患者女性,54岁。自诉1年多前阴道分泌物增多,为稀水样分泌物,无异味,未诊疗。近2个月开始阴道淋漓出血。专科检查:外阴已婚经产型,阴道通畅,分泌物稀薄透明,无异味,宫颈肥大,见大量分泌物自宫颈管流出,子宫水平位,饱满、质中,无压痛,双附件未及异常。盆腔MRI增强示子宫颈前壁区类圆形囊实性异常信号,考虑良性占位性病变(宫颈息肉?纳氏囊肿?)可能性大,建议宫腔镜进一步检查。行全子宫及双附件切除术。 Patient female, 54 years old. More than 1 year before the prosecution of vaginal discharge increased watery secretions, no smell, no diagnosis and treatment. Vaginal bleeding nearly 2 months. Expert examination: genital married by type, vaginal patency, secretions thin and transparent, no smell, cervical hypertrophy, see a large number of secretions from the cervical canal outflow, uterine level, full, quality, no tenderness, double attachment without exception . Pelvic MRI showed cervical anterior wall of the class abnormal cystic anomalies, considering the possibility of benign space occupying lesions (cervical polyp? Innocele?) The possibility of hysteroscopy is recommended further examination. Line hysterectomy and double attachment resection.