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[求助]
手術(shù)記錄 中譯英
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術(shù)后診斷:子宮肌瘤 手術(shù)經(jīng)過:麻醉滿意后取平臥位,消毒輔巾,取下腹橫切口,逐層進腹,洗手探查,子宮如孕12周大小,宮底后壁一肌壁間肌瘤樣突起,直徑約10cm,雙附件外觀正常(右卵巢未及腫物)。腸管與右側(cè)盆壁粘連,分離腸管與盆壁粘連。將子宮提出腹腔外,探查雙側(cè)輸尿管走行正常。于子宮肌瘤假包膜層注射稀釋的垂體后葉素,縱切口切開肌瘤外肌層深達瘤體。鈍性分離肌瘤瘤核與肌壁間界線。完整剔除肌瘤,未穿透子宮內(nèi)膜。以1號可吸收線間斷縫合封閉瘤腔、間斷縫合瘤腔漿肌層兩層。電凝針眼滲血處。創(chuàng)面放置一次性防粘連材料。清點器械紗布無誤,逐層關(guān)腹,皮內(nèi)縫合腹壁切口。 手術(shù)順利,出血約50ml,尿色清。 引流情況:無 出血量:50ml 自體輸血量:0ml 異體輸血種類及單位:無 標本肉眼所見:肌瘤色白,質(zhì)軟,似多個肌瘤融合形成,共稱重300g。 發(fā)自小木蟲IOS客戶端 |
至尊木蟲 (文壇精英)
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Postoperative diagnosis: Uterine fibroid (leiomyoma) Surgical procedure: After satisfactory anesthesia induction, the patient lies with her back on the table, face up (supine position). Routine disinfection was performed and surgical drape (sterile towels) was applied. A lower transverse incision is made through the abdominal wall and the abdominal incision was made layer by layer. (尚缺“洗手探查....皮內(nèi)縫合腹壁切口”的翻譯,因?qū)I(yè)背景問題,比較難翻譯好) The surgery was performed smoothly, bleeding about 50ml, with clear urine color. Surgical drains: N/A The amount of blood loss: 50ml Intraoperative autotransfusion volume: 0ml Allogeneic blood transfusion type and unit of measurement: N/A Specimen (observed by naked eyes): Uterine fibroids are white and soft. It appears that the uterine fibroids are fused to form by multiple fibroids and the total weight is 300g. |

至尊木蟲 (文壇精英)
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“洗手探查....皮內(nèi)縫合腹壁切口”的翻譯: An exploratory laparotomy (abdominal exploration) was performed. Body of the uterus is big like a woman with 12 weeks pregnancy. A protruding dome of the fundal posterior wall fibroid (intramural leiomyoma) was identified with diameter of about 10 cm. Bilateral uterine appendages (adnexa of uterus) present normal appearance (no mass was touched in the right ovary). Adhesion from the right abdominal wall to the intestinal canal was observed. Abdominal wall was separated from the adhesion intestinal canal. The entire uterus was taken out of the abdomen and the normal course of both ureters was identified. Posterior pituitary was injected into uterine fibroid pseudocapsule at dilution unit. A longitudinal incision was made in the external muscle layer (outer myometrial layer of the fibroid) and this longitudinal incision was made deep into the fibroid. The cleavage plane between the fibroid and myometrium was identified and the fibroid was separated from myometrial wall by blunt dissection. Enucleation of intramural uterine fibroids was performed without penetrating through the mucosa (endometrium). The tumour cavity was closed with resorbable interrupted suture, following which the seromuscular layer (two layers) of tumour cavity was sutured with resorbable interrupted suture. Suture needle holes bleeding were controlled with the application of electrocoagulation. Surgical wound was covered with absorbable adhesion barrier. All materials (equipment and gauze) used in the operation were counted and checked, and then the abdomen was closed layer by layer. Abdominal incision was sutured with intradermal suture. |

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