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652 18 |
Ultima descărcare din IBN: 2023-11-19 18:01 |
Căutarea după subiecte similare conform CZU |
618.14-006.36-07-089 (3) |
Științe medicale. Medicină (11143) |
SM ISO690:2012 BURAC, Mihaela, COROLCOVA, Natalia, ALSATOU, Alina. Diagnosticul, tratamentul și conduita clinică a miomului uterin. In: Buletin de Perinatologie, 2019, nr. 4(85), pp. 32-38. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 4(85) / 2019 / ISSN 1810-5289 | ||||||
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CZU: 618.14-006.36-07-089 | ||||||
Pag. 32-38 | ||||||
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Introduction. Fibroids remain the most common female disease; they cause abnormal uterine bleeding (heavy or irregular menstrual bleeding, which is the main reason for gynecologic consultations of women aged 40–50 years) and also pelvic pain. They are the leading cause of hysterectomy worldwide. The aim of the study. To redefine the role of medical treatment, to define the role of new alternatives to surgery for the treatment of fibroids, in relating them to new issues of the 21st century, and to reconsider, in the light of these new surgical techniques, the real role of each indication for surgery. Material and methods. Published literature was retrieved through searches of PubMed, CINAHL, Cochrane Systematic Reviews, Sciend Direct, Hinari for the last 10 years using appropriate controlled vocabulary (uterine fibroids, myoma, leiomyoma, myomectomy, myolysis, heavy menstrual bleeding, and menorrhagia) and key words (myoma, leiomyoma, fibroid, myomectomy, uterine artery embolization, hysterectomy, heavy menstrual bleeding, menorrhagia). Results. The new directions of conservative drug therapy for patients in reproductive and perimenopausal age and infertility patients are described, as well as for surgical therapy. New methods of alternative surgical treatment allow the uterus to be preserved in patients with fibroids, thus reducing morbidity and increasing the quality of life. Conclusions. The majority of fibroids are asymptomatic and require no intervention or further investigations. For symptomatic fibroids such as those causing menstrual abnormalities (e.g. heavy, irregular, and prolonged uterine bleeding), iron defficiency anemia, or bulk symptoms (e.g., pelvic pressure/pain, obstructive symptoms), hysterectomy is a definitive solution. However, it is not the preferred solution for women who wish to preserve fertility and/or their uterus. The selected treatment should be directed towards an improvement in symptomatology and quality of life. |
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Cuvinte-cheie myoma, leiomyoma, fibroid, myomectomy, uterine artery embolization, hysterectomy, heavy menstrual bleeding, миома, лейомиома, миома, миомэктомия, эмболизация маточных артерий, гистерэктомия, обильные менструальные кровотечения |
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