摘要
子宫静脉内平滑肌瘤病(IVL)是一种极为罕见和独特的良性疾病,但具有恶性生物学行为。IVL缺乏特异性表现,术前诊断极为困难。本文报道1例腹腔镜下Ⅲ期IVL患者的诊治过程,术前经多学科团队协作指导围手术期全阶段的诊疗方案,最终行腹腔镜经腹全子宫切除术+双附件切除术,并于彩超监视下在腹腔镜下牵拉取出静脉内瘤栓,手术顺利,术后患者预后良好。通过本例患者的诊治经过并复习相关文献,对该类疾病特点及诊治作一总结。
Uterine intravenous leiomyomatosis(IVL)is an extremely rare and unique benign disease,yet it exhibits malignant biological behavior.Due to the lack of specific manifestations,making preoperative diagnosis extremely difficult.This paper reports the diagnosis and treatment of a stageⅢIVL patient undergoing laparoscopic surgery.Preoperatively,a multidisciplinary team collaborated to guide the perioperative management plan throughout all stages.Ultimately,a laparoscopic total hysterectomy with bilateral salpingo-oophorectomy was performed.Under color Doppler ultrasound guidance,the tumor thrombus within the vein was tractioned and removed laparoscopically.The procedure was uneventful,and the patient had a favorable postoperative p rognosis.Through reviewing this patient’s clinical course and relevant literature,this paper summarize the characteristi cs,diagnosis,and treatment strategies for this disease.
作者
李春蕾
刘宏宇
韩珍珍
段颜
LI Chunlei;LIU Hongyu;HAN Zhenzhen;DUAN Yan(Binzhou Medical University,Shandong Province,Binzhou 256603,China;Department of Obstetrics and Gynecology,Shengli Oilfield Central Hospital,Shandong Province,Dongying 257099,China)
出处
《妇儿健康导刊》
2026年第6期40-43,共4页
Journal of Women and Children's Health Guide
关键词
子宫静脉内平滑肌瘤病
腹腔镜
疾病特点
疾病进展
Uterine intravenous leiomyomatosis
Laparoscopy
Disease charac teristics
Disease progression
