巨大黏膜下子宫肌瘤合并感染坏死及排尿困难一例

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。

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

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 gravitycaused 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.