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开腹子宫肌瘤剔除过程记录-子宫肌瘤的原因_子宫肌瘤的治疗方法_子宫肌瘤的症状_超声消融_99子宫网
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开腹子宫肌瘤剔除过程记录

作者:管理员        来源:99子宫网        发布日期:2010-11-23        访问量:8561
导读:开腹子宫肌瘤剔除过程在大家心目中是怎样的印象呢,恐怕我们记忆里只有很多冷冰冰的手术器械,带着严严实实口罩的医生,还有就是鲜血…….真实的开腹剔除子宫肌瘤的过程,请大家一起来了解了解吧!

开腹子宫肌瘤剔除是指经腹部切开腹部皮肤,腹部肌层,脂肪,子宫肌层,将子宫肌瘤从假包膜中剔除,然后整形缝合子宫使患者术后能继续行经并恢复和改善生育能力。

开腹子宫肌瘤剔除时患者麻醉成功后取仰卧位,常规消毒铺巾,取下腹正中切口,8厘米逐层进腹。见子宫增大如孕3月大小,宫底前后壁可见多个子宫肌瘤,最大直径7cm子宫肌瘤位于子宫肌层及浆膜下,附件无殊。

局部注射缩宫素20单位,切开子宫肌瘤包膜,分层缝合。

共挖出肌瘤7个。彻底止血,冲洗并吸尽冲洗液,清点器械及纱布无误后逐层关腹。再次清点无误后,手术结束。

 

开腹子宫肌瘤剔除后有以下注意事项

1、疼痛情况:如果在术后感觉有疼痛的话,要赶紧去医院检查一下是否红、肿,排除感染可能。

2阴道出血:如果是肌壁间子宫肌瘤或粘膜下子宫肌瘤剔除术者,子宫壁有伤口,这会导致术后有少量的阴道流血,一般不会超过10天,均属正常,如大于半月应上医院检查。

3、不可额外摄取雌性激素,闭经之后尤其要注意,以避免子宫肌瘤长大。

4、术后清洁:开腹子宫肌瘤剔除手术后一定要注意伤口的清洁,出院后腹壁的切口需保持干燥,一周后再沐浴禁盆浴,因出院时缝线刚拆除,针眼还未完全愈合,况且切口的痂尚未脱落,因此不宜沐浴。

5、饮食情况:开腹子宫肌瘤剔除手术,病人排气后可让病人进少量流质饮食,如稀米汤、面汤等。不要给病人甜牛奶、豆奶粉等含糖饮料。多喝水保持大便通畅,不要食用刺激性的食物,尤其是富含激素的食物和营养品,即使在康复以后也应该少食此类食物。

此外,还要避免劳累,尤其是生理期注意休息,多食蔬菜、瓜果,少吃辛辣食物。开腹子宫肌瘤剔除术后应禁止性生活至少一个月,有生育要求的女性需要二年后考虑怀孕。当然具体时间需要患者根据自己的情况决定,一定要在医院复查后无异常情况后才可以有性生活、怀孕。

        99子宫网小编推荐阅读:

        开腹肌瘤剔除术

        免费体检未必是件好事情

        开腹剔除子宫肌瘤的患者指南

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