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世界核心医学期刊文摘（妇产科学分册） 2006年第8期2卷 7-8页

作者： k.lle D. tamussino k. Hanzal E. 党慧敏 Departments of Obstetrics and Gynecology Medical University of Innsbruck InnsbruckAustria Dr.

Objective: This study was undertak.n to analyze bleeding problems with tension-free vaginal tape (TVT) operations in a national registry. Study design: We studied patients for whom increased intraoperative bleeding or reoperation for bleeding/hematoma with TVT operation were reported to the registry. Results: Bleeding problems were reported for 151 of 5578 (2.7% )TVT operations. Increased intraoperative bleeding was reported for 106 (1.9% ) and reoperation (or conversion) in 45 (0.8% ) patients (both in 5 patients). Increased intraoperative bleeding was managed conservatively in 103 patients (95% ). Overall, 45 (0.8% ) patients required reintervention for bleeding or hematoma. The reinterventions comprised 34 laparotomies, 4 transvaginal evacuations of hematomas, 3 revisions for bleeding from a suprapubic catheter site, and 2 revisions of the vaginal incision (details unclear in 1 patient). Bleeding was considered arterial in 12% (including 1 external iliac artery injury and 1 obturator artery injury) and venous or unk.own in 88% . Of reoperated patients, 39% were reoperated within 24 hours, 20% within 2 to 10 days, and 41% within 11 to 56 days after TVT placement. Overall, 19 patients received blood transfusions (range, 1- 10 units). There were no deaths from bleeding complications. Conclusion: Bleeding complications were reported with less than 3% of 5578 TVT operations. Most cases of increased intraoperative bleeding were managed conservatively; 0.8% of patients required conversion or reoperation.

关键词：出血并发症髂外动脉损伤出血问题闭孔动脉未知因素研究设计

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维普期刊数据库

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k.ng健康问卷(德文版)评价尿失禁妇女的生活质量(德)

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世界核心医学期刊文摘（妇产科学分册） 2006年第4期2卷 35-36页

作者： Bjelic-Radisic V. Dorfer M. tamussino k. 朱国栋 Abteilung für Allgemeine Gynk.logie Geburtshilflich-Gynkoogische Universittsklinik Graz Auenbruggerplatz 14 8036 Graz Austria Dr.

Purpose: We tested the psychometric properties of the German version of the k.ng’s Health questionnaire and describe the scoring procedure. Material and Methods: A total of 145 patients treated for stress incontinence completed the Germanl anguage k.ng’sHealth Questionnaire and the SF-36 before and after treatment. A psychometric analysis of the instrument was performed, determining reliability, validity and responsiveness of the k.ng’s Health questionnaire. Results: The subscales of the k.ng’s Health Questionnaire showed a good internal consistency with Cronbach’s alpha coefficients between 0.76 and 0.86. For the German version we defined a new subscale for overactive bladder. This subscale also showed a good internal consistency. The criterion validity measured on clinical parameters showed statistically significant correlations between severity of incontinence and several k.ng’s subscales: Incontinence Impact (r = 0.22, p = 0.013), Personal Relationships(r = 0.24, p = 0.006) and Physical Limitations (r = 0.22, p = 0.010). Regarding responsiveness statistically significant changes before and after therapy were found in the subscales: Incontinence Impact, Physical Limitations, Social Limitations, Personal Relationships, Emotional Problems, and Sleep and Energy Disturbances. Conclusion: The German version of the k.ng’s Health Questionnaire showed good psychometric properties and can be used in clinical trials and in clinical practice for the evaluation of treatments and their impact on urinary incontinence.

关键词： k.ng 德文版膀胱过度活动症生活质量子量表应答情况心理测量临床参数统计学显著性内部

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维普期刊数据库

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早期宫颈癌经腹根治性宫颈切除术后残留宫颈发现单个复发灶1例报道

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世界核心医学期刊文摘（妇产科学分册） 2006年第4期2卷 49-50页

作者： Bader A.A. tamussino k.F. Moinfar F. 丁福 Department of Obstetrics and Gynecology Medical University of Graz Auenbruggerplatz 14 A-8036 Graz Austria

Back.round. We report an isolated recurrence at the residual cervix shortly after abdominal radical trachelectomy for cervical cancer. Case. A 34-year-old woman underwent radical abdominal trachelectomy and pelvic lymphadenectomy for FIGO stage IB1 squamous cell cervical cancer. The tumor measured 10 mm in maximum diameter with 4 mm of invasion. Histology showed lymph vascular space involvement with no infiltration of adjacent structures and no pelvic lymph node metastases. Tumor-free resection margins exceeded 15 mm. At the 6-month follow-up examination, cervical cytology showed cells suspicious for recurrent cervical cancer. Abdominal hysterectomy was performed and histology showed an isolated 3-mm recurrence in the residual cervix. The patient is free of disease 8 months after hysterectomy. Conclusion. Recurrence at the residual cervix is a potential risk.of abdominal trachelectomy for early cervical cancer. Patients should be coun seled accordingly and followed closely.

关键词：早期宫颈癌复发灶组织学检查鳞状上皮细胞癌盆腔淋巴结浸润深度淋巴血管经腹子宫切除术复发

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维普期刊数据库

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