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目的:探讨子宫肌瘤的诊断,手术适应证,术式选择及并发症的防治。方法:对我院2001年1月至2007年6月手术治疗的子宫肌瘤247例进行回顾行分析。结果:全部病例均经手术治疗治愈,其中经腹全子宫切除术236例,阴式全子宫切除术4例,剖宫产时子宫肌瘤剔除术7例。结论:一部分子宫肌瘤患者无临床症状,定期体检是早期诊断的主要方法。手术方式应根据患者的年龄对生育的要求决定,并尽量保留卵巢功能。
Objective: To investigate the diagnosis, surgical indications, surgical options and prevention and treatment of complications of uterine fibroids. Methods: Retrospective analysis was performed on 247 cases of uterine fibroids that were surgically treated in our hospital from January 2001 to June 2007. RESULTS: All cases were cured by surgical treatment, including 236 cases of abdominal hysterectomy, 4 cases of vaginal hysterectomy, and 7 cases of uterine myomectomy at caesarean section. Conclusion: Some patients with uterine fibroids have no clinical symptoms. Regular physical examination is the main method for early diagnosis. Surgical methods should be based on the age of the patient’s requirements for fertility decisions, and try to retain ovarian function.