患者,45岁。主因月经量多,经期延长伴痛经13年,于1996年2月4日入院。平索月经规则,末次月经1995年12月10日。10天前,无诱因出现下腹憋胀难忍,伴阴道少量出血,用止血消炎药物无效,腹痛逐渐加重,并以夜间为主,自以为早孕流产来我院做B超检查,B超示子宫肌瘤住院手术。查体:T36.4℃,P80次/分,BP16/9kPa。查体心肺腹无异常发现。妇查:经产外阴,阴道、宫颈(-),子宫如孕2月大小,表面光,质中等,活动,有压痛,双附件(-)。实验室检查白细胞21×10~9/L,中性0.90,血红蛋白105g/L,血沉37mm/h,尿镜检(-),肝功正常。考虑:(1)子宫肌腺症合并感染,(2)子宫肌瘤变性。给予大量抗生素治疗,腹痛症状不缓解,体温升 Patient, 45 years old. Mainly due to menstrual flow, menstrual extension with pain for 13 years, on February 4, 1996 admission. Menstruation rules, the last menstrual December 10, 1995. 10 days ago, there was no incentive to lower abdominal bloating unbearable, with a small amount of vaginal bleeding, with anti-inflammatory drugs stop bleeding, abdominal pain and gradually increased, and mainly at night, that early pregnancy miscarriage to our hospital to do B-ultrasound, B- Myoma in hospital surgery. Physical examination: T36.4 ℃, P80 beats / min, BP16 / 9kPa. Physical examination showed no abnormal lung and abdomen. Fetal examination: the production of the vulva, vagina, cervix (-), uterus, such as size of pregnancy in February, surface light, medium quality, activity, tenderness, double attachment (-). Laboratory tests of leukocytes 21 × 10 ~ 9 / L, neutral 0.90, hemoglobin 105g / L, erythrocyte sedimentation rate 37mm / h, urinalysis (-), normal liver function. Consider: (1) infection of the uterine adenomyosis, (2) uterine fibroids degeneration. Given a large number of antibiotics, abdominal pain symptoms do not ease, body temperature rise