女性盆腔部位的包块多数可以通过了解病史及作盆腔检查获得诊断。但有些包块临床上症状相似,盆腔检查又不易鉴别,处理也大不相同,这就需要详细地询问病史,反复细致地作盆腔检查及作一些辅助诊断,才能获得正确的诊断和处理。常见的盆腔包块需要认真识别的有以下几种情况:1.浆膜下子官肌瘤与卵巢肿瘤的鉴别:浆膜下子宫肌瘤突出在子宫表面,与子宫体相连,多数无月经过多病史,没有痛经。如为带蒂肌瘤或有囊性变时 Female pelvic mass mass majority can understand the history and pelvic examination for diagnosis. However, some mass clinical symptoms similar pelvic examination is not easy to identify, the treatment is also very different, which requires detailed history, detailed pelvic examination and make some auxiliary diagnosis in order to obtain the correct diagnosis and treatment. Common pelvic mass need to be carefully identified in the following situations: 1 subserosal flesh tumor and ovarian tumor identification: subserosal uterine fibroids prominent in the uterine surface, connected with the uterus, most without menorrhagia History, no dysmenorrhea. Such as pedicle fibroids or cystic change