No surgery to preserve the uterus, interventional treatment of uterine fibroids, dysmenorrhea and ad

Mondo Health Updated on 2024-03-08

Uterine fibroids are the most common benign tumors in women, which are formed due to abnormal proliferation of uterine muscle fibers and are more common in women aged 30 to 50 years (70% to 80%).

Although most uterine fibroids are benign and have a low probability of malignant transformation, they tend to occur more often, and can easily lead to heavy menstrual bleeding, anemia, backache, abdominal pain and other uncomfortable symptoms, and in severe cases, hemorrhagic shock.

Recently, Professor Xiong Bin's team from the Department of Interventional Medicine of the First Affiliated Hospital of Guangzhou Medical University used interventional embolization technology to eliminate the lesions for two patients with uterine fibroids without surgery, with less trauma, fast recovery, fewer complications, and preservation of uterine function and normal fertility.

Young Ms. Yang (pseudonym) is unmarried and childless, seven years ago due to heavy menstrual bleeding to the hospital for examination, found uterine fibroids, learned that most of this "tumor" is benign, and because of busy work and did not accept the corresponding intervention and**.

Unexpectedly, with the growth of age, the uterine fibroids in Ms. Yang's abdomen are also quietly growing, the latest re-examination found that the uterine fibroids have grown to the size of a fist, with a diameter of more than 12cm, you can clearly see the bulge of the lower abdomen, and the menstrual flow increases.

Another middle-aged woman, Ms. Wang (pseudonym), also encountered a similar problem, six years ago, she went to the hospital for examination due to dysmenorrhea and heavy menstrual flow, and was also found to be uterine fibroids and adenomyosis.

Three months ago, she suffered hemorrhagic shock (haemoglobin 41g L) due to heavy menstrual bleeding, but fortunately she was rescued in time. The doctor also recommended that she remove her uterus to achieve the ** effect.

However, both young women are not yet married and have children, and they still hope to be able to get married and have children, and the "removal of the uterus" is really difficult for them and their families to accept.

Do fibroids have to be removed from the uterus to be cured? The two came from different cities, but because of their similar experiences, they came to the Interventional Department of the First Affiliated Hospital of Guangzhou Medical University, hoping that the doctor could help them realize their wish of "saving the uterus and saving their lives".

With the development of interventional technology, uterine fibroids are no longer so terrible, and uterine artery embolization can be achieved on the basis of uterine retention, which can effectively eliminate the related symptoms caused by uterine fibroids.

Director Xiong Bin introduced that uterine artery embolization can be completed under local anesthesia, under the guidance of imaging, through embolization of the uterine artery, directly cut off the blood of uterine fibroids, so that uterine fibroids gradually shrink, degenerate, necrosis, so as to achieve the purpose of **, and can effectively alleviate the symptoms of other organ compression caused by fibroid masses.

With the efforts of Director Xiong Bin's team, the two patients successfully underwent uterine artery embolization, and the menstrual flow was significantly reduced, the symptoms of prolonged menstruation disappeared, and the normal level has been restored, and the lower abdominal mass that was originally "propped up" by uterine fibroids has also become soft, collapsed and shrunk, and more importantly, the two female patients have met the needs of preserving uterus and reproductive function.

Director Xiong Bin reminded that if female friends have symptoms such as increased menstrual flow, irregular menstrual cycles (such as prolonged menstruation), abdominal masses and compression symptoms, difficult pregnancy and miscarriage, unexplained anemia, etc., it is recommended to go to a regular hospital as soon as possible to investigate the problem of uterine fibroids, so as to achieve early detection and early detection.

Currently, myomectomy alone and hysterectomy are included. Myomectomy is limited by the location and number of fibroids and often has residual tumor, and hysterectomy is not appropriate for women who are unmarried or want to have children.

For patients with strong needs for uterine preservation and reproductive function, it can not only be minimally invasive and scarless, preserve the uterus, but also effectively control fibroids and relieve symptoms through intervention.

In addition to uterine fibroids, patients with dysmenorrhea and adenomyosis can also use minimally invasive interventional techniques to block the uterine artery and its branches, reduce the blood supply to the endometrium, effectively control the endometrium (adenomyosis) that is ectopic to the myometrium, and significantly improve the symptoms of dysmenorrhea.

In particular, many female patients with uterine fibroids combined with dysmenorrhea and adenomyosis can be treated with interventional** (uterine artery embolization) to solve the symptoms of uterine fibroids, dysmenorrhea and adenomyosis, especially for female patients with uterine preservation and fertility function.

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