一位患有多发性大子宫肌瘤患者成功进行了保留子宫的手术治疗。
Successful uterine-sparing surgical management in a patient with a large multi-fibroid uterus.
作者信息
Holden Lucy M
机构信息
Department of Obstetrics and Gynaecology, Joondalup Health Campus, Joondalup, Australia.
出版信息
J Surg Case Rep. 2021 Jun 26;2021(6):rjab233. doi: 10.1093/jscr/rjab233. eCollection 2021 Jun.
Uterine fibroids are a common gynaecological condition. A key factor when deciding on surgical approach for fibroid management is a patient's age and desire for fertility with uterine-sparing treatment generally recommended in women who are aiming for future pregnancies. This case report discusses a woman who presented with a very large multi-fibroid uterus. In this case, a hysterectomy was recommended due to safety concerns however, this advice was declined as the patient desired uterine preservation. Fertility testing showed that the patient was not peri-menopausal and abdominal myomectomy was safely performed to good effect. This case report outlines the surgical approach undertaken, in addition to considerations for fertility and pregnancy management.
子宫肌瘤是一种常见的妇科疾病。决定子宫肌瘤治疗手术方式的一个关键因素是患者的年龄以及生育意愿，对于有未来妊娠计划的女性，一般推荐保留子宫的治疗方法。本病例报告讨论了一名患有非常大的多发子宫肌瘤子宫的女性。在这个病例中，出于安全考虑建议进行子宫切除术，然而，由于患者希望保留子宫，该建议被拒绝。生育能力测试表明该患者未处于围绝经期，于是安全地进行了腹部肌瘤切除术，效果良好。本病例报告概述了所采取的手术方式，以及生育和妊娠管理方面的考虑因素。
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