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患者苏××、女、29岁、住院号:2513,于83年6月因孕4月在当地医院行剖宫绝育术,术后切口红肿下部裂开并流出多量脓汁,经消炎及局部换药治疗,在当地医院及盟医院曾“扩创术”五次均未愈合,已形成窦道,常伴有尿频、尿痛、经期腹痛逐月加重且从84年5月份开始每当经期从窦道内流出血液、有时伴有血块,有时从窦道流出血量比阴道流出量还多。月经为16(5～6/30)日型、血量中等,近8个月有痛经且逐加重,入我院时,体温、脉搏、血压均正常。查体除于耻骨上2厘米处有一:4×5厘米大小挛缩坚韧之瘢痕组织,其中有一黄豆粒大小之窦道,有脓汁溢出外,余均正常。妇查:外阴、阴道宫颈正常、子宫前位大小正常与腹壁粘连牢固、压痛(±),双附件增厚且呈索条状
Patients Su XX, female, 29 years old, hospital number: 2513, in June 83 due to pregnancy in April of the local hospital caesarean sterilization, postoperative wound rupture of lower part and outflow of a large amount of pus, anti-inflammatory and local Dressing treatment, in the local hospital and the Union Hospital had “expanding operation” five times did not heal, has formed sinus, often accompanied by urinary frequency, dysuria, menstrual abdominal pain increased month by month and from 84 onwards every menstrual Outflow from the sinus blood, sometimes accompanied by blood clots, sometimes bleeding from the sinus than vaginal outflow. Menstruation for 16 (5 ~ 6/30) Japanese type, medium blood volume, nearly 8 months dysmenorrhea and by weight, into our hospital, body temperature, pulse, blood pressure are normal. In addition to the examination of the pubic symphysis 2 cm at a: 4 × 5 cm size contracture tough scar tissue, which has a size of soy beans sinus, there is overflow of pus, I were more than normal. Fucha: vulva, vaginal cervix normal, normal anteroposterior size and abdominal adhesions firm, tenderness (±), double attachment thickened and was strip