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例1:35岁。因腹壁肿块伴月经前腹痛入院。5年前有剖宫取胎手术史。查体:下腹正中见一手术切口瘢痕,其中央可扪及3cm×3cm包块,质硬,光滑,轻压痛,不活动。诊断:腹壁硬性纤维瘤。切除后病理报告:胞壁子宫内膜异位。 例2:28岁。因腹壁包块伴月经前腹痛7个月入院。2年前有剖宫取胎手术史。查体:下腹正中可见手术切口瘢痕,其中央可及3.5cm×2cm包块,质硬、光滑,无压痛,不活动,诊断:腹壁硬性纤维瘤。切除后病理诊断:腹壁子宫内膜异位。 分析:子宫内膜异位症绝大多数位于盆腔内卵巢,子宫周围的韧带内,也可波及宫颈、阴道、外阴,身体其他部位罕见。子宫内膜异位虽属良性病
Example 1: 35 years old. Abdominal mass with abdominal pain before menstruation admitted. Cesarean fetus surgery 5 years ago. Physical examination: see the lower abdomen in the middle of a surgical incision scar, the central palpable and 3cm × 3cm mass, hard, smooth, light tenderness, inactivity. Diagnosis: Abdominal wall fibrosis. Pathology report after resection: Cell wall endometriosis. Example 2:28 years old. Due to abdominal mass with abdominal pain before menstruation 7 months admission. 2 years ago, history of cesarean section fetus surgery. Physical examination: visible in the middle of the abdomen Surgical incision scar, the central and 3.5cm × 2cm mass, hard, smooth, no tenderness, no activity, diagnosis: abdominal hard fibroids. Pathological diagnosis after resection: Abdominal wall endometriosis. Analysis: The vast majority of endometriosis located in the pelvic ovary, ligaments around the uterus, but also spread to the cervix, vagina, vulva, other parts of the body rare. Although endometriosis is a benign disease