罕见巨大宫颈息肉脱出阴道口一例并文献复习  

A Rare Case of Giant Cervical Polyp Protruding from the Vaginal Orifice and Literature Review

作　　者：耿韦华 祁冰[1] 佟庆[1] 楼姣英[1] GENG Wei-hua;QI Bing;TONG Qing;LOU Jiao-ying(Department of Gynecology,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学东方医院妇科,100078

出　　处：《国际妇产科学杂志》2024年第1期114-120,共7页Journal of International Obstetrics and Gynecology

基　　金：双一流学科匹配经费(040201011011)。

摘　　要：巨大宫颈息肉临床十分罕见,以往文献仅报道了少数病例,其形态各异,可能表现为恶性肿瘤征象,且部分发生于未婚、无性生活史女性,均限制了临床诊断的正确性。宫颈息肉多为良性,但也存在一定的恶变概率,临床需与表现为宫颈息肉的罕见恶性病变相鉴别。宫腔镜手术切除是治疗宫颈息肉的重要手段,小型宫腔镜对于无性生活史患者尤为推荐。本文报告1例未婚女性阴道口脱出巨大赘生物,经宫腔镜术后病理证实为宫颈息肉的病例,旨在丰富对巨大宫颈息肉的认识,以期指导临床诊断和治疗。Giant cervical polyps are very rare in clinic,and only a few cases have been reported in the literature.The morphology of polyps varies,may present as malignant,and some cases occur in unmarried women without a history of sexual activity,which limits the accuracy of clinical diagnosis.While most cervical polyps are benign,there is a certain probability of malignant transformation,which should be differentiated from rare malignant lesions that manifest as cervical polyps.Hysteroscopic surgery is an important method for the treatment of this disease,and small hysteroscopy is particularly recommended for patients without sexual history.This paper reports a case of unmarried woman with huge excrescence of vaginal orifice,which was confirmed as cervical polyp by hysteroscopy and pathological examination,in order to enrich the understanding of giant cervical polyps and provide guidance for clinical diagnosis and therapy.

关 键 词：宫颈息肉 阴道赘生物 诊断 鉴别 治疗 病例报告 

分 类 号：R711.74[医药卫生—妇产科学]