請問我的子宮肌瘤是否一定要儘快做手術,可否遲些做,遲些做有沒有生命危險?

2008-10-14 3:41 am
本人45歲,身體狀態良好,有貧血及子宮肌瘤,現有驗血及2次超聲波報告,懇求有心人士給予意見,是否進入更年期狀態,是否一定要做手術?
30/7/08驗血:
HGB:9.3
WBC:8.2
PLT:332
MCV:71.7
MCH:22.5
MCHC:31.4
RBC:4.13
HCT:0.296
RDW:17.6
MPV:9.3
IRON:2
TIBC:70
FE saturation:<5
Ferritin:8

18/6/06 U/S SCAN PELVIS
The uterus is anteverted and bulky.
Multiple heterogeneous hypoechoic lesions are seen in the uterus
1.Left posterior wall.7.2cm x 7.2cm x6.8cm
2.Right lateral wall,3cm x2.6 cm x2.9cm
3.Anterior wall,1.1cm x0.8cm x1.3cm
4.Anterior wall,1.3cm x0.9cm x1.3cm
5.Right lateral wall of lower uterus,2.1cm x1.9cmx 2.5cm
There are compatible with multiple intramural uterine fibroids.
The endometrial echo is deviated to the right side,but is not thickened.
Both right and left ovaties are obscured.
No abnormal adnexal mass lesion is seen.
The POD is clear.
Urinaty bladder outline is smooth.
No focal intravesical lesion is seen.
The other parts of the pelvis are obscured by bowel shadows.

6/10/08 U/S PELVIS
The Uterus has a lobulated outline.
The dimension is 13.5 x9.7x16.3cm.(TS xAP xLS)
The endometrial thickness is 9mm.
Six fibroids are detected.
1.Two are located at lower posterior wall with sizes of 5.1x5.2x5.5cm and
4.0x2.9x4.3cm
2.Two are located on right side of uterus with size of 3.9x3.9x2.7cm and
3.7x3.7x5.1cm.
3.Two are located at anterior wall with sizes of 1.7x2.3x1.6cm and
2.1x1.7x2.0cm.
No adnexal mass or abnormal fluid collection is detected.
The ovaries are not visualised.
The urinary bladder has a smooth contour and normal mucosal pattern.

Impression:
Six fibroids are noted in the uterus.
The uterus is grossly enlarged.
No other pelvis abnormality is seen.

懇求各位人士給予寶貴意見,謝謝.


因為快要覆診,心情很焦急.


在熟睡後,腰酸背痛,特別在腰部及前腹很痛,是否因為肌瘤的影響,但起床後很快什麼痛楚也沒有.

回答 (2)

2008-10-23 4:10 am
✔ 最佳答案
子宮肌瘤(uterus, myoma of),又稱子宮平滑肌瘤,是女性生殖器最常見的一種良性腫瘤。

多無症狀,少數表現爲陰道出血,腹部觸及腫物以及壓迫症狀等。確切病因不明,現代西醫學採取性激素或手術治療,尚無其他理想療法。

子宮肌瘤是總常見的,據統計40歲以後,出現病況的達30%、40%,或更高。發病率可見是很常見的一個現象。至於 什麽樣的情況需要手術:

  (1)比如說子宮肌瘤特別多,已經讓整個子宮的體積達到了懷孕兩個半月的大小。

  (2)肌瘤導致了貧血。

  (3)肌瘤長得速度太快。肌瘤一年長1cm是合理的範圍。但是如果超過了1cm,甚至更快一些,則要留意。肌瘤長得較快,而且血流很豐富的話,便需要手術。

  (4)子宮肌瘤有異變的可能

  (5)肌瘤長在子宮腔裏面,稱爲黏膜下的子宮肌瘤,它也會通常造成積血、肚子疼和,月經疼。

  (6)還有一種肌瘤壓迫到了膀胱,還有壓迫到了直腸,總是有大便的感覺。

  大部分的子宮肌瘤是可以觀察的,如果沒有貧血,也沒有肌瘤長得很快的情況,也沒有壓迫,則可以再問清楚醫生,是否一定要做手術的必要。
2008-10-15 9:57 pm
腰酸背痛,腰部及前腹很痛是因為肌瘤在妳平睡在床上後,壓住穴位,壓住神經,而且安靜下來時感覺較強,起床後無壓住所以不痛,解決方法是要治本呀!
參考: 本人曾修讀中醫

收錄日期: 2021-04-19 15:12:30
原文連結 [永久失效]:
https://hk.answers.yahoo.com/question/index?qid=20081013000051KK01638

檢視 Wayback Machine 備份