切除子宫

Methods Forty-five patients with hysteromyoma undergone hysteromyomectomy were randomly assigned to three groups (n=15,each group): group Ⅰ, control group without pre-emptive analgesia; group Ⅱ, the patients were administrated with 0.2 mg·kg-1 ketamine intravenously 30 min before operation; group Ⅲ, 30 mg ketamine was administrated into epidural analgesia 30 min before operation.

45例子宫肌瘤患者均于硬膜外麻醉行全子宫切除术，随机分为3组，即Ⅰ组：对照组，术前不施行超前镇痛；Ⅱ组：切皮前30 min静脉注入氯胺酮0.2 mg·kg-1；Ⅲ组：切皮前30 min将氯胺酮30 mg加入实验剂量(2%利多卡因4或5 mL)中注入硬膜外腔。3组术后均连接Graseby9300镇痛泵行患者自控硬腺外镇痛，镇痛药物为0.2%罗哌卡因加50 mg·L-1吗啡。

Non-procident metra ; Transvaginal ; Total hysterectomy

非脱垂子宫；经阴道；子宫全切除术

Objectives To investigate the changes of ovarian function after uterectomy in women with unilateral ovary or bilateral ovarium reserved.

方法选取因子宫良性病变在45岁前行子宫切除，保留双侧卵巢的36例为A组，保留单侧卵巢的25例为B组（两组术后时间均为5年），选取正常妇女23例为对照组。

Methods:The treatment method of uteri activity and intertia on 23 patients with laparoscopic panhysterectomy was analyzed retrospectively.

目的：分析、讨论腹腔镜下全子宫切除术中子宫动静脉的处理方法。

The third part has evaluated the result of the clinical pathway of the patient during period of hospitalization of surgical operation of panhysterectomy.

第三部分评价子宫肌瘤全子宫切除手术病人住院期间临床路径的实施效果。

Objective:To study the treatment method of uteri activity and inhtertia with laparoscopc panhysterectomy.

作者：林长华邵珊珊谢桂芹目的：分析、讨论腹腔镜下全子宫切除术中子宫动静脉的处理方法。

The second part discusses the draftting process of the clinical pathway for the patient during period of hospitalization of surgical operation of panhysterectomy.

第二部分为子宫肌瘤全子宫切除手术病人住院期间临床路径的确立过程。

The results suggest that clinical pathway the patient during period of hospitalization of surgical operation of panhysterectomy enable medical staff to fulfill intensive care, medical diagnosis and therapy in time, enable recourses to be used more efficiently, and help patients meet expected outcomes with a shorter hospital stay and in-hospital charges.

子宫肌瘤全子宫切除手术病人住院期间临床路径的实施可促使医护人员及时完成监护诊疗工作，提高医疗护理质量，缩短住院时间和住院费用，有效利用卫生资源；临床路径实施为病人治疗护理提供一标准化模式，促使医患双方共同促进病人的术后康复进程，最终达到提高病人满意度的目的。

Results:The operation time, the volume of blood and rate of sickness after operation were not significant difference between the group of transfixion on the para-uteri and the group of fieeing blood vessel.

结果：宫膀缝扎组与血管游离后处理组病人的手术时间、术后出血量及术后发病率比较差差异没有显著性，宫膀缝扎后再电凝切断子宫血管及主韧带，在腹腔镜子宫切除术中具有出血少、简单易行的优点。

The mean uterine weight was 324 g, but the procedure has been done on uteri weighing up to

平均子宫重量为324克，但迄今为止应用该技术成功切除的子宫最重已达1，600克。

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。