子宮肌瘤
[ Uterine Fibroid ]

什麼是子宮肌瘤 ?

由子宮壁肌肉細胞所形成的良性腫瘤,體積可以如豌豆小,也可以如木瓜大。成因不明,但多數會幾個瘤同時出現。通常屬良性。
四名四十歲以上女性就有一個會患上子宮肌瘤。要對付子宮肌瘤,除了要做定期檢查外,而最新的微創手術和治療方法,可以把肌瘤「活生生餓死」。生育年齡婦女都會有子宮肌瘤,以三十至五十歲居多。
50%以上無病徵。如有的話,可分為:
1 經血量增加。
2 壓迫感。
3 不孕、不育。
4 肌瘤變大時,有可能令腹部痛、小便困難、尿頻、性交疼痛、肚脹經痛等。

如何治療子宮肌瘤 ?

女性若患有子宮肌瘤,不用驚慌,因為大部分病例都不用做手術,原因是肌瘤大多數屬於良性。除非引起如經血量過多或經痛等問題,或者肌瘤過大,壓著腹腔其他器官引起痛楚,才會需要進行治療。在女性收經後,這些肌瘤就會漸漸消失。
現在做切除子宮肌瘤手術,大部分都是微創手術,會在病人肚臍對上,開個一厘米傷口放入鏡頭,再在病人下腹開兩個一厘米的傷口,放入儀器進行手術,因此造成的創傷較少。
而最新的微創手術,名為「子宮肌瘤血管栓塞手術」,由病人大腿血管引入一條導管到子宮,將約三至七毫升的聚乙烯醇微粒(Polyvinyl Particles),注滿接近肌瘤的子宮血管,使之停止為肌瘤供血,因而令肌瘤萎縮甚至「餓死」。這手術可以令肌瘤的體積減少四成,但是仍有復發機會,因此只屬第二線治療,通常不想或不適合做手術的女士較適合做。
LAU WING WAH #13072
9/8/2016 9:42:07 PM

子宮肌瘤病症分享

本人有子宮肌瘤
12 X 10 X7CM
算大嗎?
要做手術嗎?
范德忠醫生 #13073
9/9/2016 12:49:52 AM

子宮肌瘤病症分享

大!一般應該要做手術。可考慮微創。
CHAN MAN #13091
9/21/2016 9:56:50 PM

子宮肌瘤病症分享

想請問子宮肌瘤會5會走位
定生係個度就個度
只會增大 5會走位
范德忠醫生 #13098
9/25/2016 8:40:18 AM

子宮肌瘤病症分享

子宮肌瘤接受連子宮的位置不會變,但有一些稱為漿膜底肌瘤的,因接連子宮的部分非常幼細,而出現左右擺動,造成會走位的假象。
Carol #13106
10/13/2016 8:28:15 PM

子宮肌瘤病症分享

i have a multiple uterine fibroid
largest one is 8.4 x 7 x 9.0, others measure less than 5cm
i feel a little bit aching on lower abdo at times, not painful enough to disturb my daily activity or required pain killer.
however, i hv prolonged irregular bleeding recently and i am not sure if i should go for surgery or just wait.
what really concern me is that i would like to have my own children in 2-3 years time and i am not sure if it will affects my future pregnancy if go for surgery now or should i just wait and see !?
方秀儀醫生 #13107
10/15/2016 6:03:45 PM

子宮肌瘤病症分享

Dear Carol,

Thanks for your question.

It will be better for you to consult your gynaecologist for a proper examination and ultrasound. Since you have irregular bleeding recently, you will need a pap smear and examination of the uterine lining.

Some fibroids affect implantation of the embryo, depending on the location of the fibroid, and hence affecting your fertility.

Also, from your description, the largest fibroid is 9cm which is very big already. I will suggest operation.

Please consult your gynaecologist for more details.

Regards,
Dr. Fong Sau Yee
Specialist in Obstetrics and Gynaecology
子宮肌瘤病症分享
建議內容:病患經歷、治療心得、保建調理......
Copyright©2017 www.seedoctor.com.hk
All rights reserved