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imctinnandpossibler <, leinclinicaltrial [J]. AnnOnco1.1997, 12:1197 ~ 12067I ~ pezGuerremJA. Bol ~ erGilabertP. VeraSempereFJ. ela1. C-erhB a 2expressionan {1itsrelationshipwitholitMy, P53abnormalitiesantiepider-matgrowthfactorreceptorcontentinhumannon-smallcelllungcancerrJI. ClinChimActa, l999, 285 (12): 105 ~ 1208SehoenfeldA, LuqmaniY, SmithD, ela1. Detec! Ionofbreas! Cancermi-rnmetastasesinaxillarylymphnodesbyusingpolymersechainreaction. CancerRes. 1994,54 (11) :2986-90 (the closing does ¨ Shenzhen: 21X) 5-11-2IJ termination of uterine scar scar 40 cases of early pregnancy experience Lvhai Rong (Lin states li Sabha, Henan Linzhou 456,550) Termination of uterine scar scars of pregnancy, Obstetrics and Gynecology of our work is always a difficult problem, because fecundity implantation of the anatomical site of special, no doubt to our medical work more difficult and risk. However, the ideological emphasis on obstetrics and gynecology in our hospital, the application B ultrasound, hysteroscopy, laparoscopy, anesthesia in the operating room right to terminate the application of the scars of early pregnancy, no medical malpractice and disputes occurred in 1 case, efficacy was very good. I am now 1 January 2004 in our hospital in May 2005 diagnosis and treatment of 40 patients admitted to the situation summarized as follows. 1 Data and methods 1.1 General information on the January 2004 to May 2005 required a voluntary termination of pregnancy in our hospital in patients with early pregnancy, were in line in our hospital of urine positive determination of early pregnancy, Ran through the B-ultrasound, see gestational sac in the uterus by Ran Hangguan lower endoscopic examination confirmed scar pregnancy. Patients were under 21 years of age, a 42-year-old, accounting for the total flow over the same period of early pregnancy requires 2.1% (40/1900). Line 1 of them had were 36 cesarean 90% had cut lines 2, 4 Palace of the middle class people, 10%; lactation were 8, 20%, oral medication abortion dripping vaginal bleeding after 12 of 30 %. No incentives were 8 vaginal bleeding, 20% required to diagnose and menopause Ae terminated 2O occupied 5O%. 1.2 The approach to all of these patients were hospitalized, all rf operating room to get ready for the conditions in giving people I: abortion and / or curettage. Patients were selected according to conditions appropriate anesthesia. General to give parametrial 3 and 6 points 2% ~ tl multi-card 5ml nerve block anesthesia, under the stress of those Saikawa intravenous anesthesia, routine monitoring B-F operation. 39 lF smooth operation of which, in a few patients, Ann returned to wards; 1 case when abortion | human capacity uterus out. Moment there is heavy bleeding of 400ml left. B-see myometrium under the old sound interruption, remaining serosa, immediate oxytocin, cervical, after intravenous injection 20If 20Lj, see Ming-significant improvement in the m immediately inserted in the mouth of laparoscopic surgery under general anesthesia. Microscopically, the anterior wall of lower uterine segment bulging 3cmx2cm thin wall and has won the virtual sense of touch, consider incomplete rupture of the uterus then given 0 / 1 after the absorbable continuous suture line only after mifepristone 7smgBidpox1 days, and antibiotics prevention of infection by vaginal bleeding gradually stopped, cured and discharged. No abnormalities were followed up for 2 to discuss uterine scar scar pregnancy can be the reason I == i_r from 1 second: ① fecundity implantation asked coincidence; ② scar mechanical obstruction; ③ increased cesarean section rate; ④ advanced The did not prepare, diagnosed rate and so on. We are not paid enough attention past the blind operation will inevitably lead to fatal bleeding in patients required to repair or abdominal hysterectomy or hysterectomy save time for patients to delay the loss of life. Today we not only have advanced technology not prepared to help, more ideological vigilance, making each scar pregnancy to terminate the doctor who, using minimally invasive surgery through the period of peace, 【I】 fj [5II spider: 2 (X) 5 A l1. . 26) Medical Forum lO 2006 A version of Volume 2
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