RESUMEN
Objective:To summarize the curative effect in treatment of Raynaud's syndrome with chemical thoracic sympathectomy(CTS) guided by X-ray since 2001.Methods: From March 2001 to August 2007,97 patients with Raynaud's syndrome(186 limbs) were treated by CTS.Guided by X-ray,a needle was punctured through the back skin to the second thoracic sympathetic ganglion beside the thoracic vertebrae and 2 mL of 5%(v/v) phenol was injected.Results: The first CTS treatment produced a good effect on 146 limbs with an effective rate of 78.5%(146/186).The same treatment was performed on the limbs with no effect 1-2 days after the first treatment and produced good effect on 13 limbs with an effective rate of 32.5%(13/40).The total effective rate of the patients who were hospitalized for the first time was 85.5%(159/186).Of the 97 patients,78 patients(80.4%) were followed up for 47 months on an average with an effective rate of 69.5%.And the rate of complications was 11.4% for pheumothorax,and 3.9% for hydrothorax.Hyperalgesia on axillary region and anterior chest wall;Horner syndrome and sinus bradycardia were rare.Conclusion: CTS is minimally invasive and effective in treatment of Raynaud's syndrome.
RESUMEN
Seventy-six cases of Asherman's syndrome (traumatic amenorrhea) were analyzed clinically. 70% of the patients were young women of the ages from 20 to 30. There was the history of previous abortion with once or twice of curettage in 81.2% of the cases. 66 out of the 76 cases complained of amenorrhea, 57 of periodic lower abdominal pain, and 10 of hypomenorrhea.When the intrauterine adhesions are explored, diagnostic curettage to get some endometrium for histologic study should be done since it is essential to diagnosis as well as to treatment. 57 out of the 76 were cured with one procedure of probe isolation of the adhesions and dilatation. The remained 19 cases were treated with combined Chinese traditional and Western medicine and 15 were cured and 4 improved. 24 women of those cured underwent a normal full term pregnancy and gave birth to a normal child. No vaginal bleeding or adhesion of placenta was observed after delivery in those women.