Surgical treatment for 44 cases of uterine cervical leiomyoma

Objective:Try to find the surgical approach for uterine cervical leiomyoma.Methods:44 cases with uterine cervical leiomyoma were operated in our hospital from January 1995 to December 2004.Hysterectomy and myomectomy trans-vaginal or trans-abdominal were selected according to size of myoma and evaluated the treatment effects.Results:Eight cases of ≤5cm intramural myoma and subserous myoma selected trans-vaginal myomectomy.Twelve cases myoma diameter range between 5~10 cm selected trans-abdominal hysterectomy,the approach from opposite side of leiomyoma entered the vaginal fornix to complete trans-abdominal hysterectomy had little blood loss,fewer complications,preserved long enough vagina.Nine cases≥l0 cm selected myomectomy and then hysterectomy procedure.Fifteen cases of pendent uterine cervical leiomyoma with slim pedicels selected direct trans-vaginal Leiomyoma myomectomy.Conclusion:The surgical approach for uterine cervical leiomyoma should be considered individually according to the size and type of myoma.Selected surgical procedures mentioned above can excision myoma and uterine effectively and prevent complications.