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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. 尚需進行更多高質量的研究，集中探討肌瘤大小，數目以及距離子宮內膜遠近等內容，旨在明確子宮肌瘤切除術在肌壁間子宮肌瘤治療中的價值。