Jul 23, 2008

The treatment of uterine fibroids Panorama

Uterine fibroids are the most common gynecological cancer one of the current incidence rate of about 20 percent to 40 percent more common in women 30 to 50-year-old, but is increasingly younger, or even to a report in the university campus Also found that patients with uterine fibroids. Uterine fibroids easily lead to serious anemia, infertility, severe or even malignant, life-threatening!

Uterine fibroids are the most common gynecological cancer one of the current incidence rate of about 20 percent to 40 percent more common in women 30 to 50-year-old, but is increasingly younger, or even to a report in the university campus Also found that patients with uterine fibroids. Uterine fibroids easily lead to serious anemia, infertility, severe or even malignant, life-threatening!

The treatment of uterine fibroids are the main conservative treatment, surgical treatment and minimally invasive treatment of the three.

First, conservative treatment

Conservative treatment of uterine fibroids must meet the following conditions: First, cancer is not more than six weeks of pregnancy size and the other is asymptomatic and has menopause; Third, it is nearly non-surgical treatment of postmenopausal women can reduce the amount of bleeding; four can not be tolerated surgery. Looking forward to the main conservative treatment, including therapy and drug treatment.

1. Looking forward to treatment

To the crowd: patients over the age of 40-50 years old, and began to have the phenomenon of menopause, no obvious clinical excessive bleeding, pain and other symptoms.

Specific: no drugs and no other treatment. Every three months to conduct a consultation within the gynecology, B super-examination. Without rapid tumor growth, bleeding, pain is not aggravated, could be increased through the ages, increasing the level of sex hormones decline, look forward to the gradual shrinking uterine fibroids.

2. Drug Treatment

Benefits: The current conservative treatment to drug therapy, can avoid the pain of surgery and after-effects, drug therapy in general do not consider ideal or minimally invasive surgery.

Chinese medicine treatment: the use of Chinese medicine decoction, to regulate the proprietary Chinese medicines, and other female patients in the endocrine and micro-cycle, gas-blood rationale, casual siltation of the guitar, from the source to eliminate uterine fibroids.

Western medicine treatment: androgen therapy, in the past menopause, menstrual disorders, endometriosis not malignant, commonly used in the treatment of methyl testosterone.

Second, surgical therapy

To the crowd: uterine fibroids the size of pregnancy over a month and a half. In addition, if the fibroids grow faster, intra-abdominal tumor to highlight and reverse the tendency should be surgical excision. Of course, the operation should be established to consider other indications such as severe anemia, heart diseases, body position.

1. Hysterectomy

To the crowd: size of fibroids, heavy symptoms, invalid or conservative treatment of malignant disease are.

Benefits: The surgery completely remove the uterus, but also the eradication of its symptoms.

Shortcomings: the loss of fertility, and there will be no more periods. 34% of the women in there after two years of ovarian failure and menopause symptoms. Hysterectomy affect the integrity of the pelvic floor, shortening the vagina, sex life has been affected to some extent. Hysterectomy after ovarian function of estrogen to reduce premature senility, cardiovascular morbidity rate, the increase in patients with easy obesity, hypertension, heart disease, osteoporosis adverse reactions. Postoperative patients need 4-8 weeks of recovery.

2. Palace, laparoscopic resection of fibroids

Benefits: small incision, pelvic adhesions formed less; after rapid recovery, most of the patients Shimoji surgery that afternoon to walk, eat; wound pain and fever after less sedation needed little pain medicine; small incision, handsome, with the young People aesthetic psychology; shortened the length of stay, the general can be discharged after 48 hours.

Shortcomings: the larger (5 cm above) submucosal fibroids powerless.

Third, the solidification knife minimally invasive technique

This is the solidification-high fever, modern image, space guidance, electronic technology in the forefront of a medical technology.

To the crowd: uterine fibroids larger Chongsai pelvic and clinical symptoms of oppression are obvious. Uterine volume increased to three months of pregnancy size or suspected to sarcomatoid change. Menstrual volume increased significantly and there are secondary anemia. Taboo or unwilling to surgery to surgery.

Method: through the vagina into 4-8 temperature superconductors are the superconducting galvanic needles in navigation and positioning technology under the guidance of uterine fibroids site precise positioning, minimally invasive intervention superconducting needle to the center of the lesions, Computer-controlled, accurate monitoring the first-superconducting temperature of the surrounding tissue, soon to open, the release of huge energy, precise temperature control, so that lesions in the coagulation process of dehydration, solidification and narrow, after falling in the metabolic process of absorbing or even disappear, So that the uterus structure and function back to normal. 2cm to 5 cm of one-time lesions can be cured, fibroids can be enormous destruction on many occasions over the same period.

Benefits: preservation of the uterus, bleeding, less pain, non-residential and rapid recovery. The method by the U.S. authorities identified as the treatment of uterine fibroids an excellent choice.

Defects: The pedicle subserosal fibroids, a malignant fibroids are powerless, who have acute and chronic inflammation genital mutilation, it is necessary to control inflammation before surgery.

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