子宫肌瘤

padlock-locked登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
最后审阅： 2 Sep 2023
最后更新： 15 Jun 2022

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 无症状
  • 月经量过多
  • 不规则的坚硬的中央骨盆腔肿瘤
更多 关键诊断因素

其他诊断因素

  • 盆腔疼痛
  • 盆腔压迫
  • 痛经
  • 腹胀
  • 乏力和工作效率低下
  • 不育症
  • 泌尿系统症状
  • 便秘
  • 增大的子宫（边界清）
  • 性交痛
其他诊断因素

危险因素

  • 患者体重增加
  • 年龄 40-50 岁
  • 黑人
  • 维生素 D 缺乏
  • 高血压
  • 月经初潮过早（10 岁以下）
  • 使用口服避孕药（在 16 岁前开始服用）
  • 未育
  • 首次生育时年龄过轻
  • 维生素 A 摄入不足
  • 牛肉和其他红色肉类摄入高
  • 性激素暴露
  • 月经史
  • 吸烟
  • 饮酒
更多 危险因素
padlock-locked登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容

诊断性检查

首要检查

  • 超声
  • 子宫内膜活检
更多 首要检查

需考虑的检查

  • 子宫腔声学造影
  • 宫腔镜检查
  • 核磁共振成像 (MRI)
  • 腹腔镜
更多 需考虑的检查

新兴检查

  • 超声弹性成像
  • MR 弹性成像
padlock-locked登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容

治疗流程

持续性治疗

有生育要求

无生育要求

padlock-locked登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容

撰稿人

作者

Ayman Al-Hendy, MD PhD FRCSC FACOG CCRP

Professor (visiting) and Director

Translational Research

Department of Obstetrics and Gynecology

University of Illinois

Chicago

IL

利益声明

AAH serves on the external advisory board of Bayer, AbbVie, Myovant, Pfizer, ObsEva and Allergan, and has received research funding from the National Institutes of Health. AAH is an author of references cited in this topic.

Obianuju Sandra Madueke-Laveaux, MD MPH

Assistant Professor of Obstetrics and Gynecology

Department of Obstetrics and Gynecology

University of Illinois

Chicago

IL

利益声明

OSML declares that she has no competing interests. OSML is an author of references cited in this topic.

Vuslat Lale Bakir, MD

Assistant Professor of Obstetrics and Gynecology

Department of Obstetrics and Gynecology

Haseki Training and Research Hospital

Health Sciences University

Istanbul

Turkey

利益声明

VLB declares that she has no competing interests.

鸣谢

Dr Al-Hendy, Dr Madueke-Laveaux, and Dr Bakir would like to gratefully acknowledge Dr Mohamed Mitwally, Dr Intisar Elnahhas, and Dr Robert J. Fischer, the previous contributors to this topic.

利益声明

MM, IE, and RJF declare that they have no competing interests.

同行评议者

Everett Magann, MD

Chairman

Department of Obstetrics and Gynecology

Naval Medical Center

Portsmouth

VA

利益声明

EM declares that he has no competing interests.

Amy Niederhauser, MD

Doctor

Department of Obstetrics and Gynecology

Naval Medical Center

Portsmouth

VA

利益声明

AN declares that she has no competing interests.

Adam Magos, BSc, MB, BS, MD, FRCOG

Consultant Gynaecologist

University Department of Obstetrics and Gynaecology

Royal Free Hospital

London

UK

利益声明

AM declares that he has no competing interests.

内容使用需遵循免责声明