子宫肌瘤英语课件VIP免费

子宫肌瘤子宫肌瘤UterinemyomaUterinemyomaObjectivesObjectives（教学目标）（教学目标）FamiliarwiththeclinicalandpathologicalclassificationofuterinefibroidsFamiliarwiththeclinicalandpathologicalclassificationofuterinefibroids。。MasterthemainclinicalmanifestationsofuterinefibroidsMasterthemainclinicalmanifestationsofuterinefibroidsMasterthetreatmentprincipleofuterinefibroidsMasterthetreatmentprincipleofuterinefibroidssummarizesummarize：：UterinefibroidsarethemostcommonbenigntumorsoffemalegenitaliaUterinefibroidsarethemostcommonbenigntumorsoffemalegenitalia。。ThestructureoftheorganizationThestructureoftheorganization：：SmoothmuscleandconnectivetissueSmoothmuscleandconnectivetissue。。PredilectionagePredilectionage：：3030岁岁~50~50岁（岁（70%~80%70%~80%）。）。Incidence:nodefinitivedataareavailableIncidence:nodefinitivedataareavailable。。Autopsiesfoundabout20percentofwomenover35Autopsiesfoundabout20percentofwomenover35。。EtiologyEstrogenFibroidtissueEstradiollevelswerehigherHigherlevelsofestrogenreceptorsItincreasesthesizeofthemusclecellsProgesteroneIncreaseddivisionofmusclecells一、※Accordingtotheplaceofoccurrence二、※InrelationtothemyometriumclassificationUterinebodyfibroidscervicalmyomaIntermuralfibroidsSubserosalfibroidsSubmucosalfibroidsIncidencerateIncidenceratePATHOLOGYPATHOLOGYAnatomyAnatomy：：Solidsphericalnodules,smoothsurface,white,hard,sectionofthevortex-likestructure.Solidsphericalnodules,smoothsurface,white,hard,sectionofthevortex-likestructure.•There'safalseThere'safalseenvelopeenvelope，，•Thereisalayerofloosereticularfibersbetweenthefibroidsandthefalsecapsule,whichcanThereisalayerofloosereticularfibersbetweenthefibroidsandthefalsecapsule,whichcanbeeasilyremoved.beeasilyremoved.•HistologicalfeaturesHistologicalfeatures：：Spindlesmoothmusclecell*uniformcellsize*darkernuclei*therearedifferencesbetweenmusclecellsAmountofconnectivetissueDegenarationFibroidslosetheirtypicalstructureFibroidslosetheirtypicalstructure玻璃样变（玻璃样变（hyalinedegenerationhyalinedegeneration））ThemostcommonThemostcommon。。•囊性变（囊性变（cysticdegenerationcysticdegeneration））SecondarytovitreouschangeSecondarytovitreouschange•红色变红色变（（reddegenerationreddegeneration））Moreinpregnancyorpuerperalperiod.Moreinpregnancyorpuerperalperiod.•肉瘤变肉瘤变（（sarcomatouschangesarcomatouschange））•钙化钙化（（degenerationwithcalcificationdegenerationwithcalcification））ReddegenerationReddegenerationsarcomatouschangesarcomatouschangehyalinedegenerationcysticdegenerationClinicalfeaturesClinicalfeaturesMenstrualchanges:AbdominalblockIncreasedleucorrheaAbdominalpain,lumbaracid,abdominalbulge:Symptomsofcompression:compressionofthebladder,rectum,etc.infertilitySecondaryanemia11、、CharacteristicsofmenstruationchangeCharacteristicsofmenstruationchange：：。。AA、、increasedmenstrualvolume,prolongedmenstrualperiodandshortenedcyclearetypicalincreasedmenstrualvolume,prolongedmenstrualperiodandshortenedcyclearetypicalsymptomssymptoms(submucosalfibroidsand(submucosalfibroidsandintermurallargefibroids).intermurallargefibroids).BB、、SubserousfibroidsandintramuralfibroidsdidnotchangeduringmenstruationSubserousfibroidsandintramuralfibroidsdidnotchangeduringmenstruationCC、、MenstrualchangesarenotrelatedMenstrualchangesarenotrelatedtofibroidsize,buttothesitetofibroidsize,buttoth...