本文關(guān)鍵詞：較大囊性子宮腺肌病2例報(bào)告并文獻(xiàn)復(fù)習(xí)　出處：《山東大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 囊性子宮腺肌病 腹腔鏡手術(shù) 影像學(xué)檢查 文獻(xiàn)復(fù)習(xí)

【摘要】：背景及目的子宮腺肌病是指子宮內(nèi)膜良性生長于子宮肌層導(dǎo)致的子宮彌漫性增大,在鏡下表現(xiàn)為子宮肌層中出現(xiàn)異位非新生的子宮內(nèi)膜腺體及間質(zhì),周圍伴有平滑肌細(xì)胞的增生肥大。患者多主訴月經(jīng)量增多、較嚴(yán)重的痛經(jīng)或不孕,根據(jù)病理學(xué)診斷的子宮腺肌病患者,年齡多在40-50歲,痛經(jīng)及經(jīng)血過多是子宮腺肌病患者最常見的臨床癥狀,子宮腺肌病嚴(yán)重影響女性的身心健康。子宮腺肌癥有不同的類型,其中囊性子宮腺肌病比較少見,直徑大于3cm的囊性腺肌病更加罕見。通過對較大囊性子宮腺肌病的病例分析,我們可以了解其臨床特點(diǎn),結(jié)合臨床表現(xiàn)及相關(guān)的影像學(xué)檢查,用以探討較大囊性子宮腺肌病的診斷和鑒別診斷,并進(jìn)一步分析子宮腺肌病的分類和發(fā)病機(jī)制。材料與方法收集2014年由山東大學(xué)齊魯醫(yī)院婦產(chǎn)科診斷并治療的2例較大囊性子宮腺肌病患者的臨床病例資料并進(jìn)行分析,結(jié)合相關(guān)醫(yī)學(xué)文獻(xiàn),深入探討該類疾病的病理表現(xiàn)、發(fā)病機(jī)制、臨床表現(xiàn)、影像學(xué)特點(diǎn)、診斷及鑒別診斷,并進(jìn)行歸納總結(jié)。結(jié)果2例病例根據(jù)其臨床表現(xiàn)及相關(guān)影像學(xué)檢查,初步診斷為囊性子宮腺肌病,完善相關(guān)檢查后實(shí)施腹腔鏡手術(shù),術(shù)中均見囊內(nèi)為巧克力樣液體,完整剝除囊腫,病理學(xué)檢查示局部查見異位的子宮內(nèi)膜,診斷為宮壁子宮內(nèi)膜異位囊腫,術(shù)后給予患者GnRH-a治療6個(gè)月,隨診至今無復(fù)發(fā)。結(jié)論子宮腺肌病好發(fā)于中年女性,無性生活史青少年病例臨床并不常見,尤其是較大囊性子宮腺肌病更加罕見。較大囊性子宮腺肌病應(yīng)與子宮畸形相鑒別。囊性子宮腺肌病患者的痛經(jīng)癥狀比較嚴(yán)重,臨床醫(yī)師應(yīng)提高對該類疾病的了解和認(rèn)識。手術(shù)是治療較大囊性子宮腺肌病的首選治療方法。
[Abstract]:Background and objective: adenomyosis is a kind of benign uterine growth in myometrium uterus caused by diffuse enlargement, the microscope showed that endometrial glands in myometrium heterotopic non newborn and interstitial hyperplasia, surrounded by smooth muscle cells. Many patients complained of menorrhagia, severe dysmenorrhea or infertility, according to the pathological diagnosis of patients with adenomyosis, at the age of 40-50 years, dysmenorrhea and menorrhagia is the most common clinical symptoms of patients with adenomyosis adenomyosis, serious impact on women's physical and mental health. There are different types of adenomyosis, including cystic adenomyosis is relatively rare, diameter greater than 3cm cystic adenomyosis more rare. Based on a large cystic adenomyosis case analysis, we can understand its clinical characteristics, histological examination combined with clinical manifestations and related images, in order to explore the large The diagnosis and differential diagnosis of cystic adenomyosis, and further analysis of the classification and pathogenesis of adenomyosis. Materials and methods from 2014 from Qilu Hospital of Shandong University Department of Obstetrics and Gynecology, diagnosis and treatment of 2 cases of cystic adenomyosis in patients with clinical data were analyzed, combined with the relevant medical literature, in-depth study of pathological features. This kind of disease pathogenesis, clinical manifestations, imaging features, diagnosis and differential diagnosis, and summarized. Results 2 cases according to the clinical manifestation and imaging examination, the initial diagnosis of cystic adenomyosis, perfect relevant examination after laparoscopic surgery, the cyst is chocolate like liquid surgery in the enucleation of cyst, pathological examination showed local found ectopic endometrium, diagnosed as uterine wall endometriosis cyst, postoperative patients were given GnRH-a treatment for 6 months follow-up No recurrence. Conclusion adenomyosis occurs in middle-aged women, sexual life youth cases are not common, especially large cystic adenomyosis more rare. Large cystic adenomyosis and uterine malformation. Differentiate cystic adenomyosis patients with dysmenorrhea symptoms more serious, clinicians should improve the this kind of disease understanding. Surgery is the preferred method for treatment of large cystic adenomyosis.

【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R711.71

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 王宏;冷金花;郎景和;劉珠鳳;孫大為;朱蘭;樊慶泊;;子宮肌腺癥的臨床病理特點(diǎn)及手術(shù)指征的探討[J];現(xiàn)代婦產(chǎn)科進(jìn)展;2006年07期

，

本文編號：1376991