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The one RCT by Casini suggests benefit from removal of fibroids but it probably should not have been pooled with the other observational studies. 尚需进行更多高质量的研究，集中探讨肌瘤大小，数目以及距离子宫内膜远近等内容，旨在明确子宫肌瘤切除术在肌壁间子宫肌瘤治疗中的价值。