| 任芸芸,常才.子宫脉管内平滑肌瘤的临床、病理特点及超声误诊分析[J].中国医学影像技术,2004,20(8):1251~1252 |
| 子宫脉管内平滑肌瘤的临床、病理特点及超声误诊分析 |
| Clinical data and pathological characteristics of uterine intravenous leiomyoma and source of misdiagnosis with ultrasonography |
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| DOI： |
| 中文关键词: 子宫 脉管内平滑肌瘤 超声检查 |
| 英文关键词:Uterine Intravenous leiomyoma Ultrasonography |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨子宫脉管内平滑肌瘤临床、病理特点及超声误诊分析。方法 对经手术、病理证实的子宫脉管内平滑肌瘤患者22例，回顾性分析其临床、病理特点及超声误诊情况。结果 术前超声诊断正确4例(18.2％)；误诊为浆膜下肌瘤8例(36.4％)，多发性肌瘤7例(31.4％)，肌瘤突向宫腔3例(13.7％)。在诊断为肌瘤的病例中，6例诊断为子宫肌瘤伴变性，3例诊断为子宫肌瘤合并肌腺症。结论 子宫脉管内平滑肌瘤是一种以特殊方式生长的良性肿瘤，术前正确诊断对手术方式的正确选择有非常重要的意义。 |
| 英文摘要: |
| Objective To study clinical data and pathological characteristics of uterine intravenous leiomyoma and analyze the source of misdiagnosis by ultrasonography. Methods Clinical symptoms and ultrasonographic findings in 22 cases with uterine intravenous leiomyoma confirmed by surgical pathology were retrospectively analyzed. Results The main clinical features of intravenous leiomyoma were menarrhagia and/or abdominal masses. Before operation, only 4 cases were accurately diagnosed (18.2%) with ultrasonography. The cases of misdiagnosis by ultrasonography included 8 cases of subso myoma (36.4%), 7 cases of multiple myoma (31.4%) and 3 cases of sub mucosa myoma (13.7%). Conclusion Uterine intravenous leiomyoma is the begnin tumor with special growth pattern and pathological features. It is important to provide the accurately ultrasonographic information for surgical planning. |
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