性腺切除术

Methods:The operative process and surgical outcomes of 8 FAP patients who underwent completly laparoscopic total colectomy were analyzed retrospectively.

应用腹腔镜全结肠切除术治疗家族性腺瘤性息肉病8例，总结手术过程及术后恢复情况。

Primary operation cases of parotid pleomorphic adenoma have more proliferative activity of Ki-67 than nonrecurrent group, less than group of low grade malignant parotid gland tumors. Partial parotidectomy is still suitable for primary operation cases of parotid pleomorphic adenoma.

腮腺多形性腺瘤手术复发前者Ki-67增殖活性高于未复发者，但与低度恶性腮腺肿瘤比较，其增殖活性明显不同，因此手术方式仍可选择腮腺部分切除术，但应结合其组织病理学和增殖活跃的特点，加强术后随访。

The different operation methods should be selected according to the different sides and sizes of the tumor;the parotid gland pleomophic adenoma in superficial lobe with clear limit and small size shouid be treated by local regional excision to reduce facial deformity and various kinds of complications,but those with too big size and vague limit should be done by traditional superficial lobe parotidectomy.

应根据肿瘤的部位及大小选择不同的术式，对界限清楚、体积较小的腮腺浅叶多形性腺瘤应尽量采用腮腺区域性切除术，预防面部凹陷畸形，减少并发症；对过大或边界不清的肿瘤仍宜采用传统腮腺浅叶切除术，以减少复发。

Methods Adenomyosis was diagnosed under lapososcopy in 4 infertile cases. Meanwhile coexsting endometriosis,pelvic adhesion and adenomyoma were treated by surgery and endocoagulator in 4 and 2 cases respectively.GnRH-α therapy was given for six months before laparoscopic surgery in 1 case and after laparoscopic surgery in 3 cases .

4例有严重痛经的子宫腺肌病伴不孕症患者经B超及腹腔镜或病理检查确诊，在腹腔镜检查的同时手术矫治合并存在的子宫内膜异位症和盆腔粘连。4例中，3例子宫后壁有局限性腺肌瘤形成(其中2例在腹腔镜下行手术切除)。3例于术后、1例于术前注射长效缓释型GnRH-α，每月1次，共6次。

Methods adenomyosis was diagnosed under lapososcopy in 4 infertile cases. meanwhile coexsting endometriosis,pelvic adhesion and adenomyoma were treated by surgery and endocoagulator in 4 and 2 cases respectively.gnrh-α therapy was given for six months before laparoscopic surgery in 1 case and after laparoscopic surgery in 3 cases .their fecundity outcome were followed-up after cessation of gnrh-α treatment.

4例有严重痛经的子宫腺肌病伴不孕症患者经b超及腹腔镜或病理检查确诊，在腹腔镜检查的同时手术矫治合并存在的子宫内膜异位症和盆腔粘连。4例中，3例子宫后壁有局限性腺肌瘤形成(其中2例在腹腔镜下行手术切除)。3例于术后、1例于术前注射长效缓释型gnrh-α，每月1次，共6次。

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。

The management for extralobar pulmonary sequestration and bronchogenic cyst located at the extrathorax and mediastinum was simple resection. For congenital adenomatoid malformation, intrapulmonary bronchogenic cyst and intralobar pulmonary sequestration, total lobectomy was done. All the 10 patients are living well now, after from 6 months to 7 years of follow-up.

手术方式为对胸腔外及纵隔腔的支气管囊肿和肺叶外的肺隔离囊肿採取简单切除术；对先天性腺瘤状畸形、肺內支气管囊肿和肺叶內的肺隔离囊肿採取肺叶切除。10例经电话追踪，从6个月至7年不等，其发育、运动均与正常儿童无异。

Methods Clinical data of 148 of cases parotid gland pleomophic adenoma were retrospectively analyzed,in which 88 cases treated by traditional superficial lobe parotidectomy were compared with 60 cases treated by local regional excision.

通过对1992—2009年江苏省徐州市第六人民医院口腔科收治的148例腮腺多形性腺瘤患者的临床资料进行总结，比较分析腮腺浅叶切除术（88例患者）与腮腺区域性切除术（60例患者）两种术式治疗腮腺多形性腺瘤的效果。

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。