子宫肌瘤行子宫切除术72例临床分析

Clinical analysis of hysterectomies on hysteromyoma: A report of 72 cases

总结１９９２～１９９５年因子宫肌瘤致子宫大于妊娠１２周而行子宫切除术共７２例，其中巨大肌瘤占４７．２％，以农民患者多见，占７０．６％。发病年龄以３０～５０岁为主，占８４．７％。以肌壁间肌瘤最多，占７２．２％，临床症状以月经改变或腹部包块伴腹痛、压迫为主。肌瘤继发变性３０．５％，并发其他妇科疾病５０％，无一例恶变或恶性肿瘤。手术方式结合文献主张≤４０岁单纯行次全子宫切除，４１～４９岁行全子宫切除，保留一侧以上卵巢，５０岁以上则行全子宫及双侧附件切除。

In hospital, from 1992 to 1995, seventy-two wemen whose uterines were bigger than those in pregnancy for twelve weeks had been done hysterectomies. The percentage of giant myoma was 47.2%, mostly from peasants, covering 70.6%. The pathogenic age was between 30-50 years old, covering 84.7%. The majority suffered from leiomyoma uteri, covering 72.2%. The main clinical symptoms were menstruation changes, abdominal mass and pressure. The percentage of the secdondary degeneration of uteri was 30.5%, fifty percent complicated with other gynecologic disease no canceration. The operation programs, referring to documents, might be chosen according to patients who were at the age of 40 or younger than that could be conducted with subtotal hysteretomy and patients whose ages were between 41 and 49 were done with total hysterectomy, remaining one side of ovary, but for patients over 50 years old were conducted with total hysterectomy and two appendages were excised.