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目的:了解子宫平滑肌瘤的临床病理特征.方法:对送检的子宫肌瘤标本476例进行回顾性分析.结果:(1)子宫肌瘤发生的最大年龄63岁,最小17岁,平均40.2岁,高发年龄36～45岁.(2)肌瘤可发生子宫各部位,但以宫体多见占53.99%;单个肌瘤者占60.5%,2个以上者占39.49%,最多者为65个肌瘤,平均2.468个.(3)肌瘤大小悬殊,小者如米粒,大者如胎儿头大,偶可重达1900g.肿瘤的生长方式可向外突,子宫增大,或突向子宫腔.(4)子宫肌瘤可同时与肌腺瘤、肌腺病、卵巢各种囊肿、各种良恶性并存,同时合并妊娠占3.78%.结论:子宫肌瘤常见,可同时与子宫、卵巢各种良恶性病变并存.
Objective: To investigate the clinical and pathological features of uterine leiomyoma.Methods: 476 specimens of uterine fibroids were retrospectively analyzed.Results: (1) The maximum age of uterine fibroids was 63 years old, the youngest was 17 years old, with an average of 40.2 Year-old, high incidence of 36 to 45 years old. (2) fibroids may occur in various parts of the uterus, but Palace Palace to account for more than 53.99%; single fibroid accounted for 60.5%, more than two accounted for 39.49%, up to 65 A fibroids, an average of 2.468. (3) fibroids size disparity, the smaller, such as rice, the larger, such as fetal head large, even weighing up to 1900g. The growth of the tumor can be protruding out, the uterus increases, or sudden Uterine cavity. (4) uterine fibroids at the same time and muscle adenomas, adenomyosis, ovarian cysts, a variety of benign and malignant coexistence, combined with pregnancy accounted for 3.78% .Conclusion: Common uterine fibroids, both uterine fibroids, Ovarian all kinds of benign and malignant lesions coexist.