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Most of the replica watches only come in men's sizes, due to the calibers being both large and heavy. Some of the models that Seiko offers include the Kinetic Perpetual. This watch contains a perpetual calendar that goes all the way to the year 2100. It even adjusts for leap years. Another fake watches very cool feature is that it will "sleep" after 24 for hours where no movement has passed. This conserves the energy in the watch. After putting the watch back on the wrist a mere shake will cause it to reset and reactivate it. You don't have to worry about resetting the time because that's done automatically.The Kinetic Chronograph replica watches are also offered by Seiko. This extraordinary watch offers distinguishing features. Instead of relying on a battery, it draws energy from the natural movement of your wrist. It has a five-month power reserve capacitor, so that even if you leave it on the shelf for five months, it will continue to keep accurate time. It has both an overcharge prevention function and an energy depletion forewarning function. Seiko Kinetic Chronograph combines Kinetic quartz accuracy with ingenious traditional watchmaking-It has four times the number of wheels fake watches found in a standard quartz watch. Kinetic technology solves the problem that plagues most quartz chronographs-heavy power consumption.There are many types of watches available in the market that has different functions to cater people's different needs and tastes. Classic watches are designed to act as testaments to timeless elegance and class. Some watches that are considered trendy based on its high number of sale and trendy looks. There are a range of different styles, brands and shapes of watches for you to choose from. Among all of them, there is a watch lead a whole new generation of watches due to its innovation.
   
  微波结合双唑泰泡腾片治疗宫颈糜烂40例
 
 
 
微波结合双唑泰泡腾片治疗宫颈糜烂40例
郑国华1 ,付亚芹2
(1.江苏省常州市武进区奔牛人民医院,江苏常州213131;2.江苏省常州市武进区漕桥医院,江苏常州213171)
摘要 目的:观察微波结合双唑泰泡腾片治疗宫颈糜烂的临床疗效。方法:对40例宫颈糜烂病例治疗后进行总结。结果:40例中39例一次性治愈,1例由重度糜烂转为轻度糜烂,30d后再次手术痊愈,总有效率达100%。结论:微波结合双唑泰泡腾片治疗宫颈糜烂简单、方便、不良反应少,疗效可靠。
关键词 微波;双唑泰泡腾片;宫颈糜烂
   目前治疗宫颈糜烂的方法很多,疗效各不相同。我院应用微波结合双唑泰泡腾片治疗宫颈糜烂40例,治愈率高,现报道如下。
1 临床资料
1.1 一般资料 
     我院门诊部就诊的宫颈糜烂患者,自愿接受微波治疗40例:轻度糜烂6例,中度糜烂13 例,重度糜烂21例;年龄23~49岁,经阴道分泌物检查除外滴虫、霉菌感染;宫颈刮片检查除外宫颈癌和癌前病变,盆腔检查正常。
1.2 宫颈糜烂程度评定标准 
     轻度为糜烂面积<宫颈总面积的1/3;中度为糜烂面积占宫颈总面积的1/3~2/3;重度为糜烂面积占宫颈总面积的2/3 以上[1]
1.3 治疗方法
     于月经干净后3~5d进行。取截石位,用0.5%碘伏消毒外阴阴道,暴露宫颈,再次用0.5%碘伏消毒宫颈、阴道壁,将微波仪直角探头与病灶接触,由宫颈外口糜烂区向外扩展到正常组织,以病变组织凝固发白或淡黄为度。术后于阴道后穹隆处放入2粒双唑泰泡腾片。术后2~3个月禁盆浴及性生活。
1.4 疗效评定标准 
      痊愈:宫颈光滑,糜烂面消失。好转:重度糜烂变为中度糜烂,或中度糜烂变为轻度糜烂。无效:治疗后糜烂面积无变化。
2 结果 本组痊愈39例(98%),均为一次性治愈;好转1例(2%):由重度糜烂转为轻度糜烂,于30d后再次手术,术后21d痊愈。愈合时间最短16d,最长2个月,总有效率100%。
3 讨论
3.1 原理 
      微波是一种电磁波,它以生物体组织本身为热源,产生不导电的热,生物体内水分子的正负极在微波电场的作用下,按2450MHz的频率高速变化而产生趋向运动,分子之间相互摩擦,产生热量,使机体组织作用部位在极短时间内迅速升温、扩散,从而达到凝固、止血、消肿、止痛、舒展肌肉的目的。双唑泰泡腾片中的甲硝唑能抑杀厌氧菌、滴虫、阿米巴原虫,克霉唑是广谱抗真菌药,醋酸洗必泰与泡腾剂等是广谱杀菌消毒药,各组分间在药效上既保持各单味药的抑杀细菌、霉菌、滴虫的生物活性又有治疗学上的协同作用。
3.2 不良反应
     ①少数患者有面部潮红或下腹隐痛,稍休息后即可消失,无需处理。②治疗后1周开始有黄水流出,持续时间7~10d,会自行停止,不需处理。③痂皮脱落时会有少量阴道流血,一般不超过月经量,且会自行止住,若出血量多,超过月经量,则服用一些止血药,或局部止血即可。④治疗后第1次来月经,经量大多数较以往多,或提前4~7d,但均会自行恢复正常。
3.3 意义
     宫颈糜烂是慢性宫颈炎最常见的病变,由于感染的刺激,可导致腺上皮功能亢进,往往引起大量白带,使宫颈黏液的黏度与pH值改变,有利于病原体的繁殖。据报道,在宫颈糜烂患者中宫颈癌的发病率是正常宫颈的4~7倍,甚至更高[2]。流行病学调查表明,宫颈糜烂是宫颈癌的高危因素之一[3]。因此,及时有效地治疗宫颈糜烂是预防宫颈癌的一项重要措施,也是保障广大妇女身心健康,提高妇女生活质量的一个重要方面。本组结果表明,微波治疗后的局部创面浅表,结合双唑泰泡腾片的应用,易于愈合,一次性痊愈率高(98%),手术时间短(3~5min),术中无出血、无痛苦、无组织烧焦的臭味,安全无不良反应,操作简单,是治疗宫颈糜烂较为理想的方法。
 
参考文献
[1]乐杰.妇产科学[M].北京:人民卫生出版社,2001:293
[2] 范中善.白细胞干扰素喷雾治疗慢性宫颈炎的初步研究[J].第一军医大学学报,1990,16(11):5
[3]宋扬,陈叔平.干扰素栓治疗宫颈蘼烂漫112 例疗效观察[J].实用妇产科杂志,2001,17(1):49
 
 
 

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日期:2010-8-22

 
 
 
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