计算机断层扫描评估广泛的静脉内血管平滑肌瘤：病例报告。
Computed tomography evaluation of extensive intravenous angioleiomyoma: a case report.
机构信息
Department of Obstetrics and Gynecology, Shandong Provincial Hospital Affiliated to Shandong University, 324 Jingwu Road, Jinan, Shandong, 250021, People's Republic of China.
Nursing Department, Shandong Provincial Hospital Affiliated to Shandong University, 324 Jingwu Road, Jinan, Shandong, 250021, People's Republic of China.
出版信息
BMC Med Imaging. 2020 Feb 7;20(1):13. doi: 10.1186/s12880-020-0417-2.
BACKGROUND
Uterine angioleiomyoma is a rare variant of leiomyoma, and the main therapy is complete surgery. This study introduces the benefit of three-dimensional computed tomography reconstruction for preoperative preparation.
CASE PRESENTATION
A 50-year-old woman presented because of chest distress after activity, with worsening symptoms. After examination, the final diagnosis was uterine angioleiomyoma. The tumour originated in the uterus; grew into the right iliac vein; coursed along the iliac vein, inferior vena cava, and right atrium; and finally invaded the right ventricle. To best complete the surgery, a multidisciplinary surgery was selected. Before the surgery, a three-dimensional computed tomography reconstruction model was created to assess the tumour status, and this model enabled the surgery to be completed successfully.
CONCLUSION
Three-dimensional computed tomography reconstruction is of great significance for the preoperative diagnosis of uterine angioleiomyoma and the formulation of surgical treatment plans. Based on its vivid images, surgeons can perform operations more effectively and safely.
背景
子宫血管平滑肌瘤是平滑肌瘤的一种罕见变异，主要治疗方法是完全手术。本研究介绍了三维计算机断层扫描重建对术前准备的益处。
病例介绍
一名 50 岁女性因活动后胸闷就诊，症状逐渐加重。经检查，最终诊断为子宫血管平滑肌瘤。肿瘤起源于子宫；向右侧髂静脉生长；沿着髂静脉、下腔静脉和右心房延伸；最终侵犯右心室。为了更好地完成手术，选择了多学科手术。手术前，创建了一个三维计算机断层扫描重建模型来评估肿瘤状况，该模型使手术得以成功完成。
结论
三维计算机断层扫描重建对子宫血管平滑肌瘤的术前诊断和手术治疗方案的制定具有重要意义。基于其生动的图像，外科医生可以更有效地、更安全地进行手术。
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