一名34岁女性因月经异常及不孕就诊，被确诊为罕见的弥漫性子宫平滑肌瘤病 1。浙江大学医学院附属第四医院妇科主任赵小峰指出，该疾病在临床上极易与多发性子宫肌瘤或腺肌症混淆 1。医生从患者子宫内共取出68个肌瘤，其中较大者直径达3至4厘米，较小者仅如芝麻粒大小 1。
治疗该病症面临的主要困境在于，虽然根治手段为切除子宫，但患者多为有生育需求的育龄女性 1。因此，目前临床治疗的核心策略是利用全冷刀宫腔镜等技术，为患者争取生育窗口期 1。赵小峰表示，当前尚无确切有效的预防办法，且日常饮食与该病的发生无明确相关性 1。
A 34-year-old woman, who sought medical attention for abnormal menstruation and infertility, was diagnosed with diffuse leiomyomatosis of the uterus 1. Doctors at the Fourth Affiliated Hospital of Zhejiang University School of Medicine removed 68 fibroids from her womb during a procedure 1. The tumors varied significantly in size, ranging from those with a diameter of 3 to 4 centimeters to those as small as sesame seeds 1. This rare condition is often confused with multiple uterine fibroids or adenomyosis, which complicates diagnosis 1.
Zhao Xiaofeng, director of the gynecology department at the hospital, noted that while hysterectomy is considered a radical cure for the disease, it eliminates fertility options for young patients 1. To address this dilemma, the clinical treatment focuses on creating a window of opportunity for conception through techniques such as all-cold-knife hysteroscopy 1. Experts stated that there are currently no proven methods to prevent the onset of the disease, and daily dietary habits have no established correlation with its development 1.
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