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例1.患者29岁,闭经50天后,阴道不规则流血伴有“烂肉样物”15天,于1977年7月2日诊断为过期流产、失血性贫血收入院。患者既往月经周期1～2个月,持续7～20天。现婚后7个月,未孕。检查:子宫颈光滑,子宫体鸭卵大,较硬,活动,无压痛,双侧附件区无异常。故行诊刮术:探查宫腔11cm,刮出宫腔内容物40g,似绒毛组织(肉眼观察,未作病理)。经输血、输液,抗菌治疗后出院。出院后6个月,又因停经4~+个月,阴道流血3天,于1978年1月11日第2次入院。妇科检查:子宫鹅卵大,硬,无压痛,双侧附件区均可触到手拳大小囊性肿物,光滑,能活动。探查宫腔12cm,前壁有实性肿物突出,第二次行刮宫术,刮出内膜样组织约30g。病理诊断:子宫内膜增殖症(病理号:780057)。一周
Example 1. Patient 29 years old, 50 days after amenorrhea, vaginal irregular bloodshed with “rotten meat” for 15 days, July 2, 1977 diagnosis of late abortion, hemorrhagic anemia income hospital. The patient’s menstrual cycle in the past 1 to 2 months, lasting 7 to 20 days. Now 7 months after marriage, not pregnant. Check: Cervical smooth, uterine body duck egg large, hard, activity, no tenderness, bilateral attachment area without exception. Therefore, line curettage: exploration of the uterine cavity 11cm, uterine cavity scraped the contents of 40g, like villous tissue (macroscopic observation, no pathology). After transfusion, infusion, antibacterial therapy after discharge. 6 months after discharge, but also because of menopause 4 ~ + months, vaginal bleeding for 3 days, on January 11, 1978 2nd admission. Gynecological examination: large, hard, no uterine goose, bilateral attachment area can reach the size of hand-sized cystic mass, smooth, able to move. Exploring the uterine cavity 12cm, prominent solid anterior wall, the second line curettage, scraping the endometrial tissue about 30g. Pathological diagnosis: endometrial hyperplasia (pathology: 780057). A week