壳样钙化子宫肌瘤悬吊式改良单孔腹腔镜手术1例并文献复习

CLINICAL EFFECT OF SUTURE-SUSPENSION MODIFIED SINGLE-PORT LAPAROSCOPIC SURGERY IN TREATMENT OF UTERINE MYOMA WITH SHELL-LIKE CALCIFICATION:A CASE REPORT AND LITERATURE REVIEW

目的探讨子宫肌瘤壳样钙化的临床特征、鉴别诊断及悬吊式改良单孔腹腔镜手术治疗效果。方法回顾性分析悬吊式改良单孔腹腔镜手术治疗壳样钙化子宫肌瘤1例临床资料并复习相关文献。结果病人42岁,因发现子宫肌瘤2年入院。超声检查提示子宫前壁肌壁间低回声包块伴周边弧形强回声,考虑子宫肌瘤并周边环形钙化。行悬吊式改良单孔腹腔镜下子宫肌瘤剔除术,术中见肌瘤表面坚硬如骨质的壳样改变,术后病理诊断为子宫平滑肌瘤伴梗死及钙化。手术顺利,完整剔除肌瘤,术后随访至今未见复发。结论育龄期妇女子宫肌瘤壳样钙化较少见,可以应用悬吊式改良单孔腹腔镜手术治疗。

Objective To investigate the clinical features and differential diagnosis of uterine myoma with shell-like calcification and the clinical effect of suture-suspension modified single-port laparoscopic surgery.Methods A retrospective analysis was performed for the clinical data of one patient with uterine myoma with shell-like calcification who underwent suture-suspension modified single-port laparoscopic surgery,and a literature review was also performed.Results A woman,aged 42 years,was admitted due to uterine myoma for 2 years.Ultrasound examination showed hypoechoic mass with surrounding arc strong echo between the muscle walls of the anterior uterine wall,and uterine myoma with annular calcification was considered.Suture-suspension modified single-port laparoscopic myomectomy was performed,and hard shell-like changes were observed on the surface of the myoma during surgery.Postoperative pathology showed uterine liomyoma with infarction and calcification.The operation was successful and myomas were completely removed.No recurrence was observed in the postoperative follow-up up to now.Conclusion Shell-like calcification of uterine myoma is rare in women of child-bearing age,and suture-suspension modified single-port laparoscopic myomectomy is feasible for treatment.