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弥漫性平滑肌瘤病：针对无数小结节行全子宫肌层切除术以保留生育能力并实现妊娠分娩。

Diffuse Leiomyomatosis: Complete Myomectomy for Innumerable Small Nodules to Achieve Fertility Sparing and Childbearing.

作者信息

Konishi Ikuo

机构信息

National Hospital Organization, Kyoto Medical Center, Kyoto, Japan.

出版信息

Surg J (N Y). 2019 Aug 29;6(Suppl 1):S50-S57. doi: 10.1055/s-0039-1693709. eCollection 2020 May.

DOI:10.1055/s-0039-1693709
PMID:32399490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7214083/
Abstract

Diffuse leiomyomatosis is a rare condition among benign smooth muscle neoplasms of the uterus, being defined as innumerable small myomatous nodules that mainly occur in the submucosal area. Young women with this disease suffer from menorrhagia, pains, and infertility. It is essential to perform extensive myomectomy after opening the endometrial cavity by a deep, median, longitudinal incision of the uterine corpus, followed by careful suture and reconstruction of the uterus for fertility spearing and childbearing in young women with this disease. So far, there have been no experiences of the uterine rupture during pregnancy even after such myomectomy, but Caesarean section is recommended for safe delivery.

摘要

弥漫性平滑肌瘤病在子宫良性平滑肌肿瘤中是一种罕见病症，定义为无数个主要发生在黏膜下区域的小肌瘤结节。患有这种疾病的年轻女性会出现月经过多、疼痛和不孕等症状。对于患有这种疾病的年轻女性，通过子宫体的深部、正中、纵向切口打开子宫内膜腔后进行广泛肌瘤切除术，随后仔细缝合和重建子宫以保留生育能力并实现生育，这一点至关重要。到目前为止，即使进行了这样的肌瘤切除术后，也没有妊娠期间子宫破裂的病例，但建议剖宫产以确保安全分娩。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/c1d229562537/10-1055-s-0039-1693709-i0007psog-11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/1a249fde7365/10-1055-s-0039-1693709-i0007psog-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/3b302e8ed3d5/10-1055-s-0039-1693709-i0007psog-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/29d952e171ec/10-1055-s-0039-1693709-i0007psog-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/7542483e3de6/10-1055-s-0039-1693709-i0007psog-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/4085b52da4a9/10-1055-s-0039-1693709-i0007psog-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/dac31f9ab37e/10-1055-s-0039-1693709-i0007psog-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/28f2475e37ed/10-1055-s-0039-1693709-i0007psog-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/9a6d6868a1d7/10-1055-s-0039-1693709-i0007psog-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/49fc4be9065a/10-1055-s-0039-1693709-i0007psog-9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/659f681f8ec2/10-1055-s-0039-1693709-i0007psog-10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/c1d229562537/10-1055-s-0039-1693709-i0007psog-11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/1a249fde7365/10-1055-s-0039-1693709-i0007psog-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/3b302e8ed3d5/10-1055-s-0039-1693709-i0007psog-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/29d952e171ec/10-1055-s-0039-1693709-i0007psog-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/7542483e3de6/10-1055-s-0039-1693709-i0007psog-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/4085b52da4a9/10-1055-s-0039-1693709-i0007psog-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/dac31f9ab37e/10-1055-s-0039-1693709-i0007psog-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/28f2475e37ed/10-1055-s-0039-1693709-i0007psog-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/9a6d6868a1d7/10-1055-s-0039-1693709-i0007psog-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/49fc4be9065a/10-1055-s-0039-1693709-i0007psog-9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/659f681f8ec2/10-1055-s-0039-1693709-i0007psog-10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc8/7214083/c1d229562537/10-1055-s-0039-1693709-i0007psog-11.jpg

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Uterine anatomy and function on cine magnetic resonance imaging.子宫在电影磁共振成像中的解剖结构与功能
Reprod Med Biol. 2016 Feb 13;15(4):191-199. doi: 10.1007/s12522-016-0235-y. eCollection 2016 Oct.
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A Case of a Patient with Adhesive Small Bowel Obstruction in Pregnancy after Extensive Myomectomy for Diffuse Uterine Leiomyomatosis.广泛子宫平滑肌瘤病行广泛子宫肌瘤切除术后妊娠合并粘连性小肠梗阻1例。
Case Rep Obstet Gynecol. 2022 Sep 26;2022:3601945. doi: 10.1155/2022/3601945. eCollection 2022.
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Diffuse uterine leiomyomatosis: A case report and review of literature.弥漫性子宫平滑肌瘤病：一例病例报告及文献综述
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