科研喵使用ai读文献,祝你效率百倍,访问labcat.com.cn下载。最新的医学研究聚焦于子宫肌瘤的非子宫部位病变,即外子宫平滑肌瘤病(ESL)。这项系统性综述梳理了ESL的临床表现、治疗和组织病理特征,包括播散性腹膜平滑肌瘤(DPL)、寄生性子宫肌瘤(PM)、良性转移性平滑肌瘤(BML)和血管内平滑肌瘤(IVL)。研究发现,既往子宫手术(如子宫切除术或肌瘤剔除术)与腹内(IAELs)和腹外(EAELs)外子宫平滑肌瘤的发展密切相关。研究提示,医生需要对涉及主要子宫血管结扎或切断的手术操作提高警惕,这些操作可能促进EAELs的发展,而粉碎术则可能促进腹膜内转移。这一发现对于改善ESL的诊断和治疗具有重要意义。
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