子宫肌瘤会导致子宫出血吗 杨立 郑州大学第三附属医院 скачать в хорошем качестве

子宫肌瘤会导致子宫出血吗 杨立 郑州大学第三附属医院

子宫肌瘤会导致子宫出血吗 杨立 郑州大学第三附属医院 子宫肌瘤会导致子宫出血，根据肌瘤生长部位不同可以分为三类。第一类就是子宫浆膜下肌瘤，主要生长于子宫浆膜。第二类是子宫肌壁间的，子宫肌瘤生长于子宫肌层之内，甚至贯穿整个子宫肌层。第三类是子宫粘膜下的肌瘤，子宫肌瘤的位置靠粘膜甚至临着宫腔。子宫粘膜下的肌瘤可能会影响宫腔的形态，导致异常的子宫出血。有的子宫肌瘤可以在体格检查的时候发现，但粘膜下的肌瘤不易发现，通常要通过盆腔彩超或者宫腔镜的检查发现并且确诊，治疗方案根据患者的年龄、症状的严重程度及肌瘤的大小、数目、具体的位置、有无生育要求来制定。对于AUB合并粘膜下肌瘤的女性，宫腔镜或者宫腔镜联合腹腔镜做肌瘤的剔除有明显的优势。对于仅仅是月经过多，已经完成生育要求的女性，可以进行口服短效避孕药或者就是宫腔内放置曼月乐来缓解症状。但治疗之后肌瘤是可能复发的，所以应该根据患者的症状等因素着情考虑是否该继续治疗或是严密观察随访。 Can uterine fibroids cause uterine bleeding Uterine fibroids can cause uterine bleeding, According to the different growth site of myoma, it can be divided into three categories. The first is the subserosal myoma of the uterus, It mainly grows in the serosa of uterus. The second is between the walls of the uterus, Fibroids grow in the myometrium, Even through the entire myometrium. The third is the submucous myoma of the uterus, The position of hysteromyoma depends on the mucous membrane and even on the uterine cavity. Submucous fibroids may affect the shape of the uterine cavity, Causes abnormal uterine bleeding. Some hysteromyomas can be found during physical examination, But submucous myoma is not easy to find, It is usually found and diagnosed by pelvic ultrasonography or hysteroscopy, The treatment plan is made according to the age of the patient, the severity of the symptoms, the size, number, specific location of the myoma, and whether there are fertility requirements. For women with AUB and submucous myoma, Hysteroscopy or hysteroscopy combined with laparoscopic myomectomy has obvious advantages. For just menorrhagia, Women who have completed the birth requirements, You can take an oral short acting contraceptive or you can put manyuele in the uterine cavity to relieve the symptoms. But after treatment, the myoma may recur, Therefore, we should consider whether to continue treatment or closely observe the follow-up according to the patient's symptoms and other factors.