[摘要] 目的 探讨子宫肌瘤壳样钙化的临床特征、鉴别诊断及悬吊式改良单孔腹腔镜手术治疗效果。方法回顾性分析悬吊式改良单孔腹腔镜手术治疗壳样钙化子宫肌瘤1例临床资料并复习相关文献。结果 病人42岁，因发现子宫肌瘤2年入院。超声检查提示子宫前壁肌壁间低回声包块伴周边弧形强回声，考虑子宫肌瘤并周边环形钙化。行悬吊式改良单孔腹腔镜下子宫肌瘤剔除术，术中见肌瘤表面坚硬如骨质的壳样改变，术后病理诊断为子宫平滑肌瘤伴梗死及钙化。手术顺利，完整剔除肌瘤，术后随访至今未见复发。结论 育龄期妇女子宫肌瘤壳样钙化较少见，可以应用悬吊式改良单孔腹腔镜手术治疗。

    [关键词] 平滑肌瘤;钙化，生理性;腹腔镜检查;子宫肌瘤切除术

    [中图分类号] R713.4 [文献标志码] A [文章编号] 2096-5532(2020)05-0610-03

    doi：10.11712/jms.2096-5532.2020.56.136 [开放科学(资源服务)标识码(OSID)]

    [ABSTRACT] Objective To investigate the clinical features and differential diagnosis of uterine myoma with shell-like calcification and the clinical effect of suture-suspension modified single-port laparoscopic surgery. Methods A retrospective analysis was performed for the clinical data of one patient with uterine myoma with shell-like calcification who underwent suture-suspension modified single-port laparoscopic surgery ......