 Wysłany: Wto 2:46, 22 Mar 2011 Temat postu: mbt batai A modified radical hysterectomy compari |
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| A modified radical hysterectomy: Observation of 63 Cases
Beam, the conventional suction drainage through the abdominal wall, closed the top of the results of a vagina, intraoperative vital signs: perverse film I fell outside the group except solid bleeding of more than 600m [, slight fluctuations of blood pressure, the remaining cases intraoperative stability. Intraperitoneal group of 50 (15/30) solid traction in Sui,tory burch sale, a decrease in blood pressure or bleeding or drums intestinal reaction. Second, the blood loss: blood 600mlt extraperitoneal group 3,mbt batai, 13.33} intraperitoneal group, two groups P> O. 05. However, extraperitoneal group is less bleeding. Third, visceral injuries: extraperitoneal group 3 cases of bladder injury, bowel injury 【cases; peritoneal intestinal injury in group 2,tory burch shoes, only down. Dry time to repair, not any sequelae. Fourth, the operation time in Table 2. Table 2 compared the two procedures {disk operating time can be seen from Table 2, the extraperitoneal group, 22/33 patients (55.55 / 30 cases (10) in 2 hours to 3 hours and 30 minutes,mbt shoes discount, both were significantly different (P <O.05). five, postoperative recovery of gastrointestinal function: There were no obvious abdominal distension, intestinal exhaust functions are in the 2d ~ 48 hours to recover 2 days after surgery returned to normal diet. VI, postoperative body temperature and infection: body temperature after 3 days at 37 ~ 38-5 ℃ who extraperitoneal group 81.8I (27 / 30) faded films from the 93.33 (28/30). after infection focus were significant. peritoneum with 7 down, 4 of which were injured 1:3 infection, 2 cases of mild infection at the end of salt, I pour urinary tract infection. peritoneal group only 1 case of urinary tract infection. peritoneal infection outside the group are more likely to poison and abdominal drainage is not relevant. VII, bladder function recovery time: 2 weeks, those who return to normal urinary function. extraperitoneal group accounted for within the group accounted for 53.33 81.81I peritoneal, two P <O.025. extraperitoneal group that recovery of bladder function has not fixed the end of the bladder wall and the large triangular net of pushing Mu affected. Of course bladder function recovery, depending on the woolen rug stretch after the injury. eight, get out of bed: 2 weeks to get out of bed free persons, accounting for 84.842 extraperitoneal group, accounting for 53.33 intraperitoneal group, two groups of P < O0l. This may be round the small groups were extraperitoneal transverse incision and abdominal surgery on the abdominal cavity with less interference related. IX, follow-up: two patients were followed up for l ~ 5 years. extraperitoneal group follow-up rate of 96.97, died 3 dead 3 down, lost 1 down, mortality I2.I2} 8667 follow-up rate of intraperitoneal group, 7 died. lost 5 down, mortality 40.. 0.5-year survival rate. extraperitoneal group, 27/33 patients is 81.81, which I fell on a 131I3, I have】 on 4 / 19, down} perverse membrane group】 4 / 30, down 46.67, which I of 5 / 9 down, Ⅱ cases of a a121 . two of the 5-year survival rate was significantly different (P <o.01) I may be the reason the group lost to follow-peritoneal transfer much about. Experience since 1960 extraperitoneal surgical field of gynecological surgery, its advantages people must gradually shift more and more as 』, who accepted and development '. In particular, Johnson and other of its surgical dissection procedure for cervical cancer, cervical cancer surgery by step to a certain degree of difficulty. We will peritoneum and abdominal hysterectomy with lymph node dissection, modified radical mastectomy for cervical cancer, not only exposed to salt chamber clear, easy to operate. postoperative intestinal paralysis, intestinal gas or small bowel obstruction, and because the operative on the pelvic cavity perverse little interference curse intraoperative stimulation appears less adverse reactions such as hypotension. intraoperative anesthesia is used for solid drum intestinal tract. does not affect the surgical procedure. left it so complex and difficult surgery, have become a simple and easy, can greatly shorten the operation time} extraperitoneal group most in 2 hours 3 hours 3O since the beginning of a successful operation. disease is undoubtedly faster postoperative recovery, shorter operating time and surgical complications related to As, extraperitoneal group visceral membrane damage seems to be more obstinate group slightly, especially in the bladder injury. survived mainly due to separation of the bladder peritoneum, the anatomy of unclear cause I as skilled surgical operation, is completely avoided. Therefore, in carrying out this operation type should be on a clear understanding of local anatomy and surgical technique in the abdominal cavity is the basis for a more skilled and secure. Once you've mastered this method. its advantages will be revealed. 相关的主题文章： asics outlet Sherwin Kunming, ras gene expression polo outlet online Medical Treatment of maternal m 5 finger shoes Information Medical News _271 |
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