ABSTRACT
Objective To explore the clinical effect of pituitrin and oxytocin in laparoscopy myomectomy of intramural fibroids.Methods Sixty patients received laparoscopy myomectomy of intramural fibroids during October 2015-December 2016 were selected and divided into two groups with 30 cases in each.We applied injections of pituitrin 6IU + 10ml normal saline to treatment group while 20U oxytocin + 10ml normal saline to control group so as to compare their blood pressure change and other situations based on medication.Results Compared with control group,the time of operation and amount of bleeding during operation in treatment group reduced obviously(98.13 ± 5.07min vs 110.83 ± 8.03min,t =-7.324,P =0.000).The hemoglobin changed before and after operation (67.50 ±10.24ml vs 97.83 ± 16.10ml,t =-8.705,P =0.000).15min after medication during operation,the systolic pressure in treatment group increased obviously,which was higher than that in control group(150.77 ±:5.57mmHg vs 142.03 ± 5.21mmHg,t =6.273,P =0.000).Conclusion The application of pituitrin to laparoscopy myomeetomy of intramural fibroids was better hemostatic effect than oxytoein,but it may geuerate temporary elevation of blood pressure,so the clinical application should combine with patients' individual situation.
ABSTRACT
Objective To report the diagnosis and treatment of an imported case of schistosomiasis haematobium,including the pathological features of the disease and therapeutic efficacy of praziquantel. Methods The data of the patient with schistoso?miasis haematobium were collected,and the pathological features of the bladder tissue were observed under a microscope. More?over,the patient was treated with praziquantel,and his urine was collected before and after the treatment. The eggs in the urine were examined by a microscope after sediment and the miracidia were hatched. Results The patient once worked in Angola for three months,and after returning home he had the symptoms of intermittent painless terminal hematuresis. It was ineffective af?ter anti?inflammatory treatment in a number of hospitals. There were no sand spots discovered under the cystoscope. However , the inflammatory reaction to parasite with a lot of eosinophils infiltration in the bladder mucosa was found on the pathological sec?tions under a microscope,and the egg structure was observed with individual characteristics. The eggs were detected in the urine and the miracidia were hatched before the praziquantel treatment. The hematuria symptoms disappeared after the praziquantel treatment. The eggs were still detected in the urine 7 days post?treatment,but the miracidium could not be hatched. One month and 6 months post?treatment,the eggs were not detected in the urine. Conclusions The imported cases of schistosomiasis hae?matobium are often misdiagnosed,and therefore,it is necessary to strength the health education to the workers overseas and also to improve the ability of diagnosis in medical staff. For the case reported in this paper,there are typical structure of Schistosoma haematobium eggs and egg?granulomas on the pathological sections of bladder tissues. Praziquantel has satisfactory treatment re?sults.