Clinical comparison of two kinds of analgesic methods used in artificial abortion / 重庆医学

Objective To compare the clinical application of phloroglucinol combined with oxybuprocaine hydrochloride gel and propofol in artificial abortion .MethodFouhundredcaseundergoing artificial abortion in ouhospital from January 2011 to Decembe2012 were randomly divided into the phloroglucinol group and the propofol group ,200 casein each group .The phloro-glucinol group waintramuscularly injected by phloroglucinol 80 .00 mg a30 .00 min before abortion ,and oxybuprocaine hydro-chloride gel 30 .00 mg by cervical injection a4 .00 min before operation .The propofol group waperformed the operation undethe general anesthesiof propofol combined with fentanyl .The cervical relaxation ,operative time ,pain degree ,intraoperative vaginal bleeding ,vaginal bleeding apostoperative 30 .00 min and occurrence rate of abortion syndrome were observed and recorded in the 2 group.ResultThe operative time ,analgesieffec,occurrence rate of abortion syndrome and operation coshad no statistically significandifferencebetween the two groups(P＞0 .05);buthe cervical relaxation ,dug,monitoring cosand occurrence of respi-ration suppression had statistically significandifferencebetween the two group(P＜0 .01) .Conclusion Phloroglucinol combined with oxybuprocaine can achieve the analgesieffecclose to thaof proprofol in artificial abortion ,ieconomiand practical withouneeding anesthesimonitoring ,and can be used in the primary hospital especially the hospitalwith lack of monitoring devices.

Clinicopathological analysis of Three cases with leiomyo-adenomatoid tumor of the uterus / 中国基层医药

Objective To investigate the clinicopathological diagnosis and differential diagnosis of leiomyoadenomatoid tumor of the uterus,to avoid clinical misdiagnosis and mistherapy.Methods The clinical histopathological and immunohistochemical features of 3 cases with leiomyo-adenomatoid tumor of the uterus were retrospectively evaluated,and the literatures were also reviewed.Results After hospitalization,before surgery,uterine smooth muscle tumor was diagnosed in 3 cases,adenomyomas were accompanied diagnosis in 2 cases.Through microscopic patterns of tumor and immunohistochemical staining showed,positive for MC and Calretinin,but negative for CD34,leiomyo-adenomatoid tumor of uterus was diagnosed,so gestrinone was stopped to use.Conclusion Pathological features and immunohistochemistry techniques are useful in establishing a correct diagnosis of leiomyo-adenomatoid tumor of the uterus,and avoiding misdiagnosis and mistherapy.