中国实用妇科与产科杂志2024，Vol.40Issue(6)：653-656,4.DOI:10.19538/j.fk2024060116
静脉内平滑肌瘤病57例临床分析
Clinical analysis of 57 cases with intravenous leiomyomatosis
摘要
Abstract
Objective To explore the clinical characteristics,treatment and prognosis of intravenous leiomyomatosis(IVL).Methods A retrospective analysis was conducted of the clinical data and follow-up of 57 patients with pathologically diagnosed IVL at the First Affiliated Hospital of Zhengzhou University from January 2013 to January 2023.Results The age of 57 patients was(45.2±5.5)years.1l patients(19.3％)had a history of myomectomy and 6 patients(10.5％)had a history of hysterectomy.The common symptoms:30 patients(52.6％)had increased menstrual volume or prolonged menstrual period,11 patients(19.3％)had abdominal distension,6 patients(10.5％)had palpitation or chest tightness,5 patients(8.8％)had lower limb edema.In this study,IVL was graded into four stages according to intravascular tumor progression.Stage Ⅰ:Tumor confined to the pelvic cavity in 33 cases;Stage Ⅱ:Tumor extended into the abdominal cavity in 16 cases;Stage Ⅲ:Tumor extended into the heart in 7 cases;Stage Ⅳ:Tumor extended the pulmonary artery in 1 case.All 57 patients underwent surgical treatment and were under strict follow-u[after surgery.During postoperative follow-up,3 patients showed evidence of recurrence,and one of them had reoperation.Conclusions IVL is a rare disease that usually occurs in reproductive and perimenopausal women with nonspecific manifestations.Surgey is the primary treatment.The surgical plan should be decided by the extent of tumor involvement.A regular postoperative follow-up is extremely essential.关键词
静脉内平滑肌瘤病/子宫平滑肌瘤/子宫肿瘤/血管肿瘤Key words
intravenous leiomyomatosis/uterine leiomyoma/uterine neoplasms/vascular neoplasms分类
医药卫生引用本文复制引用
苏克,张也,蔡玉洁,张艳艳,赵孟玲,郭瑞霞..静脉内平滑肌瘤病57例临床分析[J].中国实用妇科与产科杂志,2024,40(6):653-656,4.基金项目
河南省医学科技攻关计划联合共建项目(LHGJ20230210) （LHGJ20230210）
