Hysteroscopic Treatment for 31 Cases of Angioleiomyomas in the Uterine Cavity and Cervical Canal
10.3969/j.issn.1009-6604.2024.12.002
- VernacularTitle:宫腔镜治疗宫腔及宫颈管血管平滑肌瘤31例
- Author:
Qian LIU
1
;
Jianfa JIANG
1
Author Information
1. 中南大学湘雅三医院妇科,长沙 410013
- Publication Type:Journal Article
- Keywords:
Angioleiomyoma;
Hysteroscopy;
Uterus
- From:
Chinese Journal of Minimally Invasive Surgery
2024;24(12):791-794
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the therapeutic effect of hysteroscopic treatment for angioleiomyomas in the uterine cavity and cervical canal.Methods A retrospective analysis was conducted on clinical data of 31 cases of hysteroscopic treatment for angioleiomyomas in the uterine cavity and cervical canal from March 2012 to October 2023.The manifestations included abnormal uterine bleeding in 23 cases,abnormal intrauterine echoes or thickened endometrium indicated by ultrasound in 7 cases,and self-reported protrusion of a mass from the vulva in 1 case.Results Hysteroscopic examination revealed that the lesions were located in the uterine cavity in 26 cases and in the cervical canal in 5 cases,with single lesions in 27 cases and multiple lesions in 4 cases.Hysteroscopic diagnosis identified 22 cases of fibroids,4 cases of polyps,and 5 cases of undetermined types.All the lesions were completely excised under hysteroscopy,and the postoperative pathological diagnosis was angioleiomyomas.Postoperative follow-ups ranged from 3 to 142 months,with a median of 69 months.Ultrasound indicated no recurrence.Conclusion For angioleiomyoma located in the uterine cavity and cervical canal,complete excision of the lesion through hysteroscopy is an effective treatment method.
