Saturday, February 16, 2008

Found uterine fibroids how do?

Q: I found this time of the medical examination have a uterine fibroids, 2 × 3cm size. Will need surgery? Answer: treatment as patients age, fibroid size, location, whether fertility requirements, there bleeding complications and severity of the comprehensive judgement to determine treatment, specifically the following: Watched Asymptomatic uterine fibroids, less bulky, every 3 to 6 months review time, over 40 years of age, small amount of bleeding, so scratch after consultation with malignant lesions, but also every three to six months a review and appropriate rest, supportive therapy, especially for Chinese medicine treatment. Tumor without significant changes, no bleeding or bleeding is not serious, look forward to after menopause, fibroids shrink gradually. Myoma enucleation Under the age of 35, did not have fertility, tubal patency, the man normal, non-malignant tumor, as far as possible should be done muscle nuclear enucleation, the ability to retain their fertility. Hysteromyoma enucleation main risk is bleeding, pregnancy should be vigilant against future uterine rupture and placenta accreta, in term of cesarean section should be done selectively. Hysterectomy Multiple uterine fibroids, more than three months of pregnancy size, symptoms have future generations; uterine fibroids than six months of pregnancy, though asymptomatic, should be done hysterectomy, ovary or reservations, as the patient's age, ovary conditions. Uterine fibroids with pregnancy without fibroids incarcerated in the pelvis, the fetus does not hinder vaginal delivery, the principle should be the vaginal delivery, postpartum leiomyoma left after re-examination, according to case. The multiple fibroids, and I do not want to retain patients with uterine, surgical technique of doing a good job, but also do selective cesarean section hysterectomy. Radiotherapy The past has one of the treatment of uterine fibroids, especially surgery and have greater risk of clinical symptoms, the only current implementation of individual circumstances, the overwhelming majority of that unnecessary, radiotherapy will also enable the loss of ovarian function.

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