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一、病例摘要患者女性,41岁,因“腹部触及包块半个月”于2013年6月10日收入院。患者平素月经规律,无痛经,孕3产1。无发热、恶心、呕吐、腹痛及月经改变,无消瘦、食欲减退等。查体:心肺(-),肝脾(-),全身淋巴结无肿大,下腹可触及儿头大小实性肿块。B超检查提示:子宫增大,形态失常,肌层回声不均匀,内探及数个低回声团块,较大两个分别约10.1cm×8.6cm,11.3cm×8.8cm,向外凸起,考虑子宫肌瘤;盆腔CT提示:子宫肌瘤,
First, the case summary Female patients, aged 41, because “abdominal half a month reach the mass ” on June 10, 2013 income hospital. Patients usually menstrual regularity, no dysmenorrhea, pregnancy 3 1. No fever, nausea, vomiting, abdominal pain and menstrual changes, no weight loss, loss of appetite and so on. Physical examination: cardiopulmonary (-), liver and spleen (-), no enlarged lymph nodes, lower abdomen can reach the size of the child head solid mass. B-ultrasound tips: increased uterus, morphological disorders, muscular echo uneven, probing and several hypoechoic mass, the larger of the two were about 10.1cm × 8.6cm, 11.3cm × 8.8cm, outward bulge , Consider uterine fibroids; pelvic CT tips: uterine fibroids,