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例1 患者45岁。八年前产后3个月上环。近一年来月经紊乱,近二周阴道流血量多如注,伴有大血块,并出现头昏眼花等症状,在当地医院输血300ml后转入我院。检查:患者重度贫血貌。阴道内有一5×4×4cm 肿物从宫颈脱出,肿物表面有破溃及坏死组织,蒂部直径约1.5cm,在蒂部基底可触及节育环。行阴式子宫全切除术,术中顺利。术后切开宫体,见子宫粘膜下肌瘤7.5×5×4cm,蒂基底部在宫腔后壁,距蒂根部2cm 处环套一金属节育环。瘤体大部分已脱出宫颈口。
Example 1 Patient 45 years old. Eight years ago, three months postpartum Sheung Wan. Menstrual disorders in the past year, vaginal bleeding in the past two weeks as much as the note, accompanied by large blood clots and dizziness and other symptoms appear in the local hospital blood transfusion 300ml transferred to our hospital. Check: patients with severe anemia appearance. Vagina has a 5 × 4 × 4cm tumor prolapse from the cervix, ulceration and necrosis of the tumor tissue, pedicle diameter of about 1.5cm, pedicle base pedicle can reach the IUD. Line vaginal hysterectomy, intraoperative smooth. After the incision of the uterus, see the uterine fibroids 7.5 × 5 × 4cm, pedicle base in the posterior wall of the uterus, 2cm away from the pedicle root of a metal IUD. Most of the tumor has escaped the cervix.