CAJ | 학술논문

目的：分析阴道壁平滑肌瘤的误诊原因，以提高对本病的认识。方法对6例误诊为其他病的阴道壁平滑肌瘤患者的临床表现、实验室检查、影像学表现、治疗与转归进行回顾性分析。结果6例患者分别被误诊为尿道旁腺囊肿、子宫内膜异位症、阴道壁囊肿、宫颈癌、子宫颈肌瘤、圆韧带肌瘤，经对其发病原因、临床表现、实验室检查、病理特点等进行综合分析后明确阴道壁平滑肌瘤的诊断，均予手术切除治疗，术后1周痊愈出院。结论阴道壁平滑肌瘤发病率低，临床易误诊，病理学检查有助于减少误诊，尽早治疗预后好。
목적：분석음도벽평활기류적오진원인，이제고대본병적인식。방법대6례오진위기타병적음도벽평활기류환자적림상표현、실험실검사、영상학표현、치료여전귀진행회고성분석。결과6례환자분별피오진위뇨도방선낭종、자궁내막이위증、음도벽낭종、궁경암、자궁경기류、원인대기류，경대기발병원인、림상표현、실험실검사、병리특점등진행종합분석후명학음도벽평활기류적진단，균여수술절제치료，술후1주전유출원。결론음도벽평활기류발병솔저，림상역오진，병이학검사유조우감소오진，진조치료예후호。
Objective In order to improve the understanding of the disease, the reasons of misdiagnosis of vaginal wall leiomyoma were analyzed in this paper. Methods Laboratory tests, imaging findings, treatment and outcome of 6 cases with vaginal wall leiomyoma who were misdiagnosed as other diseaseswere analyzed retrospectively. Results 6 patients were respectively misdiagnosed as near the urethra gland cyst , endometriosis cyst, cervical, vaginal wall, cervix myoma, round ligament myoma. To its etiology, clinical manifestation, laboratory examination, pathological characteristics and so on carries on the comprehensive analysis, in order to make clear diagnosis of vaginal wall leiomyoma, all patients give the surgery to excise the treatment and discharged after 1 week. Conclusion The incidence of vaginal wall leiomyoma is low. This disease is easy to misdiagnosis. Pathology examination is helpful to reduce the misdiagnosis. Prognosis will be good for treatment as soon as possible.