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卵巢破裂

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Oogonium develops into early oocyte in the ovary, and then the oocyte leaves the ovary for the coelomic fluid in the form of single cell or cell mass followed by the rapid separation of the group of oocytes into individual ones. Oocyte enters into the nephridium after its maturation. The rupture of germinal vesicle marks the oocyte maturation. Oocyte in the coelom does not have follicle membrane and vitelline membrane is formed and developed by the oocyte itself. Smaller oocyte (0μm in diameter) is round, and larger ones (≥60μm in diameter) is ovate. The short and long diameters of a morphologically mature oocyte are about 115—120μm and 140—145μm respectively, and the vitelline membrane is 7—9μm thick.

卵原细胞在卵巢中发育至早期卵母细胞时期单个或成团脱离卵巢入体腔液中,卵母细胞团细胞很快分离为单个细胞;卵母细胞在体腔液中发育成熟后进入肾管;生发泡破裂是卵母细胞成熟的标志;体腔中卵母细胞无滤泡膜,卵黄膜的形成与发育靠卵母细胞本身;卵径小于60μm的卵母细胞呈圆形,卵径大于60μm 的卵母细胞为卵圆形,形态上成熟的卵母细胞短径约115—120μm、长径约140—145μm、卵黄膜厚7—9μm。

Results 4 cases of gynecologic acute abdomen were dermoid cyst rupture, ovarian corpus luteum rupture, dermoid cyst torsion and ovarian abscess, and they have the corresponding CT, MRI findings.

结果 4例妇科急腹症分别为皮样囊肿破裂、卵巢黄体破裂、皮样囊肿蒂扭转及卵巢脓肿,它们均有相应的CT、MRI表现。

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。

Methods:602 patients were performed laparoscopic operation under continuous peridural and intravenous anesthesia.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。

The results showed that mercury chloride (0.5 and 1.5mg/kg BW) had obviously toxicity to the liver and the kidney of mouse, and the dose of 1.5mg/kg BW could damage the ovary function and reduce the number of superovulation oocytes.The results also showed that mercury chloride could inhibit the extruding of the first polar body and affect the quality and the viability of mouse oocyte and reduce the rate of IVF,but little impact on germinal vesicle breakdown of mouse oocyte in vivo.

结果表明,0.5和1.5mg/kg BW汞对小鼠的肝脏、肾脏有明显的毒性作用,1.5mg/kg BW组还对卵巢有明显的毒性作用,并能显著降低超排卵的卵母细胞数;汞对体内卵母细胞生发泡破裂没有影响,但可以抑制卵母细胞第一极体的释放,影响卵母细胞的存活率并降低体外受精率。

Results: 326 tubal pregnancy, 111 ruptureed corpus luteum, 56 acute pelvic inflammatory disease, 76 turn round of ovarian cyst, 53 ruptured endometriosis cyet of ovary, 5 perforation of uterus, 3 hemorrhagic salpingitis. 664 patients were succsssfully managed by laparoscopy.

结果:362例输卵管妊娠、111例黄体破裂、56例急性盆腔炎、76例卵巢囊肿蒂扭转、53例巧克力囊肿破裂、5例子宫穿孔、3例出血性输卵管炎,662例成功进行腹腔镜手术治疗,中转开腹4例。

Objective:To explore the effect and surgical techniques of laparoscopic surgery in treating mature ovarian teratoma.

目的:探讨腹腔镜下卵巢良性畸胎瘤的效果和手术技巧,防止术中发生囊肿破裂等并发症的方法。

The clinical date of 91 cases to treat by laparoscopy were reviewed. Results 91 case with adnex benign disease were performed completely with laparoscopy.

回顾分析应用腹腔镜手术治疗91例卵巢黄体破裂、良性肿瘤、异位妊娠、输卵管系膜囊肿的临床资料。

Do not cause decomposition of one ovulation, mature follicles to a certain stage, clearly highlighted in the ovarian surface, with the proliferation of follicular fluid, internal pressure increases, so that more and more prominent part of the ovarian tissue is thin, the final rupture secondary oocyte cells and their peripheral zona pellucida and corona radiata, together with the discharge of ovarian follicular fluid in the process called ovulation.

不排卵原因分解1、成熟卵泡发育到一定阶段,明显地突出于卵巢表面,随着卵泡液的激增,内压的升高,使突出部分的卵巢组织愈来愈薄,最后破裂次级卵母细胞及其外周的透明带和放射冠随卵泡液一起排出卵巢这一过程称排卵。

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,大隐静脉支离断等各1例。

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