Surgical treatment of uterine fibroids

Surgical treatment of uterine fibroids mainly used, symptoms of anemia secondary led by the conservative treatment of poor. A fibroid resection 1. Abdominal myomectomy apply to under 40 years of age, unmarried or fertility, have no reproductive requirements, but declined to resection uterus and uterine reservations are requested. The advantage is retained uterus does not affect ovarian function; reproductive requirements of pregnancy have opportunities to maintain the integrity of female endocrine axis. Recurrence rate of 25% to 35%, possibly due to a small operation, the fibroids were missing after gradually grow up, the patients with fibroids Furthermore pathogenic factors, in a new fibroids, multiple Fibroids relapse rate higher than that of the leiomyoma. 2. Vaginal myomectomy generally applicable to the pedicle of submucosal fibroids, operation is simple, safe, without cutting uterus. Second, abdominal hysterectomy 1. Hysterectomy: apply to non-reproductive requirements, the uterus> 3 months pregnant uterus size, but large fibroid symptoms is not clear, bladder or rectum oppression symptoms, conservative treatment failure or relapse after resection of fibroids, fibroid growth Express can not be ruled out malignant. The advantage is a hysterectomy at the same time and cervical resection, can be avoided in the future the threat of cervical cancer stump. 2. Times hysterectomy: 40-year-old apply to the following voluntary reservation cervix, the patient is in critical need for time to the rescue, a serious medical complications can not tolerate longer surgery, pelvic adhesions with serious difficulties, cervix. The advantage is on the bladder and sexual function in small simple surgical operation, the time is short, surgical injury and fewer complications. 3. Fascia with hysterectomy: the retention of the hysterectomy on the bladder and sexual function in the small advantages from reservations cervical stump cervical cancer in the future and the threats of reducing hysterectomy with injury and surgery disease. Third, uterine fibroids endoscopic surgery 1. Laparoscopic surgery it can be done fibroid resection can be done in the endoscopic hysterectomy, and the indication by the same abdominal surgery, the advantages of less trauma, quicker recovery. But its high-cost high-demand technology is not yet popular at the grassroots level hospitals. 2. Hysteroscopy apply to submucosal uterine fibroids, uterine muscle intramural fibroids to some sudden uterine, cervical fibroids, the advantage of minor trauma may retain uterus and quick recovery. In addition, pregnant women with uterine fibroids of the incidence of fibroids with 0.5% ~ 1%, accounting for 0.7 per cent of pregnancy to 7.2 percent in the pregnancy, if not dealt with asymptomatic, regular inspections, if a fibroid red degeneration, subserosal fibroids torsion, can be treated conservatively, if conservative treatment fails, or fibroids incarcerated in the pelvic, and continue to affect pregnancy, or fibroids oppression approaching organ, serious symptoms, should surgery.