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輸卵管絨癌一例

Clinical Analysis of Laparoscopic Procedure in Treatment of 1356Cases of the Adnexal Masses

目的：探討腹腔鏡診治附件包塊的有效性與安全性。方法:回顧性分析四川大學華西第二醫院2004年1月至2005年12月婦科收治的1356例附件包塊行腹腔鏡治療的病例。結果:手術適應證主要為異位妊娠、卵巢宮內膜囊腫及卵巢良性畸胎瘤，手術方式主要為輸卵管造口取胚術、輸卵管切除術、卵巢囊腫剝除術及患側附件切除術，手術成功率98.45%,無嚴重并發癥發生。術中發現可疑病例78例（5.8％），病理檢查提示交界性及低度惡性包塊共9例（0.66％），其中4例在腹腔鏡下完成手術。既往有腹部手術史85例，77例在腹腔鏡下完成手術。結論：腹腔鏡技術在診治婦科良性附件占位方面是安全有效的。

Clinical Analysis of 105 Patients with Postmenopausal Hydrohystera

目的 探討絕經后宮腔積液的病因及診治方法。 方法 對105例絕經后陰道B型超聲（TVS）檢查所示宮腔積液的患者進行回顧性分析。 結果 105例患者中，陰道炎患者31例，占29.52%；其余74例患者行宮腔鏡檢查顯示，宮腔點狀出血29例，占27.62%，宮腔透明粘液23例，占21.90%，另有22例宮腔鏡下未見異常，占20.95%。74例接受宮腔鏡檢查患者因診刮未刮出內膜組織，行宮腔細胞學涂片，病理檢查結果均未見惡性腫瘤細胞，其中16例患者查見炎性細胞。 結論 絕經后無子宮內膜增厚的宮腔積液多由炎癥引起，應及早明確診斷。宮腔鏡現已成為宮腔內病變診斷的金標準，其作為絕經后宮腔積液的病因診斷手段具有臨床實用價值。

Clinical Observation of Terminating Mid-pregnancy by Intra-amniotic Injection of Ethacridine with Cook Cervical Ripening Balloon

ObjectiveTo probe into the clinical effects of intra-amniotic injection of ethacridine with Cook cervical ripening balloon in terminating mid-pregnancy. MethodsA total of 150 mid-pregnant women who required induction of labor from January 2011 to December 2012 were randomly divided into two groups: observation group (intra-amniotic injection of ethacridine with Cook cervical ripening balloon) and control group (intra-amniotic injection of ethacridine). ResultsThe time of labor induction was obviously shorter in the observation group than the control group [the time from using ethacridine to contraction: （29.68±4.17） vs (33.60±5.38) hours, P<0.05; total process: (7.63±2.30) vs (9.86±3.20) hours, P<0.05], and the residual rate of placental membranes [28.6% (10/35) vs 56.4%(22/39), P<0.05] was significantly lower. But there was no significant difference in postpartum hemorrhage [(81.60±17.64) vs (83.82±15.08 ) mL, P>0.05] and rate of success [100.0% (35/35) vs 94.9% (37/39), P>0.05]. ConclusionTerminating mid-pregnancy by intra-amniotic injection of ethacridine with Cook cervical ripening balloon has the advantages of shorter time and less pain, which deserves clinical application widely.