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asbryobvrz · Wysłany: Sob 13:11, 19 Mar 2011

Semi-prone position inverted urinary tract stones after ESWL treatment of 13 cases

. Clinical,[link widoczny dla zalogowanych], 2004,32 (2): I14-115. [2] Zhang ship. Saddle bit urethral calculi ESWL treatment [J]. Clinical, 2002,30 (2): 115. [3] FANG Hua, Candy Leung. Meatal pressure after injection in the treatment of clinical experience urinary tract stones: Report of 190 cases with [J]. Gannan Medical University, 2007,27 (6): 935. [4] XIAO Xian, the Soviet Union the same boat. Under the special position of urethral calculi after extracorporeal shock wave treatment [J]. Chinese Journal of Clinical Research, 2007, l3 (13): 1808. [5] Chen Li Jin. After ESWL treatment of urinary tract stones report of 68 cases [J]. Zhejiang Practical Medicine, 2006,11 (1): 42,57. [6] closed Chi-hung, Qinmei Juan. Urinary tract stones after extracorporeal shock wave therapy report of 19 cases [J]. Guangxi Medical, 20o3, 25 (1): 94. (Received 13 :2008 -06-28 Revised 13 :2008-08-24) laparoscopic myomectomy analysis of 93 cases of Wei Jinxing (seventh, Nanning,[link widoczny dla zalogowanych], Guangxi People's Hospital of Nanning 530 012) Key words uterine fibroids; laparoscopic myomectomy; abdominal myomectomy 【Key Words】 R608; R71I. 7 【B】【Document code article number】 1673-6575 (2008) 06-0633-02 female reproductive system, uterine fibroids are the most common benign tumor, more common in 3O5O year-old woman, 30 years approximately 20% of women over the uterus fibroids. to 2008 period Gynecological Examining and B-2 diagnosed with uterine intramural or subserosal fibroids and called laparoscopic myomectomy as the observation group were 93 cases, and the other to take over the same period abdominal hysterectomy fibroids Patients were excluded were 93 cases. All the patients were married, aged 24-51 years old, maternal sub 0 ~ 7 times, unintentionally, lung, liver,[link widoczny dla zalogowanych], kidney and other diseases, the diagnosis before surgery and to understand the size of fibroids, number, location, form and movement, while cervical cytology, except for cervical malignant lesions, anemia in patients with blood transfusion and other treatment before surgery to make hemoglobin reached 80g / L or more. The average age of the two groups, both number and size of fibroids no significant difference (P> O.05). Table 1. Table 1 Preoperative patients were generally compared (4-s) 1.2 to adapt to Hong indications and contraindications: ① subserosal uterine fibroids ; ② trimester abortion has a history of infertility; ③ infertility of uterine fibroids, infertility patients, including habitual abortion; ④ anemia due to fibroids cause bleeding, but those who want to maintain fertility; ⑤ patients during pregnancy has been diagnosed with uterine fibroids have concerns, stress, and symptoms; ⑥ increased rapidly in a short period of uterine fibroids; ⑦ in other surgery of uterine fibroids are subserosal. contraindications 【2J: ① enlarged uterus, such as 16 weeks of pregnancy; ② uterine fibroids> 10em; ③ multiple uterine fibroids,> 3em of more than 4 or more uterine fibroids; ④ growth of uterine fibroids the uterine cavity, fibroids in the uterus medial one third of the myometrium, and> 30% of the outstanding in the uterine cavity; ⑤ obese patients; ⑥ when suspected adenomyosis. 1.3 Surgical Methods spinal and epidural anesthesia + intravenous anesthesia low enough to take the first high, the conventional pneumoperitoneum needle, pneumoperitoneum pressure of 12-14mmHg,[link widoczny dla zalogowanych], abdominal puncture for 3:00, the first mirror set umbilical puncture hole, the first 2,3 puncture the appendix for the right lower abdomen and left Michael's point side of the corresponding point to home appliances, on the pedunculated subserosal fibroids, bipolar coagulation tumor stem, cut; of intramural fibroids,[link widoczny dla zalogowanych], the long needle puncture in the abdominal wall to open the surface of subserosal leiomyoma into the pituitary After the blade element 6-12U, the uterine muscle contraction, along the longitudinal axis of uterine fibroids in the uterine incision most sudden uterine fibroids impose a power hook up to the surface of muscle plasma tumor, and the diameter and length of uterine fibroids, such as muscle and to highlight the tumor is large subserosal take prism cut, which will help remove fibroids after the formation of the joint; large grasping forceps clamp prominent leiomyoma nodules, pulling upward force, or the assistant surgeon with the call the other hand stripped coated bars will be fibroids, have a greater separation of vascular hemorrhage, bipolar coagulation, separation from the base after the cut, the strip temporarily placed in the uterine fibroid nodules rectal fossa, washing the tumor cavity , obvious bleeding at coagulation; No. 1-0 absorbable continuous suture line off the tumor cavity, and finally with the myoma nodule tissue crushing device removed after smashing into strips, medical