ABSTRACT
Objective To investigate the operation effect of cardiopulmonary suppository before painless artificial abortion. Methods 300 patients with painless artificial abortion were enrolled in our hospital from August 2013 to October 2016. They were divided into control group and observation group according to randomized and double-blind way. The patients in the control group were not given any drugs before operation.The patients in the observation group were placed preoperatively in the posterior vagina. The cervical relaxation, expansion time, intraoperative blood loss, analgesic effect and induced abortion syndrome Happening were observed in the two groups. Results The cervical relaxation rate in the observation group was 132/150 (88.00%),which was significantly better than that of the control group 83/150 (55.33%), the difference was statistically significant (P<0.05). The effective rate of analgesia in the observation group was 94.67%, significantly higher than that in the control group 70% . In the observation group, the time of dilatation was (31.6±3.59) s, intraoperative blood loss was (8.9±3.12) mL, and the incidence of induced abortion syndrome was 2.67%, which were significantly better than those in the control group, the time of dilatation (53.2±4.21) s, intraoperative blood loss (14.9±3.96) mL, abortion syndrome occurred 25.33% , the difference was statistically significant (P<0.05). Conclusion The painless artificial abortion before the use of preoperative suppository, can effectively expand the patient's cervix, reduce the operation time, and effectively reduce the amount of intraoperative blood loss, painless abortion is an effective relief of patient suffering drug.
ABSTRACT
PURPOSE: To evaluate the efficacy of unilateral lateral rectus muscle advancement surgery based on one-fourth of the angle of consecutive esotropia within 25 prism diopters (PD) which occurred after bilateral lateral rectus muscle recession for intermittent exotropia. METHODS: Medical records of 11 patients who underwent unilateral lateral rectus muscle advancement for consecutive esotropia from 2011 to 2014 and who were observed for at least 6 months after surgery were retrospectively reviewed. The change in the angle of deviation before and after consecutive esotropia surgery, success rate, and surgical effect were evaluated. RESULTS: Preoperative esodeviation was -19.6 ± 4.7 PD at distance and -16.5 ± 7.4 PD at near. Unilateral lateral rectus muscle advancement surgeries were performed based on one-fourth of the angle of consecutive esotropia and the mean surgical amount was 4.8 ± 1.1 mm. Of the total 11 patients, 10 patients (91%) recovered to orthotropia or exodeviation within 8 PD. One patient had a recurrence of esotropia at postoperative 3 months, but the patient recovered to orthotropia at postoperative 12 months with alternative patch treatment and a prism glass prescription. The surgical effect of unilateral lateral rectus muscle advancement was 3.3 ± 0.7 PD/mm at postoperative 1 day, 3.7 ± 0.6 PD/mm at postoperative 1 week, and 3.8 ± 0.7 PD/mm at postoperative 6 months. CONCLUSIONS: Unilateral lateral rectus muscle advancement surgery based on one-fourth of the angle of consecutive esotropia within 25 PD was successful in all 11 cases. The surgical effect was significantly greater in unilateral lateral rectus muscle advancement than in primary lateral rectus muscle recession. Thus, reduction in the amount of surgery should be considered carefully in unilateral lateral rectus muscle advancement for consecutive esotropia.