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一、子宫肌瘤的手术适应证临床诊断为子宫肌瘤者未必都需要手术。从临床症状来判断,不需立即治疗的病例不在少数,特别是以不施手术而做细胞学检查进行观察者多。大多数妇产科医生认为即使症状轻微,如超手拳大或胎儿头大,宜行手术;对手拳大以下完全没有症状的肌瘤,不必立即治疗,在特殊情况下应做保留手术,这是多数人的一致意见。然而作者认为,对35岁以下成年妇女,多发性肌瘤并全子宫超手拳大时,即使现在无症状,多因迟早转迅速增大而出现症状,故综合考虑年龄、妊娠问题、患者本身情况等予以及早手术。
First, the indications for surgical treatment of uterine fibroids may not necessarily require surgery for uterine fibroids. Judging from the clinical symptoms, there are a few cases that do not need immediate treatment, especially in the absence of surgery and do cytology more observers. Most obstetrics and gynecologists believe that even minor symptoms, such as handcuffed or fetus, should be surgically performed; there is no symptom of fibroids below the opponent’s fist and need not be treated immediately; in exceptional cases, surgery should be performed Most people agree. However, the author believes that for adults under 35 years of age, multiple fibroids and uterine hand boxing big, even now asymptomatic, mostly due to the rapid increase of the sooner or later symptoms appear, so considering age, pregnancy problems, the patient itself Situation to be early surgery.