Eburne Leah, Vagovic Richard J
Psychiatry, Florida State University College of Medicine, Daytona Beach, USA.
Obstetrics and Gynecology, Florida State University College of Medicine, Daytona Beach, USA.
Cureus. 2022 Jan 24;14(1):e21543. doi: 10.7759/cureus.21543. eCollection 2022 Jan.
Uterine leiomyomas are a very common gynecological condition. This case report describes the author's experience pursuing definitive treatment of a 14-week-sized fibroid uterus, the associated menometrorrhagia, and bulk symptoms. Barriers still remain if women of reproductive age prefer ovary-sparing hysterectomy. Laparoscopic supracervical hysterectomy with contained morcellation remains a well-tolerated and low-risk option dependent on surgeon expertise and informed patient consent. Literature review reveals the psychosocial and financial burden of uterine leiomyomas may present multiple challenges, affecting the quality of life.
子宫平滑肌瘤是一种非常常见的妇科疾病。本病例报告描述了作者对一例14周大小的子宫肌瘤子宫、相关的月经过多和压迫症状进行确定性治疗的经验。如果育龄女性倾向于保留卵巢的子宫切除术,仍然存在障碍。腹腔镜次全子宫切除术加封闭粉碎术仍是一种耐受性良好且风险较低的选择,这取决于外科医生的专业技能和患者的知情同意。文献综述显示,子宫平滑肌瘤的心理社会和经济负担可能带来多重挑战,影响生活质量。