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患者47岁。住院号393838。因尿频、肛门坠胀3年就诊,门诊发现阴道前壁处肿块而收住院。患者以往月经规律,G_2P_2L_2,末次产于11年前。查体:体温36.8℃,脉搏74次/min,呼吸18次/min,血压16/10kPa。腹平、软,右耻骨结节处可触及一包块上缘,质硬,固定、压病。妇科检查:外阴正常,阴道粘膜正常,前壁受压变形,阴道狭窄,阴道前壁右侧有一6cm×6cm×6cm包块,下界距阴道口1.5cm,上界附着于耻骨弓后9～11点处,质硬,不活动,表面不平整,压痛明显。宫颈、宫体及双侧附件正常。辅助检查:血红蛋白120g/L,白细胞7.4×10~9/L,嗜中性粒细胞0.80,出血时间1min,凝血时间3min,血沉40mm/h。尿、大便常规正常,大便潜血试验阴性。胸透正常。妇科B超示耻骨后肿瘤;CT检查诊为膀胱外占位性病变;膀
Patient 47 years old. Hospital number 393838. Due to frequent urination, anal bulge 3 years treatment, clinic found vaginal anterior wall mass and admitted to hospital. Patients with menstrual regularity, G_2P_2L_2, last produced 11 years ago. Physical examination: body temperature 36.8 ℃, pulse 74 beats / min, breathing 18 times / min, blood pressure 16 / 10kPa. Abdominal flat, soft, right pubic nodules can reach the top edge of a pack of blocks, hard, fixed, pressure disease. Gynecological examination: normal vulva, normal vaginal mucosa, anterior wall compression deformation, vaginal narrowing, right anterior vaginal wall with a 6cm × 6cm × 6cm mass, the lower bound from the vaginal orifice 1.5cm, the upper bound to the pubic symphysis after 9 to 11 Point, hard, inactive, uneven surface, tenderness significantly. Cervical, uterine and bilateral attachment is normal. Auxiliary examination: hemoglobin 120g / L, white blood cells 7.4 × 10 ~ 9 / L, neutrophils 0.80, bleeding time 1min, clotting time 3min, ESR 40mm / h. Urine, stool routine normal fecal occult blood test negative. Thoracotomy normal. Gynecological B-retropubic tumors; CT examination for extra-bladder space-occupying lesions; bladder