子宫肉瘤的临床分析(附20例报告)

Clinical Analysis of Uterus Sarcoma:a Review of 20 Cases

目的：本文探讨子宫肉瘤的临床特征，以提高临床诊治水平。方法：回顾性分析复旦大学附属中山医院妇产科1993年1月～ 2004年3月11年期间20例子宫肉瘤病例的临床资料，并追踪随访。结果：随访率75%患者的平均发病年龄为53岁。临床表现主要 为子宫增大，阴道异常出血，腹胀或腹痛。MRI 对于确诊具有优越性。病理类型是影响患者预后的主要因素；其次为临床分期。结 论：围绝经期妇女出现子宫增大，伴阴道异常出血，腹胀或腹痛症状要警惕子宫肉瘤可能，MRI 对于术前诊断具有优越性。

Objective：It is difficult to diagnose the uterus sarcoma before operation. This article focuses on the clinical characteristics of uterus sarcoma to facilitate the earlier diagnosis and treatment. Methods： 20 cases of uterus sarcoma between Jan 1993 and Mar 2004 in Zhongshan Hospital of Fudan University were reviewed. Results： Average age of patients was 53 years, the clinical manifestation mostly were hyperplasia of the uterus, abnormal bleeding of the vagina, abdominal distension or abdominal pain during the pre-menopausal. Statistics shows that MRI had great help for diagnosis. Conclusion： When the patient has a history of hyperplasia of the uterus during premenopause accompanied by abnormal vaginal bleeding, abnormal distension of abdominal pain, then the probability of uterus sarcoma should be taken into consideration. MRI is a primary reference for diagnosis before the operation.