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目的探讨子宫肌瘤急症的发生率以及诊治方式。方法回顾分析25例急诊住院子宫肌瘤患者的临床资料。结果子宫肌瘤急症发生率为2.6%,急诊误诊率高达52%,19例经处理后症状缓解,6例行急诊子宫切除预后良好。结论子宫肌瘤急症就诊时易被误诊,常规 B 超检查可减少误诊的发生,急诊处理无效后可行急诊子宫切除术。
Objective To investigate the incidence of uterine fibroids emergency and diagnosis and treatment. Methods The clinical data of 25 patients with uterine fibroids in hospital were retrospectively analyzed. Results The incidence of uterine fibroids was 2.6%, the rate of misdiagnosis was as high as 52%. After treatment, 19 cases were relieved of symptoms and 6 cases had good prognosis of emergency uterine resection. Conclusions Uterine fibroids are easy to be misdiagnosed in emergency treatment. Conventional B-ultrasound can reduce the incidence of misdiagnosis. After emergency treatment fails, emergency hysterectomy can be performed.