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患者37岁,因发现子宫肌瘤3年,月经量增多3个月,伴经期头晕、乏力,血红蛋白66g/L,抗贫血治疗无效后,于2005年11月22日入院。该患者孕5产1,1990年早孕行人工流产1次；1991年孕33周臀位自然分娩1次；1992年孕24周,引产1次．术后上环避孕。三次怀孕均在左侧子宫。1994年孕24周,双胎,应用水囊、缩宫素及卡孕栓引产失败,因子宫下段有压痛,内诊检查见阴道右穹窿黏膜呈新月型裂口20mm．怀疑子宫破裂而行小剖宫产术,术中见无子宫破裂,娩出胎盘时无宫内环。查右附件正常,左附件缺如,诊断
The patient was 37 years old. He was admitted to hospital on November 22, 2005 after finding that his uterine fibroids were 3 years old and his menstrual flow increased for 3 months. He had menstrual dizziness, weakness, hemoglobin 66g / L, and anti-anemia therapy. The patient pregnant 5 birth 1, 1990 early pregnancy abortion 1; 1991 33 weeks breech birth natural 1; Postoperative contraception. Three pregnancies are in the left uterus. 24 weeks of pregnancy in 1994, twins, application of water sac, oxytocin and carbamazepine induction of labor failure, due to sub-uterine segment tenderness, see the vaginal right dome of the vaginal mucosa showed crescentic tear 20mm. Suspected uterine rupture and small cesarean section, intraoperative see no uterine rupture, no intrauterine ring when the placenta is delivered. Check the right attachment is normal, left attachment missing, diagnosis