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子宫肌瘤剜除术百余年来受到推荐,近年被普遍实施,此术能保留或改善患者生育能力。研究发现肌瘤无真正的血管蒂,中、大型血管不进入肌瘤而在其周围呈网状,肌瘤生长压迫周围肌纤维及血管形成假的包膜。若从包膜内剜出肌瘤而不切除包膜则手术出血少,也不会损伤周围器官。据此,任何大小和部位的子宫肌瘤均可剜除。经1982～1994年间80例患者82次肌瘤剜除术证实,术中出血减少,输血率降低,无明显并发症发生。术后月经量减少,痛经及盆腔痛改善,原有不孕症者2年累积受孕率达
Uterine fibroids enucleation surgery has been recommended for more than a hundred years and has been widely practiced in recent years. This technique can retain or improve patients’ fertility. The study found no real vascular pedicle fibroids, medium and large blood vessels do not enter the fibroids and mesh around it, fibroids grow around the surrounding muscle fibers and blood vessels to form a false envelope. If the fibroids are ejected from the capsule without removal of the capsule, there will be less bleeding and no damage to the surrounding organs. Based on this, uterine fibroids of any size and location can be removed. After 82 cases of excision of myoma of 80 patients from 1982 to 1994, it was confirmed that intraoperative blood loss decreased, blood transfusion rate decreased, and no significant complications occurred. Postoperative menstrual flow decreased, dysmenorrhea and pelvic pain improved, and 2 years of cumulative infertility rate of the original infertility