子宫肌瘤个性化治疗原则.pptVIP

4.3 Vaginal myomectomy（经阴道子宫肌瘤切除术） Treatment Large myomas arising from the uterine body may fill the vagina and result in intermenstrual bleeding, unhealthy discharge, or urinary retention. 来源于宫体的大肌瘤可能填满阴道，导致月经间期出血，不洁分泌物或尿潴留。 Most of these can be enucleated per vaginum and the stalk ligated. 大部分这类肌瘤可经阴道剜出，并将瘤蒂结扎。 Treatment an intraoperative clinical photograph of partial (right-sided) inversion of uterine fundus caused by a large stalked myoma arising from the fundus. 来源于宫底的带蒂大肌瘤导致部分（右侧）子宫底的内翻 Treatment Hysterectomy When childbearing considerations have been fulfilled there is