新人999肌瘤如何治疗配图，仅供参考
Treatment options for uterine leiomyomas include both medical and surgical modalities. Medication management of leiomyomas is largely targeted toward reducing the severity of symptoms as opposed to being curative. Combination oral contraceptives are a common first-line agent for symptomatic control of menorrhagia before definitive treatment; however,there is not enough evidence to prove this approach is effective . However,it stands to reason that the anovulatory cycles produced by low-dose combination OCPs may be detrimental to leiomyoma growth. Progestin-releasing intrauterine devices have also been used to treat heavy menses associated with fibroids. Gonadotropin-releasing hormone (GnRH) agonists are most effective at targeting the range of symptomatic leiomyomas because they have been shown to reduce the uterine size by 35% to 65%,relieving pelvic pain or mass effect symptoms and may produce amenorrhea . Though these size-reducing effects rapidly reverse upon discontinuation of the medication,GnRH agonists are primarily used to reduce fibroid size and symptoms before surgery or to transition a patient to menopause . Surgical management of leiomyomas aims to resolve symptoms by removing or destroying the offending agent. The procedure of choice depends on several factors,including the patients desire for future fertility,the desire to retain the uterus,and the FIGO leiomyoma type. In patients with FIGO type 0,1,and 2 who have aimed for future fertility,hysteroscopic myomectomy is the procedure of choice . In patients with fibroids not amenable to a transcervical approach,the recommendation is to perform a laparoscopic or open abdominal procedure,depending on fibroid size. Additional procedures to consider are MRI-guided focused ultrasound surgery,uterine artery embolization,radiofrequency ablation,or hysterectomy . Despite surgical treatment,leiomyomas may still recur due to remnants of a previously removed nodule taking root or an entirely new fibroid emerging; due to the risk of recurrence,hysterectomy remains the only definitive procedure to relieve symptoms and prevent future occurrences.","department":"
