国际妇产科学杂志 ›› 2019, Vol. 46 ›› Issue (6): 698-701.

• 综述 • 上一篇    下一篇

寄生性平滑肌瘤的研究进展

戴春阳,韩璐   

  1. 116033 辽宁省大连市,大连医科大学附属大连市妇产医院暨大连市妇幼保健院妇科
  • 收稿日期:2019-06-10 修回日期:2019-06-30 出版日期:2019-12-15 发布日期:2019-12-15
  • 通讯作者: 韩璐,E-mail:13940801858@163.com E-mail:13940801858@163.com
  • 基金资助:
     

Advances in Parasitic Leiomyoma

DAI Chun-yang,HAN Lu   

  1. Department of Gynecology,Dalian Obstetrics and Gynecology Hospital,Affiliated Hospital of Dalian Medical University,Dalian 116033,Liaoning Province,China
  • Received:2019-06-10 Revised:2019-06-30 Published:2019-12-15 Online:2019-12-15
  • Contact: HAN Lu,E-mail:13940801858@163.com E-mail:13940801858@163.com
  • Supported by:
     

摘要: 寄生性平滑肌瘤(parasitic leiomyoma)是一种特殊类型的子宫平滑肌瘤,其发病率极低,发病原因可能与雌孕激素水平、腹膜上皮化生、遗传因素及医源性因素等有关。近年有关腹腔镜手术后继发寄生性平滑肌瘤的病例逐渐得到关注。因大部分患者临床表现非特异性,经常规体检或行其他手术时发现,仅有部分出现盆腹腔疼痛等症状,因此该病的实际发病率可能高于报道的发病率。术前做好评估、对疑似恶性肿瘤者减少对瘤体的操作、使用标本袋、严格遵守外科无瘤原则、采用经阴道或经脐切口取出路径、术闭充分冲洗腹腔、器械及穿刺口等是预防寄生性平滑肌瘤发生的关键方法。

关键词: 平滑肌瘤, 分碎术, 腹腔镜, 子宫肌瘤切除术, 治疗

Abstract: Parasitic leiomyoma is a special type of uterine leiomyoma, and its incidence is very low. The causes may be related to the level of estrogen and progesterone, peritoneal metaplasia, genetic factors and iatrogenic factors. In recent years, the cases of secondary parasitic leiomyoma after laparoscopic surgery have been paid more and more attention. Because the clinical manifestations of most of the patients were non-specific, only some of the symptoms such as pelvic and abdominal pain were found during routine physical examination or other operations, so the actual incidence of the disease may be higher than the reported incidence. Making a good assessment before the operation, reducing the operation of the suspected malignant tumor, using a specimen bag, strictly abide by the principle of surgical non-tumor, using transvaginal or umbilical incision to remove the path, the surgical closure of the full washing of the abdominal cavity, instruments and punctures are the key methods to prevent the occurrence of parasitic leiomyoma.

Key words: Leiomyoma, Morcellation, Laparoscopes, Uterine myomectomy, Therapy

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