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本例特点:①已生育的青年妇女,以往体健。②子宫切除4个月,近半年有痛经,月经过多,腰骶部及下腹部胀痛,术后右侧腰痛加剧,3个半月后出现血尿,少尿,无尿,头昏,呕吐,血尿素氮80mg%,红细胞231万/mm~3。③术中见子宫表面凹凸不平,右侧卵巢鸡蛋大,盆腔腹膜、临近脏器光滑无粘连。④术前尿常规红细胞(++)。⑤病理诊断:子宫肌腺瘤并部分内膜异位,右侧卵巢卵泡性囊肿。⑥膀胱镜检查:膀胱暗红模糊不清,容量小。血沉78mm/第1小时。膀胱造影有充盈缺损。⑦右上腹包块、右肾穿
The characteristics of this case: ① have given birth to young women, physical health in the past. ② hysterectomy 4 months, nearly six months have dysmenorrhea, menorrhagia, lumbosacral and lower abdominal pain, right lower back pain aggravated, 3 and a half months after hematuria, oliguria, anuria, dizziness, vomiting, Blood urea nitrogen 80mg%, red blood cells 2.31 million / mm ~ 3. ③ see intraoperative uterine surface uneven, large ovarian eggs, pelvic peritoneum, adjacent to the smooth viscous organs. ④ Preoperative urine routine red blood cells (++). ⑤ pathological diagnosis: uterine adenoma and some endometriosis, the right ovarian follicular cyst. ⑥ cystoscopy: bladder dark red blurred, small capacity. ESR 78mm / first hour. Bladder imaging filling defect. ⑦ right upper quadrant mass, right kidney wear