GnRH-a治疗子宫内膜异位症“点火效应”导致严重痛经一例

发布时间：2018-03-27 21:32

本文选题：子宫内膜异位症　切入点：盆腔粘连松解术　出处：《中国妇产科临床杂志》2015年02期

【摘要】：正1.病例摘要患者,40岁,因"经期下腹及肛门坠胀痛5年,加重2个月"于2014-06-10收入院。患者5年前出现经期下腹及肛门部坠痛不适,1年前自觉疼痛时间延长,经前期起出现下腹及肛周疼痛,程度较前加重,需服止疼药物治疗,至月经干净后5天左右疼痛缓解;孕0产0。3个月前彩超提示子宫多发肌瘤,宫颈肌瘤。于2014-03-25本院行静-吸复合麻醉下腹腔镜下子宫肌瘤切除术+盆腔粘连松解术,
[Abstract]:Case Abstract: the patient was 40 years old, who was admitted to the hospital from 2014-06-10 because of "5 years of distention pain in the lower abdomen and anus during menstrual period and 2 months aggravation". The patient had discomfort in the lower abdomen and anus of menstrual period five years ago, and the time of conscious pain before 1 year was prolonged. The lower abdomen and perianal pain appeared in the early stage, and the degree of pain was more severe than before. The pain was alleviated about 5 days after the menstruation was clean, and the uterine multiple myoma was indicated by color Doppler ultrasound 0.3 months before pregnancy. Cervical leiomyoma. From 2014-03-25, the pelvic adhesions of hysteromyoma were treated by laparoscopy under combined anesthesia.
【作者单位】：北京大学人民医院妇产科;
【分类号】：R711.71

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