Миома матки: в пользу оперативного лечения при бесплодии

Incidence of uterine fibriods in women population is 20-25 %. At the age of 35 years the incidence increased to 52 %, but only 20 % of all fibroids became symptomatic. This article presents a modern view of conservative and surgical treatment of uterine fibroids. We study results of 721 myomectomies, which are performed at our department from 2010 to 2014 year. Laparoscopic myomectomy was done in 502 patients (69.6 %), laparotomic in 13 % cases, hysteroscopic myomectomy in 141 (19.9 %) patients. In 26 (3.6 %) cases a combined access was required, in 7 (0,97%) - a conversion. We analyzed the reproductive outcomes of 218 patients treated at our department. The cumulative frequency of pregnancies was 51.6 %. Spontaneous pregnancy accounted for 69 % of this number. A single (1.3 %) complication in the form of the uterine scar rupture was documented in the week 34 of pregnancy. Conclusion. Myomectomy in symptomatic myoma is a safety procedure with a low rate of complications.