一、病例摘要患者57岁,因“绝经后5年,发现子宫肌瘤1周,阴道出血5 d”于2016年01月04日入南京医科大学附属无锡市人民医院治疗。患者既往月经规律,周期6~7/25~30 d,量中,无痛经,52岁绝经,绝经后无异常阴道流血。患者自诉50岁时体检发现子宫肌瘤,较小(具体不详),未特殊治疗。1周前无明显诱因出现少量阴道流血,色鲜红,无腹痛腹胀,无发热,无恶心、呕吐,无尿频、尿急,无便秘、肛门坠胀,遂来院,门诊B超提示:绝经后子宫附件改变, First, the case summary of 57-year-old patient, because “5 years after menopause, found that 1 week of uterine fibroids, vaginal bleeding 5 d ” on January 04, 2016 into the Nanjing Medical University Wuxi City People’s Hospital for treatment. The patient’s past menstrual cycle, period 6 ~ 7/25 ~ 30 d, the amount of, no dysmenorrhea, 52-year-old menopause, no abnormal vaginal bleeding after menopause. Patient self-prosecution 50 years old when the examination revealed uterine fibroids, smaller (specifically unknown), no special treatment. 1 week ago no obvious incentive A small amount of vaginal bleeding, red, no abdominal pain Bloating, no fever, no nausea, vomiting, no urinary frequency, urgency, no constipation, anus bulge, then to the hospital, outpatient B-Tip: Postmenopausal uterus Change of attachment