微创手术时代选择肌瘤切除术患者的适当标准:病例报告。

Sangam Jha, Sonia, Hemali Sinha, Upasna Sinha
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引用次数: 0

摘要

背景:子宫肌瘤是最常见的子宫单克隆良性肿瘤,在妇女生育期发病率较高:一名22岁的女性因腹部肿块、痛经和大量月经出血前来就诊。根据临床和放射学检查结果,诊断为多发性子宫肌瘤。患者接受了腹部肌瘤切除术,切除了 75 个肌瘤,然后重建了子宫。第二个病例是一名 28 岁的已婚妇女,因大量月经出血和痛经而就诊。超声检查报告为单个后壁肌瘤,大小为 8×6.3×5.8 厘米。患者接受了腹腔镜子宫肌瘤剔除术。随访时,两例患者均完全摆脱了任何症状:结论:子宫肌瘤剔除术是一种可行且安全的选择,即使存在多发性肌瘤,也是一种保留子宫的手术。在选择患者进行腹腔子宫肌瘤剔除术而非MIS手术时,制定适当的标准对避免转归和相关发病率至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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The Appropriate Criteria in Patients Selection for Myomectomy in the Era of Minimally Invasive Surgery: A Case Report.

Background: Myoma is the most common benign monoclonal neoplasm of the uterus with increased frequency during reproductive years of women.

Case presentation: 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.

Conclusion: 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.

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来源期刊
Journal of Reproduction and Infertility
Journal of Reproduction and Infertility Medicine-Reproductive Medicine
CiteScore
2.70
自引率
0.00%
发文量
44
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