宫颈炎性息肉伴黏液囊肿误诊为子宫黏膜下肌瘤的临床研究

Clinical study of cervical inflammatory polyps with mucocele misdiagnosed as submucous myoma of uterus

目的:探讨宫颈炎性息肉伴黏液囊肿被误诊为子宫黏膜下肌瘤的原因及相应的预防方式。方法:选取2019年1月-2019年2月罗定市红十字会医院收治的2例宫颈炎性息肉伴黏液囊肿被误诊为子宫黏膜下肌瘤的患者,对其入院诊断与手术后的情况进行观察,分析误诊产生的原因。结果:经入院诊断可知,2例患者均被诊断为子宫黏膜下肌瘤。其中1例采取黏膜下肌瘤剔除术加诊断性刮宫术,另1例行宫颈肿物切除术加诊断性刮宫术。术后经病理诊断显示,2例患者均为宫颈黏液囊肿,宫颈管内膜炎性息肉。之后对2例患者均采取全子宫加双附件切除术,之后获得了良好的恢复。结论:宫颈炎性息肉伴黏液囊肿的症状表现与子宫黏膜下肌瘤的症状表现相似,较易发生误诊,因此需要使用更加有效的方式进行检查。

Objective: To investigate the causes of misdiagnosis of cervicitis polyp with mucocele as submucous myoma of uterus and its prevention methods. Methods: From January 2019 to February 2019, 2 cases of cervicitis polyp with mucocele were misdiagnosed as submucous myoma of uterus. Observation was made on their admission diagnosis and situation after operation, and the causes of misdiagnosis were analyzed. Results: Two patients were diagnosed with submucosal myoma of uterus. One case was treated with submucous myoma removal plus diagnostic curettage, the other one with cervical mass resection plus diagnostic curettage. Postoperative pathological diagnosis showed that all of the 2 patients were cervical mucocele and endocervical polyps. After that, all 2 patients were treated with total uterus and double appendectomy, and then recovered well. Conclusion: The symptom of cervicitis polyp with mucocele is similar to that of submucous myoma of uterus, and it is easy to be misdiagnosed. So a more efficient way of checking is needed.