子宫不同部位富于细胞平滑肌瘤的临床病理分析

    Clinical and pathological analysis of cellular leiomyoma arising from different parts of the uterus

    • 摘要: 目的:探讨子宫不同部位富于细胞平滑肌瘤的临床特征及预后。方法:对2000~2005年收治的平滑肌瘤作回顾性分析,分析不同部位富于细胞平滑肌瘤的发病率、临床表现、发病年龄。结果:1 538例平滑肌瘤中,富于细胞平滑肌瘤283例,肌壁间、黏膜下、浆膜下的富于细胞平滑肌瘤的发生率分别为16.09%、30.69%和9.18%,差异有统计学意义(P<0.01)。富于细胞平滑肌瘤的中位年龄41岁,而普通平滑肌瘤的中位年龄47岁;随访两组的预后无明显不同。结论:富于细胞平滑肌瘤以黏膜下的发病率最高,均为良性,预后好。

       

      Abstract: Objective: To investigate the clinical features of cellular leiomyoma arising from different parts of the uterus and its prognosis.Methods: The cases of uterine leiomyoma treated in our hospital from 2000 to 2005 were reviewed retrospectively,and the incidence rate,clinical manifestation and age of onset of cellular leiomyoma arising from different parts of the uterus were analyzed.Results: Of the 1538 cases of cellular leiomyoma,the incidence of cellular leiomyoma arising from the intervallum accounted for 16.09%,from below the mucous membrane 30.69%,and from the subserosa 9.18%.The difference was significant(P<0.01﹚.The median onset-age of cellular leiomyoma was 41,while the median onset-age of common leiomyoma was 47.The prognosis of both groups had no significant difference during the follow-up.Conclusions: The cellular leiomyoma of uterus prone to arise from below the mucous membrane of the uterus and the prognosis is good.

       

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