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一、病例摘要患者62岁,孕2产2,足月正常产2次。25年前行绝育术,5年前行甲状腺结节切除术。于2014年10月无诱因出现阴道流血,量少,色鲜红,无腹痛及下腹部坠胀感。妇科检查:宫颈口可见一鱼肉样组织,质脆,触之易出血,大小约2.5 cm。左侧阴道穹窿变浅。双侧宫骶韧带及主韧带未触及明显增厚及缩短。阴道彩超:宫腔内见3.1 cm×3.0 cm低回声,宫壁回声欠均匀。宫颈5.5 cm×3.7 cm,回
First, the summary of patients 62-year-old, 2 pregnant 2, full-term normal 2 times. 25 years ago, sterilization, 5 years ago, thyroidectomy. In October 2014 there was no incentive to vaginal bleeding, less, bright red, no abdominal pain and lower abdominal bulge. Gynecological examination: a fish-like cervical tissue can be seen, crisp, easy to touch the bleeding, the size of about 2.5 cm. Left vaginal vault shallow. Bilateral uterosacral ligament and the main ligament did not reach the obvious thickening and shortening. Vaginal ultrasound: intrauterine see 3.1 cm × 3.0 cm hypoechoic, uterine wall echo less uniform. Cervical 5.5 cm × 3.7 cm, back