子宫肌瘤在40～50岁发病率最高。50岁以上绝经后妇女随着雌激素水平的下降,发病率有下降趋势。在此期所发生的肌瘤,绝大多数是由于以往无症状而未发现,或肌瘤小,症状轻,未进行治疗。故对50岁以上子宫肌瘤应考虑绝经后肌瘤可能发生变化,月经过多、过频典型症状的改变,在诊断及处理原则方面有其特异之处。子宫肌瘤的处理原则,一般需考虑肌瘤大小,生育情况有无症状,继发性变与并发病变以决定手术和非手术治(?)。50岁以上子宫肌瘤可以发生以下变化。①由于体内雌激素下降,子宫血液供应减少,使肌瘤变硬缩小。②由于肌瘤循环障碍,钙盐沉积,使肌瘤硬如石 Uterine fibroids in 40 to 50 years old the highest incidence. Postmenopausal women over the age of 50 with the decline of estrogen levels, the incidence of a downward trend. In this period of fibroids occurred, the vast majority is due to the past, asymptomatic and found, or fibroids small, mild symptoms, no treatment. Therefore, more than 50 years of age uterine fibroids should be considered postmenopausal fibroids may change, menorrhagia, overclocking typical changes in symptoms, diagnosis and treatment principles have their specific features. Uterine fibroids treatment principles, the general need to consider the size of fibroids, fertility situation asymptomatic, secondary and concurrent lesions to determine the surgical and non-surgical treatment (?). Uterine fibroids over the age of 50 can occur the following changes. ① due to decreased estrogen in the body, reduce the supply of uterine blood to fibroids harden narrow. ② due to fibroids circulatory disorders, calcium deposition, so that the hard tumor of fibroids