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Objective To explore the clinical efficacy of hysteroscopic IUD intrauterine surgery for incarcerated ring,and to assess the safety.Methods 586 women with the incarcerated dervice remove under hysteroscope were selected in the hospital (study group),693 women during the same period used conventional methods of taking the dervice (control group ).The status of surgery,cervical relaxation,take the dervice and effect and safety were assessed.Results The operation time,amount of vaginal bleeding and take the dervice time of the study group were (19.36 ±3.14)min,(9.42 ±2.11)mL and (8.17 ±1.90)min,which were lower than those of the control group [(30.29 ±4.08)min,(15.67 ±2.38)mL and (11.35 ±2.26)min],the differences were statistically significant (t=13.16,11.51,9.76,P<0.05).The cervical relaxation goodand take part successfully of the study group were 490 cases(83.62%)and 435 cases(74.23%),which were higher than those of the control group[374 cases (53.54%)and 362 cases(52.24%)],the differences were statistically significant (χ2 =10.28,11.35,P<0.05). Waist lower abdominal pain (0-Ⅰ grade)and vaginal bleeding number (no vaginal flow or<1 day)of the study group were 509 cases (86.86%)and 362 cases (61.77%),which of the control group were 527 cases (76.05%) and 362 (46.23%),and the differences were statistically significant (χ2 =9.94,10.23,P<0.05 ).Conclusion Hysteroscopic IUD intrauterine surgery can shorten the operation time and take the dervice time,reduce the amount of vaginal bleeding and bleeding time.It can improve the success rate of taking the dervice and has fewer negative symptoms.It has high safety and clinical advantages are obvious.
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Objective To study the clinical effect and complications of modified autogenous fat grafting for breast augmentation.Methods The datas of 29 patients with improved autogenous fat grafting for breast augmentation and 32 patients with traditional autogenous fat grafting for breast augmentation were summarised.The adipocyte survival rate,complications and patient satisfaction survey after 3 and 6 months of transplantation were evaluated.PAAG breast augmentation and normal breast tissue specimens were detected by HE staining and immunofluorescence staining to analyze the safety of autogenous fat grafting for breast augmentation.Results Both of adipocyte survival rates and satisfaction of patients who recieved improved autogenous fat grafting were significantly higher than those of patients with traditional autogenous fat grafting(P ＜ 0.05),both two methods with less complications,the difference was not significant (P ＞ 0.05).The immunofluorescence tests showed that there was no inflammatory reaction and immune dysfunction of autogenous fat grafting,which had no difference with the results of the normal tissues (P ＞ 0.05).Conclusion Autogenous fat grafting for breast augmentation is safe and reliable,and modified autogenous fat grafting for breast augmentation can obviously increase the adipocyte survival rate after transplantation.
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Objective To explore the clinical effect of micro-endoscopic resection of thyroid cancer and supply corresponding nursing measures through comparison of micro-endoscopic resection and conventional thyroidectomy.Methods 60 cases of thyroid cancer patients during May 2011 to March 2012 were selected.The experimental group (30 cases) underwent micro-endoscopic resection,while the control group was given conventional thyroidectomy.Items such as the operation time,bleeding volume in operation,complication,incision length,postoperative pain evaluation,postoperative resumption time of activity of neck were compared between the two groups.Results The total operation time was (105.4±28.7)min in the experimental group,and (98.1±22.4) min in the control group respectively.The bleeding volume was (22.4±11.6) ml in the experimental group,and (47.3±18.2) ml in the control group respectively.The postoperative resumption time of activity of neck was (22.3±7.7) h in the experimental group,(39.0±10.8) h in the control group.The above items had significant statistical difference between two groups.The incidence of complication had significant statistical difference between two groups.The incision length of the experimental group was (2.95±0.13) cm,(7.72±0.93) cm in the control group,there was significant statistical difference between two groups.Conclusions Compared with conventional surgery,micro-endoscopic technique in thyroid surgery has good efficacy.And assisting with essential nursing strategy,the effcacy of microendoscopic technique can be improved.