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"One advantage of doing minilaparotomy as opposed to laparoscopy is that you're able to suture the uterine defect closed in a myomectomy in the classic three-layered fashion," said Dr. Glasser, emphasizing the reduced risk of scar rupture in childbirth."The other advantage is you're able to palpate the uterus and feel small fibroids that ordinarily could not be felt or recognized with a laparoscopic approach."

Glasser医师进一步指出,相对於腹腔镜手术法,小型腹腔手术的一个优点是,在去除肌瘤后,可以使用传统的三层法缝合子宫所留下的伤口;如此一来,可以将分娩时所造成的破裂性疤痕降至最低限度;另一个优点是,藉由小型腹腔手术,可以做子宫触诊,并可触摸到小块的纤维瘤,而这一点是腹腔镜手术法所做不到的。

Objective1. To deeply understand the academic theory of my advisor about MIS and to grasp the technique of gynecological laparoscopic surgery. 2. To investigate the effect of different mode CO2 pneumoperitoneum on the body.(1)To detect the effect of two different types of insufflator on the iintraabdominal pressure during gynecological laparoscopic surgery.

目的:1、深刻理解导师关于微创治疗的学术思想,掌握妇科腹腔镜手术。2、研究探讨妇科腹腔镜手术中非微创因素——不同CO2充气模式形成的气腹对机体的影响:(1)研究两种不同工作原理的气腹机对妇科腹腔镜手术中患者腹腔压力的影响。

objective:to explore the value of laparoscopy in diagnosis and treatment of female infertility.methods:the clinical data of 139 cases of female patients with infertility were analyzed retrospectively.results:among 139 cases,55 cases with pelvic adhesion,34 cases with salpingitis,20 cases with endometriosis,and 14 cases with polycystic ovary.the pregnancy rates were 47.27%,41.18%,55.56% and 46.15% respectively after laparoscopic surgery.pelvic adhesion salpingitis and endometriosis were the major cause of female infertility.conclusions:laparoscopic technique can find out the reason of infertility more earlier and more directly and provide timely therapy.so it has excellent clinical effect.

目的:探讨腹腔镜诊治女性不孕症的应用价值。方法:回顾分析我院2004年12月至2007年12月应用腹腔镜诊治女性不孕症139例患者的临床资料。结果:139例中盆腔粘连55例,输卵管炎34例,子宫内膜异位症20例,多囊卵巢综合征14例,术后妊娠率分别为47.27%,41.18%,55.56%,46.15%。盆腔粘连、输卵管炎、子宫内膜异位症是引起女性不孕的主要盆腔病因。结论:应用腹腔镜技术能早期、直观、准确的明确不孕症输卵管及盆、腹腔病因并可同时予以针对性治疗,在直视下通液,动态观察输卵管通畅度和形态,大大降低了常规通液术的假阳性、假阴性率。

Celioscope is an important instrument in surgery. With the improvement of celioscope skill, more diseases can be cured. At the same time the overuse of celioscope in surgical course has been a serious social issue.

腹腔镜手术是目前外科领域的一个重要方面,随着腹腔镜手术技巧的提高,越来越多的疾病可以通过腹腔镜手术得到治疗,但同时腹腔镜在外科治疗中过度应用也成为一个重要的社会问题。

Abstract] Objective To compare the effect of different drug in the treatment of endometrial cyst of ovary after laparoscopy.Methods One hundred and fifty-four patients undergoing laparoscopy were divided into four groups,36 without endocrinal therapy;41 with danazol 400 mg qd;42 with gestrinone 2.5 mg qiw;35 with mifepristone 12.5 mg qd.

目的 比较卵巢子宫内膜异位囊肿腹腔镜手术辅以不同药物治疗的疗效方法 1998年8月~2003年2月我院卵巢子宫内膜异位囊肿腹腔镜手术患者154例,单纯腹腔镜手术组36例;加用丹那唑组41例,每日1次,每次400 mg,连服6 月;加用孕三烯酮组42例,每周2次,每次2.5 mg,连服6个月;加用米非司酮组35例,每日1次,每次12.5 mg,连服6个月。

Methods A rabbit was celiac-perfused by 5-Fu 100mg/Kg.Then assayed the durg concentrations of janitrix,abdominal aorta,peripheral venous,hydroperitoneum and tissues of liver and kidney by liquid chromatography in specific time;60 cases of hepatocellular carcinoma were radomized into experimental group and placebo group .

实验用家兔腹腔内注入5- Fu 100mg/kg,分别于设定时间抽取门静脉,腹主动脉,外周静脉血,腹腔液,肝、肾组织标本采用高效液相色谱法测定药物浓度;选择中晚期失去手术机会的临床确诊原发性肝癌病人60例,随机分组为实验组(行肝动脉化疗栓塞术中联合腹腔序贯化疗)和对照组(单纯行肝动脉化疗栓塞术)。

Results:Except that 3 gangrenous appendicitises were performed laparotomy,the other 36 cases were successfully applied "JIN's knot"to deal with duct of gallbadder,blood vessel of gallbladder,mesoappendix and remnant of appendix.

作者:靳常海,刘君,崔刚,李岩,魏宏基目的:探讨'靳氏结'应用在腹腔镜免夹术中的安全可行性。方法:在腹腔镜胆囊切除术(LC、腹腔镜阑尾切除术(LA中应用'靳氏结'处理胆囊管及其血管和阑尾残根及其系膜。

objective to evaluate the clinical value of early diagnosis and therapy of suspicious ectopic pregnancy by laparoscopy.methods the clinical data of 53 suspicious tubal pregnancy patients were analyzed retrospectively,who had received laparoscopic operation in our hospital from january 2003 to december 2005.results all cases received laparoscopic operation,none was transferred to traditional surgery during the operation.46 cases were diagnosed as tubal pregnancy during the operation with pathologic proof.preoperative diagnosis rate was 86.8%.the salpingecstomy were performed in the 32 cases.the salpingotomy were performed in the 7 cases.conclusion the laparoscopic operation is the best choice in the early diagnosis and therapy of suspicious ectopic pregnancy,and it gain time for conservative therapy.but not too early.

目的 评价可疑异位妊娠患者腹腔镜早期诊治的临床价值。方法收集2003年1月~2005年12月收治的经腹腔镜手术治疗的可疑输卵管妊娠患者53例资料进行回顾性分析。结果 53例手术均经腹腔镜完成,无1例中转,术中诊断输卵管妊娠的46例,术前诊断率86.8%,32例行输卵管切除术,7例行保守性手术。结论腹腔镜手术是早期确诊可疑异位妊娠患者的最佳选择,也为保守性治理赢得时间,但不宜操之过急。

Result: Seven cases were showed local adhesion between intestines;omenta and abdominal wall. One case was entensive adhesion in abdominal cavity . Five patients were performed laporoscopic operation successfully while one case had intestinal impairment and was converted to laparotomy.

结果:气腹造影CT扫描7例均清晰显示肠管、网膜与腹壁切口局限性的粘连,其余区域未见粘连,1例为腹腔弥漫性广泛粘连。5例实施腹腔镜手术均顺利,腹腔镜手术所见与术前判断完全吻合,仅1例发生1处肠管损伤。

Result: B-2 can increase abdominal cavity macrophage phagocytic activity significantly (p.001) B-1 can increase abdominal cavity macrophage phagocytic activity (high dose of B-1: P.01, low dose of B-1: P.05). Only high doses of S. sphenanthera coarse polysaccharides can increase phagocytic activity (phagocytic index p.05) and show dose-dependent augmentor effects.

结果:北五味子脱蛋白粗多糖能极显著增强腹腔巨噬细胞吞噬功能(p.001),未脱蛋白粗多糖能显著增强腹腔巨噬细胞吞噬功能(大剂量组p.01、小剂量组p.05),而南五味子粗多糖只有大剂量组能增强腹腔巨噬细胞吞噬功能(吞噬指数p.05),并呈一定的量效关系。

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