【摘要】 目的:探讨子宫静脉内平滑肌瘤病(IVL)的临床特征及诊断处理方法。方法:回顾分析我院1998年1月至2003年12月间收治的34例IVL的临床资料。结果:术前临床拟诊IVL0例,超声结果提示IVL2例,术中快速冰冻切片病理检查诊断33例,所有病例均经术后石蜡切片确诊。在32例全子宫切除患者中,病变局限于子宫内部者13例,突破浆膜面或达宫旁者18例, 1例达盆壁,无累及下腔静脉及右心腔患者。结论:认识IVL不同于一般子宫肌瘤的大体及子宫剖面的特点并送快速冰冻切片病理检查是提高术前和术中诊断率的基础,也是正确及时处理的关键。更多还原

【Abstract】 Objective:To investigate clinical feature and means of diagnosis and management of intravenous leiomyomatosis (IVL). Methods:Reviewed and analysed 34 cases of IVL ,which had been treated and had been diagnosed by pathology examination in our hospital from Jan,1998 to Dec, 2003. Results: No case (0%)was diagnosed as IVL clinically before operation, 2 cases (6%) were prompted as IVL by ultrasound scanning, 33 cases (97%) were diagnosed by pathology examination of fast frozen histological sections during operation and all cases were confirmed by pathology examination of paraffine embed histological sections . Among 32 cases of total hysterectomy, there were 13 cases (41%) whose lesion limited within uterus, while there were 18 cases (56%) whose leision went beyond uterus and 1 case (3%) went into pelvic cavity wall. Conclusions: Knowing the feature of IVL that is different from uterine leiomyoma and sending the excisional tissues to do the pathology examination of fast frozen sections are the foundations of improving the rate of correct diagnosis of IVL before and during operation and they are also the key to having correct management to deal with IVL cases.更多还原