子宫肌瘤红色变性50例分析

Clinical Analysis of Fifty Uterine Myoma Red Degeneration.

目的:探讨非妊娠期子宫肌瘤红色变性相关因素及治疗。方法:对50例非妊娠期子宫肌瘤红色变性患者临床资料进行回顾性分析。结果:生育年龄者占62％,无月经改变者占58％,典型腹痛伴发热者仅占6％,白细胞升高者占24％。B超示肌瘤直径大于5cm时变性率占90％,宫体壁间肌瘤占76％。结论:子宫肌瘤红色变性发生于生育期妇女最多,与多种因素有关。B超可定位,肌瘤直径大于5cm者红色变性率高,多为宫体壁间肌瘤。病程缓和,可对症处理。

Objective: Study the rekted factors and treatment of uterine myoma red degeneration of those case who were not in their gestional period. Methods: Make a retrospective analyses of the clinical data of fifty uterine myoma red degeneration case of those who were not in their gestional period, Results: 62% of these patients were in their reproductive periods,58% of them have no significant change on their menopause. Only 6 % of them were characterized by the clinical symptom, abdominal pain acompnied by fever 24 % of these cases had a obvious increase of leucocyte. Red degeneration has been jubstantiated in 90% of those cases whose diameter are longer than 5 cm,76% of these cases are intramural myoma of uterine body. Conclusion Most of those uterine myoma red degeneration cases occured in those women in their reproductive period,related to many factors.It can be localized through B type ultrosono-graph, those myoma whose diameter are longer than 5cm, have a high rate of red degeneration most of these cases are intramural myoma of uterine body. Progress moderately and symptomatic treatment is advised.