患者姜××,50岁,病历号34998。5年前发现阴道前壁有核桃大包块,无痛,逐渐增大,向阴道外口脱出,小便费力,尿频量少,当地医院诊断为子宫脱垂合并膀胱膨出。既往无特殊记载,孕6产4,绝经2年。体检:T37℃,P88次/分,Bp130/90mmHg。外阴经产型,阴道前壁向外膨出一14×9×7cm囊性肿物,阴道粘膜色泽正常。囊壁较厚,内有凸凹不平硬节, The patient ginger × ×, 50 years old, medical record number 34998. Found 5 years ago walnuts anterior vaginal wall mass, painless, gradually increased, to the vaginal orifice exit, urination labor, less frequent urination, the local hospital diagnosis of the uterus Prolapse combined cystocele. No previous records, pregnancy 6 4, menopause 2 years. Physical examination: T37 ℃, P88 beats / min, Bp130 / 90mmHg. Vulva by type, the anterior vaginal wall bulging a 14 × 9 × 7cm cystic mass, normal vaginal mucosa color. Thick wall, there are rugged knots,