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患者 女,48岁。结婚26年未孕,近一年月经期延长,经量增多,于1989年5月16日入院。中度贫血貌。妇检:外阴已婚未产式,阴道通畅,宫颈光滑,宫体前倾位,略大,质硬;右侧附件触及一肿块约8cm×6cm×6cm,表面不平,活动度差,无压痛;左侧附件未触及。B超提示子宫肌瘤不能排除,左侧附件囊性肿块。临床拟诊:原发性不孕症、子宫肌腺瘤、右卵巢囊肿。术中见子宫增大质硬,双侧输卵管积水如腊肠样,右侧卵巢约8cm×6cm×6cm,表面光滑,囊性,左侧卵巢外观正常。行全子宫及双侧附件切除术。病理检查大体观:宫颈中糜,宫深7.5cm,内膜0.3cm,肌层2.5
Female patient, 48 years old. Married for 26 years without pregnancy, menstrual period nearly a year to extend, by volume increased, on May 16, 1989 admission. Moderate anemia appearance. Maternal seizures: genital married unproductive, vaginal patency, smooth cervix, palace anterior, slightly larger, hard; right attachment touches a mass of about 8cm × 6cm × 6cm, uneven surface, poor mobility, no tenderness ; Left attachment not touched. B-Tip uterine fibroids can not be ruled out, the left attachment cystic mass. Clinical diagnosis: primary infertility, uterine muscle adenoma, right ovarian cysts. Intraoperative see the uterus increased hard, bilateral hydrosalpinx water-like, the right ovary about 8cm × 6cm × 6cm, the surface is smooth, cystic, the left ovary appearance is normal. Line of hysterectomy and bilateral attachment resection. Gross pathology: cervical Mi, deep Palace 7.5cm, endometrial 0.3cm, myometrial 2.5