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1 病例报告 患者 女,27岁。宫内孕39周第1胎,临产入院。平素月经规律。孕4个月开始出现胎动,孕期顺利无异常。查体:足月妊娠腹,宫高33cm,腹围101cm,骨盆测量,髂前上棘间径26cm,髂嵴间径29cm,骶耻外径21cm,骨盆出口横径8cm,因头盆不称,遂行子宫下段剖宫产术。手术所见:子宫下段浆膜层广泛粟粒大灰白色小结节,直径约0.5～1.0cm,质硬韧,圆形无蒂,与腹膜粘连,术中切除一枚肿物送检。病理检查:灰白色,质韧,卵圆形肿物一个,大小0.6cm×0.5cm×0.2cm,表面光滑,似有包膜,切面灰白编织状。镜检肿物由纵横交错的平滑肌细胞组成,瘤细胞呈梭
A case report patient female, 27 years old. 39 weeks of intrauterine pregnancy first child, labor admitted to hospital. Regular menstruation. Pregnancy 4 months began to appear fetal movement, pregnancy smooth no abnormalities. Physical examination: full-term pregnancy abdomen, Palace height 33cm, abdominal circumference 101cm, pelvic measurement, anterior superior iliac spine 26cm, iliac crest diameter 29cm, sacral external diameter 21cm, pelvic export diameter 8cm, , Underwent the lower uterine segment cesarean section. Surgical findings: the lower part of the uterine serosa widespread large miliary large nodules, diameter of about 0.5 ~ 1.0cm, hard and tough, round pedicle, and peritoneal adhesions, intraoperative resection of a mass submission. Pathological examination: gray, quality and toughness, a oval tumor, the size of 0.6cm × 0.5cm × 0.2cm, smooth surface, it seems enveloped, cut gray woven. Microscopic examination by the crisscross smooth muscle cells, tumor cells were shuttle