国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2020, Vol. 39 ›› Issue (1): 84-86.

• 病例报告 • 上一篇    

巨大黏膜下子宫肌瘤合并感染坏死及排尿困难一例

李净，刘思诗，陈思，刘晓荣，邓高丕   

  1. 510405  广州中医药大学第一临床医学院，国家区域（华南区）中医妇科诊疗中心（李净，陈思，刘晓荣）；广州中医药大学第一附属医院（刘思诗，邓高丕）
  • 收稿日期:2019-07-04 修回日期:2019-09-27 出版日期:2020-01-15 发布日期:2020-01-15
  • 通讯作者: 邓高丕，E-mail：denggaopi@126.com E-mail:denggaopi@126.com
  • 基金资助:
    2019年广东省名中医传承工作室建设项目（粤中医办函【2019】5号）

A Case Report of Giant Submucous Uterine Fibroid with Infection, Necrosis and Dysuria

LI Jing，LIU Si-shi，CHEN Si，LIU Xiao-rong，DENG Gao-pi   

  1. The First Clinical Medical College of Guangzhou University of Chinese Medicine，National Areａ （Ｓｏｕth Chiｎａ） TCM Gynecology Clinic，Guangzhou 510405，China (LI Jing，CHEN Si，LIU Xiao-roｎｇ）；The First Affiliated Hospital of Guangzhou University of Chinese Medicine，Guangzhou 510405，Cｈｉｎａ （ＬIU Si-shi，DENG Gao-ｐｉ）
  • Received:2019-07-04 Revised:2019-09-27 Published:2020-01-15 Online:2020-01-15
  • Contact: DENG Gao-pi，E-mail：denggaopi@126.com E-mail:denggaopi@126.com

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摘要： 黏膜下子宫肌瘤主要临床表现为月经异常、白带增多，巨大黏膜下子宫肌瘤可因重力脱出宫颈外口而伴有感染、坏死，也可出现便秘、尿频尿急、排尿困难等压迫症状，治疗以开腹手术为主。现报道1例巨大黏膜下子宫肌瘤伴有感染、坏死、重度贫血及排尿困难病例，就其诊治过程，尤其是术前准备进行分析讨论，以期提高临床医生对此病的认识并提供参考。

关键词: 平滑肌瘤, 子宫肿瘤, 黏膜, 坏死, 感染, 贫血

Abstract: The main clinical manifestations of submucous uterine fibroid include abnormal menstruation and leukorrhagia. Giant submucous uterine fibroid may be accompanied by infection and necrosis due to gravity-caused prolapse outside the external cervical outlet. It may also be accompanied by compressive symptoms such as constipation, frequent and urgent urination and dysuria. The main treatment is open surgery. Here, a case of giant submucous uterine fibroid accompanied by infection, necrosis, severe anemia and dysuria is reported. The process of diagnosis and treatment, especially preoperative preparation, is summarised, so as to improve the understanding of this complex disease.

Key words: Leiomyoma, Uterine neoplasms, Mucous membrane, Necrosis, Infection, Anemia