1. Patient preparation: Before surgery the patient's physical condition as far as possible adjusted to better state to respond off smoothly through embolization. The same routine basis having artery embolization to prepare well before surgery.
2. Equipment preparation: conventional angiography equipment, Cobra catheter commonly used form of catheter, 4F catheter is more appropriate. If possible, use the micro-catheter system.
3. Embolic agent: more choice of PVA embolization particles, gelatin sponge, stainless steel rings. Diameter of 300-500 multiple choice PVA?; Gelatin sponge sterilized by high pressure high temperature treatment can extend the absorption time can be made of particles or strips, it is more better than the conventional gelatin sponge; also been used as embolic agent lipiodol.
Third, the methods are to the left and right internal iliac artery catheterization angiography, uterine fibroids, uterine artery angiography showed enlargement, arterial pressure was over, blood vessels were surrounded by straight or shaped, also shows marked tumor staining. Catheter angiography, respectively, as shown under the ultra-election to the bilateral uterine arteries, perfusion embolic agent, uterine artery embolization.
Fourth, after dealing with conventional treatment by arterial embolization, and to the anti-inflammatory and symptomatic treatment should be strengthened anti-bacterial fluid.
Fifth, complications of common complications are: ① local pain, increased skin temperature, swelling, fever, this is the performance of embolization syndrome; ② vaginal discharge, uterine fibroids mostly necrotic material; ③ endometritis, Pyometra, uterine perforation, intrauterine infection and more; ④ ovarian dysfunction; and so on. Inside and outside the large amount of clinical data indicate that uterine artery embolization for uterine fibroids total efficiency of up to 95%. Compared with traditional surgery, the use of interventional treatment of uterine fibroids were able to retain the uterus, some even retain reproductive function, the patient suffered trauma, fewer complications, efficacy was easy for patients to accept. Therefore, the use of interventional treatment of uterine fibroids has become an effective alternative to traditional surgical means. However, due to uterine fibroid is a benign disease, thrombosis dose must be appropriate. Otherwise, excessive doses of embolization, can lead to serious complications. To this end, such as the less experienced operator, rather more than a few times embolism.
Maybe you want to see this article interventional therapy of uterine
Thursday, October 21, 2010
Wednesday, October 20, 2010
Interventional therapy of uterine fibroids
Uterine fibroids are the most common female genital mutilation as a benign smooth muscle tissue from the uterus, during which a small amount of fibrous connective tissue, women of childbearing age about 20% to 25% of uterine fibroids, the pelvic mass, menstrual excessive and secondary anemia as the main symptoms.
Traditional treatment of uterine fibroids is supplemented by drug therapy based on surgery. Hysterectomy is not difficult birth or the young women, and myomectomy recurrence rate as high as 20% to 25%; efficacy of drug treatment of uterine fibroids is not ideal and many side effects. Interventional therapy with radiation treatment of uterine fibroids cause menorrhagia, a significant effect, not only to reduce the tumor, but also well preserved uterine function, does not affect the pregnancy, to avoid the trauma of surgery and postoperative scars, symptom improvement The effect is comparable with the surgery. Because trauma, quicker recovery, shorter hospital stay, this kind of treatment to enable patients to easily accept.
Maybe you want to see this article western medicine treatment of uterine
Traditional treatment of uterine fibroids is supplemented by drug therapy based on surgery. Hysterectomy is not difficult birth or the young women, and myomectomy recurrence rate as high as 20% to 25%; efficacy of drug treatment of uterine fibroids is not ideal and many side effects. Interventional therapy with radiation treatment of uterine fibroids cause menorrhagia, a significant effect, not only to reduce the tumor, but also well preserved uterine function, does not affect the pregnancy, to avoid the trauma of surgery and postoperative scars, symptom improvement The effect is comparable with the surgery. Because trauma, quicker recovery, shorter hospital stay, this kind of treatment to enable patients to easily accept.
Maybe you want to see this article western medicine treatment of uterine
Western medicine treatment of uterine fibroids
1, the male hormone therapy: more than the amount of menstrual and uterine pregnancy at 8 weeks, about the size of the patient, the exclusion of endometrial cancer, androgen therapy can be used.
2, uterine fibroids cystectomy, retain the uterus, fertility hope for young and tubal patency in patients with fibroids.
3, hysterectomy for large fibroids, or menorrhagia, the continuation of fertility patients required hysterectomy. But more than treatment of complications.
A, 34% of women after 2 years of ovarian failure and menopause symptoms.
B, hysterectomy affect the integrity of the pelvic floor and shorten the vagina, sex life has been seriously affected.
C, increased rates of cardiovascular disease, premature ovarian failure after hysterectomy estrogen reduced cardiovascular morbidity increased in patients prone to obesity, hypertension, heart disease, osteoporosis adverse reactions.
Maybe you want to see this article efficacy and prognosis of uterine
2, uterine fibroids cystectomy, retain the uterus, fertility hope for young and tubal patency in patients with fibroids.
3, hysterectomy for large fibroids, or menorrhagia, the continuation of fertility patients required hysterectomy. But more than treatment of complications.
A, 34% of women after 2 years of ovarian failure and menopause symptoms.
B, hysterectomy affect the integrity of the pelvic floor and shorten the vagina, sex life has been seriously affected.
C, increased rates of cardiovascular disease, premature ovarian failure after hysterectomy estrogen reduced cardiovascular morbidity increased in patients prone to obesity, hypertension, heart disease, osteoporosis adverse reactions.
Maybe you want to see this article efficacy and prognosis of uterine
Efficacy and prognosis of uterine fibroids
(Non-surgical treatment)
(1) clinical cure: the symptoms disappeared, the tumor dissipated, the uterus return to normal size.
(2) markedly effective: symptoms disappeared, the tumor was significantly reduced or B-review prompted three-path of the uterus and out more than 2.5cm.
(3) Effective: symptoms improved, but not significantly reduced the tumor, or B-review prompted three-path of the uterus and out 1.5 ~ 2.5cm.
(4) is invalid: no improvement of symptoms and signs. 2. Surgical treatment: surgery, the tumor and the symptoms disappeared, no complications to recovery.
Uterine fibroids and pregnancy interaction. Fibroids usually exist prior to pregnancy. Submucosal fibroids can block implantation Erzhi fecundity of infertility; even if fecundity to implantation, but also easy because of regular uterine contractions and early abortion. Intramural fibroids, especially in subserosal fibroids, generally do not affect the pregnancy, or increase the abortion rate. However, when uterine fibroids lead to pregnancy while incarcerated retroflexion, can cause urinary retention and pregnancy interruption. More rapid growth of uterine fibroids during pregnancy, and prone to variability, especially the red degeneration. Fibroid red degeneration, the inevitable severe abdominal pain, with nausea and vomiting, and increased temperature, such as elevated white blood cell count, by conservative treatment, symptomatic treatment, the majority of self-ease, or take line fibroid enucleation. Pregnancy, fibroids can cause premature delivery, often caused by malposition. Childbirth, in the uterine isthmus, or the cervix within the broad ligament of the myoma can still hinder the decreased fetal or cause uterine inertia and prolonged labor, cesarean surgery should be promptly implemented. Depending on whether the situation is the same time as myoma enucleation or hysterectomy. Fibroids may also affect placental separation or post-natal uterine contraction, causing bleeding or uterine involution postpartum poor. Postpartum, due to a sudden reduction in uterine blood flow, the occurrence of degenerative changes more opportunities.
Maybe you want to see this article diagnosis and treatment of uterine
(1) clinical cure: the symptoms disappeared, the tumor dissipated, the uterus return to normal size.
(2) markedly effective: symptoms disappeared, the tumor was significantly reduced or B-review prompted three-path of the uterus and out more than 2.5cm.
(3) Effective: symptoms improved, but not significantly reduced the tumor, or B-review prompted three-path of the uterus and out 1.5 ~ 2.5cm.
(4) is invalid: no improvement of symptoms and signs. 2. Surgical treatment: surgery, the tumor and the symptoms disappeared, no complications to recovery.
Uterine fibroids and pregnancy interaction. Fibroids usually exist prior to pregnancy. Submucosal fibroids can block implantation Erzhi fecundity of infertility; even if fecundity to implantation, but also easy because of regular uterine contractions and early abortion. Intramural fibroids, especially in subserosal fibroids, generally do not affect the pregnancy, or increase the abortion rate. However, when uterine fibroids lead to pregnancy while incarcerated retroflexion, can cause urinary retention and pregnancy interruption. More rapid growth of uterine fibroids during pregnancy, and prone to variability, especially the red degeneration. Fibroid red degeneration, the inevitable severe abdominal pain, with nausea and vomiting, and increased temperature, such as elevated white blood cell count, by conservative treatment, symptomatic treatment, the majority of self-ease, or take line fibroid enucleation. Pregnancy, fibroids can cause premature delivery, often caused by malposition. Childbirth, in the uterine isthmus, or the cervix within the broad ligament of the myoma can still hinder the decreased fetal or cause uterine inertia and prolonged labor, cesarean surgery should be promptly implemented. Depending on whether the situation is the same time as myoma enucleation or hysterectomy. Fibroids may also affect placental separation or post-natal uterine contraction, causing bleeding or uterine involution postpartum poor. Postpartum, due to a sudden reduction in uterine blood flow, the occurrence of degenerative changes more opportunities.
Maybe you want to see this article diagnosis and treatment of uterine
Diagnosis and treatment of uterine fibroids
Uterine fibroids are the most common benign tumor of female genital mutilation, prevalent in 30 --- 50 women, 40 --- 50 years old were the most common age of 20 rare. The exact cause is not clear, according to occur in women of childbearing age, fibroids stop growing after menopause, or even shrinking, disappearance, suggesting that the incidence of uterine fibroids may be related to female hormones. Divided into two parts according to where the Palace fibroids fibroids (92%) and cervical fibroids (8%), according to the process of development of uterine fibroids muscle wall of the relationship between sub fibroids fibroids, subserosal fibroids , three types of submucosal fibroids, fibroids often more personality, the same types of fibroids in the uterus, said multiple uterine fibroids. Fibroids No obvious clinical symptoms, only to be found even when the pelvic examination. The most common symptoms of menstrual changes, for menorrhagia, menstruation, irregular cycles or bleeding. But can also lead to infertility, miscarriage, premature or difficult birth, symptoms may appear oppressive, heavy feeling, abdominal pain, abdominal mass, urinary tract and intestinal disorders. The onset of symptoms and the fibroids site, growth rate and myoma degeneration close.
Diagnosis and treatment: According to the symptoms, signs, supplemented by B-ultrasound can diagnose the majority of uterine fibroids. But for fibroids associated with other diseases need to intrauterine hysteroscopic aid to assist diagnosis of fibroids as submucosal fibroids, especially when less than 1cm, B super hard to find, therefore, excessive menstruation, the cycle is not Rules of the patients, the uterus is not, B ultrasonic examination no obvious abnormalities, the diagnosis should be performed hysteroscopy. Must pass through the treatment of uterine fibroids according to patient age, fertility requirements, symptoms, fibroid size, etc., consider the line of drug therapy or surgery. Need surgical treatment, the more the hysterectomy. Obstetrics and Gynecology Hospital of Jiaozuo City, in the city carried out the first hysteroscopic myomectomy, patients have symptoms of any submucosal fibroids, intramural fibroids within the sudden, cervical fibroids, fibroids 5cm in diameter, the following who can line Hysteroscopic myoma enucleation.
Maybe you want to see this article early signs of uterine fibroids
Diagnosis and treatment: According to the symptoms, signs, supplemented by B-ultrasound can diagnose the majority of uterine fibroids. But for fibroids associated with other diseases need to intrauterine hysteroscopic aid to assist diagnosis of fibroids as submucosal fibroids, especially when less than 1cm, B super hard to find, therefore, excessive menstruation, the cycle is not Rules of the patients, the uterus is not, B ultrasonic examination no obvious abnormalities, the diagnosis should be performed hysteroscopy. Must pass through the treatment of uterine fibroids according to patient age, fertility requirements, symptoms, fibroid size, etc., consider the line of drug therapy or surgery. Need surgical treatment, the more the hysterectomy. Obstetrics and Gynecology Hospital of Jiaozuo City, in the city carried out the first hysteroscopic myomectomy, patients have symptoms of any submucosal fibroids, intramural fibroids within the sudden, cervical fibroids, fibroids 5cm in diameter, the following who can line Hysteroscopic myoma enucleation.
Maybe you want to see this article early signs of uterine fibroids
Early signs of uterine fibroids!
Uterine fibroids are common in the female reproductive system of a benign tumor, more common in women aged 30-50, the occurrence of excessive and long-term estrogen stimulation (such as with repeated abortion) and other reasons related to the early majority found. If the woman has five kinds of cases under the circumstances, to cause alert to the hospital for further examination should be confirmed.
(1) menstrual changes. If you change the normal menstrual cycle, the blood increased, irregular menstruation and menstruation should be considered.
(2) pain. Patients suffering from uterine fibroids, most feel no pain, but there are few people in the occurrence of infection or fibroids after deformation, lower abdominal pain can occur.
(3) mass. The lower abdomen to touch the masses, especially in the case of filling the bladder urine mass touch more obvious.
(4) pressure. In patients with uterine fibroids, most people can not have any feeling, however, if the fibroids lower position, even if the tumor is not, it may compress the adjacent organs such as the oppression of the bladder, the dysuria; such as oppression of the rectum can occur defecation difficulties; such as the oppression back pain and other symptoms can occur ureter.
(5) infertility. In patients with uterine fibroids, the phenomenon of a few can cause infertility, its causes are fibroids cause distortion of a fertilized egg implantation disadvantage.
Once found out that the 1,2-species phenomenon, should seize the time to the hospital for further treatment.
Maybe you want to see this article people who suffer from uterine fibroids
(1) menstrual changes. If you change the normal menstrual cycle, the blood increased, irregular menstruation and menstruation should be considered.
(2) pain. Patients suffering from uterine fibroids, most feel no pain, but there are few people in the occurrence of infection or fibroids after deformation, lower abdominal pain can occur.
(3) mass. The lower abdomen to touch the masses, especially in the case of filling the bladder urine mass touch more obvious.
(4) pressure. In patients with uterine fibroids, most people can not have any feeling, however, if the fibroids lower position, even if the tumor is not, it may compress the adjacent organs such as the oppression of the bladder, the dysuria; such as oppression of the rectum can occur defecation difficulties; such as the oppression back pain and other symptoms can occur ureter.
(5) infertility. In patients with uterine fibroids, the phenomenon of a few can cause infertility, its causes are fibroids cause distortion of a fertilized egg implantation disadvantage.
Once found out that the 1,2-species phenomenon, should seize the time to the hospital for further treatment.
Maybe you want to see this article people who suffer from uterine fibroids
People who suffer from uterine fibroids do not contraception
Uterine fibroids are a common benign tumor of women. Can be single, but often multiple, that is, while in the womb can grow several tumors. If the outward growth of the tumor close to the surface, called subserosal fibroids; if long in the middle, called intramural fibroids; if the growth of the uterine cavity, known as submucosal fibroids. Can also be pedunculated fibroids, but more sessile fibroids. The form of large and small fibroids, the uterus can become a loss of normal morphology and irregular.
Such as fibroids in the uterine horn at the nozzle can be blocked fallopian tubes or the transfer of tubal pregnancy compression barrier and also because of changes in the uterine fibroids affect the form of fertilized egg implantation. Therefore, patients with fibroids are often combined infertility, is the old saying goes "a long build-up, not to have children."
But not all people do not long pregnant uterine fibroids. If the size and location of fibroids are still not pregnant, but pregnancy can trigger miscarriage, premature delivery, abnormal fetal position, childbirth, postpartum are also likely to have postpartum hemorrhage and secondary infection.
Therefore, people who suffer from uterine fibroids, if already have children, but also a good contraceptive measures should be taken, not the effect. The best tool to use male contraceptive or vaginal diaphragm, oral contraceptives generally should not, because there may promote tumor growth.
Maybe you want to see this article after removing fibroid growth can it
Such as fibroids in the uterine horn at the nozzle can be blocked fallopian tubes or the transfer of tubal pregnancy compression barrier and also because of changes in the uterine fibroids affect the form of fertilized egg implantation. Therefore, patients with fibroids are often combined infertility, is the old saying goes "a long build-up, not to have children."
But not all people do not long pregnant uterine fibroids. If the size and location of fibroids are still not pregnant, but pregnancy can trigger miscarriage, premature delivery, abnormal fetal position, childbirth, postpartum are also likely to have postpartum hemorrhage and secondary infection.
Therefore, people who suffer from uterine fibroids, if already have children, but also a good contraceptive measures should be taken, not the effect. The best tool to use male contraceptive or vaginal diaphragm, oral contraceptives generally should not, because there may promote tumor growth.
Maybe you want to see this article after removing fibroid growth can it
After removing the fibroid growth can it?
The incidence of uterine fibroids account for about 20% of women of childbearing age to 25%, mostly in the age of 30 to 50 years old. Fibroids affect pregnancy, and fibroids of the location, size, number of related. Such as cervical fibroids can affect the sperm into the uterine cavity, submucous fibroids endometrial infection easy to make to the detriment of fecundity implantation, giant myoma easy to make multiple interstitial tubal hinder sperm squeezed through. Some scholars believe that uterine fibroids can make the muscle wall or the expansion of endometrial venous congestion, leading to the detriment of the environment within the uterus implantation fecundity; or insufficient blood supply to the embryonic development Erzhi abortion, abortion, the incidence of non-pregnant women, fibroids 2 to 3 times, and often incomplete abortion. Within the larger muscle submucosal fibroids or fibroids can impair fetal activity, resulting in abnormal fetal position, such as transverse, breech, so that cesarean section increased. During childbirth, due to uterine fibroids affect the normal contraction, could extend the production process; incarceration of fibroids in the pelvic cavity can block the birth canal, resulting in dystocia. Fibroids can also affect the post-natal uterine contraction, uterine involution postpartum bleeding or bad. Uterine fibroids affect drainage or if the surface of ulcers, but also prone to infection.
Pregnancy also have some impact on the fibroids. Uterine fibroids pregnancy edema, smooth muscle cell hypertrophy, it is often associated with uterine fibroids increases; the fibroids during pregnancy increases faster and insufficient blood supply, resulting in degeneration, red degeneration, most of which Frequently, the patient may include fever, headache, vomiting, local tenderness and elevated white blood cells such as acute abdominal symptoms.
Clear from the uterine fibroids do have some influence on fertility, should be actively treated.
For the age of 40 years of age, with fertility requirements, patients with normal genital function in order to avoid excessive growth of fibroids, fibroids can be removed in a timely manner to improve reproductive function, and can prevent the future occurrence of red degeneration of fibroids in pregnancy, or secondary infection. Some patients worry about unsuitable for surgery more than the number of fibroids, in fact, as long as careful operation, does not preclude surgery. With the launching of minimally invasive surgery and surgical improvements, many fibroids can be removed by laparoscopy or hysteroscopy, patients were significantly reduced compared to the past trauma.
Recurrence of fibroids removed were 30.4%, mostly in the 5-year recurrence after surgery is less than 30 years of age at the time or multiple fibroids are more likely to relapse. While removing the fibroids, the patient can improve reproductive function, but because the body there are still some factors that favor the growth of fibroids, after a certain time interval the growth of fibroids and may therefore conceived within 3 years after surgery is appropriate. Nearly 80% of patients to maintain pregnancy to term.
Many patients worry about pregnancy or childbirth in surgical scar will rupture, but studies show that after 1 year of pregnancy after uterine rupture rate was 1.5%. Therefore, after the women's fibroids removed under the guidance of a doctor, can be six months or one year after pregnancy, contraception. If during pregnancy, delivery of abdominal tenderness or pain, will have to guard against the possibility of uterine rupture.
Maybe you want to see this article vigilance uninvited guest in utero
Pregnancy also have some impact on the fibroids. Uterine fibroids pregnancy edema, smooth muscle cell hypertrophy, it is often associated with uterine fibroids increases; the fibroids during pregnancy increases faster and insufficient blood supply, resulting in degeneration, red degeneration, most of which Frequently, the patient may include fever, headache, vomiting, local tenderness and elevated white blood cells such as acute abdominal symptoms.
Clear from the uterine fibroids do have some influence on fertility, should be actively treated.
For the age of 40 years of age, with fertility requirements, patients with normal genital function in order to avoid excessive growth of fibroids, fibroids can be removed in a timely manner to improve reproductive function, and can prevent the future occurrence of red degeneration of fibroids in pregnancy, or secondary infection. Some patients worry about unsuitable for surgery more than the number of fibroids, in fact, as long as careful operation, does not preclude surgery. With the launching of minimally invasive surgery and surgical improvements, many fibroids can be removed by laparoscopy or hysteroscopy, patients were significantly reduced compared to the past trauma.
Recurrence of fibroids removed were 30.4%, mostly in the 5-year recurrence after surgery is less than 30 years of age at the time or multiple fibroids are more likely to relapse. While removing the fibroids, the patient can improve reproductive function, but because the body there are still some factors that favor the growth of fibroids, after a certain time interval the growth of fibroids and may therefore conceived within 3 years after surgery is appropriate. Nearly 80% of patients to maintain pregnancy to term.
Many patients worry about pregnancy or childbirth in surgical scar will rupture, but studies show that after 1 year of pregnancy after uterine rupture rate was 1.5%. Therefore, after the women's fibroids removed under the guidance of a doctor, can be six months or one year after pregnancy, contraception. If during pregnancy, delivery of abdominal tenderness or pain, will have to guard against the possibility of uterine rupture.
Maybe you want to see this article vigilance uninvited guest in utero
Vigilance: the uninvited guest in utero
Pregnant uterus is a female embryo, fetus and produce menstrual organs. From adolescence to menopause, the endometrium by ovarian hormones, and produce a periodic change in menstruation. Is one such important work as the female reproductive organs, but also always being affected by the threat and impact of a number of uninvited guests. Protect the uterus, protect their health, do not let incoming cervical disease has been delay.
Jia Min 30-year-old mixed recently, however, joy is born baby daughter last year have learned to call my parents had; the worry is that I do not know how to always feel the lower abdomen bitterly, how to sit or lie down how uncomfortable, but also often accompanied by vaginal discharge thick pus. When the symptoms started, sensitive good guess might be just given birth to a normal reaction, eat supplements should be restored over time. But things not as optimistic as time goes on, the pain is still not improve. Feeling this time frequency, urgency, are inseparable from the toilet, and sometimes had to run out to meet the leadership, embarrassed very frequent urination, urgency, vaginal discharge was more viscous or purulent, sometimes entrained bloodshot.
【Diagnosis】
The vigilance: the uninvited guest hospital diagnosis in utero, Min Jia suffering from cervicitis and pathological symptoms are severe cervical erosion. Good diagnosis of the moment that almost did not faint sensitive, nervous, said: "What! The erosion of my lower body? That is not to have to remove the cervical ah?"
【Doctor's office】
In fact, the high incidence of cervicitis is the reproductive system common in women of childbearing age, the data shows women of childbearing age 20-50 years more than half of this disease, had a baby as much as 90% -95% of contracting this disease. Min Jia made on the initial routine gynecological examination, it was found outside the mouth of the cervical part of the cervix and vagina showed a fine granular appearance of the red area, the doctor suspected cervicitis, as cervical erosion and cervical cancer early is difficult to differentiate from the appearance, cervical smear done after excluding the possibility of early cervical cancer, diagnosis, severe cervical erosion, cervical erosion area of the total area of more than two thirds.
Min Jia Shun generated because when the baby, but also breath and forced to make postpartum cervical laceration, sutured wound is not promptly, bacteria cause invasive infections, and because he has been dragged, not enough attention, allowing bacteria to more and more rampant, transferred from acute to chronic cervicitis.
Treatment of cervicitis should be based on pathology of different treatment options for different targeted therapy, physical therapy is the best treatment of cervical erosion, in the past is commonly used in clinical laser method and the freezing, although effective, but After the treatment will affect the flexibility of the cervix, which is not the birth or the pursuit of quality of life of women is unacceptable. Based on this case, RF ablation was born. The instrument directly on the sites of inflammation and lesions, the lesions in the dehydration process of coagulation, deactivation, and thus achieve the purpose of treatment.
Zhang Qi, a foreign sales manager, did not get married to have children included in the agenda, on the one hand afraid of the child's crying but between husband and wife for the two of sweet; the other hand, is quite good but with the wage a lot of pressure, not even under stable conditions are not suitable to children. She married 3 years, four have done a pregnancy abortion. Each fearing discontent with their boss, only two or three days off to go to work quickly. Time to flash, to 28 years old, she wanted a child, and to this harsh choice resigned. I did not expect, from last year, pregnant 2 times, all ended in abortion, Zhang Qi for this pain.
【Diagnosis】
Detailed examination by a doctor, Zhang Qi 2 pregnancies ended in abortion, miscarriage is caused by repeated, the formation of habitual abortion. Repeated abortions, thinner endometrium, will nurture your baby's "land" has become more and more "poor."
【Doctor's office】
Abortion on women's health has a great influence. Although abortion is a minor operation, but that is an operation, an injury on the human body, do not pay attention will be complicated by sequelae such as smoke Gong insufficiency, uterine bleeding, endometritis, uterine cavity adhesions, uterine endometriosis, infertility and so on. Therefore, abortion should not do, otherwise health will be adversely affected. Constitution itself is not good, abortion poor recovery after trauma, abortion, and then there is no proper conditioning, resulting in gonadal organs associated with premature aging, premature aging ovarian ovarian follicle development fostered bad habits lead to abortion.
In any case, any form of abortion is at risk. In the absence of well prepared when the mother before, we must take effective contraceptive measures to minimize the number of abortions. Flow should also pay attention to nutrition and rest upon, enhance physical fitness, reduce the chances of becoming sick.
The ASCII
The ASCII is a student at the school praised the good teacher, praised her in-laws at home is a good wife and good mother. Every day she plays a wife only, wife, mother role, but also take into account, but so often neglect their own health. His body also may be able to endure the strange. But for the last menstruation was not normal, as excessive or too little, white with a smell. And increased frequency of urination, menstrual volume, lower abdominal bulge, etc., seriously affecting her work and life.
【Diagnosis】
Accompanied her husband to the hospital, was diagnosed with submucous uterine fibroids 5 cm size.
【Doctor's office】
Uterine fibroids are the most common benign tumor of female genital mutilation is the most common human tumors. Formed mainly by smooth muscle cell proliferation, during which a small amount of fibrous connective tissue. More common in women aged 30 to 50 to 40 to 50 years old were the most common age of 20 rare. According to statistics, more than 35 years of age by about 20% of women have uterine fibroids, because many asymptomatic patients, or for small fibroids, it is often not subject to interest and attention, so always pay more attention to their body changes.
Uterine fibroids, known as the "first gynecological tumor", the exact cause is not yet clear, but it is certain that uterine fibroids by the effects of estrogen can promote the increase of uterine fibroids, it occurred in the growth of uterine fibroids aged women. Estrogen may stimulate uterine fibroids nuclear division, and promote the growth of fibroids. In addition, uterine fibroids and a significant relationship between endocrine disorders.
Now the way the treatment of uterine fibroids drug therapy, surgical therapy, interventional therapy. Surgical removal of the uterus will also deprive women of reproductive rights, more likely to influence their sex life, many patients with ovarian failure may occur after surgery and a variety of menopausal symptoms. Now there is a high-tech get rid of uterine fibroids, the uterus is able to keep the RF ablation, this method, the biggest advantage is that it sometimes can not cut, not the premise of hysterectomy to remove fibroids, to patients with to new hope.
Maybe you want to see this article should cut uterine fibroids
Jia Min 30-year-old mixed recently, however, joy is born baby daughter last year have learned to call my parents had; the worry is that I do not know how to always feel the lower abdomen bitterly, how to sit or lie down how uncomfortable, but also often accompanied by vaginal discharge thick pus. When the symptoms started, sensitive good guess might be just given birth to a normal reaction, eat supplements should be restored over time. But things not as optimistic as time goes on, the pain is still not improve. Feeling this time frequency, urgency, are inseparable from the toilet, and sometimes had to run out to meet the leadership, embarrassed very frequent urination, urgency, vaginal discharge was more viscous or purulent, sometimes entrained bloodshot.
【Diagnosis】
The vigilance: the uninvited guest hospital diagnosis in utero, Min Jia suffering from cervicitis and pathological symptoms are severe cervical erosion. Good diagnosis of the moment that almost did not faint sensitive, nervous, said: "What! The erosion of my lower body? That is not to have to remove the cervical ah?"
【Doctor's office】
In fact, the high incidence of cervicitis is the reproductive system common in women of childbearing age, the data shows women of childbearing age 20-50 years more than half of this disease, had a baby as much as 90% -95% of contracting this disease. Min Jia made on the initial routine gynecological examination, it was found outside the mouth of the cervical part of the cervix and vagina showed a fine granular appearance of the red area, the doctor suspected cervicitis, as cervical erosion and cervical cancer early is difficult to differentiate from the appearance, cervical smear done after excluding the possibility of early cervical cancer, diagnosis, severe cervical erosion, cervical erosion area of the total area of more than two thirds.
Min Jia Shun generated because when the baby, but also breath and forced to make postpartum cervical laceration, sutured wound is not promptly, bacteria cause invasive infections, and because he has been dragged, not enough attention, allowing bacteria to more and more rampant, transferred from acute to chronic cervicitis.
Treatment of cervicitis should be based on pathology of different treatment options for different targeted therapy, physical therapy is the best treatment of cervical erosion, in the past is commonly used in clinical laser method and the freezing, although effective, but After the treatment will affect the flexibility of the cervix, which is not the birth or the pursuit of quality of life of women is unacceptable. Based on this case, RF ablation was born. The instrument directly on the sites of inflammation and lesions, the lesions in the dehydration process of coagulation, deactivation, and thus achieve the purpose of treatment.
Zhang Qi, a foreign sales manager, did not get married to have children included in the agenda, on the one hand afraid of the child's crying but between husband and wife for the two of sweet; the other hand, is quite good but with the wage a lot of pressure, not even under stable conditions are not suitable to children. She married 3 years, four have done a pregnancy abortion. Each fearing discontent with their boss, only two or three days off to go to work quickly. Time to flash, to 28 years old, she wanted a child, and to this harsh choice resigned. I did not expect, from last year, pregnant 2 times, all ended in abortion, Zhang Qi for this pain.
【Diagnosis】
Detailed examination by a doctor, Zhang Qi 2 pregnancies ended in abortion, miscarriage is caused by repeated, the formation of habitual abortion. Repeated abortions, thinner endometrium, will nurture your baby's "land" has become more and more "poor."
【Doctor's office】
Abortion on women's health has a great influence. Although abortion is a minor operation, but that is an operation, an injury on the human body, do not pay attention will be complicated by sequelae such as smoke Gong insufficiency, uterine bleeding, endometritis, uterine cavity adhesions, uterine endometriosis, infertility and so on. Therefore, abortion should not do, otherwise health will be adversely affected. Constitution itself is not good, abortion poor recovery after trauma, abortion, and then there is no proper conditioning, resulting in gonadal organs associated with premature aging, premature aging ovarian ovarian follicle development fostered bad habits lead to abortion.
In any case, any form of abortion is at risk. In the absence of well prepared when the mother before, we must take effective contraceptive measures to minimize the number of abortions. Flow should also pay attention to nutrition and rest upon, enhance physical fitness, reduce the chances of becoming sick.
The ASCII
The ASCII is a student at the school praised the good teacher, praised her in-laws at home is a good wife and good mother. Every day she plays a wife only, wife, mother role, but also take into account, but so often neglect their own health. His body also may be able to endure the strange. But for the last menstruation was not normal, as excessive or too little, white with a smell. And increased frequency of urination, menstrual volume, lower abdominal bulge, etc., seriously affecting her work and life.
【Diagnosis】
Accompanied her husband to the hospital, was diagnosed with submucous uterine fibroids 5 cm size.
【Doctor's office】
Uterine fibroids are the most common benign tumor of female genital mutilation is the most common human tumors. Formed mainly by smooth muscle cell proliferation, during which a small amount of fibrous connective tissue. More common in women aged 30 to 50 to 40 to 50 years old were the most common age of 20 rare. According to statistics, more than 35 years of age by about 20% of women have uterine fibroids, because many asymptomatic patients, or for small fibroids, it is often not subject to interest and attention, so always pay more attention to their body changes.
Uterine fibroids, known as the "first gynecological tumor", the exact cause is not yet clear, but it is certain that uterine fibroids by the effects of estrogen can promote the increase of uterine fibroids, it occurred in the growth of uterine fibroids aged women. Estrogen may stimulate uterine fibroids nuclear division, and promote the growth of fibroids. In addition, uterine fibroids and a significant relationship between endocrine disorders.
Now the way the treatment of uterine fibroids drug therapy, surgical therapy, interventional therapy. Surgical removal of the uterus will also deprive women of reproductive rights, more likely to influence their sex life, many patients with ovarian failure may occur after surgery and a variety of menopausal symptoms. Now there is a high-tech get rid of uterine fibroids, the uterus is able to keep the RF ablation, this method, the biggest advantage is that it sometimes can not cut, not the premise of hysterectomy to remove fibroids, to patients with to new hope.
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Should cut uterine fibroids?
The incidence of uterine fibroids growing, and the trend was younger. For "The removal of uterine fibroids should not be" the problem, many patients confused.
Uterine fibroids are on the long uterine cancer in women is uterine tissue formed by abnormal proliferation of benign fibroid nodules. Generally common in women aged 30-50, the occurrence rate of 20% -25%. Like the young unmarried women, uterine fibroids or not cut to cut her personal life in terms of the future is very important, because patients with uterine fibroids, 40% of infertility, uterine surgery if there is damage to the uterus, of course, affect fertility and personal health, so choose what kind of treatment is especially important to women.
The exact etiology of uterine fibroids is not known. According to clinical observations and the local high estrogen, high estrogen such as eating contaminated food, such as the use of hormones fed to chickens, ducks, fish and vegetables such as use of growth hormone leading to high incidence of fibroids is an important social causes .
Although 40% of patients with uterine fibroids were no obvious clinical symptoms, but daily life can be observed as long as the attention of uterine fibroids or clues. The most common symptoms are menstrual changes, there period is shortened, the volume increased, menstruation, irregular vaginal bleeding and so on. As grown on an excess of uterine cancer, abdominal swelling, abdominal rubbing the middle of a massive object, when the morning filling the uterus into the bladder more easily when you touch the top of a very hard irregular lumps. Oppression of bladder cancer will appear as frequent urination, voiding dysfunction, urinary retention, there are other abdominal pain, backache, abdominal bulge, increased vaginal discharge, infertility food secondary anemia.
If you find that they have these symptoms, go to the hospital for diagnosis is not difficult, an experienced gynecologist to do as long as the basis of clinical symptoms of gynecological examination, assist B-ultrasonic examination can usually confirm the diagnosis.
Health Strategy: Once suspected or found to have uterine fibroids, do not panic, first of all clear that the vast majority of uterine fibroids are benign, malignant transformation of the probability is very small. Patients can be prepared as follows: B-in the regular hospital checks, clear the location of fibroids, size, number; the doctor's professional medical advice tell your family and friends, the best advice has been received the same treatment of patients; will you Tell your doctor treatment requirements (such as the need to retain the uterus, etc.), jointly developed with the doctor, "personalized treatment", risk-sharing. Follow-up observation is an important treatment for uterine fibroids. Many patients do not understand the long illness of uterine fibroids remains to be seen, a finding that should take immediate surgery. In fact, if the fibroids are small and asymptomatic, the body will not have much effect, usually do not require treatment, especially in patients close to menopause age, low levels of estrogen, fibroids may shrink or disappear naturally, the biggest problem at this time patients psychological problems, always worried about fibroids will continue to grow and malignant, in fact, find a trustworthy doctor, followed up once every 3-6 months, found that fibroids during follow-up if symptoms increase or consider further treatment.
Maybe you want to see this article uterine fibroids cut or not cut
Uterine fibroids are on the long uterine cancer in women is uterine tissue formed by abnormal proliferation of benign fibroid nodules. Generally common in women aged 30-50, the occurrence rate of 20% -25%. Like the young unmarried women, uterine fibroids or not cut to cut her personal life in terms of the future is very important, because patients with uterine fibroids, 40% of infertility, uterine surgery if there is damage to the uterus, of course, affect fertility and personal health, so choose what kind of treatment is especially important to women.
The exact etiology of uterine fibroids is not known. According to clinical observations and the local high estrogen, high estrogen such as eating contaminated food, such as the use of hormones fed to chickens, ducks, fish and vegetables such as use of growth hormone leading to high incidence of fibroids is an important social causes .
Although 40% of patients with uterine fibroids were no obvious clinical symptoms, but daily life can be observed as long as the attention of uterine fibroids or clues. The most common symptoms are menstrual changes, there period is shortened, the volume increased, menstruation, irregular vaginal bleeding and so on. As grown on an excess of uterine cancer, abdominal swelling, abdominal rubbing the middle of a massive object, when the morning filling the uterus into the bladder more easily when you touch the top of a very hard irregular lumps. Oppression of bladder cancer will appear as frequent urination, voiding dysfunction, urinary retention, there are other abdominal pain, backache, abdominal bulge, increased vaginal discharge, infertility food secondary anemia.
If you find that they have these symptoms, go to the hospital for diagnosis is not difficult, an experienced gynecologist to do as long as the basis of clinical symptoms of gynecological examination, assist B-ultrasonic examination can usually confirm the diagnosis.
Health Strategy: Once suspected or found to have uterine fibroids, do not panic, first of all clear that the vast majority of uterine fibroids are benign, malignant transformation of the probability is very small. Patients can be prepared as follows: B-in the regular hospital checks, clear the location of fibroids, size, number; the doctor's professional medical advice tell your family and friends, the best advice has been received the same treatment of patients; will you Tell your doctor treatment requirements (such as the need to retain the uterus, etc.), jointly developed with the doctor, "personalized treatment", risk-sharing. Follow-up observation is an important treatment for uterine fibroids. Many patients do not understand the long illness of uterine fibroids remains to be seen, a finding that should take immediate surgery. In fact, if the fibroids are small and asymptomatic, the body will not have much effect, usually do not require treatment, especially in patients close to menopause age, low levels of estrogen, fibroids may shrink or disappear naturally, the biggest problem at this time patients psychological problems, always worried about fibroids will continue to grow and malignant, in fact, find a trustworthy doctor, followed up once every 3-6 months, found that fibroids during follow-up if symptoms increase or consider further treatment.
Maybe you want to see this article uterine fibroids cut or not cut
Uterine fibroids cut or not cut?
Cut or not cut? Agreement face surgery, uterine fibroid patients are often hesitant! Although uterine fibroids are benign tumors, only one-thousandth chance of malignant transformation, but it is over the age of 30 adult women in the incidence rate of 20%, which can not but pay attention to.
Surgery is the basic method. Rely on fibroids or surgery to determine sarcoma, or adenoma. Myomectomy, the multi-period, lower limb pain and other symptoms significantly decreased after the removal of lesions is conducive to pregnancy.
In general, whether the surgery depends on the size of uterine fibroids and the symptoms of patients
Like severity. Myoma diameter> 4 ~ 5cm, the number of 2 or more, exceeding the size of uterine size equivalent to 10 weeks, accompanied by irregular bleeding, anemia, or compression symptoms occur.
If the tumor is small, does not affect the work and life, then observed by ultrasound every six months on a regular basis 1-2 times a gynecological examination to
Maybe you want to see this article when cut uterine fibroids
Surgery is the basic method. Rely on fibroids or surgery to determine sarcoma, or adenoma. Myomectomy, the multi-period, lower limb pain and other symptoms significantly decreased after the removal of lesions is conducive to pregnancy.
In general, whether the surgery depends on the size of uterine fibroids and the symptoms of patients
Like severity. Myoma diameter> 4 ~ 5cm, the number of 2 or more, exceeding the size of uterine size equivalent to 10 weeks, accompanied by irregular bleeding, anemia, or compression symptoms occur.
If the tumor is small, does not affect the work and life, then observed by ultrasound every six months on a regular basis 1-2 times a gynecological examination to
Maybe you want to see this article when cut uterine fibroids
When the cut uterine fibroids?
According to statistics, over 35 middle-aged women, many people suffer from uterine fibroids. Little chance of deterioration of uterine fibroids, generally below 1%. Thus, most fibroids do not need surgery, just a regular follow-up examination. When any of the following situations, surgical intervention should be:
1, fibroids cause heavy bleeding, or long-term as excessive, resulting in excessive menstrual anemia, and drugs can not cure. At this time, surgical resection is an effective solution.
2, fibroids grow to the size of a fist, the other organs in the pelvis caused by oppression, surgery can relieve symptoms and deterioration of large chance of fibroids larger than small fibroids.
3, the fibroids grow too fast, or after menopause, not only did not shrink fibroids, but larger.
4, all other women's infertility examination was normal at this time is that infertility may be caused by uterine fibroids. Uterine fibroids may cause habitual abortion.
Do you want to remove uterine fibroids hysterectomy it? It depends on the location of fibroids, size, and the patient's age, fertility, severity of symptoms and a decision.
The ovaries and fallopian tubes are removed, the more need to consider carefully. Because the ovary is to maintain the characteristics of the major organs of women, removal of both ovaries, the main source of female hormones, there is no need to supplement hormone injections or lack of medication, it is generally not possible removal of ovary, particularly under the age of 40 women.
Some patients to retain the cervix that hysterectomy will not affect the sex life. In fact, hysterectomy, vagina not reduced, and the necessary lubrication sex vaginal secretions and genital mainly from the nearby Palestinian-type glands, and uterus does not matter. Therefore, the removal of the cervix had no effect on sexual life. In addition, cervical cancer is ranked first in the reproductive system cancers, and thus no need to remove the uterus while preserving the cervix.
Maybe you want to see this article spontaneous abortion beware of uterine
1, fibroids cause heavy bleeding, or long-term as excessive, resulting in excessive menstrual anemia, and drugs can not cure. At this time, surgical resection is an effective solution.
2, fibroids grow to the size of a fist, the other organs in the pelvis caused by oppression, surgery can relieve symptoms and deterioration of large chance of fibroids larger than small fibroids.
3, the fibroids grow too fast, or after menopause, not only did not shrink fibroids, but larger.
4, all other women's infertility examination was normal at this time is that infertility may be caused by uterine fibroids. Uterine fibroids may cause habitual abortion.
Do you want to remove uterine fibroids hysterectomy it? It depends on the location of fibroids, size, and the patient's age, fertility, severity of symptoms and a decision.
The ovaries and fallopian tubes are removed, the more need to consider carefully. Because the ovary is to maintain the characteristics of the major organs of women, removal of both ovaries, the main source of female hormones, there is no need to supplement hormone injections or lack of medication, it is generally not possible removal of ovary, particularly under the age of 40 women.
Some patients to retain the cervix that hysterectomy will not affect the sex life. In fact, hysterectomy, vagina not reduced, and the necessary lubrication sex vaginal secretions and genital mainly from the nearby Palestinian-type glands, and uterus does not matter. Therefore, the removal of the cervix had no effect on sexual life. In addition, cervical cancer is ranked first in the reproductive system cancers, and thus no need to remove the uterus while preserving the cervix.
Maybe you want to see this article spontaneous abortion beware of uterine
Spontaneous abortion beware of uterine lesions
In addition to genetic spontaneous abortion, infection, luteal phase defect, human factors such as chromosomal abnormalities, uterine disease is the main reason for spontaneous abortion.
Uterine fibroids tumor tissue of the disease mainly to the gradual deformation of the uterine cavity degeneration occurs, endometrial surface of ulcers, reduction of endometrial and myometrial blood flow, negative relationship between fecundity and development and implantation to abortion. Desire for fertility of young women, uterine fibroids can be taken to enucleation, without hysterectomy, to maintain fertility.
Within the population suffering from cervical cervical relaxation relaxation of pregnant women within the population, usually in the second trimester miscarriage. This is because, growing up as the fetus, amniotic fluid gradually increased, the constant increase in intrauterine pressure, resulting in prominent cervix capsule membranes caused by rupture of membranes. Relaxation within the mouth of the cervix and cervical tear with previous injury, multiple abortions, uterine isthmus hypoplasia and other factors. 12-15 weeks gestation cervical cerclage for cervical pregnancy or in the non-repair surgery can receive good results.
Uterine malformations in the human uterus was the Vice-Yan deformation of renal tubular muscular organ development, and bilateral fusion of the lumen after fusion of incomplete or not fully absorb the mediastinum may lead to congenital single horn, dual horn of uterus, double uterus and uterine septum and other types of uterine anomalies. Uterine septum accounted for 80% of uterine malformations, spontaneous abortion and premature delivery as the cause the most common uterine malformation. Uterine septum is mainly caused by mediastinal area abortion and endometrial dysplasia ischemia, insufficient blood supply to the fertilized egg after implantation of normal fetal development. In recent years, uterine septum hysteroscopic treatment of particular value, not only easy to diagnose, but also in the Palace of possible mediastinal endoscopic resection, surgery can significantly reduce the abortion rate.
Intrauterine adhesions adhesions in the uterine cavity of patients, most of the history of endometrial damage, such as multiple flow, excessive curettage and so on. Intrauterine adhesion is caused by pathological changes of uterine abortion reduced, deformation, and the area decreased endometrial sclerosis, affecting embryo development. According to statistics, intrauterine adhesions were diagnosed by surgical separation, expansion Palace, taking combined therapy, treatment of the abortion rate by 67% to 26%.
Maybe you want to see this article how to treat uterine fibroids
Uterine fibroids tumor tissue of the disease mainly to the gradual deformation of the uterine cavity degeneration occurs, endometrial surface of ulcers, reduction of endometrial and myometrial blood flow, negative relationship between fecundity and development and implantation to abortion. Desire for fertility of young women, uterine fibroids can be taken to enucleation, without hysterectomy, to maintain fertility.
Within the population suffering from cervical cervical relaxation relaxation of pregnant women within the population, usually in the second trimester miscarriage. This is because, growing up as the fetus, amniotic fluid gradually increased, the constant increase in intrauterine pressure, resulting in prominent cervix capsule membranes caused by rupture of membranes. Relaxation within the mouth of the cervix and cervical tear with previous injury, multiple abortions, uterine isthmus hypoplasia and other factors. 12-15 weeks gestation cervical cerclage for cervical pregnancy or in the non-repair surgery can receive good results.
Uterine malformations in the human uterus was the Vice-Yan deformation of renal tubular muscular organ development, and bilateral fusion of the lumen after fusion of incomplete or not fully absorb the mediastinum may lead to congenital single horn, dual horn of uterus, double uterus and uterine septum and other types of uterine anomalies. Uterine septum accounted for 80% of uterine malformations, spontaneous abortion and premature delivery as the cause the most common uterine malformation. Uterine septum is mainly caused by mediastinal area abortion and endometrial dysplasia ischemia, insufficient blood supply to the fertilized egg after implantation of normal fetal development. In recent years, uterine septum hysteroscopic treatment of particular value, not only easy to diagnose, but also in the Palace of possible mediastinal endoscopic resection, surgery can significantly reduce the abortion rate.
Intrauterine adhesions adhesions in the uterine cavity of patients, most of the history of endometrial damage, such as multiple flow, excessive curettage and so on. Intrauterine adhesion is caused by pathological changes of uterine abortion reduced, deformation, and the area decreased endometrial sclerosis, affecting embryo development. According to statistics, intrauterine adhesions were diagnosed by surgical separation, expansion Palace, taking combined therapy, treatment of the abortion rate by 67% to 26%.
Maybe you want to see this article how to treat uterine fibroids
How to treat uterine fibroids?
Principle of treatment of uterine fibroids is based on the patient's age, with or without fertility requirements, size and location of fibroids are asymptomatic and complications, and so on, to conduct a comprehensive analysis to determine the treatment. The method is as follows;
(1) followed up for observation: fibroids small, asymptomatic, nearly postmenopausal women, can be observed regularly followed up every 3 to 6 months 1. Fibroids are found to increase or have other symptoms, then surgery.
(2) dilatation and curettage: small fibroids and irregular menstruation, viable diagnostic curettage. On the one hand to exclude endometrial lesions, There is also temporarily the effects of treatment.
(3) Surgical treatment: large fibroids or symptoms, after other methods of treatment ineffective, surgical treatment should be considered. Surgery is divided into: ① myomectomy, which will build-up cut out from the womb, of retaining the uterus. This procedure is suitable for young women, need to retain reproductive function, and the small number of fibroids, as intramural or subserosal uterine fibroids, and normal male reproductive function. ② submucosal fibroids extraoral if prolapse in the palace, leiomyoma removed from the vagina to the uterus or part of the full-hysterectomy, uterine fibroids is the most commonly used method of treatment.
(4) Radiation therapy: the need for surgery if the fibroids, and poor general condition of patients, serious complications or wood suitable for surgery, radiation therapy can be used.
(5) Other treatments: such as Chinese medicine, sex hormones, can have a temporary effect.
Maybe you want to see this article uterine fibroids discovered how to do
(1) followed up for observation: fibroids small, asymptomatic, nearly postmenopausal women, can be observed regularly followed up every 3 to 6 months 1. Fibroids are found to increase or have other symptoms, then surgery.
(2) dilatation and curettage: small fibroids and irregular menstruation, viable diagnostic curettage. On the one hand to exclude endometrial lesions, There is also temporarily the effects of treatment.
(3) Surgical treatment: large fibroids or symptoms, after other methods of treatment ineffective, surgical treatment should be considered. Surgery is divided into: ① myomectomy, which will build-up cut out from the womb, of retaining the uterus. This procedure is suitable for young women, need to retain reproductive function, and the small number of fibroids, as intramural or subserosal uterine fibroids, and normal male reproductive function. ② submucosal fibroids extraoral if prolapse in the palace, leiomyoma removed from the vagina to the uterus or part of the full-hysterectomy, uterine fibroids is the most commonly used method of treatment.
(4) Radiation therapy: the need for surgery if the fibroids, and poor general condition of patients, serious complications or wood suitable for surgery, radiation therapy can be used.
(5) Other treatments: such as Chinese medicine, sex hormones, can have a temporary effect.
Maybe you want to see this article uterine fibroids discovered how to do
Uterine fibroids discovered how to do?
Q: I found the physical examination when a uterine leiomyoma, 2 × 3cm size. Do you need surgery?
A: The treatment depending on patient age, fibroid size, location, availability of fertility requirements, whether the severity of bleeding complications and comprehensive judgments, determine treatment, specifically as follows:
Close observation
Asymptomatic uterine fibroids, small size, can be every 3 to 6 months review time, more than 40 years of age, small amount of bleeding, so no malignant lesions after curettage, but also every 3 to 6 months review time, and appropriate rest, supportive therapy, especially in traditional Chinese medicine treatment. No significant changes in the tumor, no bleeding or bleeding is not serious and look forward to menopause, the fibroids shrink gradually.
Myoma enucleation
The age of 35 years of age, not given birth, tubal patency, normal man, no malignant tumor, should be done enucleation nuclear muscle to retain fertility. Myomectomy is the main risk surgery bleeding, uterine rupture in future pregnancies should be alert and placenta accreta, it reached full-term Cesarean section should be done selectively.
Hysterectomy
Multiple uterine fibroids, the size of greater than 3 months of pregnancy, symptoms, who have descendants; uterine fibroids greater than 6 months of pregnancy, although asymptomatic, should be done hysterectomy, ovarian conservation or not, as the patient's age and ovarian conditions.
Uterine fibroids fibroids with pregnancy incarcerated in the absence of the pelvis, vaginal delivery is not hampered by the fetus, in principle, should vaginal delivery, postpartum fibroids left to re-inspection, according to case. For multiple fibroids, the patient does not want to keep my uterus, surgical technology is sufficient competent, but also can be selective cesarean hysterectomy.
Radiation Therapy
Over the past who have one of treatment of uterine fibroids, especially in surgery and have a greater risk of clinical symptoms, is currently only implemented on individual circumstances, the vast majority believe that unnecessary, radiation therapy will also allow the loss of ovarian function.
Maybe you want to see this article older women uterine fibroids need
A: The treatment depending on patient age, fibroid size, location, availability of fertility requirements, whether the severity of bleeding complications and comprehensive judgments, determine treatment, specifically as follows:
Close observation
Asymptomatic uterine fibroids, small size, can be every 3 to 6 months review time, more than 40 years of age, small amount of bleeding, so no malignant lesions after curettage, but also every 3 to 6 months review time, and appropriate rest, supportive therapy, especially in traditional Chinese medicine treatment. No significant changes in the tumor, no bleeding or bleeding is not serious and look forward to menopause, the fibroids shrink gradually.
Myoma enucleation
The age of 35 years of age, not given birth, tubal patency, normal man, no malignant tumor, should be done enucleation nuclear muscle to retain fertility. Myomectomy is the main risk surgery bleeding, uterine rupture in future pregnancies should be alert and placenta accreta, it reached full-term Cesarean section should be done selectively.
Hysterectomy
Multiple uterine fibroids, the size of greater than 3 months of pregnancy, symptoms, who have descendants; uterine fibroids greater than 6 months of pregnancy, although asymptomatic, should be done hysterectomy, ovarian conservation or not, as the patient's age and ovarian conditions.
Uterine fibroids fibroids with pregnancy incarcerated in the absence of the pelvis, vaginal delivery is not hampered by the fetus, in principle, should vaginal delivery, postpartum fibroids left to re-inspection, according to case. For multiple fibroids, the patient does not want to keep my uterus, surgical technology is sufficient competent, but also can be selective cesarean hysterectomy.
Radiation Therapy
Over the past who have one of treatment of uterine fibroids, especially in surgery and have a greater risk of clinical symptoms, is currently only implemented on individual circumstances, the vast majority believe that unnecessary, radiation therapy will also allow the loss of ovarian function.
Maybe you want to see this article older women uterine fibroids need
Older women, uterine fibroids need treatment?
Uterine fibroids are the most common female genital cancer. According to the survey: 35 women over the age of about 20% of uterine fibroids.
Uterine fibroid is a benign tumor growing in any part of the uterus, the smooth muscle and fibrous connective tissue. As women enter old age, lower levels of estrogen, fibroids can be gradually shrinking. However, postmenopausal patients with fibroids are often late. Women near menopause, such as fibroids is not great, normal menstruation, no compression symptoms can check once every 2-3 months, and gradually shrinking fibroids with menopause.
But there will be a small part of the fibroids malignant, more common in older age, when there should be alert to the following conditions, timely treatment, so early detection, early diagnosis and early treatment:
--Fibroids cause heavy bleeding, or long-term as excessive, resulting in excessive menstrual anemia, and drugs can not cure.
--Fibroids grow to the size of a fist, the other organs in the pelvis caused by oppression, relieve symptoms require surgery, and the deterioration of large chance of fibroids larger than small fibroids.
--Fibroids grow too fast, or after menopause, not only did not shrink fibroids, but larger.
** Fibroids grow larger and faster, especially after menopause or menopause or the rapid growth of fibroids after menopause bleeding.
The treatment of uterine fibroids , with the continuous development of medicine, modern gynecology for more than minimally invasive surgery of uterine fibroids treatment, less pain, faster recovery of the older age!
Maybe you want to see this article what is laparoscopy uterine fibroids
Uterine fibroid is a benign tumor growing in any part of the uterus, the smooth muscle and fibrous connective tissue. As women enter old age, lower levels of estrogen, fibroids can be gradually shrinking. However, postmenopausal patients with fibroids are often late. Women near menopause, such as fibroids is not great, normal menstruation, no compression symptoms can check once every 2-3 months, and gradually shrinking fibroids with menopause.
But there will be a small part of the fibroids malignant, more common in older age, when there should be alert to the following conditions, timely treatment, so early detection, early diagnosis and early treatment:
--Fibroids cause heavy bleeding, or long-term as excessive, resulting in excessive menstrual anemia, and drugs can not cure.
--Fibroids grow to the size of a fist, the other organs in the pelvis caused by oppression, relieve symptoms require surgery, and the deterioration of large chance of fibroids larger than small fibroids.
--Fibroids grow too fast, or after menopause, not only did not shrink fibroids, but larger.
** Fibroids grow larger and faster, especially after menopause or menopause or the rapid growth of fibroids after menopause bleeding.
The treatment of uterine fibroids , with the continuous development of medicine, modern gynecology for more than minimally invasive surgery of uterine fibroids treatment, less pain, faster recovery of the older age!
Maybe you want to see this article what is laparoscopy uterine fibroids
What is laparoscopy? Uterine fibroids can use this technology?
Laparoscopic minimally invasive surgery that is 3 mm pore through the advanced technology of laparoscopic uterine fibroids on the strip while retaining the uterus, the use of laparoscopy in the abdomen on each side just to open a 3 mm hole the TV screen before you can obtain a clearer picture than the naked eye, clear and intuitive status of uterine disease, the implementation of minimally invasive surgery. Because laparoscopic surgery using electrocoagulation equipment, but more interference with pelvic, hand removal of uterine fibroids bleeding and postoperative adhesions after abdominal surgery than less, and shorter postoperative hospital stay, fast recovery (same day or the next day to the next of bed ,3-5 days to fully discharged), and does not affect the physiological function, etc., so that laparoscopic cystectomy as patients with uterine fibroids for some personal reasons, or want to preserve fertility and prefer to avoid hysterectomy Select a surgical.
Laparoscopy for the treatment of uterine fibroids There are several methods, the most commonly used laparoscopic dissection of uterine fibroids, there are other laparoscopic-assisted myomectomy and uterine fibroid surgery and other surgical digestion. Laparoscopic technique can not only confirm the diagnosis, treatment, separation of adhesions can also help the pregnancy, and surgery is safe and conducive to relapse prevention, with the current international operations on the high rate of gynecological clinics.
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Laparoscopy for the treatment of uterine fibroids There are several methods, the most commonly used laparoscopic dissection of uterine fibroids, there are other laparoscopic-assisted myomectomy and uterine fibroid surgery and other surgical digestion. Laparoscopic technique can not only confirm the diagnosis, treatment, separation of adhesions can also help the pregnancy, and surgery is safe and conducive to relapse prevention, with the current international operations on the high rate of gynecological clinics.
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Drug treatment of uterine fibroids
This has to be the talk about the pathogenesis of uterine fibroids. Past that its occurrence and estrogen, which includes male hormone testosterone propionate treatment, to fight; or estrogen receptor blocker tamoxifen to reduce estrogen's role in it, but the effect of these drugs is not satisfactory . Filicori 1983 Creative GnRH-a (Gonadotropin releasing hormone agonist) therapy it. Its mechanism is linked through a series of pharmacological effects, resulting in hypogonadism (low estrogen environment similar to their drug-induced removal of ovaries), and the uterus and fibroids reduced blood flow, and finally the fibroids shrink. Significantly reduce the effect of the drug it is difficult to compare with previous drugs. However, the drug prices are high and need daily intramuscular treatment period of up to 3-6 months, limiting its widespread use. In recent years, with the rapid development of medical science, that it is also related to the occurrence and progesterone. According to this mechanism, first of all in 1993, Murphy and progesterone receptor antagonist Ru486 (mifepristone domestic drug name) for the treatment of it, and to block progesterone's role in it, and achieved satisfactory results. According to recent literature, mifepristone and GnRH-a comparison, the reduction of its efficacy is similar, but its light and low incidence of side effects, relapse rate after treatment is lower than the latter. This medicine is tablets, daily oral 1 to, the price is low, which has allowed easy for the patient receiving the drug, easy to spread.
Clinical use of this drug that has a different degree of fibroids after treatment reduced symptoms of anemia, red blood cells, hemoglobin targets were back to normal. The drug treatment of uterine fibroids especially applies to the following two conditions: first, women with menopause, it can be reduced after treatment, some experts believe that there is the role of early menopause. On menopausal dysfunctional uterine bleeding accompanied by a drug can be said that the three had, the month after treatment stopped by the vast majority of patient, so that bleeding stopped (after the end of treatment, usually within six weeks recovery period). Second, patients with severe anemia great, so use of this drug before surgery fibroids shrink, easy-to-womb surgery to reduce bleeding, which can make surgery without blood transfusion or less blood transfusion. Department of reasons for infertility caused by uterine fibroids, the fibroids shrink after treatment, uterine fibroids can be excised as a simple technique to retain the uterus, creating conditions for the birth.
Since mifepristone for the treatment of uterine fibroids, there have been considerable portion of the surgery relieved the pain patient, but the drug must have under the guidance of experienced physicians choose to use. In clinical application must be strictly and carefully control their indications and contraindications. Associated with asthma, angina, ulcerative colitis, arrhythmia, heart failure, adrenal insufficiency and other conditions were banned.
Maybe you want to see this article Surgical treatment of uterine fibroids
Clinical use of this drug that has a different degree of fibroids after treatment reduced symptoms of anemia, red blood cells, hemoglobin targets were back to normal. The drug treatment of uterine fibroids especially applies to the following two conditions: first, women with menopause, it can be reduced after treatment, some experts believe that there is the role of early menopause. On menopausal dysfunctional uterine bleeding accompanied by a drug can be said that the three had, the month after treatment stopped by the vast majority of patient, so that bleeding stopped (after the end of treatment, usually within six weeks recovery period). Second, patients with severe anemia great, so use of this drug before surgery fibroids shrink, easy-to-womb surgery to reduce bleeding, which can make surgery without blood transfusion or less blood transfusion. Department of reasons for infertility caused by uterine fibroids, the fibroids shrink after treatment, uterine fibroids can be excised as a simple technique to retain the uterus, creating conditions for the birth.
Since mifepristone for the treatment of uterine fibroids, there have been considerable portion of the surgery relieved the pain patient, but the drug must have under the guidance of experienced physicians choose to use. In clinical application must be strictly and carefully control their indications and contraindications. Associated with asthma, angina, ulcerative colitis, arrhythmia, heart failure, adrenal insufficiency and other conditions were banned.
Maybe you want to see this article Surgical treatment of uterine fibroids
Surgical treatment of uterine fibroids
Mainly used in surgical treatment of large uterine fibroids, the symptoms can cause significant secondary anemia, with poor results after conservative treatment.
First, myomectomy (treatment of uterine fibroids)
1. Abdominal myomectomy for 40 years of age, unmarried or fertility, although no growth requirements, but do not want a hysterectomy were asked to retain the uterus. The advantage is to retain the uterus does not affect ovarian function; to have the chance of pregnancy as required by birth; to maintain the integrity of the female endocrine axis. Recurrence rate of 25% to 35%, possibly due to a minor surgery when fibroids are missing, after growing up, patients with fibroids Furthermore, risk factors, occurrence of new fibroids, multiple myoma recurrence rate is higher than solitary fibroids.
2. Vaginal myomectomy for pedunculated generally submucosal fibroids, surgery is simple, safe, no need to cut the uterus.
Second, after abdominal hysterectomy
1. Hysterectomy: requirements for non-reproductive, uterine> 3 months of pregnancy uterine size, fibroids, but symptoms were not large, the bladder or rectum compression symptoms, conservative treatment failure or recurrence after myomectomy, fibroids fast-growing malignant can not be excluded. The advantage is a hysterectomy and cervix removal at the same time, can avoid the future occurrence of cervical stump cancer threat.
2. Subtotal hysterectomy: 40 years of age for voluntary retention of the cervix, patients generally need to win time to rescue critical, serious medical complications can not tolerate a long surgery, severe pelvic adhesion removal of the cervix have difficulty. The advantage is the small bladder and sexual function; simple operation, short time, less surgical injury and complications.
3. Fascial hysterectomy: retained subtotal hysterectomy on bladder and sexual function in the small advantages of eliminating the retention of cervical cancer occurring in the future the threat of cervical stump; reduce the hysterectomy surgical injury and concurrent disease.
Third, endoscopic surgery of uterine fibroids
1. Laparoscopic myomectomy can be done it can also be done in the microscope, hysterectomy, abdominal surgery indication and the same, the advantage of trauma and rapid recovery. However, the high cost of its requirements of high technology, hospitals are not yet popular at the grassroots level.
2. Hysteroscopy for submucous myoma, uterine intramural fibroids the uterine cavity, some sudden, cervical fibroids, the advantage is less invasive, it can keep the uterus, and rapid recovery.
In addition, the pregnancy with the incidence of uterine fibroids fibroids account for 0.5% of patients with 1%, accounting for 0.7% of pregnancy 7.2%, during pregnancy, does not require treatment if asymptomatic, regular inspection, if the occurrence of red degeneration of fibroids, subserosal leiomyoma torsion, can be treated conservatively, if conservative treatment fails, or incarcerated in the pelvic fibroids affect pregnancy to continue, or fibroids compress the adjacent organs, severe symptoms, surgical treatment should be.
Maybe you want to see this article pathogenesis of uterine fibroids
First, myomectomy (treatment of uterine fibroids)
1. Abdominal myomectomy for 40 years of age, unmarried or fertility, although no growth requirements, but do not want a hysterectomy were asked to retain the uterus. The advantage is to retain the uterus does not affect ovarian function; to have the chance of pregnancy as required by birth; to maintain the integrity of the female endocrine axis. Recurrence rate of 25% to 35%, possibly due to a minor surgery when fibroids are missing, after growing up, patients with fibroids Furthermore, risk factors, occurrence of new fibroids, multiple myoma recurrence rate is higher than solitary fibroids.
2. Vaginal myomectomy for pedunculated generally submucosal fibroids, surgery is simple, safe, no need to cut the uterus.
Second, after abdominal hysterectomy
1. Hysterectomy: requirements for non-reproductive, uterine> 3 months of pregnancy uterine size, fibroids, but symptoms were not large, the bladder or rectum compression symptoms, conservative treatment failure or recurrence after myomectomy, fibroids fast-growing malignant can not be excluded. The advantage is a hysterectomy and cervix removal at the same time, can avoid the future occurrence of cervical stump cancer threat.
2. Subtotal hysterectomy: 40 years of age for voluntary retention of the cervix, patients generally need to win time to rescue critical, serious medical complications can not tolerate a long surgery, severe pelvic adhesion removal of the cervix have difficulty. The advantage is the small bladder and sexual function; simple operation, short time, less surgical injury and complications.
3. Fascial hysterectomy: retained subtotal hysterectomy on bladder and sexual function in the small advantages of eliminating the retention of cervical cancer occurring in the future the threat of cervical stump; reduce the hysterectomy surgical injury and concurrent disease.
Third, endoscopic surgery of uterine fibroids
1. Laparoscopic myomectomy can be done it can also be done in the microscope, hysterectomy, abdominal surgery indication and the same, the advantage of trauma and rapid recovery. However, the high cost of its requirements of high technology, hospitals are not yet popular at the grassroots level.
2. Hysteroscopy for submucous myoma, uterine intramural fibroids the uterine cavity, some sudden, cervical fibroids, the advantage is less invasive, it can keep the uterus, and rapid recovery.
In addition, the pregnancy with the incidence of uterine fibroids fibroids account for 0.5% of patients with 1%, accounting for 0.7% of pregnancy 7.2%, during pregnancy, does not require treatment if asymptomatic, regular inspection, if the occurrence of red degeneration of fibroids, subserosal leiomyoma torsion, can be treated conservatively, if conservative treatment fails, or incarcerated in the pelvic fibroids affect pregnancy to continue, or fibroids compress the adjacent organs, severe symptoms, surgical treatment should be.
Maybe you want to see this article pathogenesis of uterine fibroids
Monday, October 18, 2010
Pathogenesis of uterine fibroids
So far, the cause of uterine fibroids is not yet clear. According to a large number of clinical observations and experimental results show that fibroids are estrogen dependent growth of a tumor. Such as clinical common in women of childbearing age, 30 to 50 years of age, especially in the high-estrogen environment, such as pregnancy, high estrogen and other exogenous growth was the case, while gradually shrinking fibroids after menopause. Fibroid patients and often accompanied by ovarian congestion, swelling, excessive endometrial growth, which revealed excessive estrogen stimulation.
Uterine fibroids with a substantial relationship between endocrine disorders. Application of exogenous hormone and clomiphene increases uterine fibroids after, inhibition of sex hormones can prevent or reduce the growth of fibroids, shrinking fibroids and improve clinical symptoms.
We want to play much role in the prevention of uterine fibroids
View from the tissue, uterine fibroids from the uterine muscle cells, vascular smooth muscle cells without wall into mature muscle cells, but the latter not yet clear on the concept of organizational learning. The occurrence of human uterine fibroids may come from undifferentiated mesenchymal cells to smooth muscle cell differentiation process. Multiple origins of uterine leiomyoma cells may be due to multiple foci in the myometrium potential. Into sexual maturity, remaining in the undifferentiated mesenchymal muscle cells and mature smooth muscle cells in estrogen and progesterone appear under their own continuous cycle proliferation, differentiation and hypertrophy, repeated over time, the final form tumors.
Uterine fibroids with a substantial relationship between endocrine disorders. Application of exogenous hormone and clomiphene increases uterine fibroids after, inhibition of sex hormones can prevent or reduce the growth of fibroids, shrinking fibroids and improve clinical symptoms.
We want to play much role in the prevention of uterine fibroids
View from the tissue, uterine fibroids from the uterine muscle cells, vascular smooth muscle cells without wall into mature muscle cells, but the latter not yet clear on the concept of organizational learning. The occurrence of human uterine fibroids may come from undifferentiated mesenchymal cells to smooth muscle cell differentiation process. Multiple origins of uterine leiomyoma cells may be due to multiple foci in the myometrium potential. Into sexual maturity, remaining in the undifferentiated mesenchymal muscle cells and mature smooth muscle cells in estrogen and progesterone appear under their own continuous cycle proliferation, differentiation and hypertrophy, repeated over time, the final form tumors.
Few have cancer, rich in tofu
Expert treatment of uterine fibroids is to eat tofu
In southern Germany, a man named Forte of the town, where a man named "European Journal of Clinical" hospitals, which Klein, director of gynecology Gun grams (Klein Gunk), said he first noticed Japan, the proportion of women suffering from breast cancer than women in Europe is low, however, Japanese women living in the United States, the incidence rate will be increased, he thought, "This must be with the environment or diet." In Japan, people love to eat tofu and soy products, so the beginning of Klein Gun grams of tofu. His results show that this is the female sex hormone beans on the plant. Klein Gun grams, these plants into the body of a female sex hormone, to occupy the body in the cell's own estrogen, which play a barrier and hormone-related cancers, especially breast and uterine cancer. Gun grams Klein said, eat tofu and soy products also good for menopausal women, menopause can reduce the response, he said, "Japanese women in this respect is much less painful."
Klein Gunn g results show that eating tofu can also reduce the incidence of uterine fibroids.
In southern Germany, a man named Forte of the town, where a man named "European Journal of Clinical" hospitals, which Klein, director of gynecology Gun grams (Klein Gunk), said he first noticed Japan, the proportion of women suffering from breast cancer than women in Europe is low, however, Japanese women living in the United States, the incidence rate will be increased, he thought, "This must be with the environment or diet." In Japan, people love to eat tofu and soy products, so the beginning of Klein Gun grams of tofu. His results show that this is the female sex hormone beans on the plant. Klein Gun grams, these plants into the body of a female sex hormone, to occupy the body in the cell's own estrogen, which play a barrier and hormone-related cancers, especially breast and uterine cancer. Gun grams Klein said, eat tofu and soy products also good for menopausal women, menopause can reduce the response, he said, "Japanese women in this respect is much less painful."
Klein Gunn g results show that eating tofu can also reduce the incidence of uterine fibroids.
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