巨大的"水头"子宫纤维瘤在Nullipara:一个案例报告
Emeka Igbodike1,2, Ijeoma Iwuala1, Chijioke Mbonu1
1Department of Obstetrics and Gynecology, Havana Specialist Hospital, Surulere, Lagos, Nigeria.
Clinical medicine insights. Case reports
|September 17, 2024
概括
巨型子宫纤维瘤很少见,但可以通过开放性肌肉切除术来治疗. 患者选择和咨询是克服子宫纤维瘤延迟诊断和治疗的关键.
科学领域:
- 妇科 妇科医生 妇科
- 手术瘤学手术瘤学
背景情况:
- 子宫纤维瘤 (leiomyomas) 是一种常见的光滑肌肉瘤,特别是在黑人女性中.
- 巨型子宫肌瘤不常见,并且由于患者对手术的恐惧,依赖替代疗法和文化信仰等因素,经常存在延迟诊断.
- 有助于延迟表现的因素包括对手术的恐惧,草药和关于即时治愈或祖先诅咒的传统信仰.
研究的目的:
- 为了呈现一个巨型子宫纤维瘤的病例,通过手术进行了管理.
- 讨论管理巨型子宫肌瘤的挑战和考虑因素,包括患者伪装和手术方法.
主要方法:
- 一个35岁的无孕妇女的病例报告,在14年的病史中呈现出渐进的腹部胀.
- 通过开放腹部肌切除术进行了手术干预.
- 子宫纤维瘤的组织学确认.
主要成果:
- 患者呈现出很大的腹部质量,55厘米的交合底部高度.
- 在开放腹部肌肉切除术中,共去除了12.9公斤的肌肉瘤结节.
- 组织病理学证实了子宫纤维瘤的诊断.
结论:
- 开放性肌肉切除术是巨大的子宫纤维瘤的可行的手术选择,需要小心选择患者,并为潜在的子宫切除术提供知情同意.
- 尽量减少患者的伪装需要重复咨询.
- 手术方法的选择取决于纤维瘤的大小和数量,但并不本质上影响生育能力.
更多相关视频
相关概念视频
Uterine Tubes
4.1K
The uterine or fallopian tubes function as the conduit through which oocytes travel from the ovaries to the uterus. Each fallopian tube measures approximately 10 to 13 cm long and is anatomically divided into the infundibulum, ampulla, isthmus, and interstitial part (or intramural segment). The infundibulum is characterized by its funnel shape and features extensions called fimbriae which reach towards the peritoneal cavity. These fimbriae play a critical role during ovulation as they extend...
4.1K
Uterus and Cervix
8.4K
The uterus, commonly called the womb, is a vital reproductive organ in females designed to provide a nurturing environment for the implantation and growth of an embryo. It is shaped like a hollow pear and positioned between the urinary bladder and the rectum. The uterus's structure allows it to support and protect a developing fetus throughout pregnancy.
The uterus is securely anchored within the pelvic cavity by paired broad ligaments on either side. It is further stabilized by three pairs...
The uterus is securely anchored within the pelvic cavity by paired broad ligaments on either side. It is further stabilized by three pairs...
8.4K
Histology of the Uterus
5.0K
The uterine wall consists of three histological layers: the perimetrium, myometrium, and endometrium. The outermost perimetrium is a thin, serous membrane connected with the broad ligament on the sides, which helps anchor the uterus in the pelvic cavity. The thickest layer, myometrium, is mainly made up of smooth muscle tissue bundles. Its contractions are vital in facilitating the expulsion of the uterine lining, fetus, and placenta during menstruation and childbirth.
The endometrium is the...
The endometrium is the...
5.0K


