腹腔的

Over the past decade laparoscopic surgery has become integral to general surgical practice, with the advantages over open surgery of less postoperative pain, earlier rehabilitate to normal activities and better cosmetic outcomes demonstrated for a range of pro...

本研究的目的在于探讨妇科腹腔镜手术对人体内环境的影响，并对妇科腹腔镜手术技巧、应用范围和手术方法进行探索，从基础及临床两方面对腹腔镜在妇科手术中的应用进行了研究。

By observing the effect of different insufflation gases on immune response in a rat model with abdominal infection,we further research the effect of laparoscopy with carbon dioxide pneumoperitoneum on infection proliferation and bacteria translocation.

本研究通过观察不同膨腹气体对腹腔感染大鼠模型免疫反应的影响，进一步探讨在已存在腹腔感染的情况下，CO2腹腔镜手术对感染扩散及细菌移位的影响。

The results indicated that after B16 and mIL-2+B16 cells inoculatingperitoneal cavity of C57BL/6 respectively,1on 1,3,6,days therewere nothing in peritoneal cavity of C57BL/6 which inoculated mIL-2+B16 cells,however on sixth day,there were distinct tumor tissuein peritoneal cavity of C57BL/6 which inoculated B16 cells.2Therewere different mount of PELs induced by mIL-2+B16 or B16 cellsrespectively.

在将〓与mIL-2〓细胞分别植入C57BL/6腹腔后，于第1，3，6天时观察其腹腔中的肿瘤生长情况，mIL-2〓一直到第6天时肉眼见不到任何肿瘤组织，而〓在第6天时，在腹腔中可以肉眼见到十分明显的黑色肿瘤组织。2.mIL-2〓和〓在小鼠腹腔中诱导免疫应答的数量水平也不同，平均每只小鼠的〓PEL数从第1天的0.75〓到第6天的2.67〓呈逐步上升趋势，每只小鼠的mIL-〓PEL数从第1天的1.13〓到第2天的2.5〓〓，而到第6天却降至2.23〓。3。

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。

There is important relationship of celioscope operation with equipments and apparatus of celioscope.

腹腔镜手术的实施与腹腔镜设备、腹腔镜手术器械有着重要的关系。

Results: Tyroserleutide can significantly increase the life span of H22 tumor-bearing mice by 50-70% in dosages of 20ug/kg/d-80ug/kg/d,specially the high dosage of 80ug/ml can significantly increase the life span by 69.24%; Tyroserleutide can inhibit the growth of transplanted hepatocellular tumor BEL-7402 in nude mice,the rate of tumor inhibition was25-50% in dosages of 40-320ug/ml ,the inhibition rate of 160ng/ml was 44.03%; Tyroserleutide could inhibit the growth of H22 and BEL-7402 tumor in a dose-dependent manner. Simultaneously, tumoricidal activity of tyroserleutide against BEL-7402 cell line in vitro was observed hinger when compared with the control group(P.05).The inhibition effect of 72hrs was higher than 24hrs,48hrs,96hrs.And specially the high dosage of 160ug/ml can significantly inhibit growth of tumor cell by 19.36%. Tyroserleutide can activated PEM and marked enhance cytotoxicity andphagocytosis functions in vitro and in vivo. The OD values of cytotoxicity were observed hinger when compared with the control group(P.05).The cytotoxicity of macrophages activated by tyroserleutide against BEL-7402 and B16-F10 was 35.58%,61.2% in vitro and21.39%,47.63% in vivo. The cytotoxicity rate of nude mice PEM was 32.86%,73.07% in vivo. Furthermore, tyroserleutide alone could stimulated the production of IL-1B TNF- a and NO by M . Tyroserleutide and LPS could synergistically activated M producing more cytotoxicity effectors. Conclusion: Tyroserleutide had inhibition functions against hepatoma carcinoma .Its possible mechanisms were related to the affect that Tyroserleutide could inhibit tumor cell directively and induce tumor cells apoptosis or death effectively.

结果：酪丝亮肽能显著延长腹水型肝癌H_(22)小鼠的生存时间，给药剂量为80μg／kg／d时疗效最显著，达到69.24％，在20μg／kg／d-80μg／kg／d剂量范围内生命延长率为50-70％，给药剂量与荷瘤鼠生存时间呈现一定量效关系；酪丝亮肽能显著抑制人肝癌BEL-7402移植瘤裸鼠的肿瘤生长，给药剂量为160μg／kg／d时疗效最显著，抑制率为44.03％，并且在40-320μg／kg／d剂量范围内抑制率为25-50％，给药剂量与肿瘤抑制率呈现一定量效关系；酪丝亮肽体外对人肝癌BEL-7402细胞生长有一定的抑制作用，在作用72hrs时各浓度酪丝亮肽对肿瘤细胞的抑制作用较24hrs、48hrs、96hrs明显，其中浓度为100μg／ml时抑制率达19.36％；酪丝亮肽体内外均能增强小鼠腹腔巨噬细胞对肿瘤细胞的杀伤：体外作用中巨噬细胞对BEL-7402、B16-F10的杀伤功能明显增强，与效应细胞对照组相比有显著性差异(P＜0.05)杀伤率分别达到35.58％、61.2％；体内作用中巨噬细胞对BEL-7402、B16-F10的杀伤功能明显增强，与生理盐水对照组相比有显著性差异(P 。05)，杀伤率分别达到21.39%、47.63%；裸鼠腹腔巨噬细胞经酪丝亮肤作用后对BEL一7402、B 16一F10杀伤功能明显增强，与生理盐水对照组相比有显著性差异(P.05)，最高杀伤率分别达到32.86%、73.07%；酪丝亮肤能增强单核巨噬细胞系统的吞噬功能，吞噬指数与生理盐水组比较有显著性差异(P.05)；酪丝亮肤体外作用能促进小鼠腹腔巨噬细胞分泌合成细胞毒效应分子IL一lp、TNF一Q和NO，与效应细胞对照组相比有显著性差异(P.05)；酪丝亮肤体内作用能促进小鼠腹腔巨噬细胞分泌合成细胞毒效应分子IL一lp、TNF一Q和NO，与生理盐水对照组相比有显著性差异(P.05)；酪丝亮肤能促进鼠巨噬细胞株R戌W264.7分泌合成IL一1p和NO，IL一1日、NO水平分别在酪丝亮肤作用24hrs、12hrs时达到高峰，酪丝亮肤单独应用能提高巨噬细胞的分泌合成功能，而且酪丝亮肤能与LPS协同作用刺激巨噬细胞的细胞毒效应分子分泌合成。

Both gasless laparoscopy and conventional laparoscopy are suitable options for uterine myomectomy. However, gasless laparoscopy exhibits more advantages than conventional laparoscopy.

悬吊式无气腹腹腔镜与传统腹腔镜均能成功地进行子宫肌瘤的切除，但是悬吊式无气腹腹腔镜在子宫肌瘤切除术方面显示出更多的优势。

Materials and Methods: Campare gasless hand-assisted laparoscopic surgery, carbon dioxide pneumoperitoneum laparoscopic surgery and operation on Cholecystectomy, colorectal resections, according to the study of operation time, expense in hospital, number of days, pathologic type, extension of radical cure, and analysis of the blood lymphocytes, immune function of erythrocyte, we could ascertain the application value of gasless hand-assisted laparoscopic surgery.

材料与方法：对比研究非气腹手助腹腔镜手术、CO_2气腹腹腔镜手术及开腹手术，从早期的胆囊切除手术的临床应用过渡到结直肠癌根治手术，分别从手术时间、住院费用、住院天数、病理分型、根治范围等进行对比研究，然后从人体外周血淋巴细胞、红细胞等免疫功能方面作进一步分析，以确定非气腹手助腹腔镜手术在临床中的应用价值。

Fallopian tube pass for the remote and poor and there is no good treatment, if the fallopian tube adhesion umbrella serious side can do laparoscopic or open around the stoma and the separation of adhesion, if it is slightly remote and poor pass, Our experience is that too much to take the treatment, this is because the poor pass that mild lesions less, the purpose of treating disease is the history of lighter, but there are many ways to present a certain degree of injury is likely to therapy not as good as dead after some hospitals that laparoscopic treatment, we believe that is not suitable, because there is trauma laparoscopy and laparoscopic surgery to stop bleeding in the separation of mainly electrocoagulation, fallopian tube ignition organizations that can be damaged, causing new inflammation, resulting in tubal adhesions client umbrella.

对于输卵管远端通而不畅并没有什么好的治疗方法，如果输卵管伞端粘连严重的话可以在腹腔镜下或开腹做造口及分离周围粘连，如果是远端轻度通而不畅，我们的经验是不主张采取过多的治疗，这是因为轻度通而不畅说明病变比较轻，治疗的目的是是史病变更轻一些，但是目前的很多方法都有一定的损伤很可能治疗后还不如不治，有的医院主张腹腔镜治疗，我们认为不适合，因为腹腔镜有创伤，而且腹腔镜术中的止血分离主要是电凝，灼烧这都可能使输卵管组织遭到破坏，引起新的炎症，造成输卵管伞端粘连。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。