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健康醫療網／記者李義輝報導

年菜推薦宅配一位來自台中的41歲婦女，多年來飽受不孕之苦，因為子宮內膜沾黏，未達更年期就停經達數月，在醫生努力下，以微創性子宮中秋烤肉鏡手術治療，重建子宮內膜，不到半年就懷孕。中國醫藥大學附設醫院生殖醫學中心主任何彥秉表示，微創性子宮鏡治療的範圍包括子宮肌瘤、子宮息肉、子宮內膜沾黏等，特色是不留傷口，恢復期短，針對不孕患者，為不錯的治療方式。

▲ 微創子宮手術不孕婦女成功懷孕（圖／健康醫療網提供）

何彥秉指出，造成這位婦女不孕的原因是骨盆腔發炎導致子宮沾黏，過去雖然曾在他處接受子宮擴張術和避孕器置放，卻沒有改善沾黏情形，月經也停止。但患者並非更年期停經，卵巢功能仍正常，因此要治療不孕，必須打開幾乎全部沾黏的子宮腔。透過子宮鏡搜尋，成功在患者的右側輸卵管附近，找到一塊仍正常的子宮內膜，運用水球擴張搭配藥物治療，順利完成重建工作。婦女在手術後，月經周期恢復，不到半年便懷孕。

但這位患者懷孕之路一波三折，在剖腹產後出現胎盤和子宮沾黏，經由醫師緊急措施搶救，順利保留生機。何彥秉說，這類患者一旦受孕，發生前置胎盤或植入性胎盤，導致產前或產後出血的風險較一般人高出許多，因此生產前後必須特別留意。

至於成功治療不孕的微創性內視鏡手術，主要是利用天然孔洞的內視鏡，操作時由陰道進入，全程不會留下傷口，復原速度快。過去沿用多年的腹腔鏡，需要在腹部開出一個小傷口，相湖口 火鍋推薦較之下，微創手術對患者負擔更少。目前包括子宮肌瘤、子宮息肉、子宮內沾黏都可利用微創性內視鏡手術治療，而合併多重因素的不孕患者，在進行試管嬰兒前，若先用子宮鏡清除子宮內沾黏，也可提高受孕機會。

楊梅火鍋料宅配資料來源：healthnews.com.tw/

（中央社記者廖漢原華盛頓3日專電）美國太平洋司令部空軍指揮官歐蕭尼西指出，太平洋戰區形勢劇變，中方軍機頻繁在南海飛行，美方將在區域全面派駐F-35戰機，確保擁有空中優勢。 美國空軍時報（Airforce Times）報導，太平洋司令部空軍指揮官歐蕭尼西（Terrence O’Shaughnessy）在新年前指出，他的最優先工作是做好前線部署，準備應對下一個危機。太平洋戰區形勢在2016年大幅轉變，並將持續至2017年，美國必須維持空優戰力。 歐蕭尼西表示，從中國的獨斷行動，俄羅斯動用長程轟炸機，到北韓挑釁，太平洋戰區形勢更為複雜。 他強調，這些行動都與太平洋有關，某個地區的變化會嚴重影響另一地區的美國盟邦。例如中國軍機在菲律賓海域（南海）頻繁進行長程飛行，導致日本警戒，也採取類似行動。北韓測試彈道飛彈，也讓南韓提高警戒態勢。 面對變局，歐蕭尼西評估，美國的第5代戰機將陸續就位，空軍也將持續推動F-22戰機現代化改裝，並在太平洋地區全面派駐F-35，確保戰力超越敵對勢力。 歐蕭尼西說，美國的盟友將在空軍戰力部署扮演重要角色。澳洲已經飛過F-35，日本在2016年9月也首度於德州沃斯堡（Fort Worth）基地進行試飛，南韓將在2018年正式取得F-35。1060103

2017-01-0503:00

CATACLYSMIC: Issues that surfaced when the feasibility of the changes was being debated were not addressed and the controversy is ripping the nation apart, Hung saidBy Shih Hsiao-kuang and Jake Chung / Staff reporter, with staff writerChinese Nationalist Party （KMT） Chairwoman Hung Hsiu-chu （洪秀柱） yesterday said that the KMT would not sit on its hands while the public suffers from potential price hikes caused by the Democratic Progressive Party （DPP） administration’s changes to labor laws, adding that the party’s lawmakers and a think tank are drawing up amendments to fix the台北外帶年菜2017 problem.At an afternoon meeting of the KMT’s Central Standing Committee, Hung said action must be taken in light of Premier Lin Chuan’s （林全） remark that the “one fixed day off and one flexible rest day” policy would inevitably lead to a general rise in the cost of living.Lin said in an interview with the Chinese-language China Times published on Tuesday that the amendment of the Labor Standards Act （勞動基準法） was aimed at reducing the working hours of employees, but it is impossible that can be achieved without an increase in consumer prices.President Tsai Ing-wen’s （蔡英文） administration has neglected to address issues that surfaced when the government was still debating the feasibility of the changes, Hung said, adding that the controversy is ripping the nation apart.The DPP elected to adopt the “one fixed day off and one flexible rest day” policy, which increases overtime payments and relaxes annual leave standards in a bid to win the support of young people, Hung said.However, the policy’s implementation would cause more than 70 percent of workers to suffer the consequences of raised prices for commodities or be laid off, she said.Hung also blasted what she called the DPP’s double standards on price hikes, citing as an example the widely condemned decision of former president Ma Ying-jeou （馬英九） administration to raise the prices for electricity and natural gas.“Ma’s administration faced vicious criticism [from the DPP] at the time, but now Tsai’s administration makes price hikes sound like a matter of course. The KMT will not allow the situation to go unchecked and is starting to look into measures that would mitigate the impacts of the legislation,” Hung said.Taipei Chamber of Commerce director-general Wang Ying-chieh （王應傑）, who was invited by the KMT to give a speech about the possible outcomes of the amendments in yesterday’s committee meeting, said the public transportation industry has been the most hard-hit by the policy.Wang said the industry has arrived at a consensus that it would start hiking ticket prices at the latest after the Lantern Festival next month.Wang said that the industry estimates an increase of 8 percent in operation costs due to the implementation of the policy, adding that the transportation industry is seeking to adapt by cutting down the total number of shifts employees work and raising ticket prices.Additional reporting by CNA新聞來源：TAIPEI TIMES
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