Subserous myoma of uterus myoma growth refers to the most protruding from the uterine serosa, 20 accounting for about 30- of leiomyoma. For the Myoma of uterus A, according to the wall of the uterus myoma where different parts can be divided into the wall, subserosal, mucous membrane and the broad ligament myoma. The main symptom is menstrual increase, Menstruation The menstrual cycle is shortened. Cause menstruation increase is mainly mucous membrane and the Intramural myoma Subserous myoma of menstruation, and little effect. So, subserous myoma can grow big and other symptoms, patients often due to touch the abdominal mass and to see a doctor.
Because of the location and size of myoma growth is different, also can appear different degree of compression symptoms, such as oppression bladder, occurrence frequent micturition, Urgency ; oppress rectum, cause dysuria. Subserous fibroids torsion, can cause severe abdominal pain, in this case, often need to do an operation to excise the tumor sub bureaucratic area, Endometrium Gland Secretion, can appear Leucorrhoea grow in quantity As with infection can appear purulent vaginal discharge. According to the survey, about 25- of a 35- fibroids may appear infecund.
General after pregnancy myoma with Pregnancy Month increases, likely to Fetus Caused by oppression, cause abortion or premature. The treatment of uterine fibroids need not take operation therapy of non confrontational, can take non operation conserve uterine intervention measures, also can achieve the same effect. The method cure myoma in ultrasound guided fine needle aspiration, can stop the growth of fibroids, atrophy, fibrosis to final. Clinical cure Purpose. No operation, no pain, no damage to normal uterine tissue, does not affect the future pregnancy, no side effect, no hospitalization, don't worry about other changes because of myoma, leiomyoma is the most benign tumors so as to control the growth of the human body, no great harm. The present ultrasonic interventional therapy is under treatment a method of humanity is reasonable.
Myoma <2cm, without any clinical symptoms, can be the first observation of 3-6 months follow-up time, as long as the speed is not fast, you don't need to do any treatment. But the baby must check to see whether the growth because of myoma, hormone dependent tumor, so during pregnancy because of body estrogen increased fibroids may quickly grow up, and uterine fibroids in pregnancy, resulting in a series of adverse effects of childbirth and puerperium.
In early pregnancy, because of the existence of leiomyoma and not conducive to the implantation and growth in the womb of the zygote, the incidence of abortion is 2~3 times of pregnant women and non leiomyoma, often incomplete abortion and bleeding.
· muscle layer of the myoma or Submucous myoma , may hinder fetal activity caused by malposition, cause Transverse position , Breech An increase in the incidence of cesarean section, therefore, the yield is increased.
· during childbirth because flesh tumour affecting the normal contraction of the uterus, the Prolonged labor , inlaid in pelvic leiomyoma (e.g. Cervical myoma , huge The lower uterine segment Fibroids) may be blocking the birth canal, cause dystocia.
· fibroids can also affect the postpartum uterus, postpartum hemorrhage induced by uterine recovery or bad.
If the fibroids cause uterine cavity drainage not free or myoma surface ulcers, easily lead to infection, also can cause uterine bleeding.
According to the hysteromyoma uterine muscle wall of different parts can be divided into the wall, subserosal, mucous membrane and the broad ligament myoma.
Uterine leiomyoma according to the growth of the parts can be divided into three types:
1 intramural myoma, is the growth in the myometrium, the most common.
2 subserous myoma, leiomyoma of uterus protruding from the surface, covered by serosa.
3 Submucous myoma To the uterine cavity, myoma growth, surface covered with a layer of the endometrium.
1, such as growth in the uterus epidermis are known as subserous myoma. The wall of the uterus in uterine muscle c growth, tumour of the flesh between the hair growth in the inner - uterine cavity, called Submucous myoma ;
2, there is a kind of fibroids, uterine serosal surface to growth, known as subserous myoma, no irregular bleeding symptoms. Myoma of uterus canceration rate is low, according to records about (). 5-, postmenopausal atrophic trend;
3, if the tumor grows close to the surface, known as subserous myoma. If the length in the middle, called intramural myoma. If the growth to the uterine cavity, called Submucous myoma . Fibroids can also pedicle, but more is no pedicle leiomyoma.
Subserous myoma is the most serous surface finger of leiomyoma of uterus, the main symptom is menstruation, menstruation, menstrual cycle. Cause Menstruation The increase is mainly the submucosal and intramural myoma, subserous myoma smaller effects on menstruation. Subserous myoma can grow to very large, no other symptoms, patients often feel the lump of abdominal and attendance.
Leiomyoma of the location and size of the different, can appear different degree of compression symptoms, oppression bladder occurrence frequent micturition, Urgency Oppress rectum causes dysuria. Fibroids torsion can cause severe abdominal pain, often to do operation excision myoma, Endometrium The Gland Secretion, appear Leucorrhoea grow in quantity As with infection, can appear purulent vaginal discharge. May appear infecund.
To the uterine serosa myoma growth, covered only by uterine serosa. Only a pedicle and uterine muscle wall, due to insufficient blood supply to degeneration, necrosis. Ghirardi Department torsion fracture, myoma shedding into abdominal or pelvic cavity, form free of myoma.
Is the main symptom of uterine fibroids, seen in half or more of patients. The periodic bleeding (menorrhagia, menostaxis or menstrual cycle shortened) is much, accounting for about 2/3; and non periodic (persistent or irregular) hemorrhage accounted for 1/3. Mainly due to bleeding intramural myoma and Submucous myoma Cause. Periodic bleeding occurred in the intramural fibroids, and Submucous myoma It is often manifested as irregular bleeding. Subserous myoma rarely cause uterine bleeding. In individual cases, menstrual quantity decreased.
The reason the volume of leiomyoma bleeding caused by: ① fibroids often due to estrogen is too high and associated with proliferation and polyp endometrial, induced when menstruation quantity; ② caused by uterine myoma volume increases, the intima area increase, excessive bleeding and bleeding too long. Especially Submucous myoma , mucosal bleeding area is more than 225cm2 (normal about 15cm2); ③ submucous myoma, mucosal surface often ulceration, necrosis, resulting in Chronic endometritis Caused by dripping bleeding; ④ intramural myoma, uterine contraction and a clamp blood vessels, or submucous myoma endarterectomy and itself cannot shrink, uniform amount of bleeding and prolonged; the larger fibroids may merge Pelvic congestion The blood flow is strong, and the quantity; Irregular menstruation menopause .
Excessive or prolonged menstrual period may occur alone or in combination. And if Menstrual cycle To shorten (frequency) exist at the same time, it can in a short time lost a lot of blood due to severe anemia. Submucous myoma Take out Vagina In a non periodic bleeding, the amount can be extremely high. Large polypoid leiomyoma is often caused by persistent bleeding.
The mass of lower abdomen often complains of the patients with uterine fibroids, can be as high as 69.6-. Sometimes the only symptom may be myoma. Where to Abdominal cavity In does not affect the growth of endometrial intramural myoma, subserous especially in uterine bottom or pedunculated fibroids often have this situation. Abdominal mass in the uterine fibroids that grow more in the pelvic cavity, often in the morning when fasting bladder filling significantly. Because of uterine and leiomyoma is pushed upwards, so that the patient is easy to his touch, more than 4 ~ 5 months pregnant uterus large, in Bladder Not filling can also be touched. Uterine fibroids are generally located in the middle of the lower abdomen, lower abdomen occupies one side, hard or rugged feeling. The larger and more degeneration, soft and smooth. Most of the growth rate of unhappiness. The liberation of the initial data, the growth of up to 22 years before the treatment, mainly because in the old society, women's oppressed, unconditional medical care due. A handful of growth can be rapid or accompanied by pain, should be suspected malignant change.
Presentations were abdominal pain accounted for about 40-, back 25- and dysmenorrhea 45-; also has the performance for the lower abdomen bilge feeling or back pain, much less serious. Tumor compression of pelvic pain is caused by the vessel, Blood stasis , or nerve, or pedunculated Submucous myoma Can stimulate uterine contractions, uterine cavity discharges induced by cervical canal becomes wide and pain; or fibroid necrosis infection Pelvic infection Caused by adhesion, pull, etc.. If the individual because of red degeneration of uterine leiomyoma is a drama with abdominal pain, have a fever. Subserous myoma of uterus or uterine torsion and axial torsion also cause acute severe abdominal pain. Large subserosal fibroids grow within the broad ligament, not only nerve, blood vessels causing pain, but also oppression Ureter Cause the ureter or Hydronephrosis Due to low back pain. Where severe dysmenorrhea and progressive increase of uterine fibroids are often complicated by Adenomyosis Or Endometriosis And so on.
Occurred in the uterine cervical leiomyoma, or uterine fibroids increases lower body, full of the pelvis, pressure caused by the surrounding organs. Oppression bladder, urinary frequency or dysuria appeared, urinary retention; oppression ureter, can cause Hydronephrosis , pyelitis. Growth in the posterior wall of the uterus myoma can oppress rectum, cause constipation, even Defecation difficulties . Pelvic vein compression can lower extremity edema. Oppressive symptom at Menstruation The more significant, which was uterine fibroids congestion and swelling. If the subserous myoma inlaid in the uterus The rectum Fossa can also appear Bladder The rectum or oppressive symptom.
Fibroids cause compression symptoms of about 30-, which accounted for 20- or so, frequent urination, dysuria 10- anuresis painful urinary retention in 5-, 3.3-, 5-, 20- and 6- constipation, lower extremity edema.
Leucorrhea accounted for 41.9-. Increase the uterine cavity, endometrial glands increased, accompanied by Pelvic congestion Or inflammation can cause leucorrhea increased; when Submucous myoma Ulceration, infection, hemorrhage, necrosis, produce Bloody leukorrhea Or purulent odor leucorrhea, can be a lot of.
30- patients with uterine fibroids infertility. May be the cause of infertility treatment, and found the existence of uterine fibroids in the examination. Infertility caused by uterine fibroids are in many aspects, see Uterine fibroids in pregnancy Special section. Spontaneous abortion rate is higher than the normal population, the ratio of 4 ∶ 1.
Prolonged bleeding without timely treatment can produce anemia. Before the liberation, the majority of working women as the life force, despite persistent bleeding, seek to rule without causing anemia. In a report on the early liberation in the patients with uterine fibroids materials: patients in 5 ~ 10 grams accounted for 45.25-. And hemoglobin less than 5 grams, 12.4-, for the Submucous myoma . Severe anemia (5 grams) can lead to anemia, heart disease, myocardial degeneration.
Patients with hypertension and some uterine fibroids, some people with hypertension who statistical fibroids (except a history of hypertension) in most returned to normal after removal of fibroids, may relieve pressure on the ureter.
Flesh tumour is less than 3 months pregnant uterus large, generally can not easily abdominal touch. Touches are generally in the hypogastrium, qualitative hard, not smooth. In patients with thin abdominal wall, the contours of the tumor could be clearly felt, even can see its shape. Bimanual gynecological Generally work out more clearly the contours of uterine fibroids. Fibroids in the anterior uterine wall or the back wall, anterior or posterior wall prominent; multiple myoma of uterus can be in touch more smooth, hard sphere shaped pieces; from the side wall to the side protruding lumps may be broad ligament myoma; cervical increases obviously which can touch the normal uterus, expressed as Myoma of cervix uteri ; uterus showed consistent increases, and hard, may be hidden in the uterine cavity or neck tube Submucous myoma , such as cervix relaxation, into the tumor fingers often can touch smooth spherical; some have been exposed to the cervix, or into the vagina, can stick out a mile; but some secondary infection, necrosis, or larger, do not touch the cervix, easy and cervical cancer, uterine inversion mixed error.
The growth of fibroids can also affect parts of uterus cervical position. Such as the posterior wall of the uterus myoma, uterine body and cervix can be pushed in front of the posterior wall of the uterus myoma; add to the uterine rectum nest development, even can be squeezed into the uterus The symphysis pubis After the top, touching the uterine profile in the lower abdomen, the move also will be the cervix, vaginal wall bulging forward, vaginal touch not touch cervical; as for broad ligament myoma, are often the uterus into the side.
Leiomyoma Transgender In addition to size, palpation of the characters feel lumps, changes, its association with the palace and the cervix is still the same above.