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1988年1月～1991年12月间,我院妇科经腹切除子宫320例中经病理组织学检查,无子宫肿瘤也无附件恶性肿瘤者25例,占7.8%.对其进行临床、病理分析,探讨子宫误切的原因及教训.1 临床资料1.1 年龄 25例病人24～65岁,平均 43.04岁.1.2 主要症状体征 月经不规则3个月～10年,经血量多并有血块12例.绝经后出血5例.绝经后卵巢囊性畸胎瘤1例.有腰痛、下腹痛15例,下腹压痛8例.普查或既往B超发现“子宫肌瘤”0.5～7年5例.1.3 血红蛋白检验 >105g/L 19例.105～90g/L5例.<90g/L1例.1.4 手术情况 24例子宫全切.l例次全切除.术中所见:子宫正常大小9例.子宫稍大2例.子宫增大如孕40～50天14例.其中3例表面有小结节,病检证实为硬化血管之隆起.
Between January 1988 and December 1991, 25 cases (7.8%) had no histological examination of uterine tumor and 7.8% malignant tumor by abdominal biopsy in 320 cases of gynecological abdomen.The clinical and pathological analysis , To explore the causes and lessons of uterine incision.1 Clinical data1.1 25 cases of patients aged 24 to 65 years, mean 43.04 years.1.2 The main symptoms and signs irregular menstruation 3 months to 10 years, the amount of blood and blood clots in 12 cases Postmenopausal bleeding in 5. Postmenopausal ovarian cystic teratoma in 1. Cases of low back pain, lower abdominal pain in 15 cases, abdominal tenderness in 8 cases. Census or previous B-found “uterine fibroids” 0.5 5-7 years in 5 cases.1.3 Hemoglobin test> 105g / L in 19 cases .105 ~ 90g / L in 5 cases. <90g / L1 cases .1.4 cases of 24 cases of uterine resection .l subtotal resection .See the intraoperative findings: normal uterine size in 9. Uterine slightly Large 2 cases, such as pregnant uterus increased 40 to 50 days in 14 cases, including 3 cases of nodules on the surface, pathological examination confirmed the hardening of the vessel uplift.