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患者17岁,住院号22217。外伤后无月经一年半,曾行子宫碘油造影,结果为子宫盆腔瘘。伤后出现周期性腹痛,每次持续4~5天,疼痛重时下腹部可触及鸡卵大包块,压痛明显,但无阴道流血。外伤前末次月经1984年9月6日,于1986年3月17日收入我院。查体:一般情况良好,腹平软,未触及包块,无压痛。骨盆X 线片为陈旧性骨盆骨折,畸形愈合。腹痛时行B 超检查提示宫腔积血。妇检:外阴、阴道正常,宫颈光滑,宫体前位,正常大小,活动受限。左侧附件正常,右侧增厚,探针进入宫颈管4.5cm 有阻力,通水试验未成功。
Patient 17 years old, hospital number 22217. After trauma without menstruation for a year and a half, had a line of uterine lipiodol angiography, the results for the uterine pelvic fistula. Periodic abdominal pain after injury, each lasting 4 to 5 days, the pain can be reached when the lower abdomen can reach large pieces of chicken eggs, tenderness, but no vaginal bleeding. The last menstrual trauma on September 6, 1984, in March 17, 1986 income in our hospital. Physical examination: the general condition is good, abdominal soft, no mass, no tenderness. Pelvic X-ray for the old pelvic fracture, malunion. Abdominal pain when B ultrasound examination prompted uterine hemorrhage. Gynecological examination: vulva, normal vagina, cervix smooth, anterior palace, normal size, limited mobility. The left attachment is normal, the right thickening, the probe into the cervical canal 4.5cm resistance, water test unsuccessful.