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目的探讨100例子宫平滑肌肿瘤子宫活检的临床病理特点。方法回顾性分析我院2011年3月至2013年3月收治的100例子宫平滑肌肿瘤子宫活检临床病理资料。结果 100例中,黏膜下肌瘤39例,多发性肌瘤48例,肌壁间肌瘤81例,浆膜下肌瘤8例,单发性肌瘤43例。平滑肌瘤92例,平滑肌肉瘤2例,不能确定恶性潜能的平滑肌瘤6例。结论子宫平滑肌瘤的发病原理尚不清楚,可能与雌激素、孕激素以及各种生长因子密切相关。而核分裂象虽然是区分良性、恶性的重要指标,但还需结合临床各种因素进行全面分析,才有利于临床做出正确的诊断。
Objective To investigate the clinicopathological features of uterine biopsy in 100 cases of uterine smooth muscle tumors. Methods The clinical and pathological data of 100 cases of uterine smooth muscle tumors from March 2011 to March 2013 in our hospital were retrospectively analyzed. Results Among the 100 cases, 39 were submucosal fibroids, 48 were multiple myomas, 81 were intramyocular myomas, 8 were subserosiomyoma, and 43 were single myoma. 92 cases of leiomyoma, 2 cases of leiomyosarcoma, can not determine the malignant potential of leiomyoma in 6 cases. Conclusion The pathogenesis of uterine leiomyoma is not clear, may be closely related to estrogen, progesterone and various growth factors. Although the mitotic phenomenon is to distinguish between benign and malignant an important indicator, but also need a comprehensive analysis of various clinical factors, it is conducive to make the correct clinical diagnosis.