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<p><iframe src="http://v.qq.com/iframe/player.html?vid=u01618s48c9&auto=0" width="100%" height="580" frameborder="0"></iframe></p><section><section data-id="45" data-color="rgb(89, 195, 249)"><section><section data-width="32px"><section data-width="100%"><section title="" placeholder="1" data-original-title=""><p><span>1</span></p></section></section></section><section data-brushtype="text"><p><span><strong><span>黏膜下子宫肌</span></strong><br /></span></p></section></section><section data-width="0px"></section></section><p><br /></p><p><span>较少见,占10%~15%。</span></p><p><span>子宫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。此类型子宫肌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。</span></p><p><span>黏膜下子宫肌瘤引起子宫内膜感染可引起不孕;</span></p><p><span>子宫肌瘤并发子宫内膜增生时,可能引起不孕。</span></p><p><span>粘膜下子宫肌瘤也最容易引起月经量增多,经期延长等症状。</span></p><p><br /></p></section><p></p><section><section data-id="45" data-color="rgb(89, 195, 249)"><section><section data-width="32px"><section data-width="100%"><section title="" placeholder="1" data-original-title=""><p><span>2</span></p></section></section></section><section data-brushtype="text"><p><span><strong><span>肌壁间子宫肌瘤</span></strong></span></p></section></section><section data-width="0px"></section></section><p><br /></p><p><span>最多见,占60%~70%。</span></p><p><span>肌瘤位于子宫肌层内,周围有肌层包绕,子宫肌瘤与肌壁间界限清楚。</span></p><p><span>子宫肌壁间肌瘤一般对怀孕的影响小于粘膜下子宫肌瘤。</span></p><p><span>子宫肌瘤小时无症状,增大时可出现经量增多,经期延长。</span></p><p><br /></p></section><section><section data-id="45" data-color="rgb(89, 195, 249)"><section><section data-width="32px"><section data-width="100%"><section title="" placeholder="1" data-original-title=""><p><span>3</span></p></section></section></section><section data-brushtype="text"><p><span><strong><span>浆膜下子宫肌瘤</span></strong></span></p></section></section><section data-width="0px"></section></section><p><br /></p><p><span>占20%~30%。</span></p><p><span>子宫肌瘤向子宫表面浆膜层生长,突向子宫表面,子宫肌瘤表面仅覆盖着少许肌壁及浆膜层。</span></p><p><span>当子宫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子宫肌瘤;因为其生长空间大而不受限制,故浆膜下子宫肌瘤都长得较大。</span></p><p><span>浆膜下子宫肌瘤一旦发生蒂扭转常表现为急性腹痛。</span></p><p><span>浆膜下子宫肌瘤一般不影响怀孕,但当子宫肌瘤压迫输卵管或使之扭曲,影响输卵管的正常功能,或肌瘤导致宫腔变形妨碍受精卵着床时可以引起不孕。</span></p><p><br /></p></section><section><section data-id="84261" data-color="rgb(89, 195, 249)"><section><section><section data-width="50px"></section><section></section></section><section data-style="color: rgb(51, 51, 51); font-size: 1em; line-height: 1.75em; word-break: break-all; word-wrap: break-word; text-align: justify;"><p><span>子宫肌瘤可以选择哪些治疗方式?</span></p></section><section><section data-width="50px"></section></section></section><section data-width="0px"></section></section><p><br /></p><p><br /></p></section><p></p><p><br /></p><p><p><img src="image/20201014/209bd3cffce9ee1d6558eb7654eaaeb4_1.jpg" /></p></p><p></p><section data-id="132"><section><section><section data-brushtype="text"><span>讲解专家简介</span></section><section data-brushtype="text"><span>汪 炼</span></section></section></section><section></section></section><p></p><p><br /></p><p><span> 重庆医科大学附属第一医院海扶医院院长。从事妇产科临床、科研、教学工作40余年。曾受国家卫生部派遣,多次以中国医疗队队长身份参加<span>基里巴斯</span>首都医院、<span>巴布亚新几内亚</span>首都医院医疗援助。</span></p><p></p><section><section></section></section><p></p><p><br /></p><p><br /></p><p><p><img src="image/20201014/e21cfab5489994f664d4b6b61a04216d_2.jpg" /></p></p>
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