Uterine fibroids are common gynecological diseases in women and are usually benign tumors. Some women do not have symptoms of uterine fibroids, so they are easily ignored. Uterine fibroids are not discovered until they grow larger and require surgical treatment. So, is surgery for uterine fibroids dangerous? The incidence of uterine fibroids is relatively high, and it is a common gynecological tumor in women. About 20% of women of childbearing age suffer from uterine fibroids. The possibility of uterine fibroids worsening is small, but benign does not mean safe, it can also cause harm to female friends, such as complications such as concurrent inflammation, secondary anemia, infertility and miscarriage. Therefore, effective treatment plans should be taken as soon as possible. Gynecological experts point out that whether the risk of uterine fibroid surgery should be combined with multiple factors. 1. Abdominal hysterectomy: Abdominal hysterectomy is often used for patients who do not desire fertility. The uterus size is ≥12 weeks of pregnancy; menstruation is often accompanied by hemorrhagic anemia; the fibroids grow rapidly; bladder or rectal compression symptoms; conservative treatment fails or after myomectomy, the tumor is large or severe. 2. Cervical myomectomy: If the cervical and vaginal myoma is too large and surgery is difficult, surgery should be performed as soon as possible (through the vagina); if the myoma is large and produces compression symptoms, compressing the rectum, ureter or bladder; if the myoma grows rapidly and malignant changes are suspected; young patients should retain their fertility, otherwise a total hysterectomy should be performed. 3. Vaginal hysterectomy: Patients without pelvic adhesions, inflammation, or masses are treated with vaginal hysterectomy. Patients without abdominal scars or individual abdominal obesity; uterine and fibroid volume not exceeding 3 months; uterine prolapse can also be treated with vaginal hysterectomy for pelvic floor reconstruction; no history of previous pelvic surgery, no need for exploration or removal of adnexa; medical complications such as diabetes, hypertension, coronary heart disease, and obesity. |
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