妇科的

Cases presenting as peritoneal carcinomatosis with unknown origin are always a challenge for the physicians to select the most appropriate method to make the diagnosis. In this particular case, the pathological report obtained directly from the incarcerated tumor implant showed the tumor to have arisen most probably from the stomach.

临床上偶而会遇到病患就医即呈现广泛性腹腔内癌性转移的情形，因原始肿瘤的症状不明显，临床上会有诊断及治疗方面的困扰，原始肿瘤未明的广泛性腹腔内癌性转移案例中，虽以胃癌及大肠癌的案例最多，但胰脏癌及妇科方面的案例亦不少，为了诊断及组织切片的取得常需要一些侵袭性的检查如胃镜或大肠镜等，增加病患的痛苦。

It consistently concerns fronts of medical techniques and has formed its own advantages and specialties which are at advanced levels in China: integrated use of blood purification, nutrient metabolic support, life-support machine for serious patients; sub hypothermia treatment of acute brain contusion, treatment of hydrocephaly and brain stroke, operation treatment of defect of skull;athletic injury, replacement of bone joints, Spinal Surgery;vessel surgery; minimally invasive operation for larynx, diagnosis and cure of facial nerve paralysis;minimally invasive operation for women patients; treatment of neonatal diseases, and child asthma.

医院始终瞄准医学技术发展前沿，逐步形成了自己的技术优势和专业特色。其中血液净化、营养代谢支持、呼吸机治疗在危重病中的联合应用；急性脑挫伤的亚低温治疗、脑积水与脑卒中的治疗、颅骨缺损的手术治疗；运动创伤、骨关节置换、脊柱外科；血管外科；喉微创手术、面神经麻痹的诊断与治疗；妇科微创手术；新生儿疾病的诊治、儿童哮喘的规范治疗等处于国内先进水平。

mitochondrial dnais the only inheritant substance except for the nuclear dna in a euˉkaryon cell,which is related to the oxidative phosphorylation of a cell.mitochondrial dna is the important target of carcinogens and is vulnerable because of its structure and function.the mutation of mtdna could reduce the nomal respitation and release large quantities of ros,whichincrease the danger of cancer happening.so,mtdna has been thought to be involved in carcinogenesis and recently more and more studies in this aspect have comeout.in this paˉper,we review the researches for relationship among mtdna mutation and tumors in digestion system,woman system,head and neck,urinary systemand blood system.

线粒体dna（mitochondrial dna，mt dna）是真核细胞中唯一存在的独立于核dna之外的遗传物质，与细胞的氧化磷酸化功能密切相关。mtdna自身的结构和功能特点决定了它是致癌物作用的重要靶点，易受致癌因素的损伤而发生突变。mtdna的突变可削弱正常的呼吸功能，释放高水平的活性氧，进而增加肿瘤发生的危险性，所以mtdna被认为与肿瘤发生有密切关系。近年来，这方面的研究越来越多，本文现就mtdna突变与消化系统肿瘤、妇科肿瘤、头颈部肿瘤、泌尿系统肿瘤等实体瘤以及血液系统恶性肿瘤之间的关系作一简单的综述。

It is targeted at general and colorectal surgeons, urologists, gynecologists and gastroenterologists who treat incontinent patients, and also gives general practitioners and geriatric physicians an overview of the diagnostic methods and treatment options that can be offered to incontinent patients.

它被在一般和结肠直肠的外科医生，泌尿科医生，治疗无节制的病患的妇科学家和胃肠病学家瞄准，以及给全科医生和老年医学的内科医生可以被提供无节制的病患的诊断方法和

Dr. McCarus and colleagues followed the outcomes of 446 women (mean age, 39.4 years) undergoing major or advanced laparoscopic gynecologic procedures and using 1,091 bladeless trocars at 749 larger trocar sites (562 paramedial, 185 umbilicus). At least one trocar was placed paramedially without fascial closure in each patient.

McCarus的研究团队所追踪的患者包含446位女性，平均年龄为39.4岁，这些患者都接受了主要的、或末期的妇科内视镜手术；一共使用了1091支无刀刃套针，共计749处的插入部位(562处为侧部，185处在脐点)；每一位患者至少都有一处以上的侧部插入部位不需作缝合。

But when his group stratified the cohort by mutation status, they observed differences in risk reduction."These results also generate the hypothesis that the protection conferred by risk-reducing salpingo-oophorectomy against specific cancers may differ between carriers of BRCA1 and BRCA2 mutations," Dr. Kauff told attendees."We found that it is highly protective against BRCA -associated gynecologic cancer in both 1- and 2-mutation carriers." And in breast cancer, his team observed a protective effect in BCRA 2 mutations.

当他的团队统计研究对象的突变状态时，他们观察到风险降低的差异性；Kauff医师向与会听众表示，这些结果也产生了藉由风险降低的输卵管卵巢成形术，对特定癌症所提供的保护效果或许会因BRCA1和BRCA2载体突变而有差异的假设；我们发现对这两种载体突变可以高度有效地对抗BRCA有关的妇科癌症；至于乳癌，他的团队观察到在BCRA2突变有保护效果。

But when his group stratified the cohort by mutation status, they observed differences in risk reduction."These results also generate the hypothesis that the protection conferred by risk-reducing salpingo-oophorectomy against specific cancers may differ between carriers of BRCA1 and BRCA2 mutations," Dr. Kauff told attendees."We found that it is highly protective against BRCA -associated gynecologic cancer in both 1- and 2-mutation carriers." And in breast cancer, his team observed a protective effect in BCRA 2 mutations.

当他的团队统计研究对象的突变状态时，他们观察到风险降低的差异性；Kauff医师向与会听众表示，这些结果也产生了藉由风险降低的输卵管卵巢成形术，对特定癌症所提供的保护效果或许会因BRCA1和BRCA2载体突变而有差异的假设；我们发现对这两种载体突变可以高度有效地对抗BRCA有关的妇科癌症；至於乳癌，他的团队观察到在BCRA2突变有保护效果。

"Interstitial cystitis may be a common unrecognized cause of pelvic pain in gynecologic patients and deserves greater, if not primary, consideration in the differential diagnosis of pelvic pain," the authors write."If IC goes unrecognized, the pain may become intractable because of altered pain pathways, or IC may reach advanced stages, when substantial damage to the bladder has occurred."Am J Obstet Gynecol. Reviewed by Gary D. Vogin, MD

间质性膀胱炎可能是造成妇科患者骨盆疼痛的常见原因，却不易被诊断出来，然而若真的罹患这个疾病却未被诊断出来，一旦膀胱发生实质的伤害，那麼将会变得难以治疗，因为造成疼痛的病理机转可能已经改变，或间质性膀胱炎的病情已经恶化，因此采用其他不同方法来协助间质性膀胱炎的诊断是很重要的。

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