中图分类号：R473.71文献标识码： A文章编号： 1005-0019(2009)07-0005-03

    【摘 要】目的 探讨子宫颈平滑肌瘤围术期处理方法并报道1例巨大宫颈肌瘤。方法 通过分析我院2001年至2008年入院诊断为宫颈肌瘤的10例患者围术期处理经过，总结宫颈肌瘤的临床特点，阐述围术期处理应注意的问题。结果 10例患者无手术禁忌。3例经阴子宫颈肌瘤切除术，6例开腹行子宫肌瘤切除术，本文报道巨大宫颈肌瘤重3000 g，行子宫全切术。结论 术前应充分评估，明确肌瘤位置与周围组织关系，防止损伤输尿管。术后注意预防血栓形成，尤其是巨大宫颈肌瘤者。

    【关键词】子宫颈；平滑肌瘤；围术期

    Analysis of the Perioperative Management of 10 Myoma Cervicis Uteri Cases.QIU Xiao-yue,YAN Lei.(1.Sishui People’s Hospital,Sishui 273200,China;2.Shandong Provincial Hospital)

    【Abstract】Objective To investigate the perioperative management of uterine cervix myoma and report a case of a huge one .Methods We reported 10 cases that were admitted to our hospital during 2001-2008 with the admitting diagnosis cervical myoma,concluded their clinical characteristcs and pointed out the observing questions during perioperative period .Results All the 10 patients had no contraindication.3 patients underwent transvaginal excisions of myoma of cervix .6 patients had abdominal myomectomy.The case we reported uderwent total abdominal hysterectomy with the 3000g myoma.Conclusions We should have sufficient preoperative evaluation of the site of myoma and its anatomic positon,and prevent ureteral injury.We should prevent thrombogenesis especially huge cervix myoma. ......