The Clinical Analysis Of696Cases With Uterine Leiomyomas

Object: By analyzing the clinical characteristics of uterine fibroids, patient’s age, andthe size of the myoma, and surgery, clinical symptoms and the growth way and the way ofrelationships, sum up clinical experience of diagnosis and treatment of uterine fibroids.Methods: Select Bethune first hospital of jilin university in June2009to June2009forhysteromyoma patients admitted to hospital and surgery, data reliable complete696cases,were retrospectively analyzed, application of SpSS software for statistical analysis.Result:696patients with uterine fibroids, most of30~50years old women ofchildbearing age, accounting for83.91%of the total sample, age is relatively concentrated.No obvious clinical symptoms of147cases (21.12%), patients with clinical symptoms of549cases (78.83%), of which the most menstrual changes, a total of288cases (41.38%).preoperative ultrasonic diagnosis of hysteromyoma diagnosis rate was99.04%, themisdiagnosis rate was0.96%. Operation method is given priority to with hysteromyomaresection, a total of341cases (48.99%), abdominal hysteromyoma resection of155cases(22.27%), laparoscopic hysteromyoma resection of107cases (15.37%), uterinemyomectomy under hysteroscopy for62cases (8.91%), Yin type hysteromyoma resectionfor17cases (2.44%). Also different surgical procedure in patients with different ages,younger patients with hysteromyoma resection, the greater the proportion of20~30yearsold group of hysteromyoma resection was100.00%,50or higher group of uterus the cutmethod is75.59%; Myoma growth parts of different surgical methods also different (p <0.05), multiple uterine fibroids in the uterus cut method is given priority to (35.69%), singlesex give priority to with hysteromyoma resection of uterine fibroids, and muscle intramuralmyoma with subserosal fibroids operation no significant difference (p>0.05); Diameter of <5cm of the submucous myoma of suitable for hysteromyoma resection under hysteroscopy,and the diameter of5cm or more open lines of the submucous myoma of uterus cut methodor all time full cut method and transvaginal uterine full cut and full cut method. Uterinefibroids <5cm in diameter or greater than the diameter of a uterine fibroids group chooseminimally invasive surgery more than5cm group (p <0.05). Myoma with degeneration of108cases (15.52%), including diameter>5cm to91cases (84.26%); Degeneration and degeneration group age distribution difference was statistically significant (p <0.05), ofwhich40~50groups of high rates of uterine myoma degeneration ages perimenopausalwomen’s uterus myoma degeneration rate is higher. Hysteromyoma combined cervicitis for amaximum of115cases (16.52%), cervical intraepithelial neoplasia lesions CIN for8cases(1.14%), endometriosis for117cases (16.81%), moderate anemia for85cases (12.21%),severe anemia, for10cases (1.44%).Conclusion:1. At present mainly surgical treatment hysteromyoma, uterine myoma resection is themain operation for hysteromyoma treated;2. Because the cervix in sexual reflex arc and secretion function, etc, so the operation s-hould be paid attention to the choice of keeping the cervix, but remain easily occur in the ce-rvical cancer, surgery should be regular screening for cervical cance;3. Minimally invasive treatment method to the small incision, small trauma, less hemo-globin dropped, pain, quick recovery, shorter hospitalization time and don’t effect the beautyof the abdomen, is the new trend of uterine flesh tumour therapy;4. minimally invasive operation has many advantages, but can not completely replace o-pen surgery, minimally invasive method should strictly follow the indications and contraind-ications, in certain cases converted to open surgery is necessary.