31卷7期疑难病案

发布时间：2018-07-04 22:42

本文选题：肌层回声 + 形态规则　；参考：《实用妇产科杂志》2015年07期

【摘要】：正患者,56岁,因绝经后间断阴道流血伴下腹痛4月余,发热1月余就诊。患者绝经5年,于4月前出现阴道少量流血,色鲜红,持续1周后血止未予重视。3月前再次出现阴道流血,量少,伴下腹痛、恶心,疼痛呈阵发性发作。当地医院行超声检查提示:子宫大小约89mm×90mm×72mm,轮廓清,形态规则,子宫肌层回声不均;内膜清晰,厚10 mm,回声均匀,
[Abstract]:A 56-year-old patient with postmenopausal discontinuous vaginal bleeding with lower abdominal pain for more than 4 months and fever for more than 1 month. After 5 years of menopause, a small amount of vaginal bleeding appeared before 4 months, with a bright red color. After a week of continuous bleeding, no attention was paid to it. Three months before the onset of vaginal bleeding, the volume of vaginal bleeding was less, accompanied by lower abdominal pain, nausea, pain and paroxysmal attack. Ultrasound examination in the local hospital showed that the uterus was about 89mm 脳 90mm 脳 72mm in size, clear in outline, regular in shape, uneven in echo in myometrium, clear in intima, 10 mm in thickness and homogeneous in echo.
【作者单位】：北京大学第一医院;北京清华长庚医院;
【分类号】：R711.74

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