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首页> 外文期刊>Current opinion in obstetrics & gynecology >Review of nonsurgical/minimally invasive treatments and open myomectomy for uterine fibroids
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Review of nonsurgical/minimally invasive treatments and open myomectomy for uterine fibroids

机译：非手术/微创治疗和子宫肌瘤开放式子宫切除术的回顾

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Purpose of reviewThe main purpose of this review is to collect the most recent evidence with regards to safety and effectiveness of the nonsurgical and minimally invasive treatment options for uterine fibroids.Recent findingsAmong the nonsurgical options, uterine artery embolization (UAE), and in eligible patients, magnetic resonance-guided high-intensity focused ultrasound (MRgFUS) are emerging as effective alternatives to surgical options for treatment of symptomatic fibroids. MRgFUS is comparable to UAE, and appears to be a cost effective treatment option, especially in older women, although long-term data are awaited. The transvaginal route for radiofrequency ablation is a promising new nonsurgical alternative, which needs to be studied in larger trials to establish its safety and efficacy.The laparoscopic myomectomy results in less postoperative pain, reduced febrile morbidity, and shorter hospital stay when compared with open laparotomy. The newer robotic approach is comparable to traditional laparoscopic technique in short surgical outcomes but is associated with higher costs. Hysteroscopic myoma resection is an effective surgical intervention for submucous fibroids and prior misoprostol use can help in reducing cervical lacerations.SummaryUAE and MRgFUS can be offered as an alternative nonsurgical option for eligible women with symptomatic fibroids. Laparoscopic myomectomy remains a safe and effective surgical option with advantage of less postoperative pain and faster recovery compared with open laparotomy for women who wish to retain their fertility options.
机译：审查的目的这项审查的主要目的是收集有关子宫肌瘤的非手术和微创治疗方案的安全性和有效性的最新证据。最近的发现在非手术方案中，子宫动脉栓塞（UAE）以及符合条件的患者因此，磁共振引导的高强度聚焦超声（MRgFUS）逐渐成为治疗有症状的肌瘤的手术选择的有效替代方法。 MRgFUS可与阿联酋媲美，并且似乎是一种具有成本效益的治疗选择，特别是在老年妇女中，尽管需要长期的数据。经阴道消融射频消融术是一种有希望的新的非手术替代方法，需要进行较大规模的研究以确立其安全性和有效性。与开放式剖腹术相比，腹腔镜子宫肌瘤切除术可减轻术后疼痛，降低发热性，缩短住院时间。较新的机器人方法在较短的手术结果方面可与传统的腹腔镜技术相媲美，但成本较高。宫腔镜肌瘤切除术是对粘膜下肌瘤的有效手术干预措施，以前使用米索前列醇可以帮助减少宫颈裂伤。对于有症状的肌瘤的合格女性，SummaryUAE和MRgFUS可以作为非手术的替代选择。腹腔镜子宫肌瘤切除术仍然是一种安全有效的手术选择，与那些希望保留生育能力的妇女相比，开放式剖腹术相比，术后疼痛更少，恢复更快。

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