腹腔镜子宫切除12例

1999年2～7月我院用腹腔镜行子宫切除手术12例,其中腹腔镜辅助阴道子宫切除(LAVH)6例,标准的经腹腔镜筋膜内子宫切除(CISH)6例.现报道如下.     

卵巢良性畸胎瘤108例二维超声诊断分析

目的 探计二维超声诊断卵巢良性畸胎瘤的价值。方法 回顾分析108例卵巢良性畸胎瘤的声像图特征，并与术后标本及病理对照。结果 在术前经二维超声确诊为卵巢良性畸胎瘤的患者有99例，诊断符合率为91．7％；误诊4例，占3．7％；漏诊5例，占4．6％。结论 卵巢良性畸胎瘤二维超声检查具有特异性声像，是诊断畸胎瘤的首选方法。     

康妇特栓联合波姆治疗宫颈柱状上皮异位的临床效果观察

Objective To 0bserve the clinical efficacy of KFTS in combination with POME infra-red in the treatment of columnar ectopy.Methods A case control prospective clinical Observe was carried out to explore the effect of KFTS in combination with POME infra-red 75 cases with columnar ectopy as 0bserve group, and interferon in combination with POME infra-red on 75 as control group. Then 0bserve the join of columnar ectopy, the lasting time of the vagina liquor drainage, the percentage of bleeding and adverse reactions after exposure of POME infra-red. Results The heal of the columnar ectopy of the two groups Two months after the operation, the cure rate of the KFTS and POME infra-red group and the control group were respectively 90% (68) and 77.3% (58) while the efficiency were 100% and 90.7%. Obvious significant differences in treat efficiency between agents were observable (P＜0.05). The result after three months: the cure rate of the KFIS and POME infra-red group and the control group were respectively 96% (72) and 84% (63) while the efficiency were 100% and 93.3%. Also there are obvious significant differences in treat efficiency (P＜0.05). The duration of vagina letting of the KFTS and POME infra-red group is shorter than that of the control group and obvious significant differences in treat efficiency between agents were observable (P＜0.05). Also the frequency of bleeding after the operation of the KFTS and POME infra-red group is lower than the control group and obvious significant differences in treat efficiency between agents were observable (P＜0.05).Neither group showed any ill reaction while experiments.Conclusion As the pretreatment medicine in the POME infra-red treatment of columnar ectopy, KRTS can accelerate the heal of the erosion, shorten the duration of vagina letting and debase the frequency of bleeding. Its efficiency shows it is worth promoting.     

米非司酮对子宫内膜异位症患者血液流变学及子宫动脉血流动力学指标的影响

目的研究米非司酮对子宫内膜异位症患者血液流变学及子宫动脉血流动力学指标的影响。方法选取2008年10月～2011年3月于本院进行治疗的74例子宫内膜异位症患者为研究对象,将其随机分为对照组和观察组各37例,对照组采用腹腔镜手术进行治疗,观察组在此基础上加用米非司酮进行治疗,后将两组患者治疗前及治疗后6个周及12个周的血液流变学及子宫动脉血流动力学指标进行研究及比较。结果观察组的全血黏度、全血还原黏度、血浆黏度及红细胞各指标均低于对照组,左右子宫动脉最大血流速度大于对照组,搏动指数、阻力指数小于对照组,差异均有统计学意义（均P〈0.05）。结论米非司酮可显著改善子宫内膜异位症患者发热血液流变学及子宫动脉血流动力学指标,对于患者康复起着积极的作用。     

腹腔在子宫恶性肿瘤根治术中的临床分析

目的：评价腹腔镜在子宫恶性肿瘤手术治疗中的可行性及实用价值。探讨腹腔镜治疗子宫恶性肿瘤的手术技巧和并发症的防治。方法选择子宫恶性肿瘤患者,分别行腹腔镜手术（腹腔镜组,n=60）和开腹手术（开腹组,n=60）,并广泛子宫切除加盆腔淋巴结清扫手术。观察2组患者手术时间、术中出血量、切除盆腔淋巴结数量、术后肛门排气时间、术后抗生素使用时间、术后住院时间和并发症等情况。结果（236.1＆#177;97.3）ml,少于开腹组（533.5＆#177;107.7）ml;切除盆腔淋巴结数量（22.5＆#177;2.1）个,多于开腹组（18.7＆#177;3.6）个;术后肛门排气时间分别为（46.2＆#177;8.1）h,早于开腹组（65.6＆#177;7.6）h;术后抗生素使用时间（5.4＆#177;0.7）d,少于开腹组（7.1＆#177;0.4）d;住院天数分别为（8.3＆#177;1.6）d,短于开腹组（10.9＆#177;2）d;2组比较差异均有统计学意义（P＆lt;0.05）。但腹腔镜组平均手术时间为（263.2＆#177;43.3）min长于开腹组（203.1＆#177;27.5）min（P＆lt;0.05）。腹腔镜术后并发症发生率为18.3%,开腹组为20%,2组差异均无统计学意义。结论腹腔镜广泛子宫切除加盆腔淋巴结清扫手术治疗子宫恶性肿瘤安全、可行,有临床应用价值。     

腹腔镜筋膜内子宫切除术27例分析

目的;为了探讨腹腔镜筋膜内子宫切除术的临床应用价值.方法:比较腹腔镜筋膜内子宫切除术组(27例)和开腹筋膜内子宫切除术组(30例)的临床疗效.结果:两种术式的术中出血量、术后肛门排气时间和术后住院天数有显著差异(P＜0.05).结论:腹腔镜筋膜内子宫切除术手术损伤小、术中出血少、住院时间短、术后恢复快,可作为临床选用的一种理想术式.     

宫内节育器合并异位妊娠41例临床分析

对１９９２年１月～１９９８年１月收治的异位妊娠２３１例,其中带器异位妊娠４１例进行分析。结果同期异位妊娠与宫内妊娠的比值前３年为８１‰,后３年为１５‰,而带器异位妊娠与同期异位妊娠的比值前３年为２０７％,后３年为１５９％,表明宫内节育器不增加异位妊娠的发生率。同时探讨了宫内节育器合并异位妊娠的发生机理。     

输卵管妊娠腹腔镜保守性手术的临床价值探讨

目的 探讨腹腔镜输卵管切开吸胚术的手术效果及临床价值. 方法 回顾分析2008～ 2011年869例输卵管妊娠患者行腹腔镜保守性手术的临床资料. 结果 腹腔镜下完成所有病例,无中转开腹及发生严重并发症,持续异位妊娠占0.7％. 结论 输卵管妊娠腹腔镜保守性手术是一种安全有效的术式,并不增加持续异位妊娠的发生率.     

乐力预防妊娠期缺钙的临床效果观察

目的 观察妊娠期补充乐力氨基酸螫合钙的临床效果.方法 将120例妊娠20周妇女随机分成两组,观察组60例,口服乐力氨基酸螫合钙胶囊,对照组60例,口服葡萄糖酸钙片,两组孕妇补钙前查血钙,补钙后分别于孕28、36周复查血钙,并定期进行产前检查.结果 观察组血钙较对照组明显升高,两组比较差异有统计学意义(P<0.05),观...