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患者女,25岁,已婚。该患出生时其母即发现右腹股沟有一软包块,以后未再注意。患者17岁月经初潮,周期3～4个月,持续3～4天,量少。24岁结婚,孕2产0。自己发现腹股沟部包块一年余,无腹痛及其他不适。入院检查:右腹股沟皮下环处可触及一卵园形包块,约杏核大小,表皮无红肿,无压痛,边界不十分清楚,质中,包块有不平感,不能还纳入腹腔。术中所见:右卵巢、输卵管位于右腹股沟皮下环处,卵巢呈扁卵园形,约为2×1×0.5cm.灰白色,表面光滑,似幼女卵巢。输卵管长约6cm,伞端正常,不能推入腹股沟管内。因患者年轻未育,且卵巢输卵管外观基本正常,为保留卵巢功能,在充分保留卵巢输卵管血运的情况下,将卵巢输卵管自腹股沟外环处分离,打开腹股沟管及腹膜,将卵巢输卵管还纳入腹腔。术后恢复良好。本例异位,可能是由于胚胎时卵巢输卵管随园韧带的形成发育而迷路于腹股沟管内。由于异位卵巢发育不佳而出现月经不调。
Female patient, 25 years old, married. The patient was found to have a soft bulking mass in her right groin at birth, and she did not pay attention thereafter. Patients with menarche at age 17, the cycle of 3 to 4 months, lasting 3 to 4 days, the amount of less. 24-year-old married, pregnant 2 produce 0. I found the inguinal mass more than a year, no abdominal pain and other discomfort. Admission examination: right groin subcutaneous ring can reach an oval-shaped mass, about the size of apricot nucleus, epidermis without swelling, no tenderness, the border is not very clear, quality, mass uneven, can not also be incorporated into the abdominal cavity. Intraoperative findings: right ovary, fallopian tube located in the right groin subcutaneous ring at the ovary was a flat oval-shaped, about 2 × 1 × 0.5cm. Off-white, smooth surface, like young girls ovary. Fallopian tube length of about 6cm, the umbrella end of normal, can not be pushed into the inguinal canal. In order to retain the function of the ovary, the oviduct was separated from the inguinal canal and the inguinal canal was opened and the peritoneum was closed. The oviduct was also included Abdominal cavity. Postoperative recovery is good. This case of ectopic, may be due to embryonic ovarian fallopian tube ligament formation and development of the lost in the inguinal canal. Irregular menstruation due to poor ectopic ovarian development.