Pun T C, Chau M T, Lam C, Tang G, Leong L
Department of Obstetrics & Gynecology, Queen Mary Hospital, Hong Kong.
Acta Obstet Gynecol Scand. 1998 Feb;77(2):218-21.
The evolution of myomectomy 'scars' has not been reported. This prospective study was carried out to determine the evolution of the myomectomy 'scars' following conventional open myomectomy.
Ten patients admitted for myomectomy were recruited. The sizes of the leiomyomata were determined with ultrasonography. Serial sonographic examinations were performed following the open myomectomy so as to determine the morphology and volume of the scars. The volumes of the uterus were also measured to document the postoperative remodeling of the uterus.
The myomectomy 'scars' were represented by an area with mixed echogenic echoes in the immediate postoperative period. In one month, their volumes decreased to less than 5% of the preoperative volumes and were reduced to vague areas marked by short echogenic lines at 6 months. Most of the remodeling of the uterus occurred in the first month postoperatively.
The mixed echogenic areas probably represented the approximated myometrial walls of the leiomyomata. Detection of such in postoperative sonography should not cause undue alarm.
子宫肌瘤切除术“瘢痕”的演变情况尚未见报道。本前瞻性研究旨在确定传统开放性子宫肌瘤切除术后肌瘤切除“瘢痕”的演变。
招募10例行子宫肌瘤切除术的患者。用超声检查确定肌瘤大小。开放性子宫肌瘤切除术后进行系列超声检查，以确定瘢痕的形态和体积。还测量子宫体积以记录术后子宫的重塑情况。
子宫肌瘤切除术后即刻，“瘢痕”表现为回声混合的区域。1个月时，其体积降至术前体积的5%以下，6个月时缩小为短回声线标记的模糊区域。子宫的大部分重塑发生在术后第1个月。
回声混合区域可能代表肌瘤肌层壁的近似处。术后超声检查发现此类情况不应引起过度恐慌。
