罕见子宫血管型平滑肌瘤29例分析

Analysis of 29 cases of rare uterine angioletomyoma

目的探讨罕见子宫血管型平滑肌瘤的临床特征及独有的临床特征。方法对2000年6月￣2004年10月经病理诊断为血管型平滑肌瘤的患者29例,就其独特的临床特征、手术所见、病理及预后进行分析。结果血管型平滑肌瘤的瘤体大小及术中出血量与普通型平滑肌瘤有明显不同(P<0.05)。术前确诊困难,部份病例可与富于细胞型平滑肌瘤同时并存。随访未发现复发、转移。结论血管型平滑肌瘤有其特有的临床特点,瘤体较大,术中出血多,但预后好。

[Objective] To explore the clinical characters and clinical features of the uterine vascular leiomyoma. [Methords] Analysing the 29 eases that are pathologieally diagnosised uterine angioleiomyoma, from the partieular features ineluding physieal examination, seeing in the operation, pathologieal ehange and the analysis about prognosis. [Results] The tumor diameter and blooding in operation of the vascular leiomyoma have great differenees with myoma of uterus （P 〈0.05）. The eertain diagnosis before operation is diffieult, some eases eould be existent together with eellular leiomyoma. We haven＇t found reeurrenee and transfer in random visit after eure. [Conclusions] Vaseular leiomyoma have eharaeteristies in elinie. On the one hand the tumor diameter is larger, On the other hand, there is mass of blooding in operation, but the outcome is satisfactory.