1临床资料患者,女,55岁,因“发现盆腔包块6d”入院。患者绝经5年,绝经后无阴道流血流液。查体:生命体征平稳,心肺阴性,腹软,未扪及包块。妇检:阴道通畅,阴道后穹隆触及质硬包块;宫颈光滑,子宫前位,子宫后方扪及7cm×6cm×5cm质硬包块,固定;双附件未扪及明显包块。三合诊:经肛门扪及包块位于骶骨前直肠后方;直肠无阳性发现。腹部平片示:盆腔高密度影(考虑子宫肌瘤钙化或膀胱结石)。盆腔B超示:子宫 1 clinical data, female, 55 years old, because of “pelvic mass found 6d” admission. 5 years after menopause, no vaginal bleeding after menopause. Physical examination: stable vital signs, heart-lung-negative, abdominal soft, palpable mass. Fetal examination: vaginal patency, vaginal posterior dome touches the hard mass; cervical smooth, anterior uterus, palpable rear of the uterus 7cm × 6cm × 5cm quality hard mass, fixed; double attachment was palpable mass. Triple Clinics: palpable anus palpable mass in the anterior rectum of the sacrum; no positive rectal findings. Abdominal plain film shows: pelvic high density (consider uterine fibroids calcification or bladder stones). Pelvic B ultrasound shows: the uterus