国际妇产科学杂志

国际妇产科学杂志 ›› 2012, Vol. 39 ›› Issue (2): 109-111.

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子宫肌瘤诊治的再认识

石一复,李娟清   

  1. 310006 杭州，浙江大学医学院附属妇产科医药
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-04-15 发布日期:2012-04-15
  • 通讯作者: 石一复

Recognition on Diagnosis and Treatment of Uterine Myomas

SHI Yi-fu，LI Juan-qing   

  1. Women's Hospital，School of Medicine，Zhejiang University，Hangzhou 310006，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2012-04-15 Online:2012-04-15
  • Contact: SHI Yi-fu

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摘要： 子宫肌瘤是女性的常见病和多发病，但仍有许多问题尚未解决，其发生率、患病率仍沿用数十年前的资料，而实际临床所见甚多，所以需大样本不同方法和内容的临床流行病学调查。子宫肌瘤的治疗方法和理念在逐步转变，由大创、微创迈入无创，虽治疗方法众多，但均有适应证、禁忌证，不能以一种治疗手段解决不同的子宫肌瘤。有关子宫肌瘤的临床实际和特殊问题如不孕、辅助生殖、计划生育、激素替代、性和性功能、产科与子宫肌瘤的相关问题、病理学、肿瘤生殖学等问题应予重视。妇科肿瘤医生不能只针对妇科恶性肿瘤的研究，对妇科良性肿瘤的相关问题也应重视。

关键词: 肌瘤, 子宫肿瘤, 发病率, 治疗, 病理学

Abstract: Uterine myomas are one of the most common tumors of the female reproductive tract and a major public health problem. However，there are still a lot of problems to be completely understood. Although uterine myoma is very common in clinical，the data of incidence and morbidity used is collected ten years ago. Thus，it is necessary to take epidemiological investigation widely. The treatment methods and theory of uterine myoma have been changed gradually. Uterine myoma couldn't be treated by the same therapy instead of many methods from laparotomy to microlaparoscopy. It is important to pay attention to the clinical and special problems in uterine myoma such as infertility，family planning，hormone replacement therapy，sex and sexual function，obstetrics，pathology and oncology reproduction. Gynecologic oncologists shouldn't study malignant tumors merely. They should attach great importance to benign tumors at the same time.

Key words: Myoma, Uterine neoplasms, Incidence, Therapy, Pathology