子宫阔韧带

Broad ligament defects are classified as congenital or acquired. Congenital cases have an embryologic basis due to a developmental peritoneal defect around the uterus.

阔韧带缺损分先天性的和获得性的，先天性缺损的病人其胚胎学基础是子宫周围的腹膜发育缺损。

Objective To investigate the CT diagnostic value of broad ligament leiomyoma.

目的 探讨子宫阔韧带肌瘤的CT诊断价值。

Based on selection of patients,electric coagulation,separation and cutting was used for intramural myoma,broad ligament myoma,cervical myoma and subserous myoma respectively.It suggests that laparoscopic hysteromyomectomy is safe and feasible with little blood loss and short recovery in treating myoma.

在选择好病例的基础上，于腹腔镜下行子宫肌瘤剔除术，对壁间肌瘤、阔韧带肌瘤、宫颈管肌瘤、浆膜下肌瘤分别采用电凝、分离、切割等术式。

At the lateral limit of the paravesical fossae, the peritoneum invests the mesosalpinx, round ligament, and broad ligament of the uterus.

直肠旁隐窝和膀胱旁隐窝也存在与女性，在膀胱旁隐窝的侧方腹膜包绕输卵管系膜、子宫圆韧带和阔韧带。

Results All 63 patients were operated with laparoscope successfully. There were 36 subserous myoma, 18 intramurul myoma, 9 intra-broad ligament and 16 multi-myoma. Maximum tumor size in diameter: 12cm, mean (7.9±1.6)cm. Duration of operation: 35~240 mm, mean (88±53) min, 60% of which were spent in suture and 20% in myoma excising. Blood loss during the operation: 20~1250 ml, mean (156±148) ml, 70% of which were lost in suture. Average hospital ization stay (5.5±2.7) d.

结果 63例均在腹腔镜下完成手术，其中子宫浆膜下肌瘤36例，肌壁间肌瘤18例，阔韧带肌瘤9例，多发肌瘤16例，最大直径12cm，平均直径(7.9±1.6)cm，手术时间35~240min，平均时间(88±53)min，其中缝合时间占60%，取瘤时间占20%，出血20~1250ml，平均(156±148)ml，其中缝合时出血占70%，平均住院时间(5.5±2.7)d。

There was no complication and the average postoperative hospital stay was 6 days.Conclusion:Based on selection of patients,electric coagulation,separation and cutting was used for intramural myoma,broad ligament myoma,cervical myoma and subserous myoma respectively.

在选择好病例的基础上，于腹腔镜下行子宫肌瘤剔除术，对壁间肌瘤、阔韧带肌瘤、宫颈管肌瘤、浆膜下肌瘤分别采用电凝、分离、切割等术式。

Results:In this group there were 5 mucinous cystadenoma; 4 serous cystadenoma; 4 teratoma; 2 lager ovarian cyst; 4 subserous leiomyoma of uterine. The massive cystic-solid tumor with irregular cystic wall was seen in mucinous cystadenoma and serous cystadenoma; Teratoma appeared non homogenous density with fat density mass; Subserous leiomyoma of uterine showed large cystic tumor with clear edge, and the size of uterine was normal.

结果：5例卵巢浆液性囊腺瘤，4例黏液性囊腺瘤，CT表现为腹盆腔内巨大囊性或囊实性肿瘤，囊壁厚薄不均；4例卵巢畸胎瘤，CT表现为盆腔巨大肿瘤内部密度不均，可见脂肪密度影；卵巢巨大囊肿2例，CT表现为腹、盆内巨大单囊状肿物；4例浆膜下子宫肌瘤，CT表现为盆腔内巨大囊性肿物，边界清晰，子宫大小正常；1例阔韧带平滑肌瘤，CT表现为密度不均匀的实性肿物，增强扫描强化不均。

Cm. Among the total PLN, 57 （60%） were located parallel to uterine artery through the entire broad ligament, and the other 38 （40%） were scattered in cardinal ligament, sacral ligament and vesicocervical ligament.

其中，57枚（60%）PLN位于阔韧带内，沿子宫动脉走向分布；另38枚（40%）分布于主韧带、骶韧带及膀胱宫颈韧带内。95枚PLN中，69枚（73%）因被亚甲蓝染色而易于识别，并被认定为宫旁组织内的SLN.60例患者中，12例（20%）患者共17枚PLN有转移，其中2例（3%）PLN是惟一的转移部位。

Drawing shows the locations of internal hernias, pouches, and fossae of the pelvic cavity in a female patient.

图2 示意图显示女性患者盆腔腹内疝、隐窝和陷凹的部位。H，膀胱上疝；I，阔韧带疝；1，膀胱子宫陷凹；2，子宫直肠陷凹；3，直肠旁窝。

What are your goals and strategies for growth?

你的成长目标和策略是什么？

And unto the angel of the church in Sardis write; These things saith he that hath the seven irits of God, and the seven star I know thy works, that thou hast a name that thou livest, and art dead.

3：1 你要写信给撒狄教会的使者，说，那有神的七灵和七星的，说，我知道你的行为，按名你是活的，其实是死的。