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圣保罗大教堂穹顶上的灯笼——子宫平滑肌瘤难题的恰当隐喻

Lantern on Dome of St. Paul's Cathedral - An Apt Metaphor for a Challenging Leiomyoma.

作者信息

Acharya Neema, Singhal Sonakshi, Agrawal Mohit, Singh Nidhi, Verma Neha

机构信息

Department of Obstetrics and Gynaecology, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.

出版信息

J Midlife Health. 2020 Jul-Sep;11(3):181-184. doi: 10.4103/jmh.JMH_143_19. Epub 2020 Sep 29.

DOI:10.4103/jmh.JMH_143_19
PMID:33384545
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7718941/
Abstract

Fibroids are ubiquitous in women of the reproductive age group more so in midlife. The cervical fibroids are challenging to operating surgeons because it distorts the surgical anatomy of the pelvis and urogenital system. The metaphor given historically to this condition is apt as the uterus appears like a lantern sitting on the dome of cervical fibroid similar to the dome of the cathedral. Here, we report two cases of cervical fibroid in perimenopausal age group of different sizes managed by following specific steps.

摘要

子宫肌瘤在育龄期女性中很常见，在中年女性中更为普遍。宫颈肌瘤对手术医生来说具有挑战性，因为它会扭曲骨盆和泌尿生殖系统的手术解剖结构。历史上对这种情况的比喻很恰当，因为子宫看起来就像一盏灯笼坐在宫颈肌瘤的穹顶上，类似于大教堂的穹顶。在此，我们报告两例围绝经期不同大小的宫颈肌瘤病例，并按特定步骤进行处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce2/7718941/8eac863a8271/JMH-11-181-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce2/7718941/bf96cadf9b08/JMH-11-181-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce2/7718941/428dbde068be/JMH-11-181-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce2/7718941/ac603e28d33c/JMH-11-181-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce2/7718941/8eac863a8271/JMH-11-181-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce2/7718941/bf96cadf9b08/JMH-11-181-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce2/7718941/428dbde068be/JMH-11-181-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce2/7718941/ac603e28d33c/JMH-11-181-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce2/7718941/8eac863a8271/JMH-11-181-g004.jpg

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Lantern on Dome of St. Paul's Cathedral - An Apt Metaphor for a Challenging Leiomyoma.圣保罗大教堂穹顶上的灯笼——子宫平滑肌瘤难题的恰当隐喻
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本文引用的文献

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Urologic complications following obstetric and gynecologic surgery.妇产科手术后的泌尿系统并发症。
Korean J Urol. 2012 Nov;53(11):795-9. doi: 10.4111/kju.2012.53.11.795. Epub 2012 Nov 14.
2
Interventions to reduce haemorrhage during myomectomy for fibroids.子宫肌瘤切除术期间减少出血的干预措施。
Cochrane Database Syst Rev. 2011 Nov 9(11):CD005355. doi: 10.1002/14651858.CD005355.pub4.
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Strategy of cervical myomectomy under laparoscopy.腹腔镜下子宫肌瘤剔除术的策略。
Fertil Steril. 2010 Dec;94(7):2710-5. doi: 10.1016/j.fertnstert.2010.02.049. Epub 2010 Apr 8.
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Minilaparotomy myomectomy: a minimally invasive alternative for the large fibroid uterus.小切口子宫肌瘤切除术：大子宫肌瘤子宫的微创替代方案。
J Minim Invasive Gynecol. 2005 May-Jun;12(3):275-83. doi: 10.1016/j.jmig.2005.03.009.
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Uterine myomas: an overview of development, clinical features, and management.子宫肌瘤：发育、临床特征及管理概述
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Cost effectiveness of pre-operative gonadotrophin releasing analogues for women with uterine fibroids undergoing hysterectomy or myomectomy.术前使用促性腺激素释放类似物对接受子宫切除术或肌瘤切除术的子宫肌瘤女性的成本效益。
BJOG. 2002 Nov;109(11):1273-80. doi: 10.1046/j.1471-0528.2002.01224.x.
7
Efficacy of pre-operative gonadotrophin hormone releasing analogues for women with uterine fibroids undergoing hysterectomy or myomectomy: a systematic review.术前促性腺激素释放类似物对接受子宫切除术或肌瘤切除术的子宫肌瘤女性的疗效：一项系统评价。
BJOG. 2002 Oct;109(10):1097-108. doi: 10.1111/j.1471-0528.2002.01225.x.
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Fertil Steril. 2001 Aug;76(2):350-7. doi: 10.1016/s0015-0282(01)01900-8.