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Application of variable-width type long-pulsed laser treatment of hypertrophic scars clinical observation

Satisfactory results, the final report is as follows. 1 porcelain objects and methods 1.1 Upon group of 12 patients aged ∞ ~ 45 years, mean 29 years; all have dysmenorrhea and adnexal mass, which for dysmenorrhea in 11 cases,[link widoczny dla zalogowanych], 7 cases of primary infertility, menstrual transfer in 4 cases; 8 cases of adnexal mass is fixed, activity is poor, there was tenderness; 7 cases were unilateral, bilateral in 5 cases. B-ultrasound mass size: 50cm × 45cm × 30 amidships amidships to I5cra × 13 × 12cm, form the whole, while clear, echo the internal liquid like ground glass changes. 1.2 Investment device Toshiba B-240, 30} k probe,[link widoczny dla zalogowanych], puncture stent, needle puncture, 18, ∞ rnI_ glass syringe. No permanent ethanol. 1.3 Method B Preoperative ultrasound to determine the location and mass between the bladder, bladder emptying, supine position, the routine disinfection of the skin sterile towel shop. B-probe puncture with a sterile glove package installation bracket. B-check again to determine the location of cyst puncture in the abdominal wall, in the anchor difficulties with 2mL of 1% procaine anesthesia. B-line along the needle puncture. Observed gradually into the cavity of the central needle, fixed needle. Pull out the needle core, that is connected to ∞ rnI_ Withdrawing sterile glass syringe, suck out the liquid chocolate cyst confirmed intracapsular liquid after repeated aspiration, each time 30 ~ 40mL of liquid, when the B-probe is no longer under direct vision recorded when the cyst fluid out of the total, and then out of 80% normal saline injection cavity 2-3 times to clear cyst fluid. Exhausted and then 1/4-1/5 of the total amount of cystic fluid of intracavitary injection of anhydrous ethanol, about 5-15mia keep out of the wall tissue hardening after the loss of activity after completion of injection pump 2 -5mL of ethanol-free forever, poke the syringe, needle core set of people, pull out the puncture needles, pins sterile gauze with povidone-iodine disinfection of mulching and tape securely. Hospitalized for observation after 1-2d, 2d oral antibiotics to prevent infection cable. Abdominal pain in 1 patient after surgery, the fluid, abdominal pain disappeared after 6h: I had no conscious discomfort l1 cases. 2 Results 2.1 I2 puncture fluid situation in all patients a successful puncture, the number of pumping fluid as the cyst size and cyst fluid viscosity varies, at least 5 times the number of swap, up to l2 times, surgical procedure lasted 25 -65mia, an average of 39 ± 1058 【llin. 2.2 cyst puncture fluid changes after the same B-ultrasonic examination: maximum diameter of cyst puncture 5.0-15 front midship, puncture 1 month after the review of cysts was significantly reduced,[link widoczny dla zalogowanych], after review the cyst disappeared on October 3, and display wall hardened image. 23 cases were followed up for all patients Xiamen prognosis after 1 month, 3 months, 05a, 1a follow-up, second follow-up after surgery for dysmenorrhea】 disappeared in 9 cases, 81.8%, significantly reduced in 2 cases, accounting for 18.1%. 2nd follow-up pelvic mass disappeared completely. Primary infertility patients were followed up two cases within six months pregnant, accounting for 285%, the discussion so far no recurrence in 3 years. With endometriosis increased the incidence of ovarian chocolate cysts more common hormone treatment for endometriosis efficient control symptoms, but not ideal for clinical signs of improvement, and have some oral on liver function damage. The B superconducting down on the ovarian chocolate cyst puncture fluid after the injection of ethanol treatment, not only improved symptoms, and cyst disappeared after treatment of primary infertility, pregnancy rate 28.5%. Ethanol in Pakistan's cyst retain 40rain ..., will make cell protein coagulation, wall sclerosis, cystic convergence, cysts adhesions, closed, reduced or even disappear. Endometrial we take a non-permanent in vitro ethanol-way bulb 5-15rain after cell culture, the results show that: ethanol soaked endometrial tissue loss of activity. Cells hardened to achieve the therapeutic effect. Clinical treatment also confirmed this point. This method is also superior to open surgery or laparoscopic surgery for ovarian chocolate cysts, relieve the patients suffering and economic burden. Reduce postoperative adhesions. Especially for unmarried patients without a child. This method is simple,[link widoczny dla zalogowanych], safe, effective and practical. Especially suitable for promoting the use of primary hospitals. Vehicle Law Note: ① intraoperative needle puncture attention to be fixed, to prevent too deep or too shallow, or attached to the outer cavity wall. ② when pumping liquid slowly, to prevent causing intracystic hemorrhage. If the capsule is difficult to pump viscous fluids can be pumped in each release after the injection of dilute saline and then suction. ③ cases the best choice for adnexal mass fixed, maximum diameter of less than 3cm in order to avoid cyst puncture was not successful. Reference paper cut 4 1 Zhao Fujie, Wealthy, box red. Ethanol instillation for the treatment of recurrent neck cyst Pap evaluation. Chinese Journal of Gynecology and Obstetrics. 1998,14 (6): 364
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