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Concurrent lesions of uterine fibroids of 113 cases


Presence of clinical manifestations muscle villa accommodation was complex, and affect the muscle in the diagnosis and treatment. Our hospital from January 1991 to January l996 l2 treated in the presence of concurrent disease in patients with uterine fibroids l】 3 down, are as follows】 clinical data from our hospital] 991 in January to December 1996 were admitted to 6 years Parallel operation in patients with 486 cases of uterine fibroids, including the existence wells lesions were l13 cases, the rate was 23. Cool patients in 31 years to 55 years old,[link widoczny dla zalogowanych], of which 31 to 35 years in 4 cases (3.5), 36 ~ 4O-year-old, 22 down (19), 4】 40 down to 45 years of age (36 ) ,46 - 5O-year-old, 35 cases (30), 51 to 55 years of age l2 down (10.6%). The main symptoms of patients when treatment with menorrhagia and intermenstrual bleeding. Lower abdominal pain, dysmenorrhea, abnormal vaginal discharge, infertility. Attached. Preoperative clinical diagnosis of complicated lesions, 73 down,[link widoczny dla zalogowanych], were complicated by uterine fibroids endometrial hyperplasia in 29 patients (25.6.) Concurrent uterine myoma patients grumble l1 down (9.7), uterine fibroids complicated by adnexal masses were 33 down (22). Pathological diagnosis of concurrent diseases l13 patients, fibroids 41 concurrent endometrial hyperplasia down, accounting for 8.3 (4I/486),[link widoczny dla zalogowanych], fibroids complicated by polycystic ovary 39 down. 7.9 (39/485), fibroids complicated by adenomyosis, 23 down, accounting for 4.6 (23/486), fibroids complicated hydrosalpinx in 21 cases,[link widoczny dla zalogowanych], accounting for 4.2 (21/486) , Concurrent endometrial polyps in 12 cases, accounting for 2.4 2.1 Common clinical symptoms common concurrent disease and uterine fibroids are the most common concurrent lesions in endometrial hyperplasia and endometrial polyps 3I ・), Table Tennis> / / * It is reported that about] / 6 A pair of uterine tumor may be complicated by intimal hyperplasia or endometrial polyps may be related to ovarian estrogen secretion of a large number of factors related to Che. about】 /] 0 ill concurrent adenomyosis. This statistical result. Blast and uterine muscle Zhu endometrial hyperplasia were 8.4, and 25 concurrent endometrial polyps, cystic ovaries, accounting for 8.0 concurrent concurrent adenomyosis accounted for 4.7,[link widoczny dla zalogowanych], accounted for concurrent hydrosalpinx 4.3% because the presence of concurrent disease, the clinical manifestations of fibroids become more common symptoms of complex ① menstrual disorder, intermenstrual bleeding ~ general, the sub-rich fibroids cause increased menstrual bleeding is the main , disappeared under the dry film may have cyclical bleeding fibroids, the bleeding often expressed by the question there is concurrent diseases, such as endometrial polyps, endometrial hyperplasia ② dysmenorrhea uterine fibroids do not usually cause pain, when the film revolves fibroids necrosis infection can cause persistent lower abdominal pain, such as the uterine muscle cancer patients have severe dysmenorrhea, said Fu adenomyosis or endometriosis child there. ⑧ infertility of uterine fibroids can cause increased production rate glistening infertility, and temporarily lost water and polycystic ovarian eggs are often the main reason for infertility patients with fibroids. 2,2 auxiliary examination and treatment of some patients with uterine fibroids fibroids difficult to explain by the table wizard should be considered in the clinical presence of concurrent disease, should be further examination, such as diagnostic curettage may help identify dry film myoma or endometrial hyperplasia or endometrial polyps; ultrasound can help diagnose Annex disease; in the house to understand the bureaucratic form of iodized oil and contrast whether tubal patency. Existence of a concurrent disease patients need to be uterine fibroids treatment of complicated lesions. Uterine fibroids is a direct relationship with ovarian benign fibroids stop growing after menopause. Therefore, some patients such as fibroids small, mild symptoms may not need surgical treatment and some patients with fibroids presence of concurrent disease, fibroids, although a small but significant clinical health symptoms may be reported, especially concurrent endometrial hyperplasia, endometrial polyps were the uterus can cause irregular bleeding, and even bleeding, anemia and so on. Therefore these patients often surgical removal of the uterus. In fact, these symptoms of uterine fibroids is not the bow itself since I should not take this as indication for surgical removal of the uterus, More articles related to topics：


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