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  • 期刊

子宮肌瘤切除術後的再復發性肌瘤臨床處置建議

摘要


子宮肌瘤為生育年齡婦女最常見的疾病,發生率大約為50%,症狀為經痛、經血過多、不孕等,而有上述症狀的婦女往往需要接受治療-包括藥物、非手術侵入性處置和手術。有症狀的肌瘤,又有生育計劃或個人考量的婦女,保留子宮而僅切除肌瘤是常執行的治療之一。在研究報告中,肌瘤切除手術後又復發肌瘤的5年累積機率為62%,其中超過30%的病人需要接受再次的介入性手術治療,但是先前的肌瘤切除手術往往併發子宮、腸道或骨盆的沾黏,使得再次介入性手術治療變得困難而且風險高。目前治療復發性子宮肌瘤的考量,以處理症狀(經痛、經血過多)、生育計劃或是術後併發症為原則,並非發現復發子宮肌瘤就必須再次手術治療。

參考文獻


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