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患者陆××,女,24岁,1982年2月9日入院。主诉腹痛腰痛两年,加剧半月余。19岁月经初潮6/(18—20),量中,色暗黑,有血块,每次月经后腹痛一周多,呈阵发性疼痛,今年春节后加剧,放射至腰部,不治疗自行缓解。结婚两年多未孕。体检正常,第二性征发育正常,外阴发育欠佳,阴毛稀少,宫颈略小,子宫后位、偏左较小,腹部未触及明显包块。内诊于子宫之右侧可及指头大之肿物,软,活动欠佳,与子宫关系不密切,其根部与骨盆壁相连。3月1日诊刮,探测宫腔向左后方,深7cm,送病理活体组织检查,报告:早期分泌期子宫内膜图象,但腺体稍大小不一,间质疏松。2月
Patients Lu × ×, female, 24 years old, February 9, 1982 admission. Abdominal pain secondary to abdominal pain two years, increased more than half a month. 19 years of menarche 6 / (18-20), volume, color dark, blood clots, each time after menstruation abdominal pain more than a week, was paroxysmal pain, increased after the Spring Festival this year, radiating to the waist, without treatment to ease. Married more than two years pregnant. Physical examination was normal, normal secondary sexual development, poor development of the vulva, sparse pubic hair, slightly smaller cervix, uterine posterior position, left side of the smaller, abdomen did not reach the obvious mass. Invade the right side of the uterus and finger large tumor, soft, poor activity, and the relationship between the uterus is not close, the root and the pelvic wall connected. March 1 curettage, detection of the uterine cavity to the left rear, deep 7cm, sent pathological biopsy, the report: early secretory endometrial images, but slightly different sizes of glands, interstitial loose. February