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Objective To study and observe the effects of cold knife excision by hysteroscopy for the local microcirculation and inflammatory reaction of patients with hysteromyoma．Methods 86 patients with hysteromyoma admitted in our hospital from March 2016 to July 2017 were selected as the research objects，and the patients were divided into control group with 43 cases and observation group with 43 cases according to the method of random number table．The control group were treated with monopolar electric knife excision by hysteroscopy，while the observation group treated with cold knife excision by hysteroscopy．Then the local microcirculation and inflammatory reaction indexes of two groups at different time before and after the operation were detected．Results The local microcirculation and inflammatory reaction indexes of two groups before the operation were compare，no significant differences found （P ＞0.05）；the local microcirculation indexes of observation group after the operation were significantly better than those of the control group，the inflammatory reaction indexes were significantly lower than those of the control group，both with statistical significance（P ＜0.05） .Conclusion The cold knife excision by hysteroscopy has better clinical effects in the control of local microcirculation and inflammatory reaction in patients with hysteromyoma，so it has higher application value in the patients with hysteromyoma. [ABSTRACT FROM AUTHOR]

目的 探讨代谢综合征（MetS）组分中糖尿病、高血压及肥胖与肾细胞癌（RCC）患者肿瘤直径及组织学分级的关系。方法回顾性分析362例原发性RCC患者的资料，根据血糖水平及病史，将患者分为糖尿病146例、非糖尿病216例两个水平；根据血压水平，将患者分为高血压202例、非高血压160例两个水平；根据BMI，将患者分为肥胖157例、非肥胖205例两个水平；根据是否同时伴有糖尿病、高血压及肥胖，将患者分为代谢异常者95例、非代谢异常者267例两个水平。对有无糖尿病、高血压、肥胖及代谢异常者与RCC肿瘤直径、组织学分级的关系进行分析。结果代谢异常者RCC肿瘤直径、Fuhrman分级均高于非代谢异常者（P均＜0．01）。合并糖尿病、高血压及肥胖者RCC的肿瘤直径、Fuhrman分级均较不合并各相应MetS组分者高（P均＜0．05）。结论合并代谢异常的RCC患者肿瘤直径较大、组织学分级较高。糖尿病、高血压及肥胖均可增加RCC的肿瘤直径与组织学分级。 [ABSTRACT FROM AUTHOR]