沃醫子宮肌瘤腺肌症微無創治療中心WeHeal Fibroids Center, 101 Prince Bay Hospital, No. 1006 Wanghai Road, Wuwan Community, Zhaoshang Sub-district, Nanshan District, Shenzhen City, P. R., Shenzhen (2026)

12/03/2026

這位子宮內膜異位症患者手術後復發，出現了一顆 12 公分的囊腫。

9 年前，她在當地醫院接受過開腹囊腫切除手術；9 年後囊腫復發。

當地醫院表示只能再做腹腔鏡手術，但患者因為嘗過前一次手術的痛苦，不願再接受腹腔鏡治療。
經其他醫師轉介，她前來我們團隊接受穿刺固化治療。

針對這麼大的囊腫，我們耗時 1 小時執行抽吸，總共抽出 500 ml 囊液，反覆沖洗囊腔，最後使用超過 300 ml 固化藥物將囊壁固化。

相較於傳統腹腔鏡手術，這項治療傷口小、痛苦少、恢復快，對於尚未生育的患者，也能更好地保護卵巢功能。

This patient with endometriosis who had a recurrence after surgery developed a 12-cm cyst. Nine years ago, she underwent an open abdominal cyst removal surgery at a local hospital. Nine years later, the cyst recurred. The local hospital stated that only another laparoscopic surgery could be performed. Having experienced the pain of the previous surgery, she was reluctant to undergo another laparoscopic procedure. Another doctor recommended that she seek treatment from our team for puncture and solidification therapy. For such a large cyst, we spent 1 hour performing suction, extracting a total of 500 ml of cyst fluid, repeatedly flushing the cyst cavity, and finally using over 300 ml of solidification fluid to solidify the cyst. Compared to traditional laparoscopic surgery, this procedure is not only less painful and faster to recover from, but it also provides better protection for the ovarian function for patients who are not yet pregnant.

#子宮內膜異位症 #卵巢囊腫 #微創治療 #穿刺固化治療 #婦產科 #女性健康 #保護卵巢功能 #無痛治療

11/02/2026

10cm肌瘤→4cm，體積縮細91%！唔使開刀醫肌瘤係咩玩法？

子宮肌瘤搞到月經量多、貧血頭暈？驚開刀創傷大、復原慢？今日我哋通過一個真實嘅5年跟進case，同你拆解唔使開刀嘅「消融治療」究竟係點樣一回事。

真實案例：同「M到」嘅煩惱講拜拜

有位女士，因為個成10cm嘅巨大肌瘤，長期月經量多，血紅蛋白得102g/L（輕度貧血）。佢未來有生育計劃，希望可以微創、保留子宮。我哋沃醫團隊就建議佢做「經皮子宮肌瘤微波消融治療」。

神奇嘅改變發生喇：

•
3個月後：月經量回復正常，貧血乏力嘅症狀冇晒，生活質素大大提升，幾乎唔記得自己有個肌瘤。

•
5年後：覆診照超聲波，當年個10cm嘅肌瘤縮到得4cm，體積只係得返原來嘅8.8%！血紅蛋白都回復到130g/L嘅健康水平。

呢一切，都係喺唔使開刀、保住子宮嘅前提下實現嘅！

消融 vs. 切除：個肌瘤去咗邊？

好多朋友都關心，唔開刀，個肌瘤去咗邊？

•
傳統手術：係「切除」，將肌瘤成個攞走，即時見效。

•
消融治療：係「破壞」，用熱能將肌瘤「煮熟」，等佢就地壞死、冇晒活性。壞死咗嘅肌瘤會好似風乾嘅橘子皮咁，被身體慢慢吸收、逐漸縮細。

所以，消融治療後，肌瘤唔會即刻「消失」，而係會經歷一個漫長嘅「萎縮」過程。評價療效嘅關鍵，唔係超聲波睇唔睇到個肌瘤，而係症狀有冇改善！

醫生提提你：關於消融治療嘅3個大實話

1. B超睇到肌瘤 ≠ 治療失敗

消融之後，壞死嘅肌瘤喺普通超聲波上可能睇落仲喺度，但佢已經「死」咗。只有增強MRI或超聲造影先可以確認。所以，唔好因為B超話「肌瘤仲喺度」而焦慮！

2. 「復發率100%」？唔好嚇親！

如果照B超發現就算復發，咁復發率確實接近100%。但我哋更關心嘅係症狀有冇再次出現。大約10-20%嘅患者喺2年內可能需要二次干預。

3. 消融「唔徹底」？反而係優點！

對比腹腔鏡手術，消融確實「唔徹底」。但佢唔會造成盆腔粘連，未來如果需要切除子宮，仲可以揀創傷更細嘅經陰道手術。

重點：我適唔適合做消融治療？

•
適合人群：有症狀嘅肌瘤患者，希望微創、保留子宮。

•
年輕患者注意：如果未來有生育計劃但近期冇，而且肌瘤冇症狀，唔建議太早治療。建議等出現症狀或者準備懷孕前再做。

總之，消融治療追求嘅唔係影像學上嘅「完美」，而係生活質素嘅改善。記住同你嘅醫生充分溝通，揀最適合你嘅方案！

#子宮肌瘤 #消融治療 #微創手術 #月經量多 #貧血 #備孕 #龔曉明醫生 #沃醫婦產 #香港醫療

Here is the English version for Facebook:

10cm Fibroid → 4cm: A 91% Volume Reduction! What's It Like to Treat Fibroids Without Surgery?

Suffering from heavy periods and anemia due to uterine fibroids? Worried about major surgery and a long recovery? Today, I'm sharing a real 5-year follow-up case to explain what non-surgical "ablation therapy" is all about.

A Real-Life Story: Freedom from Period Problems

A patient had a large 10cm fibroid, causing heavy menstrual bleeding and anemia (her hemoglobin was only 102 g/L). She wanted to preserve her uterus for a future pregnancy and sought a minimally invasive option. Our Wooi team recommended percutaneous microwave ablation.

The results were remarkable:

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3 Months Later: Her periods returned to normal, and symptoms of anemia and fatigue disappeared. Her quality of life improved so much she almost forgot she ever had a fibroid.

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5 Years Later: An ultrasound showed the 10cm fibroid had shrunk to just 4cm—a volume reduction of over 91% (to 8.8% of its original size)! Her hemoglobin was back to a healthy 130 g/L.

All of this was achieved without major surgery and while preserving her uterus.

Ablation vs. Surgery: Where Does the Fibroid Go?

Many people wonder: if there's no surgery, where does the fibroid go?

•
Traditional Surgery (Myomectomy): This is "removal." The fibroid is cut out and taken from the body.

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Ablation Therapy: This is "destruction." Heat energy is used to "cook" the fibroid, causing the tissue to die (a process called necrosis). The body's immune system then gradually breaks down and absorbs the dead tissue, much like a bruise healing. The fibroid shrinks over time.

So, after ablation, the fibroid doesn't vanish instantly. The key measure of success isn't whether the fibroid is gone on an ultrasound, but whether your symptoms have improved.

Doctor's Advice: 3 Honest Truths About Ablation

1. Seeing a fibroid on a standard ultrasound ≠ Treatment Failure

After ablation, the dead tissue can still be visible on a standard ultrasound. Only a contrast-enhanced MRI or ultrasound can confirm that the blood supply is gone. Don't panic if your doctor says the fibroid is "still there"!

2. "100% Recurrence Rate"? Don't Be Alarmed!

If any regrowth seen on an ultrasound is counted as "recurrence," then the rate is high. What matters is whether symptoms return. About 10-20% of patients may need a second intervention within 2 years, but this isn't a failure of the initial treatment.

3. Ablation Isn't "Complete Removal"—And That Can Be an Advantage!

Compared to surgical removal, ablation is less "complete." However, this has a significant benefit: it doesn't cause internal scarring (adhesions) between the uterus and surrounding organs. This means if a hysterectomy is ever needed in the future, a less invasive va**nal approach is still possible—an option that can be complicated by adhesions from a prior myomectomy.

Is Ablation Right for You?

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Good Candidates: Patients with symptomatic fibroids who want a minimally invasive, uterus-preserving treatment.

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A Note for Younger Patients: If you plan for pregnancy in the distant future and your fibroids are currently asymptomatic, it's often better to wait. Treating too early might mean the fibroid regrows by the time you want to conceive. It's best to treat when symptoms appear or just before you plan to get pregnant.

The goal of ablation is not a "perfect" image on a scan, but a "perfect" improvement in your quality of life. Always have a thorough discussion with your doctor to choose the best path for you.

25/01/2026

👨🏻‍⚕️ 肌瘤大过5cm就一定要做手术？龚医生话你知：唔一定！

👨🏻‍⚕️ Fibroids over 5cm mean surgery? Dr. Gong explains: Not necessarily!

好多女士一听到自己有子宫肌瘤，尤其系大过5cm，就即刻好惊，以为一定要开刀。其实，肌瘤嘅大小并唔系决定系咪要做手术嘅唯一标准。

作为一名妇产科医生，我想同大家讲：唔好自己吓自己！

🤔 我哋要考虑啲乜？

1.
有冇症状：有冇月经过多、贫血、腹痛、尿频呢啲问题？如果冇，好多时可以继续观察。

2.
生长速度：肌瘤系咪大得好快？如果短期内迅速增大，就要小心。

3.
生育需求：有冇计划生BB？肌瘤嘅位置同大小可能会影响怀孕。

4.
系咪近绝经期：如果就快绝经，肌瘤通常会自己萎缩，就更加唔使急住做手术啦。

💡 WeHeal 嘅微波消融技术
对于有症状、又想保留子宫嘅女士，我哋深圳 WeHeal（沃医）中心嘅微波消融（Microwave Ablation）系一个好好嘅选择。佢系一种微无创技术，唔使开大刀，恢复快，可以精准咁“叮”死个肌瘤，保住子宫。

所以，发现子宫肌瘤唔使慌，最紧要系搵专业医生评估，制定最适合你嘅方案。

Many women panic when diagnosed with uterine fibroids, especially if they are larger than 5cm, assuming surgery is inevitable. However, the size of the fibroid is not the sole factor in determining the need for surgery.

As an OB/GYN, I want to reassure you: don't scare yourself!

🤔 What do we consider?

1.
Symptoms: Are you experiencing heavy menstrual bleeding, anemia, abdominal pain, or frequent urination? If not, observation is often a viable option.

2.
Growth Rate: Is the fibroid growing rapidly? A sudden increase in size warrants closer attention.

3.
Fertility Plans: Are you planning to have children? The location and size of the fibroid can impact pregnancy.

4.
Proximity to Menopause: If you are approaching menopause, fibroids typically shrink on their own, making surgery less urgent.

💡 WeHeal's Microwave Ablation (MWA) Technology
For women with symptoms who wish to preserve their uterus, Microwave Ablation (MWA) at our WeHeal (沃医) Center in Shenzhen is an excellent choice. This minimally invasive technique requires no major incisions, allows for a quick recovery, and precisely targets the fibroid while preserving the uterus.

So, if you have uterine fibroids, don't panic. The most important step is to seek a professional medical evaluation to create a personalized treatment plan.

#子宫肌瘤 #微波消融 #龚晓明医生 #沃医 #香港医疗 #新加坡医疗 #微无创治疗

25/01/2026

【👩‍⚕️ 子宮肌瘤唔使惊！「冷刀」微创手术，温柔保宫，守护你嘅生育力！👶】

各位姊妹，係咪成日聽到「子宮肌瘤」就心慌慌？月經量多到似水喉、經痛到郁唔到、甚至影響生BB？😫 唔使怕！而家有種超先進嘅「冷刀宮腔鏡」技術，可以幫你溫柔解決煩惱！

🤔 咩係「冷刀」？同傳統電刀有咩分別？

🔪 傳統電刀 (熱刀)：用熱能去切肌瘤，好似燒焊咁，雖然有效，但好易「辣」親旁邊健康嘅子宮內膜，搞到子宮黐埋一齊（宮腔粘連），影響陀B。

❄️ 冷刀技術 (新選擇)：佢係一把「唔發熱」嘅微型手術刀！純粹用物理方式，好似精雕細琢咁，將肌瘤精準切走，完全唔會辣親無辜嘅內膜「靚地」。

✨ 「冷刀」嘅四大好處，你一定要知！✨

1️⃣ 極致保宮，守護「BB床」：完整保護子宮內膜，唔會破壞BB未來張「床仔」，術後懷孕機會大大提升！

2️⃣ 告別宮腔粘連：創傷極細，發炎機會低，子宮唔會亂咁「拉絲」，唔再怕月經變少或者難有BB。

3️⃣ 安全又快手：手術出血少，風險低，第二日就可以出院，好快返到正常生活！

4️⃣ 高懷孕率：好多因為肌瘤而難懷孕嘅女士，做完冷刀手術之後都成功做咗媽媽！🤰

💡 邊啲人最啱做「冷刀」手術？

•
計劃生BB嘅你

•
有黏膜下肌瘤，或者肌瘤位置比較「刁鑽」

•
好擔心術後會有後遺症

如果你都俾子宮肌瘤困擾緊，快啲搵醫生傾下，了解多啲呢個「溫柔」又高效嘅新技術啦！

#子宮肌瘤 #冷刀 #宮腔鏡 #微創手術 #保護生育 #不孕 #經痛 #月經過多 #婦科健康 #香港醫療 #女士健康

【👩‍⚕️ Uterine Fibroids? Discover the 'Cold Knife' Hysteroscopy – A Gentle, Fertility-Sparing Solution! 👶】

Dealing with uterine fibroids? Heavy periods, debilitating pain, or even fertility struggles can be overwhelming. 😫 But there's a groundbreaking minimally invasive technique that offers new hope: Cold Knife Hysteroscopic Myomectomy.

🤔 What is 'Cold Knife' and How is it Different from Traditional Electrosurgery?

🔪 Traditional Electrosurgery ('Hot Knife'): Uses high-frequency electrical current to cut and cauterize fibroid tissue. While effective, the heat can damage the surrounding healthy uterine lining (endometrium), leading to scarring and intrauterine adhesions, which can compromise future fertility.

❄️ Cold Knife Technique (The New Standard): This is a heat-free surgical method. It relies purely on mechanical precision, using miniature scissors or blades to meticulously resect the fibroid without any thermal energy. This means no burns, no collateral damage, and maximum protection for your precious endometrium.

✨ Top 4 Benefits of the 'Cold Knife' Technique ✨

1️⃣ Ultimate Endometrial Protection: By avoiding heat, the 'cold knife' preserves the delicate basal layer of the endometrium – the foundation for a healthy pregnancy. This significantly improves your chances of successful conception and carrying a baby to term.

2️⃣ Drastically Reduced Adhesion Risk: Intrauterine adhesions are a major concern after uterine surgery, often causing infertility or recurrent miscarriages. The minimal trauma from cold knife surgery leads to less inflammation and a very low risk of adhesion formation.

3️⃣ Enhanced Safety & Faster Recovery: This precise technique results in minimal blood loss and a very low complication rate. Patients experience less postoperative pain and a quicker return to their daily activities.

4️⃣ Higher Pregnancy Success Rates: Clinical studies show that women who undergo cold knife myomectomy for fibroid-related infertility have significantly higher subsequent pregnancy and live birth rates. 🤰

💡 Who is the Ideal Candidate for 'Cold Knife' Surgery?

•
Women who wish to preserve or enhance their fertility.

•
Patients with submucosal or deep intramural fibroids.

•
Anyone concerned about the long-term risks of intrauterine adhesions.

If uterine fibroids are impacting your quality of life, it's time to ask your doctor about this gentle yet powerful new standard of care.

24/01/2026

子宮內膜息肉反覆復發？你需要知道的事 🏥
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📌 你有冇試過呢個情況？
做咗宮腔鏡手術切除子宮內膜息肉，以為可以鬆一口氣，點知過咗幾個月又開始出血？又要再做手術？
你唔係一個人！根據醫學研究，有 19-43.6% 嘅患者會經歷息肉復發。但好消息係——我哋依家有更好嘅方法去預防呢個問題。
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🔍 點解息肉會一直復發？
1️⃣ 激素失衡
你嘅子宮內膜就好似一塊「土壤」，如果土壤入面嘅激素環境唔平衡，息肉（「野草」）就會不斷生長。
• 雌激素過高 → 內膜增生
• 孕激素唔夠 → 無法抑制增生
• 結果：息肉一直生返出嚟
2️⃣ 發炎反應
慢性子宮內膜炎（CE）係一個隱藏嘅殺手： - 內膜發炎，容易形成息肉 - 有 CE 嘅患者，1年內復發率達 26.6% - 冇 CE 嘅患者，復發率只有 9.5%
3️⃣ 代謝問題
肥胖、糖尿病、多囊卵巢綜合症（PCOS）等代謝問題會增加息肉風險： - 胰島素抵抗 → 激素失衡 - 脂肪組織產生過多雌激素 - 內膜環境變差，息肉容易生長
4️⃣ 手術因素
• 息肉冇完全切除乾淨
• 基底部冇徹底處理
• 手術後冇做任何預防措施
________________________________________
✅ 點樣先至可以真正解決呢個問題？
🔴 第一步：精準手術
• 使用宮腔鏡完全切除息肉
• 確保基底部完全清除
• 必須做病理檢查，排除癌變
🟠 第二步：預防治療（最重要！）
根據你嘅情況，醫生會建議：
A. 曼月樂環（LNG-IUS） ⭐ 最推薦
• 復發率最低：只有 5-15%
• 點樣運作：直接喺子宮內膜釋放孕激素
• 效果：5年內保護，可以再換
• 優點：保留生育功能，同時避孕
• 適合：所有患者，特別係高危患者
真實數據：做咗息肉切除 + 放曼月樂嘅患者，6-7年後復發率只有 5.3%！
B. 口服孕激素
• 復發率：10-20%
• 用法：甲羥孕酮 160mg/日，用 3-6 個月
• 優點：可逆、成本低、保留生育功能
• 適合：年輕患者、有生育需求
C. 避孕藥
• 復發率：15-25%
• 優點：月經規律、月經量減少、同時避孕
• 適合：需要避孕嘅患者
D. 內膜消融術（適合无生育需求且能接受术后閭經的患者）
• 復發率最低：只有 4.3%（對比單純切除嘅 19.1%）
• 效果：長期有效，6-7年複發率 5.3%
• 重要提示：不仅限于綕經後患者，年轻患者只要无生育需求並能接受术后閭經，也可考慮此治疗
🟡 第三步：治療潛在病因
如果有慢性子宮內膜炎：
• 進行抗生素治療（7-14天）
• 配合放曼月樂環
• 效果：大大降低復發風險
如果有代謝問題：
• 肥胖：控制體重至 BMI < 25kg/m²
• 糖尿病：血糖控制好，HbA1c < 7%
• PCOS：用二甲雙胍改善胰島素抵抗
• 高血壓、高血脂：用藥物控制
🟢 第四步：改善生活方式
呢啲簡單嘅改變可以顯著降低復發風險：
✓ 運動：每週 150 分鐘中等強度運動 ✓ 飲食：低糖、低脂、高纖維 ✓ 睡眠：每晚 7-8 小時，避免熬夜 ✓ 壓力：做瑜伽、冥想、放鬆活動 ✓ 戒煙限酒：完全戒煙，少飲酒
________________________________________
📅 手術後應該點樣跟進？
早期（術後 2 週 - 1 個月）
• 檢查傷口愈合
• 評估症狀改善情況
中期（術後 3-6 個月）
• 評估月經恢復
• 超聲波檢查，確認冇復發
長期（術後 1 年及以後）
• 每年 1 次超聲波檢查
• 持續用藥物預防
• 繼續改善生活方式
重要提示：如果出現異常出血、下腹痛，唔好等，立即睇醫生！
________________________________________
💡 關鍵重點
治療方案復發率生育功能適合人群
單純切除 19-43.6% 保留唔推薦
切除 + 曼月樂 5-15% 保留所有患者
切除 + 孕激素 10-20% 保留年輕患者
切除 + 消融 4.3% 唔保留无生育需求患者
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🎯 最重要嘅訊息
✨ 單純做手術係唔夠嘅！
子宮內膜息肉復發係多因素導致嘅結果。要真正解決呢個問題，需要：
1. ✅ 精準手術
2. ✅ 藥物預防（曼月樂最有效）
3. ✅ 治療潛在病因
4. ✅ 改善生活方式
5. ✅ 長期跟進監測
好消息係：如果做齊呢啲步驟，復發率可以由 43.6% 降低到 4.3%-15%！
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🏥 應該同醫生傾咩？
如果你有反覆復發嘅息肉，應該同醫生討論：
• ❓ 我係咪高危患者？
• ❓ 我應該用曼月樂定係口服孕激素？
• ❓ 我需唔需要做內膜消融術？
• ❓ 我有冇慢性子宮內膜炎？
• ❓ 我應該點樣改善生活方式？
• ❓ 我應該幾時覆診檢查？
________________________________________
📞 最後提醒
唔好放棄！反覆復發嘅息肉係可以控制同預防嘅。關鍵係要找到適合你嘅治療方案，同埋長期堅持。
每個患者都係唔同嘅，所以最好嘅方案就係同你嘅醫生傾計，制定一個「一人一策」嘅個人化治療計劃。
________________________________________
想了解更多？請諮詢你嘅婦科醫生。
#子宮內膜息肉 #宮腔鏡手術 #曼月樂 #婦科健康 #女性健康 #醫學科普
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本文章基於最新醫學文獻，僅供教育用途。具體治療方案應由醫生根據個人情況制定。

Endometrial Polyps Keep Coming Back? Here’s What You Need to Know 🏥
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📌 Does This Sound Familiar?
You had a hysteroscopic surgery to remove your endometrial polyp. You thought you were done. But a few months later, abnormal bleeding returns. Another surgery? Another polyp?
You’re not alone! According to medical research, 19-43.6% of patients experience polyp recurrence. But here’s the good news — we now have better ways to prevent this problem.
________________________________________
🔍 Why Do Polyps Keep Coming Back?
1️⃣ Hormonal Imbalance
Think of your endometrium as “soil.” If the hormonal environment in this soil is imbalanced, polyps (the “weeds”) will keep growing back.
• High estrogen → Endometrial proliferation
• Low progesterone → Can’t suppress growth
• Result: Polyps regrow repeatedly
2️⃣ Chronic Inflammation
Chronic endometritis (CE) is a hidden culprit: - Inflamed endometrium is prone to polyp formation - Patients WITH CE: 26.6% recurrence rate at 1 year - Patients WITHOUT CE: Only 9.5% recurrence rate
3️⃣ Metabolic Disorders
Obesity, diabetes, and PCOS increase polyp risk: - Insulin resistance → Hormonal imbalance - Adipose tissue produces excess estrogen - Poor endometrial environment → Polyps grow easily
4️⃣ Surgical Factors
• Incomplete polyp removal
• Inadequate treatment of the polyp base
• No preventive measures after surgery
________________________________________
✅ How to Really Solve This Problem?
🔴 Step 1: Precise Surgery
• Complete hysteroscopic removal of polyps
• Thorough treatment of the polyp base
• Mandatory pathological examination to rule out malignancy
🟠 Step 2: Preventive Treatment (Most Important!)
Depending on your situation, your doctor may recommend:
A. Levonorgestrel-Releasing Intrauterine System (LNG-IUS/Mirena) ⭐ Most Recommended
• Lowest recurrence rate: Only 5-15%
• How it works: Releases high-dose progestin directly into the endometrium
• Duration: 5 years of protection, can be replaced
• Advantages: Preserves fertility, provides contraception
• Best for: All patients, especially high-risk cases
Real-world data: Patients who had polyp removal + LNG-IUS placement had only 5.3% recurrence rate at 6-7 year follow-up!
B. Oral Progestins
• Recurrence rate: 10-20%
• Dosage: Megestrol acetate 160mg/day for 3-6 months
• Advantages: Reversible, low cost, preserves fertility
• Best for: Younger patients with fertility desires
C. Oral Contraceptives
• Recurrence rate: 15-25%
• Advantages: Regular me**es, reduced menstrual flow, contraception
• Best for: Patients needing contraception
D. Endometrial Ablation (For patients without fertility desires who can accept amenorrhea)
• Lowest recurrence rate: Only 4.3% (vs. 19.1% for surgery alone)
• Long-term effectiveness: 5.3% recurrence at 6-7 years
• Important note: Not limited to postmenopausal patients. Younger patients without fertility desires who can accept post-operative amenorrhea are also candidates for this treatment
🟡 Step 3: Treat Underlying Causes
If you have chronic endometritis:
• Antibiotic treatment (7-14 days)
• Combined with LNG-IUS placement
• Result: Significantly reduces recurrence risk
If you have metabolic disorders:
• Obesity: Achieve BMI < 25 kg/m²
• Diabetes: Target HbA1c < 7%
• PCOS: Use metformin to improve insulin resistance
• Hypertension/Dyslipidemia: Pharmacological control
🟢 Step 4: Lifestyle Modifications
These simple changes can significantly reduce recurrence:
✓ Exercise: 150 minutes of moderate-intensity activity per week ✓ Diet: Low sugar, low fat, high fiber ✓ Sleep: 7-8 hours nightly, avoid late nights ✓ Stress management: Yoga, meditation, relaxation ✓ Smoking/Alcohol: Complete smoking cessation, limit alcohol
________________________________________
📅 Post-Operative Follow-Up Plan
Early Phase (2 weeks - 1 month post-op)
• Assess wound healing
• Evaluate symptom improvement
Intermediate Phase (3-6 months post-op)
• Assess menstrual recovery
• Ultrasound to confirm no recurrence
Long-term Phase (1 year and beyond)
• Annual ultrasound screening
• Continue preventive medication
• Maintain lifestyle modifications
Important: If you experience abnormal bleeding or pelvic pain, don’t wait — see your doctor immediately!
________________________________________
💡 Treatment Comparison
Treatment Plan Recurrence Rate Fertility Preserved Best For
Surgery alone 19-43.6% Yes Not recommended
Surgery + LNG-IUS 5-15% Yes All patients
Surgery + Progestins 10-20% Yes Younger patients
Surgery + Ablation 4.3% No No fertility desires
________________________________________
🎯 The Key Message
✨ Surgery Alone Is NOT Enough!
Endometrial polyp recurrence is multifactorial. To truly solve this problem, you need:
1. ✅ Precise surgical technique
2. ✅ Preventive medication (LNG-IUS most effective)
3. ✅ Treatment of underlying causes
4. ✅ Lifestyle modifications
5. ✅ Long-term follow-up monitoring
The good news: If you follow all these steps, recurrence rate can drop from 43.6% to 4.3%-15%!
________________________________________
🏥 Questions to Ask Your Doctor
If you have recurrent polyps, discuss these with your gynecologist:
• ❓ Am I a high-risk patient?
• ❓ Should I use LNG-IUS or oral progestins?
• ❓ Do I need endometrial ablation?
• ❓ Do I have chronic endometritis?
• ❓ How can I improve my lifestyle?
• ❓ When should I have follow-up appointments?
________________________________________
📞 Final Reminder
Don’t give up! Recurrent endometrial polyps can be controlled and prevented. The key is finding the right treatment plan for YOU and staying committed long-term.
Every patient is unique, so the best approach is to work with your gynecologist to create a personalized “one-person-one-plan” treatment strategy.
________________________________________
Want to learn more? Consult your gynecologist.

________________________________________
This article is based on the latest medical literature and is for educational purposes only. Specific treatment plans should be determined by your doctor based on your individual situation.

21/01/2026

好多婦科醫生專程過嚟上海沃醫子宮肌瘤治療中心，觀摩我哋嘅子宮肌瘤同子宮腺肌症消融治療技術。

Many gynecologists came to Shanghai WeHeal fibroids center to observe our ablation treatment for uterine fibroids and adenomyosis.

16/01/2026

Hysteroscopy or Laparoscopy: Which Is Better for Removing Uterine Fibroids?

Uterine fibroids are common among patients in clinical practice. Most fibroids are located in the uterine myometrium, while some protrude into the uterine cavity—the former are mostly type 3-5 fibroids, and the latter are usually type 2. For such fibroids, treatment can be performed via hysteroscopy (inserted through the va**na) or laparoscopy (with small abdominal incisions). So, which is better: laparoscopy or hysteroscopy? Let’s reveal the answer first—hysteroscopy is definitely better. Many colleagues prefer laparoscopy mainly because hysteroscopy is often more technically challenging.

From the perspective of surgical operation: Laparoscopy uses multiple instruments inserted through abdominal punctures, enabling smooth removal of fibroids up to 10 cm, or even 13-14 cm in diameter. In contrast, hysteroscopic instruments are only about 1 cm in diameter, with operating tools usually 3-4 mm thick. When a fibroid’s diameter exceeds 4 cm, the surgical difficulty increases significantly.

Additionally, hysteroscopy requires injecting fluid into the uterine cavity to distend it, carrying a risk of water intoxication. Improper handling may lead to difficulties in anesthesia extubation, excessive fluid load, or even life-threatening complications. Cases of patient death due to such surgical complications have been reported nationwide, whereas laparoscopy has no such risk.

Regarding post-operative pregnancy preparation time and uterine rupture risk: For type 2 fibroids, patients can prepare for pregnancy as early as 3 months after hysteroscopy. However, laparoscopy damages the outer layer of the uterus (the "new uterus"), so patients need to use contraception for 6-12 months post-operatively, and some doctors even recommend 2 years of contraception. Studies show that 0.5% of patients may experience uterine rupture due to outer uterine layer damage from laparoscopy or open surgery. Hysteroscopy only acts on the inner layer of the uterus (the "ancient uterus"); the myometrium heals naturally without the need for suturing, and there have been no reported cases of uterine rupture with this approach.

On the issue of surgical adhesions: Laparoscopy carries a risk of adhesion to the intestines or omentum. With standardized hysteroscopic techniques—such as using scissors or an electrocautery to open the fibroid capsule before separation—most of the endometrium can be effectively preserved, avoiding endometrial damage and intrauterine adhesions. However, traditional excessive electroresection may still cause endometrial defects and intrauterine adhesions.

In terms of surgical trauma: Hysteroscopy offers significant minimally invasive advantages, with mild post-operative pain and rapid recovery. Laparoscopy, on the other hand, causes a pneumoperitoneum response, resulting in more obvious post-operative pain. Although hysteroscopy is more technically demanding and there are relatively few doctors trained in it, in recent years, my team has been promoting the "Lin’s Method" (learned from Professor Lin) nationwide to improve hysteroscopic surgical skills. Even for larger fibroids—where adjuvant measures such as pre-treatment, two-stage surgery, or ablation may be needed—hysteroscopy remains the preferred treatment for type 2-4 fibroids when considering reduced patient injury, fewer scars, faster recovery, and lower uterine rupture risk.

子宮鏡還是腹腔鏡：哪種方式切除子宮肌瘤更好？

子宮肌瘤是臨床常見病癥，多數肌瘤生長於子宮肌層內，部分則向子宮腔內突出——前者多為3-5型肌瘤，後者一般屬於2型肌瘤。對此類肌瘤，可通過經陰道的子宮鏡手術，或腹部開小切口的腹腔鏡手術治療。那麼，腹腔鏡與子宮鏡哪種方式更優？先為大家揭曉答案——子宮鏡無疑是更佳選擇。許多醫護同仁更青睞腹腔鏡，主要是因為子宮鏡手術的技術難度通常更高。

從手術操作角度來看：腹腔鏡通過腹部穿刺孔置入多種器械，即便直徑達10釐米，甚至13-14釐米的肌瘤，也能順利切除。與之相比，子宮鏡器械的直徑僅約1釐米，操作工具的厚度通常只有3-4毫米，一旦肌瘤直徑超過4釐米，手術難度便會大幅提升。

此外，子宮鏡手術需向子宮腔內注入液體膨宮，存在發生水中毒的風險。若處理不當，可能導致麻醉拔管困難、體內液體負荷過重，甚至引發危及生命的並發癥。全國範圍內已有此類手術並發癥導致患者死亡的案例報道，而腹腔鏡手術則不存在這一風險。

在術後備孕時間與子宮破裂風險方面：針對2型肌瘤，接受子宮鏡手術的患者術後最早3個月即可備孕。但腹腔鏡手術會損傷子宮外層（即「新子宮」），患者術後需避孕6-12個月，部分醫生甚至會建議避孕2年。有研究顯示，因腹腔鏡或開腹手術造成子宮外層損傷，約0.5%的患者可能發生子宮破裂。子宮鏡手術僅作用於子宮內層（即「古子宮」），子宮肌層可自然癒合，無需縫合，目前尚未有此類手術導致子宮破裂的案例報道。

在手術粘連問題上：腹腔鏡手術存在腸管或大網膜粘連的風險。採用規範化的子宮鏡手術技術——比如先以剪刀或電凝切開肌瘤包膜再進行分離，就能有效保留大部分子宮內膜，避免子宮內膜損傷和宮腔粘連。不過，傳統過度電切的操作方式，仍可能造成子宮內膜缺損與宮腔粘連。

至於手術創傷程度：子宮鏡手術具備顯著的微創優勢，術後疼痛輕微，患者恢復速度快。而腹腔鏡手術會引發氣腹反應，術後疼痛更為明顯。雖然子宮鏡手術技術門檻較高，掌握該技術的醫生相對較少，但近年來，我的團隊一直在全國推廣「林氏手術法」（師從林教授），以此提升子宮鏡手術的操作水準。即便面對體積較大的肌瘤，可能需要術前預處理、分期手術或消融等輔助手段，但從減輕患者損傷、減少疤痕、加快恢復、降低子宮破裂風險等角度考量，子宮鏡手術仍是2-4型肌瘤的首選治療方案。

#子宮肌瘤 #子宮肌瘤治療方法 #醫生在線 #聽醫生的話 #健康認證

12/01/2026

告別疤痕，迎接微創「無痕」新時代：解密V-NOTES手術

Say Goodbye to Scars, Embrace the New Era of “Scarless” Minimally Invasive Surgery: Demystifying V-NOTES

對於許多需要進行婦科手術的香港女性而言，除了關心手術本身的安全與成效，術後留下的疤痕、疼痛程度以及復原時間，同樣是大家非常在意的問題。在這個追求美麗與效率的時代，有沒有一種手術方式，既能解決病症，又能滿足「愛靚」之心，讓我們快速重返忙碌的都市生活？答案是肯定的。今天，我們就來為大家介紹一項革命性的婦科微創技術——V-NOTES手術。

For many women in Hong Kong who need gynecological surgery, beyond the safety and effectiveness of the procedure itself, concerns about postoperative scars, pain levels, and recovery time are equally important. In this era that values both beauty and efficiency, is there a surgical method that can both treat the condition and satisfy the desire for aesthetics, allowing a quick return to our busy urban lives? The answer is a resounding yes. Today, let’s introduce a revolutionary minimally invasive gynecological technique—V-NOTES surgery.

什麼是V-NOTES？一條「天然的秘密通道」
What is V-NOTES? A “Natural Secret Passageway”
V-NOTES的全名是經陰道自然腔道內鏡手術（Vaginal Natural Or***ce Transluminal Endoscopic Surgery）。這個名字聽起來可能有些複雜，但原理其實非常巧妙。簡單來說，V-NOTES是利用女性陰道這個「天然的秘密通道」，將先進的內窺鏡和手術器械伸入腹腔進行手術，從而避免了在肚皮上做任何切口。

The full name of V-NOTES is Vaginal Natural Or***ce Transluminal Endoscopic Surgery. The name might sound complicated, but the principle is quite ingenious. Simply put, V-NOTES utilizes the va**na, a woman’s “natural secret passageway,” to insert advanced endoscopic and surgical instruments into the abdominal cavity for surgery, thus avoiding any incisions on the abdomen.

傳統的腹腔鏡手術（俗稱「微創手術」）需要在腹部打幾個小孔，雖然傷口不大，但仍會留下細小的疤痕。而V-NOTES技術則更進一步，將這些小孔轉移到了體內一個隱蔽的位置——陰道的最深處（後穹窿），真正實現了體表零疤痕，是微創手術的極致升級版。

Traditional laparoscopic surgery (commonly known as “minimally invasive surgery”) requires making several small holes in the abdomen. Although the wounds are small, they still leave tiny scars. The V-NOTES technique takes this a step further by moving these small incisions to a hidden location inside the body—the deepest part of the va**na (the posterior fornix), truly achieving zero scars on the body surface. It is the ultimate upgrade in minimally invasive surgery.

V-NOTES手術的四大核心優勢
The Four Core Advantages of V-NOTES Surgery
與傳統手術相比，V-NOTES憑藉其獨特的入路方式，為患者帶來了顯著的益處，特別適合生活節奏快、注重生活品質的香港女性。

Compared to traditional surgery, V-NOTES offers significant benefits to patients due to its unique approach, making it particularly suitable for Hong Kong women who lead fast-paced lives and value a high quality of life.

V-NOTES適合哪些手術？
What Conditions is V-NOTES Suitable For?
V-NOTES技術目前已廣泛應用於多種良性婦科疾病的治療，包括：

The V-NOTES technique is now widely used in the treatment of various benign gynecological diseases, including:

• 子宮切除術 (Hysterectomy)：例如因巨大的子宮肌瘤或子宮腺肌症等問題需要切除子宮。
For example, when the uterus needs to be removed due to large uterine fibroids or adenomyosis.
• 卵巢囊腫切除術 (Ovarian Cystectomy)：處理常見的卵巢「水瘤」或朱古力瘤。
For treating common ovarian cysts or endometriomas (“chocolate cysts”).
• 輸卵管手術 (Fallopian Tube Surgery)：例如因宮外孕需要切除輸卵管。
For example, when a fallopian tube needs to be removed due to an ectopic pregnancy.
• 子宮肌瘤切除術 (Myomectomy)：切除子宮上的肌瘤並保留子宮。
For removing fibroids from the uterus while preserving the uterus.

值得注意的是，並非所有患者都適合V-NOTES手術。例如，病情過於複雜、腹腔曾有嚴重粘連、或未有性經驗的女性，可能需要由醫生評估選擇其他更合適的手術方式。

It is worth noting that not all patients are suitable for V-NOTES surgery. For instance, women with overly complex conditions, severe abdominal adhesions, or those who have not had s*xual experience may need to be evaluated by a doctor to choose a more appropriate surgical method.

常見問題 (Q&A)
Q1：手術會唔會影響性生活？ (Will the surgery affect my s*x life?)

A1：請放心。V-NOTES的切口位於陰道深處，僅約2-3厘米，而且會被仔細縫合。陰道的彈性極佳，傷口癒合後，絕大多數情況下不會對性生活造成任何影響。只要遵循醫囑，待身體完全復原後即可恢復正常性生活。

A1: Please rest assured. The V-NOTES incision is located deep inside the va**na, is only about 2-3 cm, and is carefully sutured. The va**na is very elastic, and after the wound heals, it will not affect s*x life in the vast majority of cases. As long as you follow your doctor’s advice and wait for your body to fully recover, you can resume a normal s*x life.

Q2：手術風險高嗎？ (Is the surgery high-risk?)

A2：任何手術都有其固有風險，但V-NOTES是一項非常成熟且安全的技術。大量的醫學研究已證實，其總體併發症風險與傳統腹腔鏡手術相當，甚至在某些方面（如切口相關併發症）風險更低。經驗豐富的醫生能純熟地操作，確保手術安全。

A2: All surgeries have inherent risks, but V-NOTES is a very mature and safe technique. Numerous medical studies have confirmed that its overall complication risk is comparable to traditional laparoscopic surgery, and even lower in some aspects (such as incision-related complications). An experienced doctor can perform the operation skillfully to ensure safety.

Q3：手術後需要休息多久才能返工？ (How long do I need to rest after surgery before returning to work?)

A3：這取決於您的工作性質和個人恢復情況。一般而言，從事文職工作的女性，在術後1至2星期便可重返工作崗位。若是需要體力勞動的工作，則建議休息更長時間。請務必與您的主診醫生詳細溝通，獲取個人化的建議。

A3: This depends on the nature of your job and your individual recovery. Generally, women in office jobs can return to work 1 to 2 weeks after surgery. If your job involves physical labor, a longer rest period is recommended. Be sure to communicate in detail with your attending physician to get personalized advice.

結語 (Conclusion)
V-NOTES技術的出現，無疑為香港女性在面對婦科手術時提供了一個更優質、更人性化的選擇。它不僅僅是一種手術方式的改進，更體現了現代醫學對患者生理與心理雙重需求的關懷。如果您正被婦科問題困擾，不妨向您的婦科醫生諮詢，了解V-NOTES是否是適合您的「無痕」之選，為自己選擇一個更美麗、更輕鬆的康復旅程。

The emergence of the V-NOTES technique undoubtedly provides a higher quality and more humane option for women in Hong Kong facing gynecological surgery. It is not just an improvement in surgical methods but also reflects modern medicine’s care for the dual physiological and psychological needs of patients. If you are troubled by a gynecological issue, consider consulting your gynecologist to see if V-NOTES is the right “scarless” choice for you, and choose a more beautiful and relaxed recovery journey for yourself.

#無創手術 #婦科手術 #子宮切除 #微創手術 #香港醫療 #女性健康 #愛護自己 #子宮肌瘤 #子宮腺肌症 #朱古力瘤

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