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高某,女,28岁,已婚。因下腹疼痛,经期延长1年余,于1998年3月5日就诊。患者1996年8月因孕3月行大月份钳刮,术后感左下腹疼痛,经期延长,量时多时少,无发热等症状。当时做妇科检查:外阴(-),阴道:畅,潮红,宫颈:光,宫体:中位,如孕40天大小,附件:左下腹压痛,右(-)。 B超报告:子宫中位,大小(6.8+2.8)×5.7×42cm~3,实质回声均匀,宫腔内可见一4.3×0.6cm~2之强光带回声,且中间可见0.4cm之分离暗区,该强光带伴有弱声影,在底部处宽约1.6cm,双附件未见明显异常。示:子宫内膜回声增强,钙化?建议诊刮。立即行清宫术,探宫腔8cm。取出组织,内有肩胛骨1块,肋骨2块及小骨,术后宫
High, female, 28 years old, married. Due to abdominal pain, menstrual period more than 1 year, on March 5, 1998 treatment. Patients in August 1996 due to pregnancy March large month clamp, postoperative left lower quadrant pain, menstrual prolongation, the amount of more and less less, no fever and other symptoms. Gynecological examination was done at the time: the vulva (-), vagina: Chang, flushing, cervix: light, Palace: the median, such as pregnancy 40 days size, attachment: left lower quadrant tenderness, right (-). B ultrasound report: the uterus, the size (6.8 +2.8) × 5.7 × 42cm ~ 3, the real echo uniform, a 4.3 × 0.6cm ~ 2 in the uterine cavity can be seen with a strong echo, and the middle of the 0.4cm separation can be seen Dark area, the light with a weak sound shadow at the bottom of the width of about 1.6cm, double attachment no obvious abnormalities. Show: Endometrial echo enhancement, calcification? Consultation curettage. Palace curettage immediately, explore the uterine cavity 8cm. Remove the tissue, there are 1 scapula, 2 ribs and small bones, postoperative hysteroscopy