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巨大囊性的子宫平滑肌瘤盆腹腔接种在国内外文献罕见报告。我科去年收治1例,现报道如下。女,65岁,住院号35778。因子宫肌瘤术后4年,下腹肿块6个多月,诊为盆块,于1984年8月28日入院。患者于1980年8月5日因绝经8年,下腹胀痛1月余,诊为盆块入我科,13日行腹式全宫加双侧附件切除术。术中发现子宫增大,约23×30×26cm,两侧附件及盆腹腔各脏器均正常。术后病理报告为子宫巨大平滑肌瘤伴有出血、透明性变及囊性变。术后病人恢复良好,术后第13天出院。出院后无特殊不适,未返院复查。从1984年3月起,觉下腹饱满,随后出现隐痛并扪及肿块,在当地医院检查,拟诊为盆腹肿块,介绍来我院。
Huge cysts of uterine leiomyoma intraperitoneal inoculation rare reports in domestic and foreign literature. One patient admitted to our department last year, are reported below. Female, 65 years old, hospital number 35778. Due to uterine fibroids 4 years after surgery, the lower abdomen mass more than 6 months, diagnosed as pelvis, on August 28, 1984 admitted. Patients on August 5, 1980 due to menopause for 8 years, abdominal pain more than 1 month, diagnosed as Pelvis into my department, on the 13th line abdominal plus bilateral accessory resection. Uterine surgery was found to increase, about 23 × 30 × 26cm, both sides of the pelvic organs and accessories are normal. Postoperative pathology report for the huge uterine leiomyoma with hemorrhage, transparency and cystic degeneration. The patient recovered well and was discharged on the 13th postoperative day. No special discomfort after discharge, no back hospital review. From March 1984 onwards, feel lower abdomen full, then there pain and palpable mass in the local hospital examination, diagnosed as pelvic mass, introduced to our hospital.