13例子宫平滑肌肉瘤临床分析

Clinical analysis of uterus smooth muscle sarcoma; 13 cases report

旨在提高子宫平滑肌肉瘤的诊断率,达到治疗的彻底性。方法:通过回顾性分析本院1990.1～1998.12间13例子宫平滑肌肉瘤的临床表现,诊断性刮宫情况、术中标本剖视、冰冻诊断、治疗及随访包括肿瘤标记物情况。结果:发病年龄53.94岁(37—75),其中绝经后占54.0％(7/13),围绝经期占37.5％(5/13),主要表现是肌瘤随访中增大或腹部肿物增大46.1％(6/13),腹痛、低热及全身症状23.1％(3/13),诊刮阳性率0/6,彩超诊断阳性率3/13,术中肉眼判断阳性率72.7％(8/11),冰冻阳性率62.5％(5/8)。结论:应重视围绝经期及绝经后肌瘤的随访,结合彩超血流、肿瘤标记物、术中标本剖视、可疑病灶多点取材冰冻,提高术前、术中确诊率及第一次治疗的彻底性。采用手术治疗为主的综合治疗。

To improve accuracy of diagnosis and rhe thoroughness treatment of uterus smooth muscle sarcoma,the clinical respects,diagnostic scrape,specimen observation during operation,glaciated chip diagnosis,treatment and follow - up were analyzed inthis article Our conclusion is that combined Color Doppler Uluasonic,tu-mormarker, specimen observation during operation, multi - point sampling in glaciated chip to suspicious focus and the thoroughness of the first treatment which mainly rely on the operation should be stressed in peri -menopause women.