腹腔镜下子宫阔韧带肌瘤剔除术20例分析

目的探讨腹腔镜下子宫阔韧带肌瘤剔除术的可行性及手术技巧。方法对2006年1月至2013年1月行腹腔镜子宫阔韧带肌瘤剔除术20例进行回顾性分析。结果 20例患者手术均获成功,无1例中转开腹,术中无大出血、输尿管损伤等并发症。结论腹腔镜手术行子宫阔韧带肌瘤剔除对患者微创,安全可行,但技术要求高,需要一定技巧,并掌握好手术适应证。     

腹腔镜下阔韧带肌瘤剔除术48例分析

子宫阔韧带肌瘤因其独特的位置,紧邻输尿管及子宫动静脉,并伴行丰富的血管及淋巴管.手术剔除难度大,技术要求高,易损伤盆底血管及输尿管等脏器.传统方法为开腹手术,但随着腹腔镜手术操作技术的不断娴熟,腹腔镜下阔韧带肌瘤剔除术成为可选用的微创术式.本文对我科近两年进行腹腔镜下阔韧带肌瘤剔除术的48例进行回顾性分析,探讨其手术方法和临床价值.     

腹腔镜下子宫阔韧带肌瘤剔除术24例临床分析

目的探讨腹腔镜下子宫阔韧带肌瘤剔除的可行性和术中注意事项。方法对24例行腹腔镜下子宫阔韧带肌瘤剔除术患者的临床资料进行回顾性分析。结果 24例患者均在腹腔镜下完成阔韧带肌瘤剔除术,1例中转开腹止血,无一例输尿管损伤。手术时间（142.5±61.6）minutes;术中出血（245.3±312.0）ml,4例失血量≥500 ml,其中1例1 300ml。24例患者均在术后5～7 d治愈出院。结论腹腔镜下子宫阔韧带肌瘤剔除术是一种安全、可行、有效的微创手术方式,其手术的关键在于辨清瘤体与输尿管、子宫动脉之间的解剖关系。     

腹腔镜手术与开腹子宫肌瘤剔除术的对比分析

目的 比较腹腔镜手术与开腹子宫肌瘤剔除术的临床效果.方法 回顾分析我院2010年1月至2011年12月96例腹腔镜肌瘤剔除术患者的临床资料,与同期开腹子宫肌瘤剔除术83例作对比分析.结果 96例腹腔镜子宫肌瘤剔除术均顺利完成,无中转开腹.两组比较,术中出血量差异无统计学意义(P＞0.05),手术时间腹腔镜组较开腹组长(P＜0.05);但术后肛门排气时间及住院天数,腹腔镜组均短于开腹组(P＜0.05).结论 腹腔镜子宫肌瘤剔除术是一种微创、安全的手术,值得临床推广应用.     

腹腔镜下阔韧带子宫肌瘤剔除术的应用效果

目的探讨腹腔镜下行阔韧带子宫肌瘤剔除术的临床疗效。方法选择就诊于我院的56例阔韧带子宫肌瘤患者作为观察对象,根据术式不同分为腹腔镜组32例和开腹组24例,对比两组患者的手术时间、术后排气时间及术后住院时间。结果两组患者手术均成功,腹腔镜组患者手术时间、术后排气时间及术后住院时间均明显短于开腹组,差异有统计学意义。结论腹腔镜下阔韧带子宫肌瘤剔除术效果良好,患者术后恢复快,值得进一步研究。     

腹腔镜与经腹子宫肌瘤剔除术的疗效观察

目的:观察比较腹腔镜下子官肌瘤剔除术和经腹子宫肌瘤剔除术的临床治疗效果.方法:回顾分析在我院行腹腔镜子官肌瘤剔除术62例(腹腔镜组),经腹子宫肌瘤剔除术74例(开腹组).比较两组术中出血量、手术时间、术后排气时间、术后病率及住院时间.结果:两组在术中出血量及手术时间方面比较差异不具有统计学意义(P＞0.05)；腹腔镜组在术后排气时间、术后病率及术后住院时间均明显优于开腹组,具有统计学意义(P＜0.01).结论:腹腔镜下子宫肌瘤切除术较传统经腹手术具有创伤小、术后恢复侠、住院时间短等优点,是目前较为理想的治疗子宫肌瘤的方法之一,值得临床推广应用.     

腹腔镜与开腹子宫肌瘤剔除术后肌瘤残留、复发及妊娠结局的比较

目的 探讨腹腔镜与开腹子宫肌瘤剔除术后肌瘤残留、复发及妊娠结局情况.方法 回顾性分析273例子宫肌瘤患者的临床资料,其中采用开腹子宫肌瘤剔除术治疗患者108例为对照组,采用腹腔镜子宫肌瘤剔除术治疗患者165例为观察组,比较两组术后肌瘤残留、复发及妊娠结局情况.结果 观察组剔除肌瘤数目、最大肌瘤直径、剔除肌瘤质量、手术时间、术中出血量、住院时间均明显小于对照组(均P＜0.05);观察组并发症发生率(3.6％)明显低于对照组(16.7％)(P＜0.05);观察组术后肌瘤残留率(4.2％)略高于对照组(1.9％),观察组术后复发率(7.9％)略高于对照组(6.5％),观察组术后妊娠率(46.7％)略低于对照组(51.9％),但差异均无统计学意义(均P＞0.05).结论 腹腔镜与开腹子宫肌瘤剔除术均是保留子宫的治疗方法,且安全有效.腹腔镜子宫肌瘤剔除术对患者的创伤小,术后并发症较少但术后肌瘤残留率较高.两种术式的复发率和术后妊娠率相近.术式的选择应根据患者子宫肌瘤的大小、位置、多少等具体因素综合考虑.     

腹腔镜下子宫阔韧带肌瘤剔除术后并发症的观察及护理体会

目的探讨了腹腔镜下子宫阔韧带肌瘤剔除术后并发症观察及护理体会。方法回顾性分析我院2010年9月至2011年9月腹腔镜子宫阔韧带肌瘤剔除术35例患者的临床资料,对其加强术后并发症的观察及护理。结果 35例行腹腔镜手术,除1例因肌瘤与盆壁致密粘连中转开腹外,其余均获得成功,与腹腔镜手术体位有关并发症有眼角膜充血3例;与穿刺及气腹相关的并发症有膈下及肩背部疼痛4例、腹胀2例、创口疼痛3例、创口、渗血1例;与全麻气管插管相关的并发症有咽喉疼痛及咳嗽困难5例;经及时观察及护理,有效促进病人舒适及康复,均治愈出院。结论腹腔镜下子宫阔韧带肌瘤剔除术既需要医护人员术中的密切配合,术前术后进行细致的护理,有效护理的关键,是提高手术成功率的重要保证。     

腹腔镜手术治疗子宫阔韧带肌瘤的手术方法和临床价值研究

目的探究以腹腔镜手术治疗子宫阔韧带肌瘤的手术方法以及临床价值。方法选择于2016年3月至2019年5月在我院接受治疗的30例子宫阔韧带肌瘤患者,随机分成对照组和观察组。对照组采用常规的切除手术,观察组采用腹腔镜手术治疗,观察对比两组患者的术后住院时间以及术中术后并发症的发生率。结果观察组中有2例转开腹手术,其余13例的腹腔镜手术均成功。关于术后住院时间,对照组比观察组时间更长,恢复速度慢;关于术中术后并发症的发生率,对照组比观察组的发生率更高,为20.0%,比观察组高出13.3%。各项数据具有统计学意义,P值<0.05。结论将腹腔镜手术方法运用到子宫阔韧带肌瘤手术中效果显著,患者预后效果较为满意,值得临床大力推广。     

腹腔镜与腹式大径线单发子宫肌壁间肌瘤剔除术的对比分析

目的比较腹腔镜和腹式大径线单发子宫肌壁间肌瘤剔除术的手术时间、术中出血量、和术后病率,探讨腹腔镜下大径线单发子宫肌壁间肌瘤剔除术的安全性和可行性。方法回顾分析解放军260医院2003年1月至2008年12月行单发、大径线子宫肌壁间肌瘤剔除术200例的临床资料。开腹112例,腹腔镜88例,对比分析两种术式、术中和术后各项参数。结果腹腔镜下子宫肌瘤剔除术(LM)组手术时间长于开腹子宫肌瘤剔除术(TAM)组(P<0.05),两组术中失血量相比无明显差异(P>0.05),LM组术后肛门排气时间、术后病率明显低于TAM组(P<0.01)。结论大径线单发子宫肌壁肌瘤腹腔镜下剔除是安全可行的。该术式微创,对腹腔干扰小,术后病率低。     

Degraded and undegraded carrageenans and experimental gastric and duodenal ulceration

The prevention of histamine-induced gastric and duodenal ulceration in the guinea-pig has been examined using a series of undegraded and degraded carrageenans. Undegraded carrageenans were active at lower doses than degraded carrageenans. The high viscosity of the undegraded carrageenans in solution prevented their use in larger doses. Degradation of carrageenan without serious loss of sulphate, gives a product which allows the dose to be increased to an extent that its effect more than offsets the slight loss in activity caused by the degradation. No single feature of carrageenan structure can be related to anti-ulcer activity although degradation, and hence reduction of molecular size, generally reduces activity. Sulphate contents over 30% have little apparent effect on activity; κ-carrageenans were not consistently different in anti-ulcer activity from Λ-carrageenans. This contrasts with the antipeptic activity of carrageenans where κ-carrageenans are less active than their Λ-counter-parts. As with antipeptic activity, the degree of anti-ulcer activity is probably determined by a combination of structural features which includes molecular size and polyanionic properties.     

Affective and Anxiety Disorders and Alcohol and Drug Dependence:

Depression and anxiety frequently coexist in patients with substance use disorders. This clinically-oriented article examiens the relationship between these conditions and emphasizes data showing that substances of abuse can cause signs and symptoms of both depression and anxiety. These substance-related syndromes appear to have a different course and prognosis than uncomplicated, independent anxiety and major depressive disorders, and clinicians should consider the role of alcohol and other drugs in all patients presenting with these complaints. The authors will also outline an approach for diagnosing and managing patients with the combination of a substance use and depressive or anxiety disorder.     

Alcohol and Substance Use and Abuse in Women and Children

No abstract available for this article.     

Synthesis and anti-nociceptive and anti-inflammatory effects of gaultherin and its analogs

The synthesis of gaultherin (1) and its analogs was carried out to provide 11 glycosides under phase-transfer catalytic conditions. The activities of all synthesized compounds were evaluated by nitric oxide production inhibitory assay in vitro. Methyl 2-O-(4-O-β-d-galactopyranosyl)-β-d-glucopyranosylbenzoate (5f) showed significantly anti-nociceptive and anti-inflammatory effects by the evaluation in vivo. Structure–activity relationships within these compounds were discussed.