论文部分内容阅读
患者女,22岁。自14～15岁起有间歇性便血史,2～5个月一次,量中等,2～3天净,无其他不适症状。16岁月经初潮,无痛经,月经来潮前后都有便血,22岁后因便血就诊外科,拟诊“直肠息肉”。前后二次作直肠镜检及钡灌,均无异常发现,病检为“肠粘膜充血水肿”。后因月经过多就诊于我科,肛检:子宫正常大且活动,两侧附件正常,子宫直肠窝未触及结节。依病史拟诊“直肠子宫内膜异位症”。给予“假孕疗法”试验治疗,便血能控制。25岁结
Female patient, 22 years old. From the age of 14 to 15 years old have intermittent episodes of blood in the stool, 2 to 5 months, medium volume, 2 to 3 days net, no other symptoms. 16 years of menstrual menarche, no dysmenorrhea, menstrual cramps have blood in the stool, after 22 years of age due to blood in the stool surgery, to be diagnosed “rectal polyps.” Before and after the second rectal examination and barium irrigation, no abnormalities were found, the disease was “intestinal mucosal congestion and edema.” After treatment due to menorrhagia in our department, anal examination: normal and active uterus, both sides of the attachment normal uterine rectal fossa untouched nodules. According to the history of diagnosis “rectal endometriosis.” Give “false pregnancy therapy” test treatment, blood in the stool control. 25-year-old knot