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???? (leiomyoma, myoma, fibroid, fibromyoma )

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(leiomyoma, myoma, fibroid, fibromyoma ) 40 - 50 ... – PowerPoint PPT presentation

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Title: ???? (leiomyoma, myoma, fibroid, fibromyoma )


1
????
2
  • ???? (leiomyoma, myoma, fibroid, fibromyoma )
  • ???????????
  • 40 - 50 ??????????
  • ?????????
  • ????????????????40
  • ?????????????????????????
  • ??????????
  • ????????????
  • ?????????0.5

3
  • ????
  • ??????????????????
  • ?????????
  • estrogen ???
  • ??????????
  • ????????????
  • ????? ( growth hormone )
  • ?????,?????????????????

,
4
  • ????
  • ???? ( intramural type )
  • ????????
  • ??????????
  • ????????????????? (intraligamentous)
  • ????? ( subserous type )
  • ????????????????
  • ????????( pedunculated )????
  • ???????
  • ????? ( submucous type )
  • ????????????????
  • ???????
  • ?????
  • ??????????
  • ???????

5
  • ????? ( secondary change )
  • ????? ( hyaline degeneration )
  • ??????????
  • ???????????????????
  • ?????? 65 ?
  • ?????? ( myxomatous degeneration )
  • ?????
  • ??15
  • ????? ( calcific degeneration )
  • ??????????????????????
  • ????? 10

6
  • ????? ( red degeneration )
  • ???????????????????
  • ????????, ???????
  • ????? ( malignant transformation )
  • ?? 0.1 -- 0.5 ?????????????? ( leiomyosarcoma )
    ???

7
  • ?????
  • ????
  • ???????
  • ?????????,??????
  • ???????????
  • ????,???????
  • ?????,???????????????
  • ????,????????
  • ???????????????
  • ??
  • ?????????????????
  • ????

8
  • ??????
  • ??
  • ???
  • ?????
  • ???
  • ?????? estrogen
  • Medroxyprogesterone acetate ( Depo-Provera )
  • Danazol
  • GnRH analogues
  • ?????????????????? 6 ?????????

9
  • ????
  • ????????
  • 30???,?10??????????????????
  • ?????
  • ??? 40 ?????????????
  • ?????
  • ?????
  • ???????

10
  • ??
  • ??????????, ??????????????????
  • ????????????????????, ????????6???????

11
?? !!!
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