Sunday, June 15, 2008
Efficacy and prognosis of uterine fibroids
(Non-surgical treatment) (1) clinical cure: the symptoms disappeared, the tumor disappeared, the uterus return to normal size. (2) markedly effective: symptoms disappeared, significantly reduced tumor or B-uterine prompt review of the three tracks and narrow the more than 2.5 cm. (3) effective: an improvement in symptoms, but no significant shrinking tumors, or B-uterine prompt review of the three tracks and narrow the 1.5 ~ 2.5 cm. (4) is invalid: no symptoms and signs of improvement. 2. Surgical treatment: surgery after treatment, tumors and symptoms disappear, to recover without complications. Uterine fibroids and pregnancy interaction. Uterine fibroids generally exist prior to the pregnancy. Submucous fibroids may hinder implantation Yunluan a result of infertility; even Yunluan to implantation, is also often easy for uterine contraction and early abortion. Muscle intramural fibroids, especially subserosal fibroids, does not generally affect pregnancy, nor increase the incidence of abortion. However, uterine fibroids lead to pregnancy after Qu incarcerated, can cause urinary retention and pregnancy interruption. Pregnancy uterine fibroids grow more rapidly, and vulnerable to degeneration, in particular red degeneration. Fibroids red degeneration, will be in severe abdominal pain, with nausea and vomiting, increased body temperature, blood white blood cell count increased, with conservative treatment, symptomatic treatment, most are free to alleviate the otherwise required to fibroids extraction. Late pregnancy, fibroids can cause premature birth, often caused by Abnormal Fetal Position unrighteousness. Delivery period, the isthmus in the uterus, cervix or broad ligament in the Department of fibroids can still hinder fetal presentation drop or cause uterine inertia and labor extension, the timely implementation of post-surgery Palace. According to the specific situation at the same time as fibroids or evisceration of a hysterectomy. Fibroids may also affect the placenta peeling or postpartum uterine contraction, thus leading to postpartum hemorrhage or poor uterine involution. Postpartum, uterine blood supply due to a sudden decrease in opportunities for more degeneration. Expert Comments: about 25% to 35% of infertility patients with uterine fibroids. The reason may be due to fibroids impede fertilized egg implantation, or intrauterine deformation due to blocked fallopian tubes imported prevent sperm into the fallopian tube, such as fibroids close to serous layer is not too large impact on pregnancy. In addition, sometimes accompanied by uterine fibroids ovarian dysfunction, may also be one of the reasons for infertility. It is therefore proposed to the child, a timely job gynaecological examinations.
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