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Radiofrequency coagulation knife from 82 cases of uterine fibroids


■ Dalian City, Liaoning Province, the Fifth People's Hospital (116021) Xuzhao Hua Liming Wu CHONG Objective analysis of new elderly lung cancer and mortality after lung resection at high risk of complications and prognosis. Statistical methods of cardiovascular and pulmonary postoperative complication rate and mortality. 65 years of age were randomly selected over the same period 317 cases pulmonary resection of lung cancer were compared. Follow-up data of 62 patients with surgical cases and to calculate the survival rate and staging effects on survival time were compared. The results of cardiopulmonary complications after lung resection rate of 39.2%, of which simultaneous cardiovascular and pulmonary complications in 19 cases accounted for 23.3%, cardiovascular complications account for 30.49% of 25 cases, 26 pulmonary complications cases accounted for 31.71%. 1 death respiratory failure accounted for 1.22%. Conclusion Patients over 70 years old cardiopulmonary complications after pulmonary resection of lung cancer increased significantly. Correct choice of surgical indications and techniques, proper and timely treatment of complications after surgery can reduce the risk. Tumor stage on postoperative survival time was significantly affected. Key words complications of pulmonary resection of lung cancer as China entered the aging society, senior citizens, the issue pulmonary resection of lung cancer more and more attention. Fifth People's Hospital of Dalian since October 1991 has over the age of 70 lung cancer patients treated 82 cases of lung resection. This article summarizes and discusses the functional status of patients with postoperative cardiopulmonary complications and mortality. 1. Materials and Methods 1.1. 82 cases of clinical data in this group, male 73 cases and 9 females. Age 70 to 84 years old, average 74.48 years old. 41 cases of squamous cell carcinoma, adenocarcinoma 22 cases, 4 cases of undifferentiated carcinoma, large cell carcinoma l cases, 9 cases of bronchioloalveolar carcinoma,[link widoczny dla zalogowanych], squamous gland mixed tumor in 4 cases, 1 case of sarcoma cancer. Surgical: lobectomy in 56 cases; pulmonary lobectomy in 2 cases of double; left pneumonectomy 4; 20 cases of pulmonary wedge resection (VATS surgery 2 patients). Normal lung function in 38 cases, mild lung function impairment in 20 cases, moderate pulmonary dysfunction, 21 cases of severe pulmonary dysfunction in 3 cases. 82 cases of 50 patients in the combined one or several diseases, including hypertension in 17 cases, coronary heart disease in 15 cases, ECG ST-T changes in 10 cases, bundle branch block in 6 cases, arrhythmia in 12 cases, rheumatic heart disease 1 cases, chronic Support 2.26 months after the end of different submucosal fibroids fibroids, cervical fibroids,[link widoczny dla zalogowanych], intramural fibroids ≤ 3.0era treatment rate of 100%, intramural myoma diameter> 3.0cm the therapeutic efficacy was 92.22%. 2.3 lumbosacral and postoperative complications except mild lower abdominal pain, but no other significant side effects and complications. 3. Discussion Uterine fibroids are common benign gynecological, current treatment with drugs and surgery. Ineffective drug therapy, individual patients treated with Western medicine may cause liver and kidney damage. Surgery can cause changes in structure and function of reproductive organs, to patients with permanent physical and psychological trauma, and self-curing is a simple radio frequency knife 21 easy, high efficacy, that is able to achieve therapeutic purposes, without affecting the way for further treatment . Since the condensate is the high-frequency radio knife oscillating current intervention by the knife to cure fibroids site, by producing bio-heat effect of the fibroids protein denaturation, coagulation necrosis within it, dissolve, thereby reducing the volume of fibroids. In the choice of cases, the treatment of uterine fibroids,[link widoczny dla zalogowanych], the single ≤ 5.0cm in diameter works well for> more than 2 best to take multiple fibroids surgery. For patients with fertility requirements, has been reported after ablation of uterine fibroids in the third trimester of pregnancy in patients with uterine rupture-prone, so do not encourage patients to have the birth requirements to apply the method. ① When the fibroid ablation pregnancy to monitor the safety of female children in pre-clinical or symptomatic uterine rupture in time for cesarean section. ② In carrying out this technique, the need for professional training, B-machine should have high-definition, B-physicians have a high professional level, the operator understand the ultrasound image and the higher skills,[link widoczny dla zalogowanych], the treatment fully in place. Therefore, since the clotting cutter radiofrequency therapy is a uterus is not able to retain a minimally invasive abdominal surgery,[link widoczny dla zalogowanych], less pain, simple, low cost, easy to accept patients, it is a new treatment of uterine fibroids, it is worth promoting.