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Advances in Surgical Therapy of Uterine Leiomyomas

WT5BZ]ZNO Chang ting,LIU Xin min [WT5”BZ](Shandong Provincial Hospital,Shandong Jinan 250021) [WT5”HZ]  
WT5”BZ]Surgical approach to uterine leiomyomas is still the best treatment for symptomatic patients today.Current approaches to treat leiomyomas include total hysterectomy,subtotal hysterectomy,myomectomy,endoscopic removal of myomas or uterus,and ″endometrium preserving operation″.Uterine lessions can be treated thoroughly by total hysterectomy.While the target organ of sex hormone will be removed,subtotal hyserectomy is comparatively easier with hysterectomy.But there can be risk of cervical stump cancer.Meanwhile the integrity of H P O U axis is damaged;Myomectomy can preserve menstrual and reproductive potential.It is the critical disadvantage of this approach that recurrent of myomas tend to be more frequent after operation;Endoscopic operation of myomas sets patients free from large abdominal incision,according with the current trend of "microdamage".The drawback of this approach is its limited indication.They are expensive and may be difficult to use."Endometrium preserving operation"is an operation which can resect large part of the uterine body while preserve less endometrium.Thus,the target organ of sex hormone uterus is preserved and the possibility of recurrence for myomas is tiny.However,the vascularity to ovary is still affected. [WT5”HZ]
【CateGory Index】: R737.33
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