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1病例介绍患者,女,44岁,因左侧腹股沟可复性肿物半年,不可复并疼痛2个月,于2008年9月28日入院。患者平素月经规律,近2个月月经周期缩短,经期延长。入院查体:T36.5℃,P 75次/min,R 19次/min,BP 100/65 mmHg。腹部平坦,左腹股沟区可见一梨形包块,大小约4 cm×3 cm×3 cm,无法还纳腹腔,有压痛,伴咳嗽冲击感。B超检查:左腹股沟区可探及一4 cm×2.8 cm×2.5 cm大小的囊实性包块,边界清楚,有完整包膜,包块与腹腔相连;子宫体积增大,横切面宫体左侧偏,浆膜下见多个实性低回声结节,包膜完整,界限清楚,左子宫阔韧带与腹股沟区肿物界限不清,似相连。结论:(1)子宫肌瘤(浆膜下、多发);(2)子宫阔韧带肌瘤嵌顿?入院诊断:左侧腹股沟嵌顿疝,子宫肌瘤(多发)。入院
1 case description The patient, female, 44 years old, due to the left groin can be rehabilitated tumor for six months, can not be complex and pain for 2 months, on September 28, 2008 admission. Patients usually menstrual regularity, menstrual cycle shortened nearly 2 months, menstrual period. Admission examination: T36.5 ℃, P 75 times / min, R 19 times / min, BP 100/65 mmHg. Abdomen flat, the left groin area can be seen a pear-shaped mass, the size of about 4 cm × 3 cm × 3 cm, can not be satisfied with the abdominal cavity, tenderness, with a sense of cough impact. B-ultrasound: the left groin area can be explored and a 4 cm × 2.8 cm × 2.5 cm size of cystic solid mass, a clear boundary, a complete capsule, mass and the abdominal cavity connected; uterine volume increases, the cross-section of the Palace Left partial, subserosal see a number of solid hypoechoic nodules, complete capsule, clear boundaries, the left uterine broad ligament and groin tumor limits unclear, seems connected. Conclusion: (1) uterine fibroids (subserosa, multiple); (2) uterine fibroids incarceration? Admission diagnosis: incarcerated inguinal hernia, uterine fibroids (multiple). Admission