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患者,女,36岁,G2P1,2012年3月因经量增多伴渐进性痛经4年就诊,B超检查子宫偏大,后壁略厚,妇查子宫略增大,后壁突出触痛明显,双骶韧带增厚触痛,诊断为子宫内膜异位症,子宫腺肌症。化验血常规、肾功能,血均正常,肝功能正常,血-HCG、CEA正常范围,CA125264.3IU/mL明显增高。患者选择药物治疗。于2012年3月17日月经第2天起服用米非司酮10mg/d,服用1个月后改为12.5mg/d,无漏服,期间未用其他药物,服药后闭经4个月,7月中旬有阴道
Patients, female, 36 years old, G2P1, March 2012 due to increased volume with progressive dysmenorrhea 4 years of treatment, B-ultrasound larger uterus, a slightly thicker posterior wall, gynecological examination slightly increased, prominent rear wall tenderness , Double sacral ligament thickening tenderness, diagnosis of endometriosis, adenomyosis. Blood tests, renal function, blood were normal, normal liver function, blood-HCG, CEA normal range, CA125264.3IU / mL was significantly higher. Patients choose medication. On March 17, 2012 menstruation from the first two days of taking mifepristone 10mg / d, taking 1 month after the change to 12.5mg / d, without missed service, during which no other drugs, medication after amenorrhea for 4 months, In mid-July there is a vagina