患者主诉盆腔包块,5例经期延长、经量增多,1例腹痛;8例盆腔包块超过妊娠12周子宫大小,超声检查提示子宫肌瘤12例,盆腔实性肿瘤1例,6例子宫肌瘤血流丰富,其中2例血流呈树枝状,术前无一例确诊为IVL。全部患者均接受手术治疗:4例行全子宫+双侧附件切除术,7例行全子宫切除术,1例行盆腔肿瘤切除术。结论:子宫IVL是具有恶性肿瘤生物学特性的良性病变,提高术中确诊率、彻底切除原发和转移病灶以及术后全面随诊有利于改善预后。
Objective：To investigate the clinical and pathologic characteristics of intravenous leiomyomatosis（IVL）.Methods：The clinical and pathologic data of 13 patients with IVL of the uterus treated on our hospitals from August 1997 to December 2009 were analyzed retrospectively.All the cases were followed up.Results：7 of them complained of pelvic mass.5 patients had prolonged menstruation and hypermenorrhea,and 1 patient had abdominal pain.8 cases had enlarged uterus which was over 12 gestational weeks.Ultrasound examination showed 12 leiomyomas,and abundant blood flow in 6 leiomyomas.No IVL within uterus was diagnosed preoperatively.A resection of the mass and a total abdominal hysterectomy with bilateral salpingo-oophorectomy were performed in 4 cases,a total abdominal hysterectomy in 7 cases,and a resection of the pelvic mass in 1 case.Conclusion：Intravenous leiomyomatosis has special clinical and pathologic features of benign lesion,accompanied with some malignant biological behavior.The prognosis of intravenous leiomyomatosis is good.
出处
《医学理论与实践》
2010年第7期778-779,800,共3页
The Journal of Medical Theory and Practice
关键词
子宫肿瘤
静脉内平滑肌瘤
临床研究
Uterine neoplasms
Intravenous leiomyomatosis
Clinical studies
