Uterine fibroid surgery encyclopedia

Uterine fibroid surgery of uterine leiomyomas: consists of smooth muscle tissue hyperplasia of benign tumors.

Common manifestations have uterine bleeding, pain, abdominal mass, neighbouring organs of compression, Dingbat negative growth, anemia and cardiac dysfunction. Some patients have no symptoms, often in gynecological screening is found to be suffering from uterine fibroids. Uterine fibroids are the most common benign gynecological, prevalent 30-50 years old, according to the muscular wall of the uterus myoma is located in different sites can be divided into walled rooms, serous, submucous leiomyomas within its broad ligament.

Surgical treatment of uterine fibroids:

If myoma is relatively small, silent, without complications and transsexual persons, generally do not require treatment.

Particularly close to menopause, from postmenopausal estrogen level low, myoma disappear the natural atrophy or, just a regular basis (3 to 6 months) review. If the review found that myoma increase or apparent when considering further treatment.

Surgical treatment of:

(A) hysterectomy for uterine ＞ 3 months pregnant uterine size, though not large but Leiomyoma symptoms significantly increasing faster, or myoma cannot exclude malignant;

(2) Leiomyoma cystectomy: applies to 35 years of age and unmarried, or maternity patients;

Drug treatment: for myoma smaller, symptoms do not, near menopause or systemic circumstances cannot withstand uterine fibroid surgery.

(A) methyl testosterone, testosterone propionate;

(Ii) progesterone class.

① norethisterone for requests childbirth patients; ② medroxyprogesterone, megestrol acetate, norethindrone, choose any one of them; ③ luteinizing hormone-releasing hormone generated analogs.

Uterine fibroid surgery prevention:

With uterine fibroids, you should periodically check, such as three to six months for a b-or gynaecological examinations.

If older women, with the rapid increase in the short term or postmenopausal and vaginal bleeding should be alert to whether Sarcoma degeneration. Menorrhagia who should actively preventing anemia anemia, heart disease, myocardial degeneration.

Surgical resection of distress

Penetrating treatment of uterine myoma of the bottom of the unit is to hysterectomy.

However, after the removal of the uterus, patients lose their fertility, a small number of patients may also appear on ovarian function impairment or mental and psychological barriers that directly impact the quality of life. Therefore, the wish to preserve the reproductive function and require retention of patient, the doctor will cons after agreed to adopt the simple removal of myoma. However, the simple removal of myoma does not mean that myoma from this got rid of the problem, some patients may still appear myoma of recurrence.

Uterine fibroid surgery myoma of recurrence rate is relatively high, generally 20%-30%, there are studies that relapse rate can reach 50 per cent.

Myoma of recurrence of reason in the following two points: first, although surgery has been the removal of myoma, myoma of pathogenic factors still exists, in operation for several years after the occurrence of new myoma. Secondly, uteri, doctors are by virtue of appearance and tactile exception to discover and removal of myoma. Therefore, you may have a smaller intramural leiomyomas, surgery is missed or remnant, surgery for ovarian hormone action gradually growing up. According to statistics, in premenopausal women with postoperative time gradually extended, myoma relapse rate has gradually increased, more in general surgery 2-3 years of rehabilitation, and recurrence of myoma often multiple, multiple myoma.

Uterine fibroid surgery after early general no significant discomfort, often not easy to find, but a symptom of menstrual changes or oppression to the hospital after the check, myoma often have very big.

Clinical early confirmed that can be found in patients with recurrent uterine fibroids, most have no clinical symptoms, but rather follow the doctor's surgery after regular review of the b-scan found. Therefore, had myomectomy patient, could not be considered to have been cured of myoma can rest easy, and should periodically review, should generally be every three months to the half-year review of b-once.

(Practice editing: xiujie)