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患者,女性,36岁,因腰酸乏力1年就诊。常规腹部查体无阳性发现。妇产科检查:子宫左侧探及大小约 30mm × 30mm肿物,考虑子宫浆膜下肌瘤可能性大。行膀胱镜检查:膀胱粘膜层完整,光滑,左侧壁见压迹。建议彩超检查,仪器为Medsion 6000c,探头频率3.5MHz。患者取仰卧位,充盈膀胱后作下腹部扫查:子宫附件未见异常,膀胱横断面探查,左侧壁见 37mm × 34mm的圆形实质性肿物,肿物边界清晰,规整,有完整包膜,向膀胱内凸,内呈均匀的中等回声（图1）。纵断面探查,肿物似游离于膀胱壁,与膀胱相重叠（图2）。CDFI:于肿物内探及少许动脉血流频谱。超声诊断:膀胱实质性占位。手术所见:肿瘤位于膀胱左侧前壁肌层内,呈球形,约30mm×30mm×30mm,质中等,边界规整。术后病理诊断:膀胱平
Patient, female, 36 years old, 1 year due to weak backache treatment. Conventional abdominal examination found no positive. Obstetrics and Gynecology examination: exploration of the left side of the uterus and the size of about 30mm × 30mm tumor, considering the possibility of uterine subserosal fibroids. Cystoscopy: Complete, smooth bladder mucosa, left wall to see the pressure trace. Recommended color Doppler ultrasound examination, the instrument for the Medsion 6000c, probe frequency 3.5MHz. Patients supine position, filling the bladder after the lower abdomen scan: no abnormalities in the uterus attachment, the bladder cross-section exploration, the left side of the wall to see the 37mm × 34mm round substantive tumor mass boundary clear, structured, complete package Membrane, convex to the bladder, showed a uniform medium echo (Figure 1). Longitudinal exploration, the tumor seems to be free from the bladder wall, overlapping with the bladder (Figure 2). CDFI: exploration of the tumor and a little arterial blood flow spectrum. Ultrasound diagnosis: Bladder substantive occupancy. Surgical findings: The tumor is located in the left anterior muscle bladder wall, spherical, about 30mm × 30mm × 30mm, medium quality, structured border. Postoperative pathological diagnosis: Bladder flat