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2009年7月第6卷第21期改良造口引流术和传统术式治疗前庭大腺囊肿的临床分析郑艾红(广东省汕头市潮阳区人民医院.广东汕头515100)・短篇论著・[摘要]目的:观察改良造El引流术和传统术式治疗前庭大腺囊肿的疗效。方法:将我院2007年4月~2008年2月收治的49例前庭大腺囊肿患者随机分为观察组(25例)和对照组(24例),对照组采用传统术式,观察组采用改良造口引流术,比较两组患者的治疗效果。结果:两组患者的手术时间、术中出血量及复发率比较,差异均有统i-L'~意义。结论:改良造口引流术治疗前庭大腺囊肿优于传统术式,值得临床推广应用。[关键词]前庭大腺囊肿;改良造1:2引流术;传统术式[中图分类号】R711.7【文献标识码】A【文章编号】1673―7210(2009)07(c)一019-02TheclinicalanalysisofimproveddrainagestomaandtraditionaloperationinthetreatmentOfBartholincystZtlENGAibong(ChaoyangDistrictPeople'sHospitalofShantouCity,GuangdongProvince.Shantou515100.Chinal【Abstract】Objective:ToinvestigatetheclinicalanalysisofimproveddrainagestomaandIra(Jitional‘meratitJninthc[reahnentofBartholincystMethods:FromApril2007toFel,mary2008,49easesofBarttiolincvsIinourhost)italwererandomlydividedintoobservationgroup(n=25)andcontrolgroup(n=24).ThecontrolgroupwasI℃ccivedtraditiona]0DcIu―finn,theobservationgroupwasreceivedimproveddrainagestonla,thentheresultsoftwogroupswerecoinparedandana―lyzedResults:Thedifferenceswerestatisticallysignificantintheoperationtime,bleedingvolumeandrc(-uH℃flcelⅥtc0fIhetwogroupsConclusion:ImproveddrainagestomainthetreatmentofBartholincystiss“periort。theIraditional0pc腿.1ion,and(‘anhegeneralizedandappliedinclinic【Keywords】Bartholincyst;Improveddrainagestoma;Traditional0DerailIJil前庭大腺囊肿(Bartholincyst)系因前庭大腺管阻塞,分泌物积聚而成”I。在急件炎症消退后腺管堵塞.分泌物不能排出,脓液逐渐转为清液而形成囊肿,有时腺腔内的黏液浓稠或先灭性腺管狭窄致排液不畅,也口n侈成囊肿。若有继发感染,则形成脓肿反复发作,严重影响患者的生活。因此.探讨更好的治疗前庭大腺囊肿的方法值得关注。我院于2007年4月-2008年2月采用改良造口引流术和传统术式治疗前庭大腺囊肿并进行对照研究,现将临床资料总结如下.以期为同行提供参考。1资料与方法1.i一般资料选择我院2007年4月~2008年2月收治的49例前庭AmJRespirCritca陀Med,2004.170(21:14I―147【3]hoK,LiraS,Car~loriG,etdAmolecularmeehani…ofctionoftheophylline:inductionofhistonedeacetylaseactlvitvt0d….as。ilffl~amatorygeneexpression【JIPtoeNadAeadSci2002,99(13~8921-8926【4JMoodieFM,M~'iekJA,Ande~onCS,etalOxidalives[res$a11dcig~ettesnmkeaherchmmatinremodelingbutdifferentiallymgulateNF-kappaBactivationandproinfl~matorycvtokinereleaseinalveolarepithelialcells『JLFasebJ,2004,18(15):1897一18995】NishikawaM,KakemizuN,hoT,etalSupemxidemediat…ig~ettesmoke―inducedinflhrallonofneutrophilsintotheairway。fhroughnuclearfactor――kappaBactivationandIL――8mRNAexpressioninguineapigsinvivolJlAmJRespirCellMolBiol,1999,20f21:189―1986】YanbaevaDG,DentenerMA,CreutzbergEC,etalgystemiceffecb0fsmokingU].Chest,2007,131(5):1557一1566[7】hoK,HmmzawaT,TomitaK,etalOxklatl…Lre㈣redc…hitonedeaeetyl~e2activity“Ⅱdenh~.neesIL一8geneexpression:roleoftyrosinenitrationlJ】Bi~hemBiophysResCommun。004315(1):240-245[8】TomitaK,B~nesPJ,AdcockIMTheeffect0foxi…1tie…t…nhist0…e‘yla【i…dIL{mI…UlBioehemBiophysResCommun2003.301f2):572―577._9_CosioBG,JazrawiE,hoK,etalCigarettesmokedecr~…ternidresponsivenessinmonocytes:theroleofhistonedeacetylaselJlAmJRespirCritCareMed,2003,167:A804.[10]hoK,LimS,CttramoriG.etalCigarettesmokingred…㈣hitnedeacetylase2expression,enhancescytokineexpression.andinl㈣ititglueoeo~icoidactionsinalveolarmacrophagesU】FasebJ,2001.15(6):1110一1112(收稿日期:2009―05―25/CHINAMEDICALHERALD巾国医巧写报19
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