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例1.万某,39岁,85年入院。患者于77年行人工流产及腹式绝育术,手术持续约5小时。术后右下腹坠痛及腰痛,不能伸腰,不能参加体力劳动,有性交痛,抗炎药物及理疗无效。患者术后月经正常。孕5产4。检查:腹软,右下腹部有轻度压痛,无反跳痛。妇科检查;宫颈I°糜烂,举痛明显,子宫体中位稍大、软,右侧宫旁触痛明显,左侧宫旁及附件(一)。诊断:盆腔静脉瘀血综合征。剖腹探查术中见子宫中位,正常大小,双侧输卵管及卵巢正常,两侧输卵管系膜内静脉怒张,直径约0.8公分,子宫颈周围静脉增粗,盆腔未见粘连。行全子宫及右侧附件切除术。术后恢复良好。病理报告:可见扩张的静脉,慢性轻度子宫肌炎。
Example 1. Wanmou, 39 years old, 85 years admitted. Patients underwent abortion and abdominal sterilization in 1977, and the procedure lasted for about 5 hours. Right lower quadrant after falling pain and back pain, can not stretch the waist, can not participate in manual labor, sexual intercourse pain, anti-inflammatory drugs and physical therapy is invalid. Patients with normal menstruation. Pregnant 5 4. Check: Abdominal soft, right lower abdomen with mild tenderness, no rebound tenderness. Gynecological examination; cervical I ° erosion, pain was obvious, the uterus was slightly larger, soft, obvious parametrial pain on the right side of the left uterine and annex (a). Diagnosis: pelvic venous stasis syndrome. Laparotomy see the uterus in the median, normal size, bilateral tubal and ovarian normal, both sides of the fallopian tube mesangial vein engorgement, a diameter of about 0.8 cm, thickening of the cervix around the vein, pelvic adhesions. Line the whole uterus and the right attachment resection. Postoperative recovery is good. Pathology report: visible dilation of the veins, chronic mild myomectomy.