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Objective:To investigate the clinical characteristics of patient with giant ovarian mature cystic teratoma with contralateral ovarian endometriosis cysts,and to analyze the diagnostic experience and treatment process.Methods:The chinical materials of one case of giant hepatic mature cystic teratoma with contralateral ovarian endometriosis cyst was analyzed retrospectively,and the related literatures were reviewed.Results:The patient was admitted to the hospital for peritoneal giant mass in a physical examination.A large abdominal cysts was seen by gynecologic ultrasound.In the left ovary,a 61 mm× 48 mm cystic light mass was seen,and the viscous liquid was found in it.The abdominal CT showed a huge lump of mixed density in the right abdomen.The areas of density of fat,calcification density and density of soft tissue were found in the abdomen.The liver was pressured by the mass.The right ovarian tumor size was about 40 cm×35 cm×30 cm,up to the diaphragm,down to the pelvic tumor;the posterior wall of tumor adhered the left lobe of liver and the liver was squeezed to the upper right.The size of the left ovarian endometriosis cyst was about 7 cm × 6 cm× 6 cm.The operation was to remove the right ovarian tumor and left ovarian endometriosis cyst,and to reconstruct bilateral ovaries.The pathological diagnosis was right ovarian mature cystic teratoma and left ovarian endometriosis cyst.After 2 years of follow-up,norecurrence of the tumor was found.The patient was conceived with in vitro fertilization frozen embryo transfer (IVF-ET).Conclusion:The huge mature teratoma combined with contralateral ovarian endometrial cyst,which adhereds to the liver,is rare.Surgical treatment will gain good prognosis.IVF-ET should be early done when the patient is going to be infertile after surgery.
ABSTRACT
Objective: To investigate the clinical characteristics of patient with giant ovarian mature cystic teratoma with contralateral ovarian endometriosis cysts, and to analyze the diagnostic experience and treatment process. Methods: The chinical materials of one case of giant hepatic mature cystic teratoma with contralateral ovarian endometriosis cyst was analyzed retrospectively, and the related literatures were reviewed. Results: The patient was admitted to the hospital for peritoneal giant mass in a physical examination. A large abdominal cysts was seen by gynecologic ultrasound. In the left ovary, a 61 mm×48 mm cystic light mass was seen, and the viscous liquid was found in it. The abdominal CT showed a huge lump of mixed density in the right abdomen. The areas of density of fat, calcification density and density of soft tissue were found in the abdomen. The liver was pressured by the mass. The right ovarian tumor size was about 40 cm×35 cm×30 cm, up to the diaphragm, down to the pelvic tumor; the posterior wall of tumor adhered the left lobe of liver and the liver was squeezed to the upper right. The size of the left ovarian endometriosis cyst was about 7 cm × 6 cm × 6 cm. The operation was to remove the right ovarian tumor and left ovarian endometriosis cyst, and to reconstruct bilateral ovaries. The pathological diagnosis was right ovarian mature cystic teratoma and left ovarian endometriosis cyst. After 2 years of follow-up, no recurrence of the tumor was found. The patient was conceived with in vitro fertili zation frozen embryo transfer (IVF-ET). Conclusion: The huge mature teratoma combined with contralateral ovarian endometrial cyst, which adhereds to the liver, is rare. Surgical treatment will gain good prognosis. IVF-ET should be early done when the patient is going to be infertile after surgery.
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Objective To explore and study the anti reflux type indwelling needle in patients with neurologi-cal department of internal medicine .Methods 100 cases of hospitalized patients with neurological department of in-ternal medicine between 2014.1~2014.12 in our hospital, were randomly divided into two groups according to the admission number .50 cases of control group with general retaining needle , and group 50 cases by anti reflux type in-dwelling needle .Retention time and related complications were compared in the two groups of patients .Results The retention time with indwelling needle time was 3.7 ±1.7d, which was significantly higher than the control group (2.8 ±1.3d), with significant difference (p0.05), but in the needle blood study group of reflux , plugging rate of Guan Fasheng were significantly lower than that of the control group , with significant difference ( p<0.05) .Conclusion Anti reflux type can effec-tively prolong the indwelling time , reduce part of indwelling needle related complications , and improve the treatment of security, which is worthy of clinical popularization and application .
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Objective To develop medical equipment suited for medical care.Methods The secondary auxiliary wings were added inside the original intravenous infusion dressing clips on the left and right,and then a new stereo magnetic infusion dressing came into being with the medical 3M sticking membrane and glutinous magnetic woundplast.Results The Stereo Magnetic Intravenous Infusion Dressing was gifted with the functions of observing,supporting,and fixing the sting area.The model successfully passed the animal experiments.Conclusion The new stereo magnetic infusion dressing,easy to use,can satisfy the requirements of medical care.