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患者,女性,33岁,因突然下腹部疼痛3小时伴恶心、呕吐5次,急来我院就诊。查体:下腹压痛、反跳痛,未扪及明显包块。妇查:外阴、阴道(—),宫颈增大,轮廓不清,双附件未扪及异常。自述以往有子宫肌瘤史,近来经量较前增多,色暗红。B超检查:患者适度充盈膀胱,行耻骨联合上纵、横、斜等各切面扫查,见宫颈部正常结构消失,相应部位见一9.8cm×7.6cm×5.7cm椭圆形光团回声,边界清,内回声不均质,散在针尖至豆粒大无回声区,后方回声增强。子宫体底及双侧附件未见异常。B超诊断:宫颈平滑肌瘤并红色变性。于硬膜外麻醉下行剖腹探查术,术中见宫底、宫体大小、形态正常,宫颈后壁明显增厚,
Patient, female, 33 years old, due to sudden lower abdominal pain 3 hours with nausea, vomiting 5 times, urgent to our hospital. Examination: abdominal tenderness, rebound tenderness, palpable mass was not palpable. Fucha: vulva, vagina (-), cervical enlargement, the outline is unclear, double attachment not palpable abnormalities. In the past, there was a history of uterine fibroids, the recent increase in volume compared with the previous, dark red. B-ultrasound: the patient filled the bladder moderately, the pubic symphysis on the vertical, horizontal, oblique and other sections of the scan, see the normal structure of the cervix disappeared, the corresponding site to see a 9.8cm × 7.6cm × 5.7cm Ellipse echo, the boundary Clear, the echo is not homogeneous, scattered in the tip of the beans to a large echo-free area, the rear echo enhancement. Uterine body and bilateral attachment no abnormalities. B ultrasound diagnosis: cervical leiomyoma and red degeneration. Laparotomy under epidural anesthesia, intraoperative see Palace, Palace size, normal morphology, cervical thickening of the posterior wall,