论文部分内容阅读
患者,22岁,1991—08—05入院。自幼即发现右侧腹股沟内有一拇指头大小肿物,无痛,增大不明显,近4～5年逐渐增至鸡卵大,近10余天自觉胀痛,肿物有所增大,疼痛加重1天,故来医院就诊。二便正常,从无月经来潮,婚后两年不孕无家族史。查体,体温37℃,脉搏94次/分,血压14/10kPa,智力、体态和第二性征发育正常,心肺正常,腹部平软,肠鸣音正常,右侧腹股沟下方可触及一鸡卵大小囊性包外,中等硬,压痛(+),活动差,周界清,上方与外环紧密相贴。妇查;外阴发育正常,已婚未产型,尿道口位置正常,阴道约6cm长,阴道壁伸展性良好,窥器查:阴道顶端为盲湍。无宫颈存在,内诊,盆腔内有子
Patient, 22 years old, admitted to hospital on August 8, 1991. He was found in the right groin since the thumb size of a tumor, no pain, increased significantly, nearly 4 to 5 years gradually increased to chicken eggs, nearly 10 days conscious pain, the tumor has increased, pain Increased one day, so come to the hospital. Two will be normal, from no menstrual cramps, infertility without family history of two years after marriage. Physical examination, body temperature 37 ℃, pulse 94 beats / min, blood pressure 14 / 10kPa, mental, physical and secondary sexual development normal, normal heart and lungs, flat belly soft, normal bowel sounds, below the right groin can reach a chicken egg The size of cystic package, medium hard, tenderness (+), poor activity, the perimeter clear, the top and the outer ring closely attached. Fetal examination; normal vulva development, married unproductive type, normal urethral orifice, vagina about 6cm long, good vaginal wall extensibility, speculum check: vaginal apical blind turbulence. No cervical existence, internal medicine, pelvic child