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子宫肌瘤剔除术联合GnRH-a治疗弥漫性子宫平滑肌瘤病六例

褚达明 欧阳玲

实用肿瘤杂志2017,Vol.32Issue(2):147-151,5.
实用肿瘤杂志2017,Vol.32Issue(2):147-151,5.

子宫肌瘤剔除术联合GnRH-a治疗弥漫性子宫平滑肌瘤病六例

Myomectomy combined with GnRH-a in treatment of diffuse uterine leiomyomatosis: analysis of 6 cases

褚达明 1欧阳玲1

作者信息

  • 1. 中国医科大学附属盛京医院妇产科,辽宁沈阳110004
  • 折叠

摘要

Abstract

Objective To analyze the efficacy of conventional myomectomy and gonadotropin releasing hormone agonist (GnRH-a) combined treatment for diffuse uterine leiomyomatosis.Methods Six cases of diffuse uterine leiomyomatosis received conventional myomectomy with GnRH-a as a postoperative adjuvant therapy.The number of myomas enucleated was analyzed and all patients were followed-up postoperatively.Results The mean number of enucleated myomas was 68 (19-135).The mean blood loss during surgery was 283 mL (100-600 mL) and the mean operative time was 132 min (50-185 min).Postoperatively,regular menses were restored and anemia was relieved in all cases.Two patients became pregnant,with smooth antenatal course and postnatal period without any complication.Conclusion Conventional myomectomy with GnRH-a combined treatment can be considered as an option for women with diffuse uterine leiomyomatosis who wish to preserve fertility.

关键词

子宫肿瘤/外科学/子宫肿瘤/病理学/平滑肌瘤/外科学/平滑肌瘤/病理学

Key words

uterine neoplasms/surgery/uterine neoplasms/pathology/leiomyoma/surgery/leiomyoma/pathology

分类

医药卫生

引用本文复制引用

褚达明,欧阳玲..子宫肌瘤剔除术联合GnRH-a治疗弥漫性子宫平滑肌瘤病六例[J].实用肿瘤杂志,2017,32(2):147-151,5.

实用肿瘤杂志

OACSTPCD

1001-1692

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