Large vaginal leiomyoma one case of cervical excavation.docVIP

 PAGE \* MERGEFORMAT 4 Large vaginal leiomyoma one case of cervical excavation [Keywords:] excavation cervical myoma A medical record Patients, female, 36 years old, was found in pelvic mass 3 months December 21, 2007 admission. Patients usually menstrual regularity, cycle 30 days, period 3 to 4 days, the medium, no abdominal pain, the last menstrual period in 2007 December 15, 3 months ago found that pelvic masses, no tenderness, no constipation and no frequent urination, dysuria, not treatment, outpatient ultrasound prompted uterine fibroids (cervix 9.3 cm × 7.5 cm, therefore income homes. admission examination: T 36.6 ℃, P 68 times / min, R 18 times / min, BP 110/70 mm Hg, clear mind, spirit is good, looking as usual, a strong heart sounds, heart rate 68 times / min, law Qi, the valve auscultation area is not known and pathological murmurs, breath sounds clear lungs, no smell and the wet and dry of rales, abdominal soft, swollen liver and spleen not palpable ribs, lower abdomen pubic symphysis reach a large mass in 3 months of pregnancy , hard, poor activity, shifting dullness (-, bowel sounds normal, spinal curvature, the limbs move freely, no deformity. gynecological examinations: external Yinfa Yu normal, smooth vagina, cervix loss of normal shape, flattening the posterior lip, There is a large mass in the first child, suddenly in the vagina and pelvis, the mass hard, push inactive, no tenderness, uterine attachment is unclear. auxiliary examination: color Doppler ultrasound of uterine fibroids prompt, blood WBC 4.2 × 109 / L, RBC 4.19 × 1012 / L, HGB 132 g / L, PLT 207 × 109 / L. admission diagnosis: uterine fibroids (cervix. 3 days after admission cervical myoma via anion excavation intraoperative see the posterior lip of the cervix enlargement, such as 9 cm × 9 cm × 9 cm big, hard, border clearance, surgery will be adding oxytocin 5 u 60 ml normal saline were injected into the tumor capsule expert water separation, the level of rampant along th