会阴小侧切联合全层可吸收线皮内缝合在阴道分娩初产妇中的应用体会

选取2012年8月～2014年3月在我院分娩的320例初产妇，随机分为观察组和对照组各160例。观察组采用会阴小侧切联合全层可吸收线皮内缝合，对照组采用常规会阴侧切，比较两组产妇伤口愈合情况。结果观察组产妇伤口甲级愈合率明显高于对照组，乙级愈合率明显低于对照组，两组比较差异具有统计学意义（P<0.05）；与对照组比较，观察组产妇的缝合时间、疼痛时间和住院时间也明显缩短（P<0.05），伤口感染、线头反应等伤口并发症发生率明显低于对照组，两组比较差异具有显著性（P<0.05）。会阴小侧切联合全层可吸收线皮内缝合在阴道分娩初产妇中具有重要的应用价值，明显改善伤口愈合，缩短住院时间和降低伤口并发症的发生。

探讨会阴小侧切并连续皮内缝合的临床观察

目的:探讨会阴小侧切并连续皮内缝合的伤口疼痛轻愈合快、肠线反应少、局部瘢痕形成少、美观,促进产后康复。方法:采用随机抽查的方法,分研究组和对照组各300例。研究组300例行会阴小侧切并连续皮内缝合的产妇,对照组300例常规传统会阴侧切并拆线的产妇,观察研究组和对照组产后伤口愈合情况。结果:研究组伤口疼痛轻,肠线反应少,愈合快,局部瘢痕形成减少,美观。

电视胸腔镜手术16例报告

共完成电视胸腔镜手术１６例，包括电刀切除肺内肿块２例，纵隔囊肿摘除２例，胸腔内取异物２例，肺大泡切除和胸膜粘连术２例，纵隔淋巴结活检２例，胸膜活检和胸膜粘连术１例，凝固性血胸血块清除１例，肺楔形切除１例，左下和右下肺叶切除各１例，恶性胸膜间皮瘤切除１例。本组无严重并发症，仅１例恶性胸膜间皮瘤术中剥离肿瘤时出血，立即改为开胸手术。１６例ＶＡＴＳ均痊愈出院。对ＶＡＴＳ的适应证、禁忌证、手术切口、术野暴露和外科手术技术进行了讨论。

A young and booming approach:the extreme lateral supracerebellar infratentorial approach

Surgical accesses to lesions of the posterolateral pontomesencephalic junction（PMJ）region and the posterolateral tentorial gap remain a challenge in the field of neurosurgery.Since the first report of application of the extreme lateral supracerebellar infratentorial（ELSI）approach in resecting the PMJ lesions in 2000,a few articles concerning the ELSI approach have been published.The present review mainly provided an intimate introduction of the ELSI approach,and evalu- ated it in facets of patient position,skin incision,craniectomy,draining veins,retraction against the cerebellum,exposure limits,patient healing,as well as advantages and limitations compared with other approaches.The ELSI approach is proposed to be a very young and promising approach to access the lesions of posterolateral PMJ region and the posterolateral tentorial gap.Besides,it has several advantages such as having a shorter surgical pathway,causing less surgical complications,laborsaving,etc.Still,more studies are needed to improve this approach.