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子宫内膜息肉样腺肌瘤34例临床分析
引用本文:王晓晔,郭红燕,武淑英.子宫内膜息肉样腺肌瘤34例临床分析[J].中国微创外科杂志,2010,10(3):217-219.
作者姓名:王晓晔  郭红燕  武淑英
作者单位:北京大学第三医院妇产科,北京,100191
摘    要:目的探讨子宫内膜息肉样腺肌瘤的临床表现和治疗。方法回顾性分析2006年1月~2010年1月我院宫腔镜手术中34例术后病理诊断为子宫内膜息肉样腺肌瘤的临床资料,其中息肉样腺肌瘤33例,非典型息肉样腺肌瘤1例。结果34例均行宫腔镜下息肉电切术,无手术并发症发生。手术时间15~60min,(28±5)min;术中出血量5~10ml。切除病灶大小为0.5~5.0cm,(1.5±0.9)cm。病灶位于宫底及宫角部14例,占41.2%(14/34);位于宫体11例,占32.4%(11/34);位于宫体下段3例,占8.8%(3/34);宫颈管内6例,占17.6%(6/34)。33例术后随访1~50个月,其中随访时间≥12个月28例,1例复发,再次手术切除后随访8个月无复发。结论有异常子宫出血及宫颈突出物应引起重视,无论B超影像学还是宫腔镜检查均不能明确诊断子宫内膜息肉样腺肌瘤,确诊需要病理。

关 键 词:子宫内膜息肉样腺肌瘤  宫腔镜

Analysis of 34 Cases of Polypoid Adenomyoma of the Uterus
Wang Xiaoye,Guo Hongyan,Wu Shuying.Analysis of 34 Cases of Polypoid Adenomyoma of the Uterus[J].Chinese Journal of Minimally Invasive Surgery,2010,10(3):217-219.
Authors:Wang Xiaoye  Guo Hongyan  Wu Shuying
Institution:Wang Xiaoye,Guo Hongyan,Wu Shuying.Department of Gynecology , Obstetrics,Peking University Third Hospital,Beijing,100191,China.
Abstract:Objective To investigate the clinical manifestations and treatment of polypoid adenomyoma of the uterus.Methods Between January 2006 and January 2010,hysteroscopic surgeries were performed on 34 patients with polypoid adenomyoma of the uterus in our department.Postoperative pathological examination showed typical polypoid adenomyoma in 33 cases and atypical polypoid adenomyoma in 1.Results All of the cases underwent hysteroscopic resection of endometrial polyp.No surgical complications occurred.The mean ope...
Keywords:Polypoid adenomyoma  Hysteroscope  
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