TSF, RBP and TBPA as nutritional indices in surgical patients with gynecological cancer

The Authors investigated the usefulness of some biochemical markers of visceral protein synthesis (TSF, TBPA and RBP) in 24 patients affected with gynecological cancer and treated with Total Parenteral Nutrition in the perioperative period. The absence of an improving TSF and TBPA is related to increased morbidity and mortality.     

妇科手术部位感染的预防和治疗

妇科手术部位易发生感染,围手术期抗生素预防可降低但不能完全消除术后感染。在术前0.5～2h内开始应用预防性抗生素,总用药时间为24～48h。蜂窝组织炎、盆腔血栓性静脉炎和脓毒症仅需要抗生素治疗,脓肿和坏死性筋膜炎需要抗生素治疗和手术干预。     

Urinary incontinence in gynecological oncology patients

The objective of this study was to investigate the prevalence and significance of urinary incontinence (UI) symptoms in gynecological oncology (GO) patients and to test the gynecologists' proficiency in eliciting these symptoms. A prospective survey using questionnaires was designed. Two faculty practice offices in the United States were chosen for the study. Forty GO patients and 40 general gynecology patients were selected from the most recent outpatient appointments of the two hospitals. We used the Urogenital Distress Inventory and the Incontinence Impact Questionnaire to elicit UI symptoms in GO patients and compared the results with their medical records. A control group, selected from a general gynecological practice, was included for comparison. The main outcome measures were to investigate the prevalence and detection rates of UI in GO patients. GO patients were significantly more likely to report UI symptoms on the questionnaire than their gynecologist was able to elicit during a consultation (P < 0.001). The survey found that 60% (24/40) of the GO patients reported at least one symptom of UI, with 23% complaining of "severe" symptoms. Of those patients who reported the symptoms on questionnaire, only 5% (2/40) were detected at the initial physician assessment (P < 0.01). Eighteen percent of the GO patients reported that the UI symptoms adversely affected their quality of life. The prevalence of symptoms was not associated with the primary cancer site. There was no difference in detection rates between the two practice settings. In a multivariate analysis, there was no factor that emerged as the best discriminator for a positive response to the questionnaire. A significant proportion of GO patients report severe UI symptoms that are not detected by gynecologic oncologists or gynecologists during routine consultations.     

妇科腹部切口愈合不良的防治

切口愈合不良是妇科手术常见的并发症之一,不仅加重患者切口疼痛、延长住院时间,增加住院费用,而且影响患者生存质量。目前已经明确影响切口愈合的影响因素,并且对此可有一系列的预防和治疗措施。文章就常见妇科腹部手术切口感染的防治做一阐述。