巨大宫颈肌瘤切除后月经恢复正常1例

S. Shamim, A. Rouf
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引用次数: 0

摘要

肌瘤是子宫最常见的良性肿瘤,长期以来一直被认为是妊娠和分娩期间并发症的原因。发生于子宫颈的肌瘤仅占全部肌瘤的不到2%,而非常大的子宫颈肌瘤更是罕见。这是一例报告怀孕与一个巨大的宫颈肌瘤,需要剖腹产分娩。异常大的肌瘤(20 × 17 × 16厘米)从子宫颈生长,将子宫体向上推。在最初的剖腹产手术中,外科小组无法确定肿块的来源,在没有通知该男子的情况下关闭了腹部。剖宫产3个月后再次开腹,最终确诊为宫颈巨大肌瘤。将其从周围粘连中剥离出来,然后对子宫与宫颈间隙进行端到端吻合。术后平稳,恢复顺利。出院后随访2次,月经及生殖功能恢复正常。外科杂志(2013)Vol. 17 (1): 58-61
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Successful Return of Regular Menstrual Flow After Removal of A Huge Cervical Fibroid: A Case Report
Fibroids are the commonest benign neoplasm of the uterus and have long been implicated as a cause of complication during pregnancy and delivery. Fibroids arising from uterine cervix constitute only less than 2% of all fibroids and a very large cervical fibroid is even rarer1·2·3. This is case report of pregnancy with a huge cervical fibroid that necessitated caesarean section delivery. This unusually large fibroid (20 x 17 x 16 cm) was grown from the cervix that pushed up the uterine body upward. During initial caesarean operation the surgical team could not ascertain about the origin of the mass and closed the abdomen without remony the man. Subsequent laparotomy three months after caesarean section finally confirmed the diagnosis of the huge cervical fibroid. It was dissected out from the surrounding adhesion followed by end-to-end anastomosis of the gap between uterus and cervix. The postoperative period was uneventful with smooth recovery. The patient was followed up couple of times after discharge and reported to be well with return of her normal menstrual and reproductive function. Journal of Surgical Sciences (2013) Vol. 17 (1) : 58-61
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