Blagovest Bechev, Magunska Nadya, Kovachev Emil, Ivanov Stefan
Akush Ginekol (Sofiia). 2015;54(6):52-4.
Uterine leiomyomas are one of the most common benign smooth muscle tumors in women, with a prevalence of 20 to 40% in women over the age of 35 years. Fifty percent of them may necessitate treatment, because of bleeding, pelvic pain and infertility. Laparoscopic myomectomy is one of the treatment options. The major concern of myomectomy either by open procedure or by laparoscopy is the bleeding encountered during the operation. One of the methods to reduce the intraoperative blood loss and to prevent excessive bleeding is the clipping of both uterine arteries and aa. ovaricae.
子宫平滑肌瘤是女性最常见的良性平滑肌肿瘤之一，35岁以上女性的患病率为20%至40%。其中50%可能需要治疗，原因是出血、盆腔疼痛和不孕。腹腔镜子宫肌瘤切除术是治疗选择之一。无论是开放式手术还是腹腔镜手术，子宫肌瘤切除术的主要关注点都是手术过程中遇到的出血问题。减少术中失血和防止过度出血的方法之一是夹闭双侧子宫动脉和卵巢动脉。
