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[目的]探讨子宫交界性平滑肌瘤患者行经腹子宫肌瘤剔除术的预后情况。[方法]对27例经腹子宫肌瘤剔除术后,病理证实为子宫交界性平滑肌瘤的患者进行随访,分析该术式的治疗效果。[结果]子宫交界性平滑肌瘤经腹剔除术的患者中,大部分症状消失或明显减轻。27例患者中5例复发。5例复发患者均再次手术,病理结果仍为子宫交界性平滑肌瘤,术后随访未发现复发。[结论]子宫交界性平滑肌瘤经腹剔除术的患者预后良好,提示对于要求保留生育功能者,可以在严密随访下行子宫肌瘤剔除术,从而保留生育功能。
[Objective] To investigate the prognosis of transabdominal myomectomy in patients with uterine borderline leiomyomata. [Methods] Twenty-seven patients who underwent resection of abdominal myomectomy and pathologically confirmed as borderline myoma of uterus were followed up and analyzed the therapeutic effect of the operation. [Results] Among the patients who underwent resection of the uterus with borderal leiomyoma, most of the symptoms disappeared or obviously alleviated. Five of the 27 patients relapsed. Recurrence of 5 patients were re-operation, the pathological findings of the uterus is still borderline leiomyoma, postoperative follow-up found no recurrence. [Conclusions] The prognosis of patients with transposition of leiomyoma of the uterus by abdominal resection is good, which suggests that for those who require retention of fertility, we can follow-up myomectomy to ensure the reproductive function.