论文部分内容阅读
患者女,27岁,已婚。从16岁起,患者即周期性从尿道排血,每隔28～29天一次,每次持续3～4天,量中等,伴有轻微腹胀,过后尿色变清、无尿痛、尿频、尿急及发热等现象。婚后性生活勉强,结婚三年未孕。查体:发育尚好,营养欠佳。乳房发育良好。心肺正常,肝脾未触及。肾区、输尿管走行及膀胱区等均无压痛。外阴及尿道口发育正常,于尿道口下方与舟状窝之间未见阴道口,该处粘膜松弛,以两指顶压可形成4cm深之凹陷盲穴。肛诊:子宫前倾位、正常大小、活动良好,附件未查出异常。化验血常规正常,尿蛋白(±),RBCo～1,WBC(+),管型(-),尿糖(-),尿培养未生长细菌。血染色体检查,核型为46XX。B超:子宫为5.8×4.8×3.5cm,轮廓清晰,双侧肾脏大小及回声未见异常。膀胱造影检查:
Female patient, 27 years old, married. From the age of 16, the patient is periodically discharged from the urethra, once every 28 to 29 days, each lasting 3 to 4 days, the amount of medium, accompanied by mild abdominal distension, after urine became clear, no dysuria, frequent urination, Urgency and fever and so on. Marital sex barely married, not pregnant for three years. Physical examination: development is still good, poor nutrition. Breasts develop well. Cardiopulmonary normal, liver and spleen not touched. Kidney area, ureter walking and bladder area are no tenderness. Vulva and urethral orifice development is normal, there is no vaginal orifice between the urethral orifice and the boat-shaped fossa, where the mucosa is loosened, and the pressure can be formed by two fingers to form a 4-cm-deep depression. Rectal examination: anterior uterus dumping, normal size, good activity, the attachment did not detect abnormalities. Blood tests were normal, urinary protein (RBCo ~ 1, WBC (+), tube type (-), urine sugar (-), urine culture did not grow bacteria. Blood chromosomal examination, karyotype 46XX. B super: uterine 5.8 × 4.8 × 3.5cm, clear outline, bilateral kidney size and echo no abnormalities. Bladder contrast examination: