胡秋霞?黄小琴?邵燕霞?庹俊?彭娜?周丹

    【摘要】 子宫肌瘤是最常见的子宫良性肿瘤，多见于30～50岁的女性，在青少年中较为少见。该文报道了1例16岁青少年女性复发性黏膜下子宫肌瘤的诊治经过，患者因异常子宫出血行宫腔镜下子宫肌瘤切除术，术后未规律随访，患者于术后18个月再次因异常子宫出血入院，经阴道超声检查见宫腔5.2 cm×4.6 cm×3.8 cm占位，再次行宫腔镜下子宫肌瘤部分切除术，术后病理活组织检查提示为黏膜下子宫肌瘤。该病例的诊治经过提示，在青少年子宫肌瘤复发的诊治过程中，需与肌瘤肉瘤变鉴别，同时需尽可能保留患者生育能力，重视术后随访。

    【关键词】 青少年;黏膜下子宫肌瘤;复发;异常子宫出血;宫腔镜

    Recurrent submucosal uterine fibroids in adolescence： a case report Hu Qiuxia， Huang Xiaoqin， Shao Yanxia， Tuo Jun， Peng Na， Zhou Dan. Department of Obstetrics and Gynecology， the First People’s Hospital of Neijiang， Affiliated Hospital of Chongqing Medical University， Neijiang 641000， China

    Corresponding author， Zhou Dan， E-mail： 1317202964@qq.com

    【Abstract】 Uterine fibroids are the most common benign tumors of the uterus. They primarily occur in women aged 30-50 years old， rarely in adolescents. In this article， the diagnosis and treatment of a 16-year-old teenager with recurrent submucosal fibroids were reported. The patient underwent hysteroscopic myomectomy due to abnormal uterine bleeding (AUB) ......