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目的:探讨子宫肌瘤剔除保留子宫的可能性。方法:识别假包膜,尽可能在一个切口内剔除多个肌瘤,注意子宫修复和整形,使其恢复正常大小、形态和位置;对巨大而未形成蒂的内膜下肌瘤应切除子宫。结果:73例获随访。正常妊娠12例,流产4例;月经恢复正常39例,较前减少9例;切除子宫7例,复发2例。结论:子宫肌瘤多属良性,行瘤体剔除术是可行的;不仅可保留生殖功能,还能维持内分泌功能。
Objective: To investigate the possibility of uterine fibroids removed to retain the uterus. Methods: Identify the pseudocapsule, remove as many as possible fibroids in one incision, pay attention to the uterus repair and plastic surgery, to restore normal size, shape and location; for large and not forming pedunculated subtenon fibroids should be removed uterus . Results: 73 patients were followed up. 12 cases of normal pregnancy, 4 cases of abortion; menstruation returned to normal in 39 cases, 9 cases less than before; removal of the uterus in 7 cases, 2 cases of recurrence. Conclusion: Most of myoma of uterus is benign, the tumor excision is feasible; not only retain reproductive function, but also maintain the endocrine function.