下腹部

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。

I didn't watch TV last night, because it .

昨晚我没有看电视，因为电视机坏了。

Since this year, in a lot of villages of Beijing, TV of elevator liquid crystal was removed.

今年以来，在北京的很多小区里，电梯液晶电视被撤了下来。