Post Date November, 16 2024
Uterine fibroid has brought special troubles to many patients. Its appearance not only affects the normal life and mood, but also affects the health of the body. We must treat Symptomatic treatment according to our own condition, and pay attention to daily diet.
Treatment of Uterine fibroid
1. Drug treatment: short-term treatment is mainly applied to patients with Uterine fibroid with surgical indications. Before surgery, drugs are used to correct anemia, reduce uterine volume, avoid intraoperative bleeding, and reduce surgical difficulties for amenorrhea women. The uterus is less than 10 weeks pregnant, and other complications with mild symptoms have surgical Contraindication. The drugs used have side effects and should not be used for a long time.
2. Surgical treatment: surgery is still the most commonly used treatment for Uterine fibroid. It is mainly divided into Hysterectomy and myomectomy.
(1) Hysterectomy: Hysterectomy can be performed if there are indications for surgery, and fertility function is not required or canceration is suspected. The cervical cancer after subtotal hysterectomy is likely to occur in the future, and the treatment of disabled cancer is very difficult, so many patients now recommend total Hysterectomy. Cervical scraping cytology examination should be performed before surgery to exclude cervical malignant lesions. Women without amenorrhea can retain double attachments, and after amenorrhea, simultaneous removal of both attachments can be considered. Surgery can be performed through laparoscopy or vagina, depending on the size of the patient's uterus, location of fibroids, pelvic and abdominal adhesions, abdominal and vaginal conditions (obesity, etc.), and the equipment and technical conditions of the doctor and hospital.
(2) Myomectomy: Patients ≤ 40 years old who wish to maintain fertility or those who do not have fertility requirements but do not wish to have their uterus removed can consider myomectomy. Before surgery, it is necessary to fully understand the size, location, and quantity of fibroids such as vaginal examination and ultrasound examination, and choose appropriate methods (such as laparotomy, laparoscopy, hysteroscopy, or vaginal examination). Laparoscopic surgery is a popular Minimally invasive procedure operation with small trauma and fast recovery. However, laparoscopy requires a high level of technical expertise from doctors, and it does not have tactile sensation. It is generally only suitable for removing single or small numbers of fibroids under the adhesive film or muscle wall deviation adhesive film. At present, there is no consensus on this, and it is generally recommended that a single fibroid should not be too large (below 10-375px), and the number of fibroid nodules should not be too large (3-4 fibroid nodules with a diameter of no less than 5-150px). Hysteroscopic surgery is suitable for submucosal fibroids, but only a small portion of type 2 submucosal fibroids protruding from the uterine cavity may not be cleared at once. The indications for removal of abdominal fibroids are wide, and those with special site fibroids, multiple fibroids, large uterine volume, and postoperative recurrence should be given priority in removing abdominal fibroids. Utilize the surgeon's tactile sensation to remove fibroid nodules in contact with the uterus as much as possible, suitable for young people with fertility requirements.
