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患者,女性,61岁。因患Ⅲ度子宫脱垂使用喇叭形子宫托已4年。2年前因农忙有数日,未取下子宫托,触之可及一柄。—年多后托柄亦又能触及。近半年来感尿少、尿痛、尿频,每日7—8次,呈脓性尿,时有畏寒发烧。于1986年4月22日就诊。体检:慢性消耗病容。膀胱区有轻度压痛,叩诊呈实音。妇科检查:巳婚经产式阴道,宫颈口光滑,宫颈管已消失,阴道前壁来发现明显瘘口。阴道双合诊,于阴道前壁耻骨联合下可扪及一包块,鸭蛋大
Patient, female, 61 years old. Because of suffering Ⅲ degree uterine prolapse using horn-shaped pessary has been 4 years. 2 years ago due to busy for a few days, did not remove the uterine support, touch and handle. Years later, the handle can reach again. Nearly six months to feel less urine, dysuria, frequent urination, 7-8 times daily, was purulent urine, sometimes chills and fever. On April 22, 1986 treatment. Physical examination: Chronic consumption of disease. Bladder area mild tenderness, percussion was solid tone. Gynecological examination: Pat married vaginal production, cervical smooth mouth, cervical canal has disappeared, vaginal anterior wall to find obvious fistula. Vaginal double clinics, pubic symphysis in the anterior vaginal palpable mass, large duck