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1病例介绍患者,44岁,因体检发现子宫肌瘤2个月,下腹隐痛伴腰痛半月于2011年8月15日入院。患者既往健康,月经正常,孕6产2。妇科检查示外阴发育正常,阴道通畅,宫颈光滑,肥大。子宫前位,增大如孕12周大小,外形不规则,质中,活动好,有压痛。左附件区可触及囊实性包块,与子宫关系密切。右侧附件区未触及异常。彩色超声示:子宫前位,宫体大小约11.7 cm×10.4 cm×7.0 cm,形不整,子宫内膜厚0.7 cm。宫区见多个结节,大小约7.6 cm×6.7 cm×5.4 cm,2.0 cm×2.2 cm×1.5 cm,3.4 cm×3.7 cm×2.5 cm,边界清
1 case description The patient, 44 years old, because of physical examination found that uterine fibroids 2 months, lower abdominal pain with low back pain half a month on August 15, 2011 admitted. Past patient health, normal menstruation, 6 pregnant 2. Gynecological examination showed normal vulva development, vaginal patency, cervical smooth, hypertrophy. Anterior uterus, such as size increases 12 weeks pregnant, irregular shape, quality, activity, tenderness. Left attachment area can reach cystic solid mass, and the uterus close. The right attachment area has not touched the exception. Color ultrasound showed: anterior uterus, Palace size of about 11.7 cm × 10.4 cm × 7.0 cm, irregular shape, endometrial thickness 0.7 cm. There are many nodules in the uterine area, measuring about 7.6 cm × 6.7 cm × 5.4 cm, 2.0 cm × 2.2 cm × 1.5 cm, 3.4 cm × 3.7 cm × 2.5 cm,