关键词: Heavy menstrual bleeding Laparoscopy Myoma Uterine myomectomy Uterine preserving surgery

来  源:   DOI:10.18502/jri.v23i4.10818   PDF(Pubmed)

Abstract:
UNASSIGNED: Myoma is the most common benign monoclonal neoplasm of the uterus with increased frequency during reproductive years of women.
UNASSIGNED: A twenty two year old female presented with abdomen lump, dysmenorrhoea, and heavy menstrual bleeding. Multiple myomas were diagnosed based on clinical and radiological findings. Abdominal myomectomy was performed and 75 myomas were enucleated followed by reconstruction of uterus. The second case was a 28 year old married woman presented with heavy menstrual bleeding and dysmenorrhoea. Ultrasound reported single posterior wall myoma of 8×6.3×5.8 cm in size. Laparoscopic myomectomy was performed. At follow-up visit, both cases were completely free of any symptoms.
UNASSIGNED: Myomectomy is a feasible and safe option and a uterine preserving surgery even in the presence of multiple myomas. Setting appropriate criteria in selecting patients for abdominal myomectomy rather than MIS is essential to avoid conversion and associated morbidity.
摘要:
未经证实:肌瘤是最常见的良性子宫单克隆肿瘤,在女性生育年龄期间发病率增加。
未经证实:一名22岁女性腹部肿块,痛经,大量月经出血。根据临床和放射学发现诊断出多发性肌瘤。进行了腹部子宫肌瘤切除术,摘除75个肌瘤,然后重建子宫。第二例是一名28岁的已婚妇女,表现为月经大量出血和痛经。超声报告单个后壁肌瘤,大小8×6.3×5.8cm。进行腹腔镜子宫肌瘤切除术。在后续访问中,这两个病例完全没有任何症状。
UNASSIGNED:子宫肌瘤切除术是一种可行且安全的选择,即使在存在多发性肌瘤的情况下也是一种保留子宫的手术。在选择患者进行腹部子宫肌瘤切除术而不是MIS时,设定适当的标准对于避免转换和相关的发病率至关重要。
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