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子宫肌瘤通常发生于哪些部位

作者:admin        来源:99子宫网        发布日期:2010-10-25        访问量:6645
导读:子宫肌瘤通常发生在哪些部位?又有哪些类型,本文都会为你一一解答

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       子宫肌瘤可发生在子宫任何部位:①子宫体肌瘤:90%~96%。②子宫颈肌瘤:2.2%~8%。③子宫颈、子宫体同时发生:1.8%。肌瘤原发于子宫肌层,当继续增大时可向不同方向发展,根据肌瘤所在子宫的不同部位,可分为以下几类:

       (1)肌壁间肌瘤   最多见,占60%~70%。肌瘤位于子宫肌层内,周围有肌层包绕,肌瘤与肌壁间界限清楚。肌瘤小时无症状,增大时可出现经量增多,经期延长。

       (2)浆膜下肌瘤   占20%~30%。肌瘤向子宫表面浆膜层生长,肌瘤表面仅覆盖着少许肌壁及浆膜层。当肌瘤继续向浆膜层生长时仅有一细长的蒂与肌壁相连,成为一带蒂的浆膜下肌瘤。浆膜下子宫肌瘤一旦发生蒂扭转常表现为急性腹痛。

       (3)黏膜下肌瘤   较少见,占10%~15%。肌壁间肌瘤向宫腔内生长,突出于子宫腔内,与黏膜层直接接触。此瘤可使子宫腔逐渐增大变形,并常有蒂与子宫相连,如蒂长可堵住子宫口或脱出于阴道内。

       (4)子宫颈肌瘤   较少见,肌瘤在子宫颈部位生长,因生长部位低,可嵌顿于盆腔内,产生压迫症状,手术切除困难,易损伤输尿管、膀胱。子宫肌瘤的生长部位虽有几种,但常为多发性的,即同时可存在2种或3种肌瘤。子宫肌瘤最主要的症状是月经增多、经期延长、月经周期缩短,引起月经增多的主要是黏膜下及肌壁间肌瘤,而浆膜下肌瘤对月经影响较小。所以,浆膜下肌瘤可以长得很大而无其他症状,患者常常因触摸到腹部包块而来就诊。因肌瘤生长部位及大小不同,还可出现不同程度的压迫症状,如压迫膀胱,出现尿频、尿急;压迫直肠,造成排尿困难。浆膜下肌瘤蒂扭转时,可引起剧烈腹痛,这种情况下,常需要做手术切除肌瘤使子宫腔面积增大。子宫内膜腺体分泌增多,可出现白带增多,如伴有感染则可出现脓性白带。据调查,25%~35%的肌瘤患者可能会出现不孕。

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好文章。

留言人:sanqianli    留言时间:2010-11-24

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