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经阴道行大的宫颈间质部肌瘤切除术：病例报告

Vaginal myomectomy for a large intrastromal cervical fibroid: a case report.

作者信息

Alebrahim Yousef, Lim Ee Thong, Manias Theofanis, Tsampras Nikolaos

机构信息

Department of Reproductive Medicine, Manchester University NHS Foundation Trust, Oxford Rd, Manchester, WL, United Kingdom.

Department of Gynaecology, Manchester University NHS Foundation Trust, Oxford Rd, Manchester, WL, United Kingdom.

出版信息

J Surg Case Rep. 2024 Dec 17;2024(12):rjae797. doi: 10.1093/jscr/rjae797. eCollection 2024 Dec.

DOI:10.1093/jscr/rjae797
PMID:39691810
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11651146/
Abstract

Fibroids affect up to two-thirds of women of reproductive age and can lead to significant symptoms, including abnormal uterine bleeding and reproductive dysfunction. Cervical fibroids are rare, with an incidence of only 0.6%. Currently, there is no consensus on the optimal surgical approach for management of cervical fibroids. Pedunculated extracervical fibroids are routinely removed vaginally. However, intrastromal (intracervical) fibroids often require a laparoscopic or laparotomic approach. We report a case of vaginal myomectomy for the management of a large cervical fibroid in a 43-year-old patient seeking fertility treatment. We discuss the feasibility of this surgical approach and its potential for enhanced recovery.

摘要

子宫肌瘤影响多达三分之二的育龄女性，并可导致严重症状，包括异常子宫出血和生殖功能障碍。宫颈肌瘤较为罕见，发病率仅为0.6%。目前，对于宫颈肌瘤的最佳手术治疗方法尚无共识。有蒂的宫颈外肌瘤通常经阴道切除。然而，基质内（宫颈内）肌瘤往往需要腹腔镜或开腹手术。我们报告了一例43岁寻求生育治疗的患者，采用阴道肌瘤切除术治疗巨大宫颈肌瘤的病例。我们讨论了这种手术方法的可行性及其促进恢复的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90bb/11651146/a67d016b779d/rjae797f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90bb/11651146/04b875cab495/rjae797f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90bb/11651146/9fbe8e2f3025/rjae797f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90bb/11651146/a67d016b779d/rjae797f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90bb/11651146/04b875cab495/rjae797f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90bb/11651146/9fbe8e2f3025/rjae797f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90bb/11651146/a67d016b779d/rjae797f3.jpg

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Vaginal myomectomy for a large intrastromal cervical fibroid: a case report.经阴道行大的宫颈间质部肌瘤切除术：病例报告
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本文引用的文献

1
Current Treatment Options for Cervical Leiomyomas: A Systematic Review of Literature.当前治疗子宫肌瘤的选择：文献系统评价。
Medicina (Kaunas). 2021 Jan 21;57(2):92. doi: 10.3390/medicina57020092.
2
Epidemiology and management of uterine fibroids.子宫肌瘤的流行病学和管理。
Int J Gynaecol Obstet. 2020 Apr;149(1):3-9. doi: 10.1002/ijgo.13102. Epub 2020 Feb 17.
3
Uterine fibroid management: from the present to the future.子宫肌瘤的管理：从现在到未来。
Hum Reprod Update. 2016 Nov;22(6):665-686. doi: 10.1093/humupd/dmw023. Epub 2016 Jul 27.
4
The management of uterine leiomyomas.子宫平滑肌瘤的管理
J Obstet Gynaecol Can. 2015 Feb;37(2):157-178. doi: 10.1016/S1701-2163(15)30338-8.
5
The excision of uterine fibroids by vaginal myomectomy: a prospective study.经阴道子宫肌瘤切除术：一项前瞻性研究。
Fertil Steril. 1999 May;71(5):961-4. doi: 10.1016/s0015-0282(99)00061-8.
6
A randomized comparison of vasopressin and tourniquet as hemostatic agents during myomectomy.子宫肌瘤切除术中血管加压素与止血带作为止血剂的随机对照研究。
Obstet Gynecol. 1996 Jun;87(6):1014-8. doi: 10.1016/0029-7844(96)00071-3.