Surgical treatment of uterine fibroids way

• Author: admin
• Filed under: Cancer
• Date: Nov 18,2008

Reservations at a hysterectomy on bladder and sexual function in the small advantages from the cervix to retain future threat of cervical cancer stump; reduce the Hysterectomy injury and surgery complications. Mainly used in surgical treatment of uterine fibroids, leading to secondary symptoms of anemia, poor conservative treatment.

1) myomectomy

1. Abdominal apply to the removal of uterine fibroids 40 years of age, or unmarried children, no children, but do not want to remove the uterus and who desire to keep the uterus. The advantage is to retain the uterus does not affect ovarian function; request to have the children have the opportunity to pregnancy; women can maintain the integrity of the endocrine axis. Recurrence rate of 25% to 35% may be due to a small operation when the fibroids were left out, after gradually grow up, I want to suggest the existence of patients with fibroid disease, a new occurrence of fibroids, multiple Leiomyoma of the relapse rate is higher than single-myoma.

2. Yin by the removal of uterine fibroids are generally applicable to the pedicle submucosal fibroids, the operation is simple, safe, no need to cut the uterus.

2) abdominal hysterectomy

1. Hysterectomy: apply to non-reproductive requirements of the uterus> 3 months of pregnancy the size of the uterus, fibroid symptoms, but not great, rectum or bladder symptoms of oppression, the failure of conservative treatment or relapse after resection of fibroids, the faster growth of fibroids Those who can not be ruled out vicious. The advantage is at the same time a hysterectomy and removal of the cervix may occur in the future from the threat of cervical cancer stump.

2. Subtotal hysterectomy: the age of 40 applies to voluntary reservation cervix, patients in critical condition in general need to win to save time, there is a serious medical complications can not tolerate a long surgery, severe pelvic adhesion removal of the cervix who have difficulties. The advantage is the bladder and sexual function in small; operation is simple, short and surgical complications and less damage.

3. Fascia with hysterectomy: a reservation at a hysterectomy on bladder and sexual function in the small advantages from the cervix to retain future threat of cervical cancer stump; reduce the Hysterectomy injury and surgery complications.

3) uterine fibroids endoscopic surgery

1. It can do laparoscopic surgery removal of fibroids can also be done under the hysterectomy, and indications of abdominal surgery the same as they have the advantage of trauma and rapid recovery. However, the technical requirements of its high cost, are not yet at the grass-roots popularity of the hospital.

2. Hysteroscopy apply to the submucosal uterine fibroids, intramural uterine fibroids some muscle to the process of the uterine cavity, cervical fibroids, they have the advantage of less trauma, it can keep the uterus to resume soon.

In addition, pregnant women with uterine fibroids account for the incidence of fibroids in patients with the 0.5 percent to 1 percent, accounting for pregnancy 0.7% to 7.2% in the pregnancy, if the symptoms do not deal with regularly checked, if Leiomyoma degeneration occurred in the red, subserosal leiomyoma torsion, may be conservative treatment, if conservative treatment fails, or incarcerated in the pelvic fibroids, affect the continuation of pregnancy, fibroids or near the organs of oppression, serious symptoms, should be Surgery.

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