Fields K R, Neinstein L S
Division of Adolescent Medicine, Children's Hospital of Los Angeles, California, USA.
J Pediatr Adolesc Gynecol. 1996 Nov;9(4):195-8. doi: 10.1016/s1083-3188(96)70030-x.
Uterine myomas are less common in adolescents than in adults. However, they should be considered in adolescent females who present with pelvic mass, abdominal pain, or abnormal uterine bleeding. The diagnosis is based on pelvic examination and ultrasound. Management is observation for small lesions and surgery for larger masses with myomectomy the choice for preservation of fertility. Medical treatments are currently under investigation as adjuncts to surgery. Ten cases of uterine myomas in adolescent and young-adult women between the ages of 13 and 21 are discussed. The clinical presentation and management is compared with the adult population.
子宫肌瘤在青少年中比在成年人中少见。然而，对于出现盆腔肿块、腹痛或异常子宫出血的青春期女性，应考虑子宫肌瘤的可能。诊断基于盆腔检查和超声检查。对于小的肌瘤可进行观察，对于较大的肌瘤则选择手术切除，子宫肌瘤切除术是保留生育能力的首选。目前正在研究药物治疗作为手术辅助手段的效果。本文讨论了13至21岁青少年及青年女性中的10例子宫肌瘤病例。并将其临床表现及治疗方法与成年人群进行了比较。
