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患者女,32岁,已婚,工人。因近一年来,经量明显增多,每次需用卫生纸6包,经期延长至8～15d,甚至长达1月,经期下腹剧痛,不能坚持工作,在外用妇康片、丙酸率丸酮及止血、止痛药等治疗无效。于1983年6月29日住院。患者既往月经正常,无痛经。曾剖宫产2次,人工流产3次。5年前于第二次剖宫产同时施行双侧输卵管结扎术,术后发热3d。腹壁伤口I期愈合。 入院检查:在下腹正中切口疤痕右侧扪及一约6×7cm~2之块物,质硬,紧贴腹壁,稍可推动。内诊:
Female patient, 32 years old, married, worker. For the past year, the amount of significant increase, each need to use 6 packets of toilet paper, menstrual period extended to 8 ~ 15d, or even up to January, menstrual pain in the lower abdomen, can not insist on work, topical Fufang tablets, propionate pills Ketones and hemostasis, painkillers and other treatment is invalid. In June 29, 1983 hospitalization. Patients with normal menstruation, no dysmenorrhea. Cesarean section twice, three abortion. 5 years ago in the second cesarean section at the same time the implementation of bilateral tubal ligation, postoperative fever 3d. Abdominal wall wound healing I. Admission examination: In the middle of the incision on the right incision palpable about 6 × 7cm ~ 2 block, hard, close to the abdominal wall, a little push. Internal consultation: