It is recommended to find a larger and more authoritative hospital to check again.

After searching on the Internet, the general treatment methods for this disease are:

1. Follow-up observation

If the patient has no obvious symptoms and no signs of malignant transformation, he can Regular follow-up and observation.

2. Drug treatment

(1) Gonadotropin-releasing hormone agonist (GnRH-a) GnRH-a, which is currently commonly used clinically, has bright Prorelin (Inaton), goserelin (Norade), Triptorelin (Dabiga), etc. GnRH-a is not suitable for long-term continuous use. It is only used for pretreatment before surgery. It is generally used for 3 to 6 months to avoid severe menopausal symptoms caused by low estrogen. It can also be supplemented with a small dose at the same time. Estrogen counteracts this side effect.

(2) Mifepristone is a progesterone antagonist that has been clinically tested in recent years to treat uterine fibroids. It can reduce the size of fibroids, but the fibroids often grow again after the drug is stopped.

(3) Danazol is used for preoperative medication or treatment of uterine fibroids that are not suitable for surgery. Uterine fibroids may grow after stopping the medication. Taking danazol can cause damage to liver function and may also have side effects caused by androgens (weight gain, acne, dull voice, etc.).

(4) Tamoxifen (tamoxifen) can inhibit the growth of fibroids. However, long-term use of the drug may cause uterine fibroids to increase in some patients, or even induce endometriosis and endometrial cancer, so attention should be paid.

(5) Androgen drugs Commonly used drugs include methyltestosterone (methyltestosterone) and testosterone propionate (testosterone propionate), which can inhibit the growth of fibroids. Care should be taken in dosage to avoid virilization.

During the bleeding period of patients with uterine fibroids, if the amount of bleeding is heavy, uterine contraction agents (such as oxytocin, ergot) and hemostatic drugs (such as hemostatic acid, aminotribenzoic acid (hemostatic aromatic acid), etc.) can also be used. Li Zhi Xie, Panax notoginseng tablets, etc.) can play an auxiliary hemostatic effect to a certain extent.

3. Surgical treatment

Surgical treatment of uterine fibroids includes myomectomy and hysterectomy, which can be performed through the abdomen or vagina, or endoscopic surgery (uterine surgery) laparoscopy or laparoscopy). The choice of surgical method and approach depends on factors such as the patient's age, fertility requirements, fibroid size and growth location, and medical technical conditions.

(1) Myomectomy is a surgery to remove uterine fibroids while preserving the uterus. It is mainly used for young women under the age of 40 who hope to preserve their reproductive function. It is suitable for those with large fibroids, menorrhagia, compression symptoms, infertility caused by fibroids, submucosal fibroids, and fibroids that grow quickly but have no malignant transformation.

(2) Hysterectomy: Those with obvious symptoms, those with fibroids that may become malignant, and those with no desire to have children should undergo hysterectomy. Hysterectomy can be either total hysterectomy or subtotal hysterectomy. For older patients, total hysterectomy is more appropriate. The possibility of malignant cervical disease must be ruled out before surgery.

(3) Uterine artery embolization uses radiological intervention to directly insert the arterial catheter into the uterine artery, inject permanent embolization particles, block the blood supply of uterine fibroids, and achieve shrinkage or even disappearance of fibroids. . UAE is currently mainly used for symptomatic uterine fibroids such as anemia caused by abnormal uterine bleeding. Care should be taken when choosing interventional treatment for uterine fibroids, especially those with uncontrolled pelvic inflammation, those who hope to preserve their fertility, patients with arteriosclerosis, and those with contraindications to angiography, should be listed as contraindications to this treatment. 5% of patients may develop premature ovarian failure after surgery, and there are also rare reports of pelvic infection.

4. Focused ultrasound therapy

By focusing ultrasound waves, the temperature locally increases to above 65°C inside the tumor, causing coagulative necrosis of the tumor and plays a therapeutic role. The treatment can Make fibroids shrink and relieve symptoms. Indicated for symptomatic uterine fibroids. There are no surgical scars after treatment and the advantages are quick postoperative recovery. Side effects include skin burns, adjacent intestinal injury, and hematuria.