Marciniak Aleksandra, Szydłowska Iwona, Brodowska Agnieszka, Wiśniewska Berenika, Nawrocka-Rutkowska Jolanta, Starczewski Andrzej
Pomeranian Medical University in Szczecin, Department of Gynecology, Endocrinology and Gynecologic Oncology.
Pol Merkur Lekarski. 2016 Dec 22;41(246):303-305.
Uterine fibroids are the most common benign tumors of the uterus. Their main symptoms are prolonged menstrual bleeding, leading over time to a secondary anemia, bleeding and spotting between periods, pelvic pain and infertility. It is recognized that fibroids are the most common indication for surgery in gynecology. Currently radical surgical treatment of fibroids is abandon. Ulipristalu acetate is used in pharmacological treatment. This medicine reduces the growth of fibroids. New non-invasive technique is also MR-guided focused ultrasound surgery using thermal tissue destruction by focusing ultrasound beam. Ability to avoid the often crippling surgery makes conservative methods increasingly popular.
子宫肌瘤是子宫最常见的良性肿瘤。其主要症状为经期延长出血,随着时间推移导致继发性贫血、经期之间出血和点滴出血、盆腔疼痛以及不孕。人们认识到子宫肌瘤是妇科最常见的手术指征。目前已摒弃对子宫肌瘤进行根治性手术治疗。醋酸乌利司他用于药物治疗。这种药物可抑制子宫肌瘤的生长。新的非侵入性技术是磁共振引导聚焦超声手术,通过聚焦超声束进行热组织破坏。避免通常造成严重损伤的手术的能力使保守方法越来越受欢迎。