子宫不典型息肉状腺肌瘤38例诊治分析

发布时间：2018-05-08 23:40

本文选题：不典型息肉状腺肌瘤 + 宫腔镜　；参考：《中国继续医学教育》2016年11期

【摘要】：目的探讨子宫不典型息肉状腺肌瘤(APA)的临床特征。方法对38例APA的临床资料进行回顾性分析。结果 (1)B超检查结果示:有月经失调症状或不孕症患者中,高达60.87%(14/23)的患者B超检查无异常表现;而在无症状的15例患者中,93.33%(14/15)的患者B超检查提示为宫腔占位或子宫内膜欠均。(2)共14例患者进行了宫腔镜检查,其中单发息肉样赘生物8例,多发息肉样赘生物5例。(3)病理检查提示44.74%(17/38)的患者周围子宫内膜表现为增生过长。(4)初治为经宫腔镜治疗的10例患者,随访无一例复发;初治为诊断性刮宫治疗的27例患者,其复发率为22.22%(6/27)。癌变率5.26%(2/38)。有生育要求的3例患者已受孕分娩。结论APA好发于孕龄妇女,其发病可能与雌激素持续作用有关,临床表现及B超检查均无特异性,APA有低度恶性潜能,治疗后仍密切随访。
[Abstract]:Objective to investigate the clinical features of atypical polypoid adenomyoma of the uterus (APA). Methods the clinical data of 38 cases of APA were retrospectively analyzed. Results (1) the results of B ultrasound examination showed that there were no abnormal manifestations of B ultrasound in patients with menstrual disorders or infertility, up to 60.87% (14/23), and 93.33% (14/15) in asymptomatic 15 patients. (2) a total of 14 patients underwent hysteroscopy, including 8 cases of polyposis and 5 polyposis. (3) pathological examination suggested that the endometrium in the peripheral endometrium of 44.74% (17/38) patients were hyperproliferative. (4) 10 patients who had been treated by hysteroscopy (4) were followed up. One case was relapsed; the recurrence rate of 27 patients with diagnostic curettage was 22.22% (6/27). The rate of canceration was 5.26% (2/38). It was found that 3 patients with reproductive requirements had been pregnant and delivered. Conclusion APA is well developed in pregnant women, the incidence of which may be related to the continuous action of estrogen, the clinical manifestation and B ultrasonic examination are not specific, APA has low malignant potential, treatment and treatment. After the treatment, the follow-up was still closely followed.

【作者单位】：山东省莱州市第三人民医院妇科;山东省莱州市第一人民医院妇科;
【分类号】：R737.33

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