患者,女,58岁,绝经8年,腹胀伴消瘦1个月。体检全腹部膨隆。妇检:发现后穹隆触及结节,子宫附件触诊不满意。盆腔B超见大量腹腔积液。右附件区可及一12cm×10cm×8cm实性包块,边界不规则。 最恰当的治疗方案为
A. 行门脉分流术
B. 剖腹探查术
C. 双附件切除术
D. 卵巢肿瘤剥除术
E. 全子宫+双附件切除术
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The task of being accepted and enrolled in a university begins early for some students. Long (1) they graduate from high school. These students take special (2) to prepare for advanced study. They may also take one of more examinations that test how (3) prepared they are for the university. In the final year of high school, they (4) applications and send them, with their student records, to the universities which they hope to (5) . Some high school students may be (6) to have an interview with representatives of the university. Neatly, (7) and usually very frightened, they are (8) to show that they have a good attitude and the (9) to succeed.When the new students are finally (10) , there may be one more step they have to (11) before registering for classes and (12) to work. Many colleges and universities (13) an orientation program for new students. (14) these programs, the young people get to know the (15) for registration and student advising, university rules, the (16) of the library and all the other (17) services of the college or university.Beginning a new life in a new place can be very (18) . The more knowledge students have (19) the school, the easier it will be for them to (20) to the new environment. However, it takes time to get used to college life. 20()
A. fit
B. suit
C. yield
D. adapt
患者,女,35岁,因经期延长伴经量过多半年就诊。查体贫血貌,子宫均匀增大如孕2个月,双附件未见异常。B超发现宫腔内有一直径3cm团块。 为确诊,应首选下列哪项检查
A. 诊刮
B. 腹腔镜
C. 盆腔CT
D. 宫腔镜检查
E. 血HCG测定
患者,女,41岁,子宫次全切除术后6年。4个月前开始出现阴道分泌物增多,黏液水样,且伴有腰部胀痛,尿量可。妇科检查:宫颈结节状,阴道前壁上1/3质硬,双侧主韧带团块状增粗达盆壁,触痛(+),既往无慢性病史。 若确诊为宫颈腺癌,其临床分期为
A. Ⅱa期
B. Ⅱb期
C. Ⅲa期
D. Ⅲb期
E. Ⅳa期
患者,女,58岁,绝经8年,腹胀伴消瘦1个月。体检全腹部膨隆。妇检:发现后穹隆触及结节,子宫附件触诊不满意。盆腔B超见大量腹腔积液。右附件区可及一12cm×10cm×8cm实性包块,边界不规则。 为确诊,进一步的检查手段为
A. 放疗
B. 腹腔穿刺细胞学检查,后再次妇检
C. 立即剖腹探查
D. 化疗
E. 肝功能、甲胎蛋白检验