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患者女性,21岁。因结婚1年未孕,于1992年1月3日入院。月经规则,14 5/28天,量中等,无痛经。查体:心、肺及腹部正常。妇科检查:外阴、阴道正常,宫颈光滑,子宫前位,正常大小,活动。右侧附件可扪及约5 cm×3 cm×3cm的包块,表面光滑,活动,无压痛;左侧附件无明显异常。B超检查提示为右侧卵巢囊肿。1992年1月9日在连续硬膜外麻醉下行囊肿切除术。术中见子宫位于盆腔腹膜外,大小正常,仅富底覆盖部分腹膜,阔韧带及圆韧带均缺如。左侧输卵管位于腹膜外,粗而长且扭曲,无伞端,与该侧卵巢间无系膜相连,卵巢在腹腔内,表面正常。右侧仅有一条索状肌束连接子宫角及该侧卵巢,后者被覆较厚的浆膜。剪开浆
Patient female, 21 years old. 1 year because of marriage was not pregnant, in January 3, 1992 admission. Menstruation rules, 14 5/28 days, the amount of moderate, no dysmenorrhea. Physical examination: heart, lungs and abdomen normal. Gynecological examination: vulva, normal vagina, cervix smooth, anterior uterus, normal size, activity. Right attachment palpable about 5 cm × 3 cm × 3cm mass, smooth surface, activity, no tenderness; the left attachment was not abnormal. B-ultrasound examination for the right ovarian cysts. January 9, 1992 under continuous epidural anesthesia cyst excision. Intraoperative see the uterus in the pelvic peritoneal, normal size, only the rich part of the peritoneal cover, broad ligament and round ligament are missing. The left fallopian tube is located outside the peritoneum, coarse and long and distorted, no umbrella end, and no mesangial membrane attached to the side of the ovary, the ovary in the abdominal cavity, the surface normal. The right side of only a cords connected to the uterine horn and the side of the ovary, the latter covered thick serosa. Cut the pulp