论文部分内容阅读
患者翟××,女,39岁,因下腹部肿块进行性增大已四年,于1978年10月7日入院。四年前发现下腹部包块,初仅鸡蛋大,无特殊症状,近数月来包块增大很快,并同时有腹痛腹胀及全身无力等症状,门诊超声波提示为“混合性肿块”,进出波15cm 以上,遂收住院拟作手术治疗。入院四天完成各项常规检查后,在连续硬膜外麻醉下施行剖腹探查术。取脐下左正中旁切口,进腹腔后探查肿块位于子宫直肠凹内,体积30×20×15 cm,实质性,表面尚平滑,可见多数纵横充盈之血管,子宫位于肿瘤顶部,直肠被推向右侧,瘤蒂广大,瘤体与子宫直肠膀胱及后腹膜广泛粘连不
Patients Zhai × ×, female, 39 years old, due to the progressive increase of the lower abdominal mass has been four years, on October 7, 1978 admission. Four years ago found that the lower abdomen mass, early only large eggs, no special symptoms, mass in recent months increased rapidly, and at the same time there abdominal pain and general weakness and other symptoms, out-patient ultrasound prompted “mixed lumps” In and out of the wave 15cm above, then admitted to hospital for surgery. After four days of admission to complete the routine examination, laparotomy was performed under continuous epidural anesthesia. Take the next right middle incision under the umbilicus, into the abdominal cavity after probing the mass in the uterine rectum, volume 30 × 20 × 15 cm, the surface is smooth, most of the vertical and horizontal visible blood vessels, the uterus is located in the top of the tumor, the rectum is pushed The right side of the vast majority of tumor pedicle, tumor and uterine rectum and peritoneal adhesions bladder is not widespread