巨大子宫肌瘤一例

Giant Uterine Myoma: A Case Report

子宫肌瘤是女性最常见的良性肿瘤,由平滑肌及纤维结缔组织组成,可以根据其大小及生长部位分类。国内一般将瘤体直径大于12 cm的肌瘤称为巨大子宫肌瘤,临床上比较罕见。报告哈尔滨医科大学附属第一医院2021年收治的1例瘤体直径超过20 cm的巨大子宫肌瘤患者,该患者肌瘤发现多年,术前辅助检查提示子宫较大且压迫周围脏器,于泌尿外科协助下切除巨型子宫及双侧输卵管,患者术后恢复良好。总结该病临床特征,分析患者围手术期管理并讨论该病手术及非手术治疗方案。

Uterine myomas,composed of smooth muscle and fibrous connective tissue,are the most common benign tumors in women,and can be classified according to their size and location of growth site.In China,giant uterine myoma is defined as leiomyoma with a diameter greater than 12 cm,which is rare clinically.A case of patient diagnosed with a giant uterine myoma,whose diameter was more than 20 cm,admitted to the First Affiliated Hospital of Harbin Medical University in 2021 was reported.This patient had found out about her uterine myomas many years ago,with the preoperative auxiliary examinations indicating that the uterus was large and compressed the surrounding organs.The giant uterine and bilateral fallopian tubes were removed with the assistance of urologists,and the patient recovered well after surgery.Through analyzing this case,we aim to summarize the clinical characteristics,study the perioperative management of the patient,and discuss the surgical and non-surgical treatment options of this disease.