不孕症合并子宫肌瘤的处理原则

Treatment principles of infertility with uterine fibroids

不孕症合并子宫肌瘤临床常见,但合并子宫肌瘤者引起不孕症的主次原因和治疗要点各异。有关该类疾病的处理原则,应重视病史采集、了解不孕症和子宫肌瘤对孕育、分娩以及围产的影响。子宫肌瘤的治疗应重视微创技术、巨大子宫肌瘤电动分碎器使用忠告、掌握对因和对症药物使用、辅助生殖技术准确使用和心理康复疏导等要点。有关处理必须遵循个体化原则。

Infertility with uterine fibroids is clinically common,but the main and secondary causes and treatments of infertility with fibroids are different.Regarding the management principles of this disease,attention should be paid to the collection of medical history,understanding of the effects of infertility and uterine fibroids on pregnancy,delivery and perinatal outcome.As for the management of uterine fibroids,emphasis on minimally invasive technology,advice on use of power morcellation for giant uterine fibroids,and mastering medicine treatment for causes or symptoms are important.Of course,we aslo should attach importance to accurate use of assisted reproduction techniques and psychological rehabilitation counseling.Relevant treatment must follow the principle of individualization.