Dadak C, Feiks A
II. Universitäts-Frauenklinik, Wien.
Zentralbl Gynakol. 1988;110(2):102-6.
At the IInd Dept. of Obstet. and Gynaecology, University of Vienna, in the five year period between 1979 and 1984 enucleation of uterine leiomyomas was performed in 27 cases. At the time of operation all of them desired children. All leiomyomas were located in the uterine corpus. The biggest one held 13 cm in diameter. In spite of avoiding endometrial lesions the cavity of the uterus was opened during surgery in 5 cases. None of the patients showed intra- or postoperative complications. We were able to receive follow-up informations of 21 patients. In 8 cases different contraceptives were used. 8 women became pregnant after surgery. Five of them had term deliveries, in three cases early abortions occurred. One woman suffered from recurrent leiomyomas, which led to hysterectomy 3 years later. These findings suggest that conservative surgery in cases of leiomyomas of the uterus could promote or preserve young women's fertility.
在维也纳大学第二妇产科，1979年至1984年的五年间，对27例子宫平滑肌瘤患者实施了肌瘤摘除术。手术时，所有患者都希望生育。所有平滑肌瘤均位于子宫体部。最大的肌瘤直径达13厘米。尽管术中避免了子宫内膜损伤，但仍有5例手术时打开了子宫腔。所有患者均未出现术中或术后并发症。我们获得了21例患者的随访信息。其中8例使用了不同的避孕方法。8名女性术后怀孕。其中5例足月分娩，3例发生早期流产。1名女性患有复发性平滑肌瘤，3年后接受了子宫切除术。这些结果表明，子宫平滑肌瘤病例的保守手术可促进或保留年轻女性的生育能力。
