切除子宫

Procedures included hysterectomy (38%), major adhesiolysis (28%), endometriosis ablation/excision (24%), salpingectomy (13%), cystectomy (1%), and adenectomy (1%).

手术项目包含子宫切除手术(38%)、大部黏膜分离手术(28%)、子宫内膜异位摘除/切除手术(24%)、输卵管切除术(13%)、膀胱切除手术(1%)及蝶窦切除手术(1%)等。

Of them,194 cases had been conducted sterility explorations,148 ectopic pregnancy operations,91 ovarian multiple cyst operations,49 myomectomy,47 enucleation of ovarian multiple cysts,29 laparoscopic cholecystectomies,24 teratoma resections,2 ruptuure of corpus luteum operations,2 appendectomies,repair in perforation of uterus,eyewinker extraction in abdominal cavity.Tubal ligation and communicating branch lidation of great saphenous vein.

在连续硬膜外加静脉麻醉下为602例行腹腔镜手术，其中不孕症宫腹腔镜探查术194例，宫外孕手术148例，多囊卵巢手术91例，子宫肌瘤切除术49例，卵巢囊肿切除术47例，胆囊切除术29例，畸胎瘤切除术24例，黄体破裂修补术12例，盆腔脓肿引流术2例，阑尾切除术2例，腹腔镜子宫穿孔修补，腹腔异物取出，输卵管结扎，大隐静脉交通支离断等各1例。

"Endometrial ablation for menorrhagia permits uterine conservation in more than 80% of women over age 45 years when followed up to 8 years," the study authors write."For women aged younger than 40 years, probability of hysterectomy is 40%....Additional studies with longer follow-up are necessary to determine whether endometrial ablation is more likely to replace, or merely delay, hysterectomy in women aged younger than 40 years at the time of the procedure."

研究作者写道，子宫内膜烧灼术治疗月经过多，可以让80%以上的45岁以上妇女在八年追踪期间都保留子宫；对於40岁以下妇女，可能有40%机率会进行子宫切除，需要更长追踪期间的其他研究来确认子宫内膜烧灼术是否可以取代旧技术，或者只是延迟那些进行手术时40岁以下者的子宫切除术时间而已。

Objective To explore the value of laparoscopic operation in the treatment of gynecologic diseases.Methods Retrospective analysis of 170 cases of laparoscopic surgery in ynecology.53 cases in the salpingocyesis group,49 cases salpingotomy,4 cases salpingectomy;48 cases in the ovarian cyst group,35 cases enucleation and repair of ovary,8 cases ovary sutures atches,3 adnexnectomy and 2 perforation of ovary;52 cases in the uterine problems group,10 cases LM5 cases CISH,11 cases LSH（laparoscopic supracervical ysterectomy）,14 cases LTH（laparoscopic total hysterecotomy）,12 cases LAVH laparoscopically assisted vaginal hysterectomy）;17 cases in the infertility group were studied in terms of lysis of pelvic adhesions and salpingostomy.

目的 探讨妇科腹腔镜手术的临床应用价值方法回顾性分析170例妇科腹腔镜手术病例，其中异位妊娠组53例，行输卵管切开取胚49例，输卵管切除术4例；卵巢疾患组48例，囊肿剥除术及卵巢成形术35例，卵巢缝合修补8例，患侧附件切除3例，囊卵巢多点打孔2例；子宫疾病组52例，行肌瘤剥除10例，改良CISH术5例，子宫次全切除术11例，子宫全切术14例，腹腔镜辅助阴式子宫切除12例；不孕症组17例，行盆腔粘连分解输卵管伞造口术。

Methods Retrospective analysis of 170 cases of laparoscopic surgery in ynecology.53 cases in the salpingocyesis group,49 cases salpingotomy,4 cases salpingectomy;48 cases in the ovarian cyst group,35 cases enucleation and repair of ovary,8 cases ovary sutures atches,3 adnexnectomy and 2 perforation of ovary;52 cases in the uterine problems group,10 cases LM5 cases CISH,11 cases LSH（laparoscopic supracervical ysterectomy）,14 cases LTH（laparoscopic total hysterecotomy）,12 cases LAVH laparoscopically assisted vaginal hysterectomy）;17 cases in the infertility group were studied in terms of lysis of pelvic adhesions and salpingostomy.

回顾性分析170例妇科腹腔镜手术病例，其中异位妊娠组53例，行输卵管切开取胚49例，输卵管切除术4例；卵巢疾患组48例，囊肿剥除术及卵巢成形术35例，卵巢缝合修补8例，患侧附件切除3例，多囊卵巢多点打孔2例；子宫疾病组52例，行肌瘤剥除10例，改良CISH术5例，子宫次全切除术11例，子宫全切术14例，腹腔镜辅助阴式子宫切除12例；不孕症组17例，行盆腔粘连分解输卵管伞造口术。

Including salpingectomy,salpingotomy, salpingostomy, excision and enucleation of ovarian masses,repair of ovary, perforation of ovary, adnexnectomy, removal of hysteromyoma, supracervical hysterectomy, LAVH, CISH, lysis of pelvic adhesions, uterine suspension, uterosacral ligment transection, tubal sterilization, peritoneovaginoplasty.

手术包括输卵管切除术、输卵管切开吸胚术、输卵管造口术、卵巢肿块的剔除及切除术、卵巢修补术、卵巢多点打孔术、附件切除术、子宫肌瘤剔除术、子宫次全切除术、腹腔镜辅助的子宫切除术、腹腔镜筋膜内子宫切除术、盆腔粘连松解术、子宫悬吊术、骶韧带切断术、绝育术、取环术、腹膜阴道成形术等。

Methods We retrospectively reviewed the clinical data of 321 cases of laparoscopic hysterectomy, including 201 classic intrafascial supracervical hysterectomy, 24 laparoscopic supracervical hysterectomy, 51 laparoscopic assisted vaginal hysterectomy, and 45 total laparoscopic hysterectomy. We compared the time of operation, the blood loss during operation and the restitution after operation in four groups, About the time of operation, the two methohs of amputating cervix were significantly longer than the two methods of remaining cervix.

对321例腹腔镜子宫切除术进行回顾性分析，其中腹腔镜鞘膜内子宫切除术201例，腹腔镜次全子宫切除术24例，腹腔镜辅助阴式子宫切除术51例，腹腔镜全子宫切除术45例，比较4种子宫切除术式的手术时间，出血量，术后恢复的情况。

In medicine obstetrics on clinical, all chooses generally excises the womb the surgery treatment.

在医学产科学的临床上，一般都选择切除子宫的手术治疗。

Results The biggest incised uterus weighed 1000 g and the diameter of the biggest uterine myoma was 13 cm.

结果 切除子宫最大1000 g，肌瘤直径最大13 cm。

"Age is more important than type of procedure or presence of leiomyomas in predicting subsequent hysterectomy after endometrial ablation," the study authors write."Women undergoing endometrial ablation at younger than 40 years of age are at elevated risk of hysterectomy, and rather than plateauing within several years of endometrial ablation, hysterectomy risk continues to increase through 8 years of follow-up."

研究作者写道，对於预测子宫内膜烧灼术术后的子宫切除来说，年纪比手术类型或者出现平滑肌瘤更重要；40岁以下接受子宫内膜烧灼术的妇女，其子宫切除风险升高，而且不只在子宫内膜烧灼术后几年，子宫切除风险到追踪后八年仍持续增加。

As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.

每逢看到沃林顿那刚毅的脸，那乌黑、忧郁的眼睛，她便会相信，他一定作过不幸的爱情的受害者。

Maybe they'll disappear into a pothole.

也许他们将在壶穴里消失