Spaarne Gasthuis, Haarlem, Heemstede and Hoofddorp, The Netherlands.
Best Pract Res Clin Obstet Gynaecol. 2015 Oct;29(7):920-9. doi: 10.1016/j.bpobgyn.2015.03.014. Epub 2015 Apr 1.
Fibroids or (leio)myomas are benign tumours that very commonly derive from smooth muscle cells of the myometrium. They are the most common indication for a hysterectomy. However, in women desirous of preservation of their uterus or of their fertility, a myomectomy may be a more appropriate form of surgical therapy. The submucous variant is often associated with heavy menstrual bleeding or subfertility. It can be removed with hysteroscopic surgery. Refinements of hysteroscopic surgical techniques have resulted in a better ability to remove submucous myomas. The state of the art of such hysteroscopical techniques and instrumentation to treat submucous myomas and what has been proven is discussed.
子宫肌瘤（leiomyomas）又称纤维瘤，是源自子宫平滑肌的良性肿瘤，非常常见。它是子宫切除术最常见的适应证。然而，对于希望保留子宫或生育能力的女性来说，肌瘤切除术可能是一种更合适的手术治疗形式。黏膜下肌瘤常与月经过多或不孕有关。它可以通过宫腔镜手术切除。宫腔镜手术技术的改进提高了切除黏膜下肌瘤的能力。本文讨论了治疗黏膜下肌瘤的宫腔镜技术和器械的最新进展，以及已被证实的内容。
