Submucosal uterine fibroids

Lub tsev menyuam yog ib tug hollow lub cev, li qhov luaj li cas thiab zoo ntawm ib tug me me lub hnab. Myoma yog hu ua ib tug benign qog, uas loj hlob ntawm lub cev nqaij. Nyob ntawm seb cov ntshav, qog qhov chaw tej zaum yuav txawv. Neoplasms tej zaum yuav nyob rau hauv lub uterine nqaij, thiab tseem mus loj hlob nyob rau hauv tus txheej nto ntawm lub cev. Nyob rau hauv lub yav tas los cov ntaub ntawv nws yog hu ua lub qog interstitium, nyob rau hauv lub thib ob - subserous. Muaj kuj yog ib tug submucosal fibroid lub tsev me nyuam. Yog li nodules cov protrude mus rau hauv lub uterine kab noj hniav.

Lub ntsiab thiab feem ntau yuav qhia tau tej yam tshwm sim ntawm cov tsos ntawm cov submucosal neoplasms xws li uterine los ntshav. Thaum tus mob no yog tseem nrog heev thiab hnyav coj khaub ncaws, ua rau cov ntshav liab. Feem ntau nrog submucous uterine fibroids ntxiv lawm tshob. Qhov no yog vim lub fact tias nodular growths ua raws li ib tug kauv.

Mob ntawm tus kab mob yog nqa tawm siv ultrasound. Txoj kev tshawb no yog tau siv transvaginal los yog transabdominal sensors.

Nyob rau hauv tas li ntawd, diagnostic yam muaj xws li cov intrauterine sonography (gisterosonografiyu). Txoj kev tshawb no yog nqa tawm nyob rau hauv tus neeg mob ntawm hnyav los ntshav thaum cov kev taw qhia ntawm saline rau hauv lub cev muaj kab noj hniav. Qhov no provokes tus expansion ntawm nws lumen thiab tso cai rau ntau yog visualization ntawm nodular novoobrazvanie thiab txais cov ntaub ntawv hais txog qhov luaj li cas ntawm nws intramural tivthaiv.

Nyob rau hauv tej rooj plaub, tej zaum nws yuav tsum nqa tawm thiab gidrosonografiya. Qhov no siv ib cov pa paum sojntsuam thiab tus zoo neeg sawv cev. Qhov no diagnostic txoj kev tso cai los mus txiav txim localization ntawm ib tug neoplasm, mus ntes deformation nyob rau hauv lub uterine kab noj hniav, tab sis kuj qha mob nodule nrog endometrial polyps.

Niaj hnub no yog siv nyob rau hauv qhov mob ntawm peb-dimensional ultrasonography. Txoj kev tshawb no cov kws kho mob tau txais tag nrho thiab lub hom phiaj cov lus qhia txog tus kab mob no muaj.

Rau kev tshawb fawb thiab perinodulyarnogo intradulyarnogo ntshav txaus nyob rau hauv neoplasm siv doppler txoj kev. Qhov kev tshwm sim qhia txoj kev loj hlob o thiab lawv cov yam ntxwv hloov.

Tus tsis ntev los mob "submucous uterine fibroids," entailed qhov kev tshem tawm ntawm ib tug hloov khoom nruab nrog. Niaj hnub no, txawm li cas los, muaj ib tug tau mus siv niaj hnub hysteroscopic khoom mus nqa tawm cov kev pab, kom nws thiab tshem tawm tsuas yog tus mob nodule. Txawm li cas los, tsis yog txhua txhua lub tsev kho mob hnub no yog nruab nrog cov kev tsim nyog cov khoom. Nyob rau hauv ntau yam ntawm lawv, thaum "submucous uterine fibroids," qhov mob ntawm tus kab mob, kev kho yuav tsuas xaiv - tshem tawm ntawm ib tug hloov khoom nruab nrog.

Hysteroresectoscopy nqa tawm los ntawm qhia ib tug tshwj xeeb lub cuab tam - hysteroresectoscopy. Nws yog tswvcuab los ntawm lub paum, tus ntxiv los ntawm lub channel nyob rau hauv lub caj dab lub cev muaj kab noj hniav. Hysteroresectoscopy combines electrocoagulated hom thiab ib tug video koob yees duab. Qhov no tuskheej txhua submucous ntawm nyob rau hauv lub tsev me nyuam khaubncaws sab nraud povtseg.

Nws yuav tsum tau muab sau tseg tias nodular hlav yuav tsum laus nyob rau hauv ntau txoj kev thiab muaj cov zaubmov ntawm qhov chaw thiab qhov luaj li cas ntawm cov khoom hauv nrog cev.

Raws li kev xyaum qhia, tus soj ntsuam rov qab tshwm sim nyob rau hauv feem ntau tus neeg mob tom qab hysteroresectoscopy.

Thaum lub complex txoj kev loj hlob ntawm tus kab mob, thaum lub loj ntawm nodular growths ntawm ntau tshaj peb centimeters los yog ntau dua nodosa feem nyob rau hauv cov nqaij ua ntej phais yuav muab preoperative lawm.

Submucosal uterine fibroids ntawm txawv ceev. Nyob rau hauv cov ntaub ntawv no, ib tug yuav muaj malignancy.