Treatment of uterine fibroids

  Uterine myomectomy is usually performed in women under 40 years of age with fertility requirements. Its outstanding advantage is that it preserves the uterus, does not affect ovarian function, and allows those with fertility requirements to have the opportunity to have a pregnancy Indications and contraindications for surgery.  The main indications are: 1. Patients who are young and unmarried or married with a desire to have children.  2.Patients with uterine fibroids as a cause of infertility or causing habitual abortion.  3. Patients who believe that menstruation is the basis of health, youth and sexual life and strongly request to preserve the uterus. At this time, preserving the uterus belongs to the consideration of psychological factors.  4.Patients who are older, but have systemic organ insufficiency and do not have clear indications for hysterectomy 5.Submucosal leiomyoma, subplasmic leiomyoma and 3 interstitial leiomyomas Main prohibitions: 1.Malignant lesions of the pelvis or severe pelvic inflammatory disease (especially tuberculosis, 2.Fibroids growing fast and suspicious of malignant change 3.Brittle and soft tissue after removal of fibroids, grayish-yellow, rather like raw Fish or brain tissue of the town suspected sarcoma.  4, myoma combined with glassy changes or cystic changes can not exclude malignant change.  5.The blockage of the fallopian tube without the possibility of plastic recanalization. If the myoma is large or multiple, or if the husband has absolute sterility factors