The medical examination actually found uterine fibroids, so don’t panic

Uterine fibroid

Myoma of uterus

Uterine fibroids are the most common benign tumors in women’s reproductive organs. They are more common in women of childbearing age. According to the statistics of autopsy, about 20%of women over 30 years of age have uterine fibroids.The incidence of uterine fibroids is far lower than the actual incidence.

01

Classification

According to fibroids, it can be divided into uterine body fibroids and cervical fibroids. The former is particularly common, accounting for about 90%.According to the different relationship between the fibroids and the uterine muscle wall, it can be divided into the following three categories (as shown in the figure above):

(1) Bremisa of muscle wall

The fibroids are located in the muscle wall and surrounded by muscle layers. It is the most common type, accounting for about 60-70%.

(2) Subciders fibroids

The fibroids develop towards the slurry and protruding from the surface of the uterine, covering the membrane layer, accounting for about 20%.The fibroids stretch between the ligament and two -leaf peritoneum of the wide ligament, and the inner fibroids in the wide ligament are formed.

(3) Subcidial fibroids

The fibroids grow towards the uterine cavity and protrudes in the uterine cavity. It is covered by the uterine mucosa layer, accounting for about 10%-15%.This tumor can gradually increase the uterine cavity, and often connects the uterus, such as the long cervical mouth or get rid of the vagina.

02

Clinical manifestation

Most patients are asymptomatic

Occasionally discovered during the physical examination

Common symptoms are

(1) Uterine bleeding

It is the main symptom of uterine fibroids.It can be manifested as increased menstrual flow, extension of menstrual periods, or shortening cycles.Once necrotic, ulcer, infection, persistent or irregular vaginal bleeding or purulent discharge.Patients can cause varying degrees of anemia due to long -term menstruation.

(2) Lower abdomen mass

The fibroids are gradually growing. When the uterus is increased by more than 3 months of pregnancy, the patient can be in the middle of the lower abdomen and the campaign. Especially the bladder filling will be easier to touch the uterus to the top.

(3) Abdominal pain, backache, lower abdomen swelling

It usually does not cause pain, but many patients can have a sense of swelling and back pain in the lower abdomen.When the sigmoid fibroids are reversed, acute abdominal pain can be produced, and the abdominal pain is severe when the red -like changes in uterine fibroids.

(4) Increase leucorrhea

Increased uterine cavity, increased endometrium gland, and pelvic congestion can increase leucorrhea.In the uterine or cervical mucosal fibroids, ulcers, infections, or necrosis occur, a bloody or purulent leucorrhea is produced.

(5) Infertility and abortion

Uterine fibroids may affect sperm entering the uterine cavity; deformation of the uterine cavity, endometrial congestion, etc. can prevent fertilization and pregnancy bed, causing infertility or abortion.

(7) Compression symptoms

When the tumor increases, it can compress the approaching organs, such as frequent urination, urgency, constipation, etc.

02

treat

Select the treatment plan based on age, symptoms, tumor size and numbers, growth sites and requirements for fertility function.

(1) Conservative treatment

1. Follow the clinic observation

If the patient has no obvious symptoms, and has no signs of evil, or a menopause woman can observe regularly with the clinic.

2. Drug treatment

The tumor is less than 2 months of pregnancy, and the symptoms are not obvious or lighter. Especially those with a neat period or inability to surgery, can be used for symptomatic treatment, such as propionone injection in the case of endometrial cancer.

(2) Surgical treatment

Surgery is still the main treatment of uterine fibroids

1. Fibroma resection

Suitable for young people who want to keep fertility.

2. Uterine resection

It is suitable for those who have large tumors, large numbers, obvious clinical symptoms, or people who are invalid and no need to give birth.

3. Others

Minimally invasive therapy: frozen therapy, radio frequency ablation technology, high -intensity focus ultrasound, etc.

Therefore

It is the last word to treat the symptomatic treatment of the doctor.

Source: Xuanwu Pusuo

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