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患者李××,46岁,已婚,下腹肿块逐渐增大已四年。近七年来月经紊乱,量多,间有少腹痛;以子宫肌瘤于84年4月4日入院。孕4产4,末产于15年前。一般查体无特殊,但下腹正中可触及一约8×10×11Cm~3大小的舯块,质硬、活动,界线清,压痛(一)。妇检:外阴经产式,于阴道外口可见阴道纵膈的膈膜;阴道有一不完全性纵膈,左右阴道通畅,但纵膈上端有一洞隙,使左右相通:宫颈为单一状,光滑,较肥大;宫体——左子宫前位孕3~+月大小,活动,质中硬,右子宫中位丰满、活动;附件(一)。诊断为双子宫双阴道(不完全性阴道纵膈)合并子宫肌瘤。于4月12日硬外麻醉下行双子宫及双附件切除术。术中所
Lee × × patients, 46 years old, married, abdominal mass gradually increased four years. The past seven years, menstrual disorders, quantity, less abdominal pain; to uterine fibroids on April 4, 1984 admission. 4 pregnant 4, the end of 15 years ago. General examination of no special, but the middle of the lower abdomen can reach a block of about 8 × 10 × 11Cm ~ 3 size, hard, activity, boundary clear, tenderness (a). Gynecological examination: genital production, in the vaginal orifice visible vaginal mediastinal diaphragm; vaginal there is an incomplete mediastinal, vaginal patency, but there is a hole in the upper mediastinum, the left and right: the cervix is single, smooth , More hypertrophy; Palace - left uterus before pregnancy 3 ~ + month size, activity, the quality of hard, the right uterus is full, activities; Annex (a). Diagnosis of double uterus double vagina (incomplete vaginal mediastinal) with uterine fibroids. On April 12, extradural anesthesia was performed to remove the double uterus and double attachments. Intraoperative