Objective To analyze the causes of misdiagnosis of uterine sarcomas and to explore the measures to reduce these errors. Methods A retrospective study of 40 cases of uterine sarcomas admitted between January 1980 and June 2002 to our hospital was performed. Results Uterine sarcomas were easily misdiagnosed as leiomyomas. A correct diagnosis of uterine sarcoma was made at primary operation in 15 cases (37.5%). A wrong diagnosis was made in 25 cases (62.5%), and among them re-operation was done in 15 cases. In 7 patients, three operations were performed. Recurrence rate was as high as 64.0%. The rate of hematogenous dissemination was also high. The patients in whom a misdiagnosis was made at their primary operation were younger in age than the patients in whom a correct diagnosis was made (43 years vs 50 years). The amounts of bleeding and transfusion during operations were increased in patients with misdiagnosis. Conclusions Atypical manifestations and lack of knowledge about the diseases were the main causes for misdiagnosis of uterine sarcomas. Misdiagnosis might be avoided by a comprehensive analysis of all clinical information. Radical resection of the primary tumor was the most significant means to ensure a better prognosis.

To study the nodal distribution in endometrial carcinoma and to evaluate its effect on recurrence and survival, 230 patients with endometrial carcinoma were reviewed and analyzed. 32(20 25%)cases were found to have lymph node metastasis. Stage Ⅲc disease was defined by positive PLN alone in 22 cases, positive PLN and PALN in 4 cases, and positive PALN alone in 6 cases. Positive peritoneal cytology and adnexal metastasis were present in 10 patients. Only 2/10 of these patients had isolated positive PLN whereas 8/10 had positive PALN ( P 0 05). These findings indicate that PALN involvement is common in patients with FIGO Stage Ⅲc endometrial cancer, and suggest that PLN sampling alone may result in underdiagnosis of disease, and dissection of PALN may have a significant therapeutic role.

Objective To observe the clinical effects of traditional Chinese medicine and foam dressing in the treatment of stageⅢ pressure sores. Methods A total of 94 patients with stageⅢ pressure sores in neurology department of Hangzhou Red Cross Hospital from January 2015 to December 2016 were recruited and randomly divided into control group (n=44) and observation group (n=50) by random number table method. Besides routine treatment and care of pressure sores, control group was given traditional Chinese medicine, while patients of observation group received traditional Chinese medicine combined with foam dressing treatment. The treatment effects of the two groups were observed and compared. Results The total effective rate of pressure sore in was 90.00% in the observation group and 86.36% in the control group, and there was no statistical difference (P>0.05). The average healing time of the observation group was (13.56±4.35) days, which was significantly shorter than that of the control group (21.45±3.47) days, and the difference was statistically significant (P< 0.01). Conclusions The effects of traditional Chinese medicine combined with foam dressing in the treatment of stageⅢ pressure ulcer is better than that of traditional Chinese medicine, which can improve the cure rate of pressure ulcer, shorten the healing time of pressure ulcer, and is worthy of clinical promotion.

bjective? To explore the effects of Daiwenjiu Gao combined with ear acupoint bean-pressing on migraine of deficiency of both qi and blood. Methods? From June 2015 to July 2017, we selected 111 outpatients with migraine of deficiency of both qi and blood in Hangzhou Red Cross Hospital. All of the patients were divided into three groups including group of Daiwenjiu Gao, group of ear acupoint bean-pressing and group of Daiwenjiu Gao combined with ear acupoint bean-pressing with the method of random number table, 37 cases in each group. There was a loss to follow-up in group of Daiwenjiu Gao and group of Daiwenjiu Gao combined with ear acupoint bean-pressing respectively, and there was a case refusing treatment in group of ear acupoint bean-pressing; there were 36 cases with valid data in each group finally. Group of ear acupoint bean-pressing received ear acupoint bean-pressing for migraine; group of Daiwenjiu Gao carried out ear acupoint application by Daiwenjiu Gao for migraine; group of Daiwenjiu Gao combined with ear acupoint bean-pressing combined two treatments for migraine; the intervention continued for four weeks in three groups. The Sun's criteria was used to evaluate the severity, duration, frequency of outbreak, accompanying symptoms of headache of patients one and six months after intervention. SPSS 17.0 was used to statistical analysis. Results? Among patients with migraine of deficiency of both qi and blood in three groups, there were statistical differences between group of Daiwenjiu Gao and group of Daiwenjiu Gao combined with ear acupoint bean-pressing (P＜0.01), and there were also statistical differences between group of ear acupoint bean-pressing and group of Daiwenjiu Gao combined with ear acupoint bean-pressing (P＜0.01) one and six months after intervention. Conclusions? Daiwenjiu Gao combined with ear acupoint bean-pressing is with a simple operation, few adverse reactions, and it has better effects for migraine of deficiency of both qi and blood than general treatments which is worth to be used widely in clinical application.