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目的分析子宫肌瘤患者临床特征、诊断方法以及治疗方法等,希望为提高子宫肌瘤诊治水平提供重要参考。方法回顾性分析2014年3月至2016年3月在我院就诊的130例子宫肌瘤患者临床资料,探讨分析子宫肌瘤患者的临床特点、治疗方法以及肌瘤生长方式等。结果本次8例患者并没有表现出明显临床症状,并没有采取特别治疗措施,经过一定时间门诊随访,子宫B超复查发现肌瘤萎缩或者消失。78例患者采用药物口服治疗,其余44例患者根据实际病情采用手术治疗,结果 78例患者经过药物治疗后36例患者肌瘤缩小1/3以上,17例患者肌瘤缩小1/2以上,25例患者肌瘤并没有明显变化。44例手术治疗患者中21例采用子宫肌瘤切除术治疗,18例患者治愈,4例患者复发;23例患者采用子宫切除术治疗,均治愈。结论若子宫肌瘤患者并没有表现出明显临床症状,门诊可随访观察,不需要采取特别的治疗方法,若患者临床症状较为明显应结合患者的实际病情以及需求采用药物治疗或者手术治疗。
Objective To analyze the clinical features, diagnosis and treatment of patients with uterine fibroids, hoping to improve the diagnosis and treatment of uterine fibroids provide an important reference. Methods The clinical data of 130 patients with uterine fibroids who were treated in our hospital from March 2014 to March 2016 were analyzed retrospectively to analyze the clinical characteristics, treatment and fibroid growth patterns of patients with uterine fibroids. Results The 8 patients did not show obvious clinical symptoms, and did not take special treatment measures, after a period of out-patient follow-up, uterine ultrasound found fibroids atrophy or disappear. 78 patients were treated with drugs orally, and the remaining 44 patients were treated according to the actual conditions, the results of 78 patients after treatment of fibroids in 36 patients reduced by 1/3, 17 patients with fibroids shrink more than 1/2, 25 Patients with fibroids and no significant change. Forty-four patients undergoing surgical resection were treated with hysterectomy, 18 patients were cured, 4 patients relapsed, and 23 patients were treated with hysterectomy and were cured. Conclusion If the uterine fibroids patients did not show obvious clinical symptoms, outpatient follow-up observation, do not need to take special treatment, if the patient’s clinical symptoms were more obvious should be combined with the actual condition of patients and the need for medical treatment or surgical treatment.