When can uterine fibroid surgery be used? What patients are suitable for uterine fibroid surgery?

Some patients with uterine fibroids are accompanied by infertility or prone to miscarriage, and a small number of patients with uterine fibroids may have polycythemia and hypoglycemia. So, which patients are suitable for uterine fibroid resection? Myomectomy is a surgery to remove uterine fibroids and preserve the uterus. It is mainly used for young women under 40 who want to maintain their fertility. It is suitable for large fibroids, heavy menstruation, compression symptoms, fibroid infertility, submucosal fibroids, and fast-growing fibroids without malignant transformation.

A comprehensive examination is required before surgery for uterine fibroids. The examination items are as follows:

1. Ultrasound examination is currently the most commonly used auxiliary diagnostic method. It can show the enlargement of the uterus, irregular shape, the number, location, size of fibroids, whether the fibroids are uniform or liquefied, cystic changes, etc. Ultrasound examination is not only helpful in diagnosing uterine fibroids, but also helps to identify ovarian tumors or other pelvic masses.

2. Laparoscopic examination When fibroids must be differentiated from ovarian tumors or other pelvic masses, laparoscopy can directly observe the size, shape and growth location of the uterus, and preliminarily determine its nature.

3. Diagnostic curettage detects the size and direction of the uterine cavity through uterine cavity detection, feels the shape of the uterine cavity, and understands whether there is a mass in the uterine cavity and its location. Diagnostic curettage is of great value for patients with abnormal uterine bleeding, who often need to identify endometrial lesions. It is very important for patients with uterine fibroids to establish a correct outlook on life, values ​​and world view, maintain an optimistic attitude towards life, and believe that they can overcome the troubles of uterine fibroids.