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患者,女性,31岁。因血尿、尿痛3天来院就诊。3天前无明显诱因出现全程肉眼血尿,并见血块,伴有尿痛,无发热、腰痛及膀胱刺激征。妇检:下腹部压痛明显,耻骨上方触及一如孕3月子宫大小包块。B超检查:子宫居中,前倾位,大小形态正常,膀胱充盈好,壁清晰、光滑,底部显示84mm×77mm×65mm实性团块,形态规则,表面光滑完整,内部回声强弱不均匀(图1),当变动体位时,团块随之移动,并见
Patient, female, 31 years old. Due to hematuria, dysuria 3 days to hospital. 3 days ago there was no obvious incentive to appear gross hematuria, and see the blood clots, accompanied by dysuria, fever, back pain and bladder irritation. Maternity: Obvious lower abdominal tenderness, palpable above the pubic bone as the size of uterine mass in March. B-ultrasound: uterine center, anteversion, the size of the normal shape, good bladder filling, the wall is clear and smooth, the bottom shows 84mm × 77mm × 65mm solid mass, the rules of the form, the surface is smooth and complete, the internal echo strength is not uniform Figure 1), when changing posture, the clumps along with, and see