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例1.患者24岁,住院号59174。月经量增多,于1986年11月曾诊断为子宫肌瘤,行子宫肌瘤剜除术。术后月经恢复正常,1988年1月又出现月经过多伴低热、头晕、疲乏。于5月诊断为子宫肌瘤住院治疗。妇科检查,子宫如孕3个月大,凹凸不平,可活动。B超提示子宫粘膜下肌瘤。于9月14日手术。术中所见:盆腔内广泛粘连,子宫10cm×10cm×8cm,后壁见一鸭卵大包块,质软,暗红色,包块上方有一3cm长手术疤痕。行全子宫加左附件切除术。大体标本:宫体9.5cm×8.5cm×8cm,剖开宫体后壁肌层见一灰白色肿物向官腔突入,大小7cm×5cm×5cm,切面肌肉中有黄色均质的圆形及带状结
Example 1. Patient 24 years old, hospital number 59174. Menstrual volume increased in November 1986 had a diagnosis of uterine fibroids, uterine fibroids hysterectomy. Menstruation returned to normal after surgery. In January 1988, there were more menorrhagia with fever, dizziness and fatigue. May be diagnosed as hospitalized treatment of uterine fibroids. Gynecological examination, such as 3 months pregnant uterus, bumpy, can move. B-Tip uterine fibroids. On September 14 surgery. Intraoperative findings: extensive pelvic adhesions, the uterus 10cm × 10cm × 8cm, the back wall to see a large duck mass, soft, dark red, a 3cm long surgical scar above the mass. Total hysterectomy and left attachment excision. Gross specimen: Palace body 9.5cm × 8.5cm × 8cm, cut open the wall of the posterior wall of the uterus to see an off-white mass into the bureaucratic cavity, the size of 7cm × 5cm × 5cm, the section muscle yellow uniform round and ribbon Knot