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患者女,29岁,阴道内肿块,性交不适一年于1976年3月13日入院。一年前性交时感觉阴道右侧有肿块阻碍,日趋严重。既往无慢性咳嗽史和便秘史。体检:体温36.8℃,血压122/76毫米汞柱,脉搏86次,皮肤粘膜无黄染。心肺(一),腹软,肝脾不大,腹腔及双腹股沟均无肿块触及。妇科检查:经产式外阴,子宫稍后倾,正常大小,宫颈轻度糜烂,附件(一)。距阴道口4厘米右侧壁可触及鸡蛋大突入阴道之肿块,质软,加压时肿块缩小,无压痛。阴道壁光滑,肿块位于右阴道壁与直肠之间。嘱咳嗽时肿块有冲击感。当患者直立时,该肿块更加明显并稍增大。血、
Female patient, 29 years old, intravaginal mass, sexual intercourse was admitted to hospital on March 13, 1976. A year ago sexual intercourse feels the right side of the vagina lumps have become increasingly serious. No history of chronic cough and history of constipation. Physical examination: body temperature 36.8 ℃, blood pressure 122/76 mm Hg, pulse 86 times, skin and mucous membrane without yellow dye. Cardiopulmonary (A), abdominal soft, small spleen and liver, liver and spleen are not touched the lump. Gynecological examination: the production of vulva, the uterus later lean, normal size, mild erosion of the cervix, Annex (a). 4 cm from the vaginal opening right side of the wall can reach the egg into the vagina mass, soft, compressed mass reduction, no tenderness. The vaginal wall is smooth and the mass is located between the right vaginal wall and the rectum. When cough lumps have a sense of impact. When the patient erect, the mass becomes more pronounced and slightly larger. blood,