子宫肌瘤切除术

objective to discuss the pregnant women with uterine fibroids in patients with cesarean section at the same time in the removal of fibroid treatment.

目的：探讨对妊娠合并子宫肌瘤患者在剖宫产术中同时进行肌瘤切除的治疗效果。

Objective: To study the clinical feasibility of vaginal total hysterectomy for Myoma of uterus.

目的：对子宫肌瘤行阴式全子宫切除术的可行性进行临床研究。

Can develop interposition ultrasound of BBT, endometrial melting surgery and salpinx radiography and correctly go to stones of urinary or gallbladder system.

能在超声介入下配合临床医生开展BBT切除子宫肌瘤，子宫内膜消融术和输卵管造影手术，能通过超声对泌尿系结石，胆系结石进行准确定位。尤其对男女不孕不育生殖方面的超声有很深的研究。

Methods:The clinical data of 70 cases of laparoscopy assisted transvaginal subtotal hysterectomy were retrospectively analyzed.

回顾分析子宫肌瘤70例行腹腔镜辅助下子宫次全切除术的临床资料。

Results All cases became amenorrheic during GnRH-α therapy. The enlarged uteri all decreased to normal or near normal size. Menstruation returned in 80～90 days after cessation of treatment. Three cases conceived within four menstrual periods. One of them resulted in the birth of a healthy 3 150 g male at 38 weeks gestation by cesarean section. The second pregnancy resulting after adenomyomectomy was terminated by emergent cesarean section at 30 weeks gestation because of threatened rupture of uterus. The third is now normal at 28 weeks pregnancy .The fourth has had 2 menstrual periods and is still being followed up.

结果 GnRH-α用药期间4例均闭经，血雌二醇于用药的第3周降到绝经期水平；用药6次后增大的子宫缩小至正常或接近正常。1例子宫后壁局限性腺肌瘤未行手术切除者，用药后腺肌瘤缩小73.7%。3例于腹腔镜术后、停药转经的4个月内妊娠；另1例停药转经2个月，现在随访中。3例妊娠转归：1例足月剖宫产分娩；1例手术切除肌壁间腺肌瘤者，孕30周时因先兆子宫破裂急诊行剖宫产术；1例目前孕22周。

Their fecundity outcome were followed-up after cessation of GnRH-α treatment. Results All cases became amenorrheic during GnRH-α therapy. The enlarged uteri all decreased to normal or near normal size. Menstruation returned in 80～90 days after cessation of treatment. Three cases conceived within four menstrual periods. One of them resulted in the birth of a healthy 3 150 g male at 38 weeks gestation by cesarean section. The second pregnancy resulting after adenomyomectomy was terminated by emergent cesarean section at 30 weeks gestation because of threatened rupture of uterus.

结果 GnRH-α用药期间4例均闭经，血雌二醇于用药的第3周降到绝经期水平；用药6次后增大的子宫缩小至正常或接近正常。1例子宫后壁局限性腺肌瘤未行手术切除者，用药后腺肌瘤缩小73.7%。3例于腹腔镜术后、停药转经的4个月内妊娠；另1例停药转经2个月，现在随访中。3例妊娠转归：1例足月剖宫产分娩；1例手术切除肌壁间腺肌瘤者，孕30周时因先兆子宫破裂急诊行剖宫产术；1例目前孕22周。

Results Compared with conventional laparoscopic myomectomy, gasless laparoscopy resulted in less intra-operative and postoperative blood loss, shorter operating time and less postoperative abdominal drainage volume.

结果 两组均能完成子宫肌瘤的切除，与传统腹腔镜手术相比，悬吊式腹腔镜组手术时间短，术中及术后出血量较少，差异有统计学意义。

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。

Objective To evaluate the safety and feasibility of cesarean myomectomy.

目的 探讨剖宫产术同时切除子宫肌瘤的安全性和可行性。

"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。

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。