手术治疗子宫肌瘤459例分析

Surgical Treatment and Analysis of 459 Hysteromyoma Cases

对４５９例经手术治疗的子宫肌瘤的分析，发现近年来有扩大手术指征的趋势，本组有４０％的患者无明显临床症状，仅因Ｂ超或普查发现子宫肌瘤而要求手术治疗，术后病理未发现肌瘤或肌瘤仅绿豆大小者占５％。在切除子宫的同时切除卵巢３５８个，其中正常卵巢组织占４８．８％。

Surgical treatment of 459 hysteromyoma cases in the Affiliated Hospital of JNUMC is reported. Forty percent of patients with no obvious symptoms of hysteromyomas received surgical treatment on the basis of B-ultrasonic waves examinations and general survey in gynopathy. After operation, 5% of the cut uteruses found by pathological examination are normal or with the hysteromyoma in the size of goain, 48.8% of the 358 cut ovariies were were nomal. For these reasons, one should have all the indication definitily established before he makes the decision whether an operation should be made or nat in order to avoid unnecessary operation wounds. During operation one should carefully consider whether the ovary should be removed or retained.