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阴道非恶性实性肿瘤极罕见。常易误诊为脐胱膨出、尿道膨出、Gartner 囊肿、尿道憩室、阴道囊肿、前庭大腺囊肿、阴道恶性肿瘤、子宫脱垂或阴道壁腺肌瘤等。阴道纤维肌瘤一般为单发,极少数为多发。例1 47岁,孕2产2。阴道右前壁有-4cm×5cm 无症状肿块,质软、活动、无触痛。超声显示5cm×6cm×5cm 的不均匀肿块回声、呈旋涡状。加压尿道造影未见憩室,针吸活检为平滑肌。经阴道前壁垂直中线切口摘除肿块。因手术导致尿道剥裸和耻骨联合下尿道膀胱交接部移位,致使尿道外壁和筋膜贴近,找出耻骨尿道韧带后,以2-0多羟乙酸缝线作折叠缝合。病理结果为纤维平滑肌瘤。患者于术后第二天出院,2月后无症状。
Vaginal non-malignant solid tumors are extremely rare. Often misdiagnosed as cystocele, urethral bulging, Gartner cysts, urethral diverticulum, vaginal cysts, vestibular gland cysts, vaginal malignancies, uterine prolapse or vaginal wall adenomyosis. Vaginal fibroids usually single hair, a very small number of multiple. Example 1 47 years old, 2 pregnant 2. Right anterior vaginal wall -4cm × 5cm asymptomatic mass, soft, active, no tenderness. Ultrasound showed 5cm × 6cm × 5cm uneven mass echo, was swirling. Pressure urethrography no diverticulum, needle biopsy for smooth muscle. Transvaginal anterior vertical midline incision removal of lumps. Due to surgery leading to urethral numbness and pubic symphysis lower urethral bladder transfer of displacement, resulting in urethral wall and fascia close to find the pubic urethra ligament, 2-0 polyglycolic acid suture for folding suture. Pathological findings of fibroleoma. Patients were discharged the day after surgery and asymptomatic after 2 months.