子宫肌瘤的手术指征 汪利群 江西省妇幼保健院 скачать в хорошем качестве

子宫肌瘤的手术指征 汪利群 江西省妇幼保健院

子宫肌瘤的手术指征 汪利群 江西省妇幼保健院 当患者得了子宫肌瘤其实不用太紧张，因为有60%的正常人群都有子宫肌瘤，只要子宫肌瘤它不增大不引起一些症状；不引起一些月经的改变；不引起贫血；只要定期随访就好了。当子宫肌瘤出现以下的症状，我们就要考虑去做手术。当子宫肌瘤引起严重的贫血；引起患者月经量过多。第二个、当患者出现一些压迫性症状，比如说患者有膀胱的尿频、尿急、直肠的便秘。第三个、当患者浆膜下肌瘤的扭转坏死，这样我们就需要子宫肌瘤的剔除手术。当然子宫肌瘤的手术方式是要根据患者的年龄，有没有生育要求，以及子宫肌瘤的这个大小，数目来确定手术方式。当子宫肌瘤的患者有生育要求，她的症状造成了不孕的话，我们可以考虑做肌瘤剔除。 Surgical indication of hysteromyoma When a patient has a fibroid, they don't have to be nervous, Because 60% of normal people have fibroids, As long as the uterine leiomyoma does not increase, it does not cause some symptoms; Does not cause some menstrual changes; No anemia; Just follow up regularly. When uterine fibroids show the following symptoms, We have to think about surgery. When hysteromyoma causes severe anemia; Cause excessive menstruation. Second, when the patient has some oppressive symptoms, For example, patients have urinary frequency of bladder, urgency of urination and constipation of rectum. Third, when the patient's subserosal myoma is twisted and necrotic, So we need to get rid of the fibroids. Of course, the operation of hysteromyoma depends on the age of the patient, Are there any fertility requirements, And the size of the fibroid, Number to determine the method of operation. When patients with uterine fibroids have fertility requirements, If her symptoms cause infertility, We can consider myomectomy.