[1]骆黎静 盛洁＊卢丹 段爱红 李巍① 詹阳②.特殊部位孤立性子宫囊性腺肌瘤9例诊治分析[J].中国微创外科杂志,2018,18(11):982-985.
　Luo Lijing,Sheng Jie,Lu Dan,et al.Diagnosis and Treatment of 9 Cases of Isolated Cystic Uterine Adenomyoma in Special Locations[J].Chinese Journal of Minimally Invasive Surgery,2018,18(11):982-985.
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特殊部位孤立性子宫囊性腺肌瘤9例诊治分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年11期
页码:
982-985
栏目:
临床研究
出版日期:
2018-11-20

文章信息/Info

Title:
Diagnosis and Treatment of 9 Cases of Isolated Cystic Uterine Adenomyoma in Special Locations
作者:
骆黎静 盛洁＊卢丹 段爱红 李巍① 詹阳②
(首都医科大学附属北京妇产医院妇科，北京100026)
Author(s):
Luo Lijing;  Sheng Jie;  Lu Dan;  et al.
Department of Gynecology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China
关键词:
子宫囊性腺肌瘤; 痛经
Keywords:
Cystic uterine adenomyoma; Dysmenorrhea
文献标志码:
A
摘要:
目的探讨特殊部位孤立性子宫囊性腺肌瘤的临床特征和腹腔镜切除病灶的有效性。方法2002年6月~2015年6月病理诊断特殊部位孤立性子宫囊性腺肌瘤9例，年龄16~35岁，(23.4±5.9)岁。均有严重痛经，均行腹腔镜病灶切除术。结果病灶均位于子宫圆韧带起点处或其偏下方。病灶直径2.2~4.0 cm，（3.2±0.6）cm，内见一囊腔，直径0.6~3.5 cm，（1.7±0.8）cm。病理结果显示为囊性腺肌瘤样特征，但周围肌层中除紧邻囊腔部位外均未见子宫内膜腺体和间质细胞分布。术后1个月痛经的疼痛评分由（9.8±0.6）分降至（0.4±0.7）分(P=0.004)。随访2.5~11.5年，（6.6±32）年，无痛经和病灶复发。结论特殊部位孤立性子宫囊性腺肌瘤是一种发生于年轻女性的可致严重痛经的罕见疾病，腹腔镜下单纯病灶切除术安全、有效。
Abstract:
ObjectiveTo investigate the clinical features of isolated cystic uterine adenomyoma in special locations and the effectiveness of laparoscopic resection.MethodsFrom June 2002 to June 2015, 9 patients were found with isolated cystic uterine cystic adenomyoma in special locations through pathological diagnosis. They were aged from 16 to 35 (mean, 23.4±5.9) years old. All of them had severe dysmenorrhea and underwent laparoscopic focal excision surgery. Results All the masses were located at/under the level of insertion of the round ligament. The inner cystic cavity with a diameter of 0.6-3.5 cm (mean, 1.7±0.8 cm) was surrounded by a capsule, forming a total lesion diameter of 2.2-4.0 cm (mean, 3.2±0.6 cm). The pathologic examination revealed cystic adenomyomalike features, but the endometrial glands and stroma were sparsely distributed only in the myometrium adjacent to the inner cystic cavity. The Visal Analogue Scale/score of dysmenorrhea was decreased from (9.8±0.6) points to (0.4±0.7) points at 1 month postoperatively (P=0.004). Followups for 2.5-11.5 years (mean, 6.6±3.2 years) revealed neither dysmenorrhea nor lesion.ConclusionsIsolated cystic uterine adenomyoma in special locations is an unusual cause of dysmenorrhea amongst young women. Focal excision surgery via laparoscopic approach is a valuable therapeutic alternative for this disorder.

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备注/Memo

备注/Memo:
＊通讯作者，Email:jsheng216@163.com①肿瘤科②病理科
更新日期/Last Update: 2019-03-01