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患者,43岁,以经期下腹进行性疼痛7个月收入院。患者半年前开始经前2天下腹疼痛,经期明显加重,伴肛门坠胀感,经期、经量无改变,但有多年反复尿路感染的病史,曾多次住院治疗无效。查体:体温、脉搏、血压正常,一般情况良好,心肺(一),腹软,肝脾未触及。妇检:外阴、阴道通畅、宫颈光滑,宫体后位,40天大小,质硬;右侧附件增厚,有压痛,左侧无增厚;右侧附件增厚,有压痛,左侧无增厚,确诊为子宫肌腺症。于1997年12月25日在硬膜外
The patient, 43 years old, had a painful menstrual period of 7 months for lower abdominal pain. Six months ago, the patient started to have abdominal pain in the first 2 days. The menstrual period was significantly aggravated. The anorectal bulge was felt. The menstrual period and the amount of menstrual flow did not change. However, he had repeated urinary tract infections for many years and had repeatedly failed to hospitalize. Physical examination: body temperature, pulse, normal blood pressure, generally good, heart and lung (a), abdominal soft, liver and spleen not touched. Gynecological examination: vulva, vaginal patency, smooth cervix, palace posterior position, 40 days size, hard; right attachment thickening, tenderness, no thickening on the left; thickening of the right attachment, tenderness, left no Thickening, diagnosed as adenomyosis. December 25, 1997 in the epidural