报道:患者女性,52岁,因下腹部进行性无痛性包块两年伴腹胀两月于1989年3月21日以“子宫肌瘤”收住妇产科。入院查:T 37.2℃、P 80次/分、R 20次/分、BP16/10.1 kPa、Hb 100g/L、RBC 3.0×10~(12)/L、WBC 10×10~9/L、N 0.76、L 0.24、SR 18mm/h。下腹部膨隆,可扪及排球大小包块,活动度小,质中,无压痛,基底周界不清。于1989年3月24日在持硬麻醉下行剖腹探查术,术中发现包块位于盆腔,与肠道、子宫及附件无关。由于包块占据整个盆腔,无法进一步探查来源,拟行囊内摘除,术中摘除一混合性(囊实性)包块约排球大小,包块基底来源于骶部,并与骶前筋膜紧密粘连,术中尽可能切除囊壁组织,不能切除之少量基底囊壁用5%碘酊涂擦,严密止血后依次关腹,七天拆线,摄腰骶部 X 线正侧位片,未发现异常,住院九天痉愈出院。病检报告:盆腔骨性神经纤维瘤。 Reported: female patient, 52 years old, due to the lower abdomen painless mass two years with abdominal distension two months in March 21, 1989 to “uterine fibroids” receive obstetrics and gynecology. Admission examination: T 37.2 ℃, P 80 beats / min, R 20 beats / min, BP16 / 10.1 kPa, Hb 100g / L, RBC 3.0 × 10-12 / 0.76, L 0.24, SR 18 mm / h. The lower abdomen bulging, palpable volleyball size mass, small mobility, quality, no tenderness, the basal perimeter unclear. On March 24, 1989, she underwent a laparotomy with a hard anesthesia. The mass was found in the pelvis during operation, which was unrelated to intestinal tract, uterus and appendix. As the mass occupies the entire pelvis, can not further explore the source, to be enucleated, the removal of a mixed (cystic solid) mass about the volleyball size, mass base from the sacral, and the presacral fascia closely attached , Surgery as possible removal of the wall tissue, can not be removed a small amount of basal wall smear with 5% iodine tincture, followed by close tight hemostasis, stitches for seven days, taking the lumbosacral X-ray is lateral, no abnormalities were found, Spasm nine hospital discharge. Disease test report: pelvic bony neurofibromas.