简介:摘要:腹股沟疝是一种常见的疾病,影响成年人的健康和生活质量。随着医学技术的不断发展,传统的开放手术治疗方式逐渐被微创手术所取代,为患者带来了更为安全和有效的治疗选择。本文将介绍腹股沟疝的定义、症状、危害、病因以及传统开刀手术与微创手术的治疗方式,以及微创手术后的恢复过程和注意事项。
简介:摘要目的探讨医用胶黏合补丁修补法在开颅手术硬脑膜修补中的临床应用效果。方法回顾性分析2016年1月至2018年12月湖南中医药大学第一附属医院采用医用胶黏合补丁修补硬脑膜的78例开颅手术患者的临床资料,选取同期64例普通缝合硬脑膜修补的患者为对照组,对比两组患者术中修补时间、皮下积液的发生率、治疗费用,对患者进行随访,观察并发症发生及不良事件。结果观察组术中修补时间为(8.4±3.7)min,对照组术中修补时间为(21.7±4.1)min,两组比较差异有统计学意义(P<0.05)。对照组术后皮下积液13例,观察组3个月复查无皮下积液发生,两组患者皮下积液的发生率比较差异有统计学意义(P<0.05);两组均无颅内及伤口感染病例。术后随访6个月,失访6例,两组患者均无不良事件发生。结论医用胶黏合补丁修补法应用于开颅手术硬脑膜修补能简单、快速、安全、有效预防脑脊液漏的发生,减少神经外科手术并发症。
简介: [摘要 ] 目的 探讨子宫补丁缝合手术在剖宫产术子宫局部收缩乏力中减少出血的临床效果。 方法 便利选取该院 2018年 2月— 2020年 2月接诊的剖宫产术中子宫局部收缩乏力的产妇 80例。将其按照处理方式的不同随机分为观察组和对照组两组,每组 40例。对照组患者使用子宫按摩联合宫缩素 +米索前列醇,观察组使用子宫补丁缝合手术,对比两组患者的术中出血量、止血时间、术后 2 h出 血量、子宫切除率和产褥病率。结果 观察组产妇的术中出血量( 574.32±52.36) mL、止血时间( 6.42±1.33) min、术后 2 h出血量( 41.25±10.32) mL、子宫切除率 0.0%、产褥病率 2.5%;对照组产妇的术中出血量( 682.42±59.41) mL、止血时间( 17.25±2.63) min、术后 2 h出血量( 70.78±15.11) mL、子宫切除率 10.0%、产褥病率 17.5%,兩组产妇的临床观察指标对比均差异有统计学意义( t=8.633、 23.241、 10.207, χ2=4.211、 5.000, P<0.05)。 结论 对剖宫产子宫局部收缩乏力的患者采用子宫补丁缝合术能够减少术中出血量,降低子宫切除率和术后产褥病的发生率,值得进一步在临床中推广应用。 [关键词 ] 子宫补丁缝合术 ;剖宫产手术 ;子宫局部收缩乏力 [Abstract] Objective To investigate the clinical effect of uterine patch suture in reducing bleeding in cesarean section. Methods convenient selection of our hospital from February 2018 to February 2020 in cesarean section local uterine atony in 80 cases. According to the different treatment methods, they were randomly divided into observation group and control group, 40 cases in each group. The control group was treated with uterine massage combined with oxytocin and misoprostol, while the observation group was treated with uterine patch suture. The intraoperative blood loss, hemostatic time, postoperative 2 h blood loss, hysterectomy rate and puerperal disease rate were compared between the two groups. Results in the observation group, the intraoperative blood loss was (574.32 ± 52.36) ml, the hemostasis time was (6.42 ± 1.33) min, the bleeding volume at 2 h after operation was (41.25 ± 10.32) ml, the hysterectomy rate was 0.0%, and the puerperal disease rate was 2.5%; In the control group, the intraoperative blood loss was (682.42 ± 59.41) ml, the hemostasis time was (17.25 ± 2.63) min, the bleeding volume at 2 h after operation was (70.78 ± 15.11) ml, the hysterectomy rate was 10.0%, and the puerperal disease rate was 17.5%. There were significant differences in the clinical observation indexes between the two groups (t = 8.633, 23.241, 10.207, χ 2 = 4.211, 5.000, P < 0.05). Conclusion for cesarean section patients with local uterine atony, uterine patch suture can reduce intraoperative blood loss, reduce the rate of hysterectomy and the incidence of postpartum disease, which is worthy of further clinical application.
简介: [摘要 ] 目的 探讨子宫补丁缝合手术在剖宫产术子宫局部收缩乏力中减少出血的临床效果。 方法 便利选取该院 2014年 2月— 2019年 2月接诊的剖宫产术中子宫局部收缩乏力的产妇 80例。将其按照处理方式的不同随机分为观察组和对照组两组,每组 40例。对照组患者使用子宫按摩联合宫缩素 +米索前列醇,观察组使用子宫补丁缝合手术,对比两组患者的术中出血量、止血时间、术后 2 h出 血量、子宫切除率和产褥病率。结果 观察组产妇的术中出血量( 574.32±52.36) mL、止血时间( 6.42±1.33) min、术后 2 h出血量( 41.25±10.32) mL、子宫切除率 0.0%、产褥病率 2.5%;对照组产妇的术中出血量( 682.42±59.41) mL、止血时间( 17.25±2.63) min、术后 2 h出血量( 70.78±15.11) mL、子宫切除率 10.0%、产褥病率 17.5%,兩组产妇的临床观察指标对比均差异有统计学意义( t=8.633、 23.241、 10.207, χ2=4.211、 5.000, P<0.05)。 结论 对剖宫产子宫局部收缩乏力的患者采用子宫补丁缝合术能够减少术中出血量,降低子宫切除率和术后产褥病的发生率,值得进一步在临床中推广应用。 [关键词 ] 子宫补丁缝合术 ;剖宫产手术 ;子宫局部收缩乏力 [Abstract] Objective To investigate the clinical effect of uterine patch suture in the reduction of bleeding in uterine local atony during cesarean section. Methods it is convenient to select 80 cases of parturient women who received cesarean section from February 2014 to February 2019. According to the different treatment, they were randomly divided into two groups: observation group and control group, 40 cases in each group. The patients in the control group were treated with uterine massage combined with oxytocin and misoprostol, and the patients in the observation group were treated with uterine patch suture. The bleeding volume, hemostasis time, bleeding volume at 2 hours after operation, hysterectomy rate and puerperal disease rate were compared between the two groups. Results in the observation group, the bleeding volume (574.32 ± 52.36) ml, hemostasis time (6.42 ± 1.33) min, bleeding volume (41.25 ± 10.32) ml, hysterectomy rate (0.0%) and puerperal disease rate (2.5%) were observed; In the control group, the bleeding volume (682.42 ± 59.41) ml, hemostasis time (17.25 ± 2.63) min, bleeding volume (70.78 ± 15.11) ml, hysterectomy rate (10.0%) and puerperal disease rate (17.5%) were significantly different (t = 8.633, 23.241, 10.207, χ 2 = 4.211, 5.000, P < 0.05). Conclusion the use of uterine patch suture can reduce the amount of bleeding, the rate of hysterectomy and the incidence of postpartum diseases in the patients with local uterine atony after cesarean section, which is worthy of further clinical application.
简介:摘要目的分析子宫补丁缝合术对剖宫产术中大出血患者的应用价值。方法;将我院于2018年01月至2019年01月阶段收治的100例剖宫产术中大出血患者作为本次研究的对象,根据随机选择法分为对照组和治疗组,各50例。其中对照组给予常规治疗,治疗组给予子宫补丁缝合术。研究结束后,对两组患者的术后指标进行对比分析。结果治疗组的术后指标显著优于对照组,两组差异较大,具有统计学意义(p<0.05)。结论对剖宫产术中大出血患者实施子宫补丁缝合术可有效的减少患者的出血量,缩短手术所用时间,值得推广。
简介:前段时间,冲击波被炒得沸沸扬扬,大面积电脑感染,引得很多人重新安装系统。但安装完系统后,同样还是有不少人忘记打冲击波补丁而再度中招。其实,通过一定技巧,我们完全可以制作一张集成了最新的SP4和冲击波补丁、硬件驱动、常用软件等必备的Hotfix的绝世好“Windows2000安装盘”,该盘还可以实现全自动无人值守安装,并且无需输入序列号!