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开腹子宫肌瘤剔除术优缺点分析-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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开腹子宫肌瘤剔除术优缺点分析

作者:管理员        来源:99子宫网        发布日期:2010-11-30        访问量:10312
导读:随着人们生活水平的提高,女性更注重身体的完整性及希望保留子宫的生理功能,以及近年来子宫内分泌功能的进一步被发现和子宫被切除后卵巢功能可能受到一定影响报道的增多,医患双方对于保留子宫的愿望越来越强烈,而子宫肌瘤剔除术是现阶段保留子宫的常见方法。

       编者语:
      开腹子宫肌瘤剔除术始于20世纪20年代,是早期比较常用的子宫肌瘤治疗手段之一,目前也见于很多基层医院。但是其适应证范围广,对于不能选择其他子宫肌瘤治疗方式如超声消融,腹腔镜,宫腔镜的患者,也是一种不错的选择。患者在选择治疗方式时,应综合子宫肌瘤大小、部位、个数,有无合并症及手术者擅长的手术方式等多种因素进行综合分析,做出个体化选择。       子宫肌瘤是女性生殖器官最常见的良性肿瘤,多见于30—50岁者,发生率为20%~25% ,其中40—50岁妇女发生率高达51.2%~60%。

       随着人们生活水平的提高,女性更注重身体的完整性及希望保留子宫的生理功能,以及近年来子宫内分泌功能的进一步被发现和子宫被切除后卵巢功能可能受到一定影响报道的增多,医患双方对于保留子宫的愿望越来越强烈,而子宫肌瘤剔除术是现阶段保留子宫的常见方法。
       传统开腹子宫肌瘤剔除术早已广泛应用,尽管微创手术方式得到了很大的发展,并呈逐年上升趋势,但开腹术式仍具有不可替代的地位。
       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。


       开腹子宫肌瘤剔除术优点:
       开腹子宫肌瘤剔除术术中通过手指触摸能发现较小及术前超声未发现的深部小子宫肌瘤及粘膜下子宫肌瘤,且直视下缝合关闭瘤腔更彻底,子宫形状恢复得更好。
       资料显示,在剔除子宫肌瘤数量上开腹手术优于腹腔镜手术。
       开腹子宫肌瘤剔除术适应证广泛,它不受子宫肌瘤位置、大小和数目的限制,故特殊部位,如接近粘膜的子宫肌瘤、或多发性子宫肌瘤(>4个)、子宫体积>妊娠12周的子宫肌瘤、多发性子宫肌瘤剔除术后复发的子宫肌瘤,在腹腔镜和开腹之间,首选开腹手术。


       开腹子宫肌瘤剔除术缺点:
       开腹子宫肌瘤剔除术具有切口大、创伤大、对腹腔干扰大,以及术后恢复慢等缺点。 一般来说,开腹子宫肌瘤剔除术中需要1.5-3小时,治疗后需要住院7天左右,术中出血量在所有保留子宫的子宫肌瘤治疗方式中最多。

99子宫网小编推荐阅读:

●了解子宫肌瘤是什么

●了解子宫肌瘤的治疗方法

●了解超声消融无创治疗

●看看子宫肌瘤病友的故事

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