Woyi
We have always advocated that doctors need various technologies.
Patients of todays surgery have a fibroids about 10cm, two children, and the requirements of fertility.It can be seen that the endometrium of fibroid ion is relatively close.She wanted to do ablation, and I explained to her that if she wants to protect the endometrium, the ablation may keep the distance from the endometrium of 5-10mm, so that it may face the possibility of incompleteness to recur.If you want to have children, I will be more inclined to eliminate the treatment.
The way to eliminate the traditional fibroids is , through the evaluation of the physical examination,I found that after she had two children, the conditions of vaginal surgery were available, so she chose her to eliminate vulvar fibroids that are more minimally invasive than laparoscopic surgery.The 10cm fibroids also completed the elimination surgery within 40 minutes.
这就是我要强调的,医生要具备各种技术,尤其是宫腔镜、经阴道手术,有些0型、Type 1 and type 2 fibroids are more suitable for eliminating hysteroscopy, not ablation.There are fertility requirements. It is easy to damage to the endometrium of the uterine when melting. It does not matter if there is no fertility.Even if there is no fertility requirements, the submucosal fibroids may be discharged difficulties after ablation, and hysteroscopy is required.What we emphasize is that all kinds of weapons must know, and do not block on a road.
Usually I talk about more ablation technology, its advantages are relatively obvious, less trauma, fast recovery, and less bleeding.But today I have to talk about the shortcomings of ablation technology.
Different treatment from resection. For uterine fibroids and adenomia, because it is a benign disease, we should be as well as as much as possible in the process of ablation, but we needThere is a degree, because too much may damage the organs such as the endometrium or the intestinal tube outside the uterus. This is different from the treatment of lung cancer and thyroid cancer.The tissue, lung and thyroid tissue have normal tissue surrounding, so they can generally be extended in the range.
Woyi
The treatment of the treatment of uterine fibroids adenomy is the first.
To deal with uterine fibroids.Vaginal surgery.The new super minimally invasive technology also includes microwave, radio frequency, sea aid, magnetic waves, arterial embolism, and endometrial ablation, but what needs to be known is that each technology is beneficial and disadvantaged. Do not try to cover all the technologies to all the ones.Patients, the best doctor knows each technology.
Gong Xiaoming Well-known gynecological experts
52 years old| Doctor of Medicine of Beijing Union Medical College
Good, Uterine prolapse, urinary incontinence treatment.In terms of therapeutic technologies of uterine fibroids and uterine adenomy muscles, it is the first to carry out various ablation technologies in the world (magnetic wave ablation, microwave ablation, radio frequency ablation), single -hole laparoscopic technology and hysteroscopy to treat uterine fibroid technologyIt is also the leading level in the world.In the field of gynecological urology, it is the first to apply laser technology in China for the treatment of urinary incontinence, uterine prolapse, and vaginal relaxation.
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