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病史摘要:王××,女性,31岁,于1979年4月24日因肛旁硬块1~+年而入院。肛门胀痛1年余,坐立不安,影响工作和生活,体重下降10余斤。每逢行经时,疼痛加剧,无发热史。曾在我院外科及市内多处求医,都发现肛旁左侧有2厘米大小硬块,明显触痛,诊断为“肛旁脓肿”。每次给予抗菌素、止痛剂及休息。也曾因怀疑结核性炎块,给以抗痨治疗。历时壹年余,肛门疼痛不见好转反而加剧,始来妇科就诊。生育史:五年前因孕毒症足月产钳产,会阴切开及缝合,伤口一期愈合。3年前人流1次,术后良好。2年前人流放环,术后开始有痛经,随后发现肛门胀痛。检查:肛旁左上方有2×1.5×1厘米大小,境界不清,表面不光滑之硬块,在肛门括约肌水平之上,与括约肌关系密切。硬块触痛明显,周围组织无红肿、无波动感、无瘘管、无
History of the disease Abstract: Wang × ×, female, 31 years old, on April 24, 1979 due to anal lumps 1 ~ + years and hospitalized. Anal pain more than 1 year, restless, affecting work and life, weight loss of 10 pounds. Whenever menstruation, pain intensified, no history of fever. In our hospital surgery and multiple medical treatment, found in the left side of the anal 2 cm size lumps, significant tenderness, the diagnosis of “perianal abscess.” Give antibiotics, analgesics and rest each time. Have also been suspected of tuberculosis due to tuberculosis, anti-tuberculosis treatment. I lasted more than a year, anal pain did not improve but intensified, began to gynecological treatment. Fertility history: Five years ago due to full-term pregnancy progestational pocketing, perineal incision and suture, a wound healing. 3 years ago abortion 1, postoperative good. People exile ring 2 years ago, after the beginning of dysmenorrhea, anal pain and later found. Check: the left upper side of the anal 2 × 1.5 × 1 cm in size, unclear, the surface is not smooth lumps, above the level of anal sphincter, and the sphincter are closely related. Hard lumps tenderness, no swelling around the tissue, no fluctuations, no fistula, no