[子宫肌瘤]

La Revue du praticien Pub Date : 2024-10-01
Jean-Luc Brun, Clara Guinard, Valérie Bernard, Isabelle Molina-Andreo, Sandrine Frantz, Jennifer Carrière, Chloé Bonneton, Claude Hocké
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引用次数: 0

摘要

子宫肌瘤子宫肌瘤是女性生殖道最常见的肿瘤。子宫肌瘤可能没有症状,也可能伴有各种症状,如异常子宫出血、盆腔疼痛、盆腔或盆腔外压迫症状或贫血。子宫肌瘤还可能与不孕症有关。诊断子宫肌瘤的主要进一步检查是盆腔超声波检查。盆腔核磁共振成像(MRI)在手术或介入放射学进行子宫肌瘤绘图前也很有用。所有肌瘤都必须根据FIGO分类进行定位。如果没有临床症状,则无需治疗。子宫肌瘤的治疗取决于临床症状、肌瘤摸底以及子宫和生育能力的保护。药物治疗是一线选择。如果治疗失败,可选择手术或子宫动脉栓塞治疗。
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[Uterine fibroids].

UTERINE FIBROIDS. Uterine fibroids are the most common tumors of the female genital tract. They can be asymptomatic or associated with various symptoms like abnormal uterine bleeding, pelvic pain, pelvic or extra pelvic compressive signs, or anaemia. They can also be associated with infertility. The main further examination for fibroids diagnosis is pelvic ultrasound. Pelvic MRI (Magnetic Resonance Imaging) is also useful before surgery or interventional radiology for fibroid mapping. All fibroids must be located according to the FIGO classification. No treatment is necessary in the absence of clinical symptoms. The management of uterine fibroids depends on the clinical signs, the mapping, and the preservation of the uterus as well as fertility. Medical treatment is the first-line option. In case of failure, therapeutic options include surgery or uterine artery embolization.

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