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患者刘某,31岁。进行性痛经2年余。患者2年前在某医院行腹式输卵管结扎术,术后第一次月经来潮即觉(?)腹部疼痛。以后逐月加剧。既往体健,月经周期28～(?)0天,持续3～5天。扎管前无痛经史。孕2产2,末次产五年前,无难产史。妇科检查;宫体平位,如孕50天大小,无固定压痛,子宫左角增厚成一片,约9×9×10cm大小。轻度压痛,右侧(一)。经腹腔镜检查和剖腹手术证实为残角子宫,相当于正常子宫2/3大小。该残角子宫的峡部与正常子宫相连。右侧附件正常。左侧附件来自
Liu patients, 31 years old. Progressive dysmenorrhea more than 2 years. Two years ago, a patient underwent abdominal tubal ligation in a hospital. The first menstrual cramps were abdominal pain (?). After the month intensified. Past physical health, menstrual cycle 28 ~ (?) 0 days for 3 to 5 days. Before the tube painless history. Pregnancy 2 2, the last production five years ago, no hard labor history. Gynecological examination; Palace level, such as pregnancy size of 50 days, no fixed tenderness, left uterine thickened into a piece, about 9 × 9 × 10cm size. Mild tenderness, right (a). Laparoscopy and laparotomy confirmed ruffled uterus, equivalent to 2/3 the size of the normal uterus. The rudimentary horns of the isthmus connect with the normal uterus. The right attachment is normal. The left attachment comes from