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宫颈血管平滑肌瘤致阴道大出血1例并文献复习 被引量:1

A case of massive vaginal hemorrhage caused by cervical vascular leiomyoma
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摘要 目的:加深对子宫血管平滑肌瘤的临床、病理认识,对妇科常见阴道大出血进行总结并为阴道大出血诊治积累临床经验。方法:导尿管球囊宫颈管压迫、宫颈缝扎止血后行子宫全切术治疗宫颈血管平滑肌瘤致阴道大出血1例。结果:该例阴道大出血患者经宫颈管球囊压迫及宫颈缝扎止血后成功行子宫全切术,病理确诊为宫颈血管平滑肌瘤。结论:宫颈血管平滑肌瘤自发坏死可致阴道大出血;巧妙运用球囊导尿管及宫颈缝扎术可有效治疗宫颈管内出血。 Objective :To enhance the apprehension of clinical and pathological knowledge of uterine vascular leiomyoma and sum- marize the etiological factors,diagnosis and treatments of massive vaginal hemorrhage,so that to accumulate the clinical experience of dealing with massive vaginal hemorrhage. Methods:A ease of massive vaginal hemorrhage caused by cervical vascular leiomyoma was cured by the treatments of packing with saeeule in cervical canal, cervical eerelage and total hysterectomy. Results :The patient success- fully underwent the total hysterectomy after the vaginal bleeding was controlled by packing with saecule in cervical canal and cervical cerelage, and the pathological result was confirmed as cervical vascular leiomyoma. Conclusion: Cervical vascular leiomyoma may lead to massive vaginal hemorrhage, and the treatments of packing with saccule in cervical canal and cervical cerelage are effectual in dealing with hemorrhage of cervical canal.
出处 《现代医药卫生》 2009年第13期1927-1929,共3页 Journal of Modern Medicine & Health
关键词 宫颈血管平滑肌瘤 球囊导尿管 阴道大出血 Cervical vascular leiomyoma Massive vaginal hemorrhage Sacctde urinary catheter
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