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实用妇产科杂志 2000年第6期 319-320页

作者： obermair a 黄锐

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外阴癌功能评价的可靠性及有效性

世界核心医学期刊文摘（妇产科学分册） 2005年第10期1卷 32-32页

作者： Janda M obermair a Cella D 成夜霞 Queensland Cancer Fund PO Bo x 201 Spring Hill QLD 4004 Australia

Objectives. To assess the reliability and validity of the Functional Assessment of Cancer Therapy- Vulvar (FACT- V). Methods. Seventy- seven patients treated between January 1996 and January 2001 for cancer of the vulva completed the FACT- V, the Eastern Cooperative Oncology Group Performance Status Rating (ECOG- PSR) and the Hospital Anxiety and Depression Scale (HADS) once, 20 consecutive patients treated between February 2001 and October 2001 completed the questionnaires twice, once before surgery and at 2 months follow- up. The FACT- V scores were compared by patients’ performance status, FIGO stage, recurrence, and age, and correlated to the HADS scores. Changes in the FACT- V from baseline to 2 months follow- up were evaluated to establish FACT- V’s responsiveness to change. Results. The FACT- V’s internal consistency was adequate (Chronbach’s alpha range, 0.75 to 0.92). Patients with lower performance status, higher FIGO- stage or recurrent disease received lower FACT- V scores, indicating discriminant validity. The correlation between the FACT- V and the HADS were in the expected direction, indicating convergent and divergent validity. From pre- to postsurgery, scores in nine out of fifteen items of the vulvar cancer- specific subscale improved, while those of five items declined, indicating sensitivity of the vulvar cancer specific items to changes in patients’ well- being. Conclusions. The newly developed FACT- V provides a reliable and valid assessment of the quality of life of women with vulvar cancer. It can be used as a short measure of quality of life within research studies, and to facilitate communication about quality of life issues in clinical practice.

关键词：功能评价生活质量反应曲线等级评分患者健康状况临床实践 α值信度系数内部一致性快速测量

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1例外阴角化棘皮瘤报道

世界核心医学期刊文摘（妇产科学分册） 2005年第10期1卷 36-36页

作者： Nascimento M.C Cominos D Davies N.J.T obermair a 杨晓梅 QLD Center Gynaecological Cancer Royal Brisbane and Women's Hospital Ned Hanlon Building Butterfield Street Herston QLD 4029 Australia

Background. Vulval Keratoacanthoma (KA) is very rare and its differential diagnosis from the commonly occurring Vulval Squamous Cell Carcinoma (SCC) is important to avoid overtreatment. Case. A case of Vulval KA in a 79- year- old lady is reported. She presented with a 9- mm firm raised lesion on the antero- lateral left side of the clitoris of a few months’ duration with no associated symptoms. The lesion was resected with clear margins and the excision site was well healed at her appointment 4 weeks later. Conclusion. We share our experience reporting the fifth case of a vulval KA in the world literature. Consideration to the occurrence of vulval KA is important to avoid both an erroneous diagnosis of vulval SCC and the associated consequences of radical surgery.

关键词：外阴角化棘皮瘤鳞状上皮细胞癌根治性手术鉴别诊断文献记录左前方

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用覆盖性自体组织做补丁来控制外科手术时的严重出血:病例报道

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世界核心医学期刊文摘（妇产科学分册） 2005年第2期1卷 37-37页

作者： Hammond I.G. obermair a. Taylor J.D. Lawrence-BrownM. 刘淑娟 Department of Vascular Surg ery W.Australian Gyn aecolog ic Cancer S.King Edward Mem.Hosp.WomenU.Per thWAAus-tralia

*** int raoperative bleeding cannot always be controlled by standard surgical *** recently reported a new te chnique to repair serious vascular injury using a free graft of omentum or rectus abdominus fascia as an overla y autogenous tissue(OAT)patch in the experimental sheep *** nowdescribe the successful clinical use of this patch in three *** *** al surgerywas per-formed on three patients with pelvic malignancy with re-sulting uncontrollable bleeding fr om the internal iliac vein,pelvic side wall and paravaginal ven ous plexuses,*** was secured usin g an OAT patch madeof abdominus rectus fascia in two cases and appendix epi-ploicae as an omental substitute in t he *** utility of the OAT patch is described in three different clinical *** is suggeste d that this technique may be especially useful to gynecologic oncologists when stan-dard surgical techniques fail to con trol bleeding or there is limited access to the site of injury.

关键词：自体组织外科手术覆盖性腹直肌筋膜盆腔病变自体移植静脉丛血管损伤妇科肿瘤肠脂垂

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