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患者24岁,孕2产1,原发性痛经10年,因停经36天、下腹部疼痛1月、加重1周于1994年6月3日入院。3年前妊娠35周,早产一男婴,健在。2年前因停经40天、下腹部痛伴阴道出血,诊断为“宫外孕”经中药治疗好转。1年前自然流产1次。妇科检查:外阴、阴道正常。宫颈光滑,有举痛、摇摆痛,宫体前位,在子宫右上方可触及一约5×4×3cm的实质性包块,与子宫关系密切不能分离,活动好,有触痛。B超提示:子宫横切呈马鞍状,右侧宫腔内有2.0×
The patient was 24 years old, had 2 pregnancies, 1 had primary dysmenorrhea and had been hospitalized for 3 years because of menopause, 36 days of lower menses and 1 month of lower abdominal pain. Three weeks ago, 35 weeks of gestation, a baby boy was born and was alive. 2 years ago due to menopause 40 days, abdominal pain with vaginal bleeding, diagnosis of “ectopic pregnancy” improved by traditional Chinese medicine. 1 year ago, a spontaneous abortion. Gynecological examination: vulva, vagina normal. Cervical smooth, painful, swaying pain, palace anterior, in the right upper corner of the uterus can reach a substantial mass of 5 × 4 × 3cm, closely related with the uterus can not be separated, good activity, tenderness. B-Tip: The uterus was saddle-shaped cross, the right uterine cavity 2.0 ×