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Objective To compare the efficacy and safety of 0.894% ropivacaine mesylate,0.75% ropivacaine hydrochloride and 0.75% bupivacaine hydrochloride in hypogastric operation.

目的比较0.894%甲磺酸罗哌卡因和0.75%盐酸罗哌卡因、0.75%盐酸布比卡因用于下腹部手术硬膜外麻醉的安全性和有效性。

Chief symptoms were abdominal distension, stomachache and mass in hypogastric zone.

首发的主要临床症状为腹胀、腹痛及下腹部包块;病理类型以印戒细胞癌为主者27例,占50.94%;侵及双侧卵巢者41例,占77.35%。

Result The laparotomy incidence rate was 5.05%, mainly due to severe abdominopelvic cavity adhesions, hemorrhage, hypogastric zone operation history and complications.

结果 腹腔镜子宫切除术中即刻中转开腹手术的发生率为5.05%,主要原因有严重的盆腹腔粘连、下腹部手术史、出血并发症等。

Careful choice should be made when considering laparoscopic hysterectomy for patients with multiple hypogastric zone operation history, questionable pelvic cavity adhesions and too big uterus.

有多次下腹部手术史可疑盆腔粘连及子宫过大者,选择腹腔镜子宫切除时应慎重;正确掌握中转开腹手术的时机及开腹手术后的处理方法,是降低腹腔镜子宫切除手术并发症的有效措施。

Keywords anesthesia;epidural;long-term local anesthetics;hypogastric operation

麻醉; 硬膜外;长效局麻药;下腹部手术

Methods Sixty patients underging hypogastric operation were divided randomly into the control group by 0.75%ropivacaine hydrochloride CEA and the experiment group by 0.894%ropivacaine mesylate CEA.

方法60例下腹部手术患者随机分为两组(n=30):对照组应用0.75%盐酸罗哌卡因持续硬膜外麻醉;试验组应用0.894%甲磺酸罗哌卡因持续硬膜外麻醉。

Ninety patients undergoing hypogastric operation were divided randomly into three groups:0.894% ropivacaine mesylate;0.75% ropivacaine hydrochloride and 0.75% bupivacaine hydrochloride.

方法采用随机双盲法,将90例下腹部手术患者随机分为三组(n=30):Ⅰ组应用0.894%甲磺酸罗哌卡因;Ⅱ组应用0.75%盐酸罗哌卡因;Ⅲ组应用0.75%盐酸布比卡因。

He got jabbed in the lower part of his abdomen .

他的下腹部被戳。

He got jabbed in the lower part of his abdomen.

他的下腹部挨了一拳。

The MR protocol involved transverse, coronal, and sagittal noncontiguous T2-weighted single-shot fast spin-echo sequences; transverse fat-suppressed T2-weighted fast SE sequences; transverse T1-weighted gradient-recalled-echo sequences; and transverse and coronal short inversion time inversion-recovery sequences performed through the lower abdomen and pelvis.

MR计划包括于下腹部与骨盆位置执行的,横轴的、冠状的、矢壮轴的非连续T2加权单射快速环绕音波程序;横轴压抑脂肪讯号的T2加权快速SE程序;横轴T1加权梯度回复音波程序;以及横轴、冠状短程反向时间反向回复程序;由2位放射科医师评估MR结果,以及与外科及病理发现、临床追踪数据比较。

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