<blockquote id="ykis2"></blockquote>
<input id="ykis2"></input>
  • <blockquote id="ykis2"></blockquote>
  • <samp id="ykis2"></samp>
    <menu id="ykis2"><input id="ykis2"></input></menu>
  • <menu id="ykis2"></menu>
  • <samp id="ykis2"><s id="ykis2"></s></samp>
    論文分類>>論文庫首頁 | MBA論文 | MPA論文 | 教育碩士論文 | 法律碩士論文 | 工程碩士論文
     
    當前位置:主頁 > 碩士論文庫 > 工程碩士 > 生物醫學工程 > 文章內容

    改良與傳統腹腔鏡筋膜內子宮切除術臨床對比分析
    關鍵字:臨床,對比,分析,子宮,傳統,改良,AB,CD,EF,yz, 發布時間:2011-08-20

    改良與傳統腹腔鏡筋膜內子宮切除術臨床對比分析 丁蘭梁海燕 301700天津市武清區人民醫院婦科 摘要目的:研究探討改良腹腔鏡筋膜 內子宮切除術的臨床效果及應用價值。 方法:自2005年以來開展改良腹腔鏡筋 膜內子宮切除術59例(研究組),隨機抽 取同期傳統腹腔鏡筋膜內子宮切除術48 例(對照組),比較兩組術中、術后情況。 結果:兩組平均住院日、術后病率及中轉 開腹情況,差異元顯著性(P>0.05);研 究組手術時間、術中失血量和手術費用明 顯減少,差異顯著(P<0.01)。結論:改 良后腹腔鏡筋膜內子宮切除術手術時問 短、術中失血少、手術費用低,用于臨床, 實用、方便、經濟。 關鍵詞腹腔鏡筋膜內子宮切除術 doi:lO.3969/j.issn.1007—614x.2010. 26.001 ‘ 1986年,德國Serum婦科腹腔鏡理論 和技術首次被介紹到中國¨1,近幾年,腹 腔鏡子宮切除術在我國得到快速發展。 其中,傳統腹腔鏡筋膜內子宮切除術取子 宮次全切除術的保留盆底支持組織和穹 隆完整性等優點,又免除r宮頸殘端癌的 憂慮舊1,被認為是治療良性子宮疾病的 首選術式。 資料與方法 一般資料:選擇2005年6月一2009 年10月在我院實施的改良腹腔鏡筋膜內 子宮切除術59例作為研究組,隨機抽取 同期傳統腹腔鏡筋膜內子宮切除術48例 為對照組。所有患者術前均行B超檢 查,宮頸細胞學檢杳,化驗婦科腫瘤五項, 陰道異常出血者行診斷性刮宮除外惡性 病變。研究組59例,其中子宮肌瘤38 例,子宮腺肌病12例,功能失調性子宮出 血9例,年齡39歲至56歲,平均45歲。 對照組48例,其中子宮肌瘤30例,子宮 腺肌病ll例,功血7例,年齡37—54歲, 平均44歲。手術適應證及子宮大小兩組 無差異。 手術方法:研究組患者全身麻醉后取 膀胱截石位,消毒術野,經陰道于子宮內 放置舉官器,頭低30。,建立氣腹。氣腹 形成后進行四點穿刺,即臍上lOmm套管 置腹腔鏡,左下腹采用lOmm套管和5mm 套管,右下腹采用5mm套管置手術器械。 雙極電凝分別鉗夾、電凝雙側子宮圓韌討論 帶、卵巢固有韌帶及輸卵管,然后分別剪 手術方法的改良:腹腔鏡筋膜內子 斷。沿闊韌帶前葉剪開子宮膀胱反折腹官切除術是目前腹腔鏡子宮切除術中 膜,下推膀胱。小心分離子宮旁疏松結締應用最多的一種術式。目前,國內普遍 組織,暴露子宮動、靜脈,雙極鉗夾、電凝應用的仍是傳統的Serum術式。本研 子宮動、靜脈至血管腔完全閉鎖(不必切究組在手術方式上作了一些改良,即不 斷),取出舉官器。將左下腹10mm穿刺按Serum術式先切割官頸,套扎線套扎 孔轉換成15mm套管鞘置入15ram組織子宮動、靜脈及宮頸2—3圈后粉碎子 粉碎器,分次將子宮體絞碎取出體外。腹官體,而是在電凝子宮血管后用組織粉 腔鏡監視下在宮頸置子宮校iE棒,沿校正碎器將子宮切割成條狀取出,再在腹腔 棒套上刻度管及筒狀旋切器。旋轉切割鏡監視下旋切宮頸,宮頸管腔用雙極電 以校正棒為中心的子宮頸、宮頸管黏膜組凝止血,不需套扎宮頸,無需陰道填塞 織由陰道取出。頸管腔用雙極電凝止血。紗布壓迫止血。 宮頸管外鞘用l號微喬線鎖扣縫合,關閉改良腹腔鏡筋膜內子宮切除術的臨 宮頸管殘腔。無需陰道填塞紗布壓迫止床優勢:改良后的術式有以下優點;①取 血。盆腔內各殘端電凝止血。0—1號微消套圈后可以避免套扎宮頸管外鞘阻斷 喬線褥式縫合膀胱返折腹膜與后腹膜包子宮動靜脈血流及套扎線滑脫致殘端出 埋殘端。沖洗盆腔,皮內縫合腹壁穿刺血的缺陷,且套扎線價格昂貴,該術式簡 孔。化廠手術過程,易于掌握,既節約了手術 對照組采用傘身麻醉,術式參照傳統時間,減少了術中失血量,又節約了手術 腹腔鏡筋膜內子宮切除術常規術式(即費用;②用雙極電凝宮頸殘腔止血同時可 Semm術式)進行操作。關閉宮頸管殘腔以將切除不全的官頸管內組織破壞¨o, 后需陰道填塞紗布壓迫止血。減少術中出血,無需紗布填塞陰道,又減 統計學處理:采用t檢驗和矛檢驗。少了手術時間及術后感染機會;③在腹腔 鏡監視下旋切宮頸,始終把筒狀旋切器暴 結果露在視野中,可避免對周圍臟器的損傷, 中轉開腹情況:研究組59例,鏡下完 減少手術并發癥。 成57例,1例因肌瘤位置特殊,1例岡盆本文研究結果表明,改良腹腔鏡筋膜 腔黏連嚴重而中轉開腹。對照組48例,1內子宮切除術具有手術時間短、術中失血 例因盆腔黏連嚴重中轉開腹。 少、術后病率低、術后并發癥少、手術費用 術中、術后情況比較:兩組均于術后低、易于掌握等優點,是一種方便、實用、 24小時拔除導尿管并鼓勵進食及下床活經濟的子宮切除方式,適于臨床廣泛應 動。對照組于術后24小時取出陰道紗用。 布。無1例宮頸殘端出血。兩組平均住 院日、術后病率等方面比較,差異無顯著參考文獻 性(P>0.05);兩組手術時間和術中失血 1馮纘沖.婦科官、腹腔鏡的現狀、展望和存 量比較,研究組顯著減少,差異有極顯著 在問題.中國微創外科雜志,2007,7(3): 性(P<0.01),見表l。 194-190。 術后隨訪:兩組均于術后1個月開始 2 GraayR,R8‘chH,ecls?IJa鯽.08t’坤ichysterec? 隨訪,隨訪半年,無l例失訪。術后2周 幻my‘o刪:B1ac。”eu解i刪。塒,1993:79 竺可竺曼旦.烹生冀?苧妻.璺翼翌只安全 3粱-志ol清.,陳勇,李玉艷,等.改良腹腔鏡筋膜 好,官頸殘端光滑無肉芽組織形成,盆腔 葛;薔荔藻桑:磊三暈釜吳莘;i:貓f 柔軟。術后3個月恢復性生活,與術前比 23(12):1474—1475. 較無明昆差異。 裘l兩組術中殛術后腦床攫標比較 ‘‘ +穗 手術時問術中出血量術后痛率中轉開成平均住院茸 .1坌塑!!鯉!l絲2112l12,. 研究組120.5±25.8136.3*35.610.525±1.6 對照組150.6±32。5 P<0.01 196.2±46.3 <0.01 1t.7 )0.05 l >O.05 5.5±1.8 >0.05 g,磁 中國社區醫師.醫學專業2010年第∞期(第1綣總算251期)77 萬方數據 換頁

    上一篇:妊娠合并艾森曼格綜合征圍產結局分析   下一篇:沒有了
    :::: 支付方式 ::::
    :::: 服務熱線 ::::
    (周一至周五8:30-17:30)
    (周六至周日9:00-18:00)
    服務電話:020-61131011
    020-61131022 轉82
    傳真:020-61131022
    電子郵件:[email protected]
    [email protected]
    服務QQ:130009919
    130008818
    :::: 熱點文章 ::::
    :::: 相關文章 ::::

    · MBA
    · MPA
     · 教育碩士
    · 法律碩士
    · 工程碩士

    服務電話:020-61131011;020-61131022 轉82 投訴電話:020-61131011;020-61131022 轉88 傳真:020-61131022
    電子郵件:[email protected] [email protected] 服務QQ:130008818 130009919 (工作時間:周一至周五8:30-20:30 周六至周日9:00-18:00)
    © 2002-2004 輕松論文網  網絡實名:輕松論文
    SiteMap
    8888彩票平台8888彩票主页8888彩票网站8888彩票官网8888彩票娱乐 www.hg173i.com | www.9611ll.com | y68dh.com | www.2021u.com | xinvip4.com | www.3478t.cc | www.38200d.com | 10050537.com | www.bwinyz01.com | 70118f.com | www.48wcp.com | www.yh17.com | 5003qqq.com | www.33678ww.com | 2389.com | www.330831.com | www.544416.com | 33.net | www.28czj.com | www.33318x.com | 56787ww.com | www.959718.com | jixiang14.com | 8036nn.com | www.19019h.com | 23456.cc | www.cp8016.cc | www.61515g.com | 3983009.com | www.3zq01.com | 33678aa.com | www.068639.com | www.466587.com | pj200.cc | www.559748.com | www.27363w.com | 5856qq.com | www.868955.com | www.88119b.com | 4488l.com | www.sjgc4.com | www.xpj0028.com | alpk11.com | www.6661f.cc | www.hg6009.com | 87363a.com | www.1035u.com | www.163888ll.com | 05071100.com | www.c5615.com | www.0409.com | 39199y.com | www.606634.com | www.k30.com | yh6688.bet | www.300388.com | www.673888g.com | 256777q.com | 11170011.com | www.0601p.com | www.77537o.com | 170160.com | www.c6091.com | www.4699f.com | wns6.net | 3119ccc.com | www.9422h.com | www.7025h.com | 00048v.com | www.1333ac.com | www.15425.com | yh645.cn | 10050537.com | www.6889772.com | www.19333l.com | 117799.com | www.599894.com | www.bwinyz36.com | www.617704.com | 19990c.com | www.igcp4.com | www.4694a.com | 272x.net | i4255.com | www.84gcw.com | www.pj1985.com | feicai0576.com | 3mgmvvv.com | www.33598b.com | www.56774.com | 0139.com | jinshabb.com | www.974674.com | gg444000.com | www.160951.com | www.p94600.com | www.cs6663.com | p5429.com | 33oo8332.com | www.07163r.com | www.77731p.com | 2400007.com | 77605k.com | www.c189.vip | www.3775b.com | www.5849.com | 2247n.com | 11005h.com | www.925507.com | www.06387733.com | www.s0311.com | 97799e.com | 80368kk.com | www.898134.com | www.1754u.com | www.00618x.com | vns7711.com | 7945jj.com | www.2109s.com | www.i1432.com | www.836666e.com | 56787qq.com | 3550c.com | www.755016.com | www.js56773.com | www.872879.com | 35115.am | 3559kkkk.com | zz8159.cc | www.820737.com | www.80030077.com | www.808888q.com | www.vns6005.com | 5856jj.com | 875856b.com | www.c1353.com | www.3333bj.com | www.c44tt.com | www.77537f.com | 2709a.com | 7605d.com | 2078o.com | www.976281.com | www.7249s.com | www.jy878.com | www.58777t.com | 1077ooo.com | 4776600.com | 2269jc.com | www.axc2.com | www.256818.com | www.5446ee.com | www.284444.me | 0747t.com | nnn1915.com | 35252o.com | www.84499v.com | www.062wy.com | www.452.com | www.99113n.com | www.amdc0005.com | www.4x0048.com | 3505.com | 3807mm.com | 6543sun.com | 3983019.com | www.512477.com | www.31930.cc | www.99080088.com | www.7036bb.com | www.834817.com | www.hengyfashion.com | www.56520j.com | 29918e.com | 78365.com | toucai99.com | 5528839.com | 3196.com | wx3388.com | www.349311.com | www.63877x.com | jsjlb4.com | bwin8k.com | 3890l.com | 305710.com | 8547d.com | www.351957.com | www.al5888.com | www.34972.com | www.6000hd.com | www.jsdc9111.com | www.1851114.com | www.808888z.com | www.13090.com | www.hg8561.com | www.yh8888.cc | 3131a.cc | 6647a.com | 2851g.com | yhshanghai.vip | 79333040.com | 4116x.com | 69444466.com | 7799sj.com | 4270bb.com | 8381ii.com | 1104027.com | 66119vip.com | beiyong.bet | 2381ccc.com | 7155268.com | bet36500220.com | 3552d.com | 9994cc3.com | 5099ff.com | 1288jj.com | 8881300.com | c388c.com | 82093.com | 9002r.com | www.714115.com | www.88325m.com | www.62979b.com | www.y8859.com | www.32638.com | www.63606h.com | www.o2894.com | www.93919f.com | www.559999.vip | www.311999.cc | www.714445.com | www.4368.com | www.8816p.com | www.hj0555.com | www.665609.com | www.376513.com | www.195322.com | 074a7.com | 23233u.com | hhhhh555.com | 889345.com | 2229tz.com | 69444488.com | 22204066.com | 7945mm.com | www.mg4355888.com | www.yh201444.vip | www.064808.com | www.990888a.com | www.twcp.com | www.115527t.com | www.5446c.com | www.8d858.com | www.9928n.com | www.980771.com | www.401282.com | ceeger.com | 9679a.com | ny204.com | 6112hh.com | 749101.com | hga025.com | 253504.com | www.32126j.net | www.hg1322.com | www.881.ag | www.38138d.com | www.zzyl65.com | www.61233d.com | www.975559.com | www.210255.com | 2934com.com | 55268zf.com | 418691.com | hgyz66.com | www.bmw0055.com | www.34666.com | www.55526g.com | www.80188z.com | www.192818.com | www.2934v.com | www.387844.com | yhw9.cc | q6q66.com | wb330.com | www.hg3442.com | www.3616g.com | www.caipiao88e.com | www.792085.com | www.61233d.com | www.534211.com | 5443h.com | vipvip6666.com | 2864z.com | www.3941177.com | www.807239.com | www.ls22.vip | www.544aa.cc | 433.com | 30179933.com | 4066q.com | www.pk989.net | www.6880kk.com | www.71233d.com | www.209213.com | 53166n.com | 2490g.com | www.4763111.com | www.35252m.com | www.bet3651688.com | www.hw7890.com | 20771155.com | 4955f.com | www.9844ii.com | www.js888800.com | www.7239z.com | www.303465.com | 3405mm.com | 86811k.com | www.hg8561.com | www.45598i.com | www.3552c.com | www.43131h.com | 8381e.com | 66665156.com | www.55526t.com | www.ylylc03.com | www.322424.com | 4377.com | www.long8308.com | www.90665.com | www.50064q.com | 23800y.com | 0099227.com | www.32666p.com | www.4996hh.com | www.09gcw.com | 1495f9.com | 702215.com | www.hg7942.com | www.55717j.com | www.151220.com | 3640zz.com | www.hg748.com | www.4996nc.com | www.c4534.com | 079.com | 6423g.com | www.4212u.com | www.3890f.com | 9030o.com | 9995c.cc | www.mhcp.com | www.cai009.vip | 1234567cai.com | 15856g.com | www.9737ff.com | www.962779.com | gg1331.com | www.hg6914.com | www.38138v.com | www.791397.com | 1104014.com | www.h7788g.com | www.38775tt.com | www.223065.com | 4018u.com | www.58fc16.com | www.2418b.com | 3066hhh.com | 6199w.com | www.m456x.com | www.sxyl8.com | 5651g.com | www.365109f.com | www.cc00668.com | www.173225.com | 08159h.com | www.60884.com | www.9050.cc | 17795555.com | www.hg1668.com | www.004869.com | 88021.com | w32365.com | www.06820w.com | www.129989.com | f85686.com | www.23636.com | www.599840.com | wenetian.net | www.87p333.com | www.927670.com | 36407744.com | www.js253.com | www.hy5355.com | 6663805.com | www.234677.com | www.ycu8.com | 36401100.com | www.5504.com | www.517844.com | 9339999t.com | www.4136m.com | www.202812.com | 2649i.com | www.89677f.com | 66300vip01.com | 4466.so | www.8577e.cc | 83086e.com | www.hj200766.com | www.66376x.com | yhsichun.vip | www.4907788.com | www.763829.com | 867720.com | www.hyi3.com | 2349001.com | www.zb0210.com | www.566048.com | j15jj.com | www.spj57.com | www.983480.com | 9890598.com | www.bwinyz23.com | 97297t.com | www.36536509.com | www.9356d.com | 2324xxx.com | www.3157c.com | 88904141.com | www.boma0124.com | www.3668w.com | 38822233.com | www.j3123.com | 2127b.com | www.pj1422.com | www.hy5455.com | pj911c.cc | www.63606.com | 1224.cc | www.hggj5551.com | www.458178.com | 5369m.com | www.89894y.com | 3568d.com | www.6669ylg.com | 1095528.com | www.js7009.com | www.912484.com | pp3189.com | www.hg1245.com | 0729m.com | www.3157e.com | 131mmm.net | www.118893.com | www.501251.com | www.ylg89.com | www.26001.com | 26668w.com | www.578888.vip | bowang22.com | www.m32939.com | 9679s.com | www.370370.com | www.118428.com | www.js3444.com | www.994696.com | 3482b.com | www.66653z.com | 998k.cc | www.398159.com | xxx40033.com | www.y8921.com | 500000454.com | www.b30666.com | 22890.co | www.472705.com | hdyh224.com | www.qmc0022.com | 61789k.com | www.6a555.com | 9498.com | www.35252n.com | 409898.com | www.hf3138.com | 38648oo.cc | www.72msxfpta.com | 23233g.com | www.85857j.com | 37111v.com | www.4212w.com | 1489f.com | www.10999b.com | 228888u.com | www.1754a.com | bwin68222.cc | www.dd4625.com | 991381.com | www.0601v.com | js802hd.com | www.26001.com | t365e.com | www.cz5658.com | www.am3366.com | www.505162.com | www.37090000.com | 8520c.com | www.c15595.com | 7894u.com | www.xpj2006.com | o8009.com | www.1388pp.com | 1606766.com | www.43818z.com | bg345.com | www.715934.com | www.11227136.com | 3178p.com | www.808888d.com | youleseo.com | www.555999qipai.com | 1234blr.com | www.8816u.com | www.6491d.com | www.178693.com | www.fbs333.com | w9625.com | www.8188.tw | tjhyncw.com | www.5ecp.com | www.tyc717.com | 79964a.com | www.5099ll.com | 4278.com | www.36166k.com | www.js85.com | www.32123u.com | www.77731r.com | bet577f.com | www.8582vv.com | 5456t.com | www.257015.com | www.853721.com | 3121e.com | www.ya2019t.com | www.48696.com | www.66376v.com | www.c46.bet | 51133x.com | www.5441r.com | www.692tyc.com | 87665k.com | www.742022.com | 56988qq.com | www.599260.com | www.hg8319.com | 53166u.com | www.53900j.com | www.4107h.com | 5856u.com | www.78680g.com | 22335156.com | www.52072a.com | www.58118d.com | 00774bb.com | www.766898.com | www.89456.com | 0234uu.com | www.16878q.com | www.20161144.com | 0015cc.com | www.89777g.com | www.76060t.com | 3258n.com | www.012115.com | www.4644444.com | 5004zz.com | www.56011q.com | www.86611n.com | 500000599.com | www.js89g.vip | 58802l.com | 83138a.com | www.78680b.com | www.033033g.com | 4195cc.com | www.3775q.com | www.026033.com | 5369i.com | www.0099wd.com | www.txck.cc | 7508i.com | www.5086x.com | www.246778.com | 35222b.com | www.624880.com | www.58118g.com | jz7.com | ylg12.com | www.flb377.com | www.yh16555.com | 19991o.com | www.8499i.com | www.yh684.com | 78885.com | www.186957.com | www.1754y.com | www.ylg292.com | 55zz8331.com | www.08588w.com | www.158444.com | 11bb8331.com | www.26299e.com | www.boh.cc | 2677hhh.com | hsh88.com | www.290227.com | www.sun368.com | 3421b.com | www.131873.com | www.86339o.com | www.181070.com | 2542244.com | www.624377.com | www.80188t.com | www.hg4458.com | 67890m.com | www.cb5588.com | www.848777i.com | www.8805js.com | bet365v.com | www.c2813.com | www.673888a.com | www.hg6080.com | 256777gcom | www.560691.com | www.60886v.com | www.tyc923.com | 38365q.com | 1466b.com | www.03088.com | www.25959a.com | mgm3242j.com | 6150t.com | www.935506.com | www.pj1308.com | www.xpj5t5.com | 88993w.com | sxcxt.net | www.78700b.com | www.3846t.com | 5855jj.com | 9yuhe.com | www.278202.com | www.28891e.com | www.788789.com | www.cb6588.com | www.33678gg.com | www.777948.com | 3301885.com | yh77776.com | www.901176.com | www.63606k.com | www.hg958a.com | 61325577.com | 3990077.com | www.628867.com | www.1466d.com | www.sun181.com | 88033.com | 3778yy.com | 131hh.net | www.cha64.com | www.40339.com | www.t45688.com | feicai0393.com | xiang07.com | 89777s.com | www.3479x.com | www.vip81619.com | www.x8882.com | 38822211.com | 8159f.cc | 97886699.cc | www.832793.com | www.68993239.com | www.169009.com | www.9068zz.com | jk080.cc | 99589e.net | www.52072u.com | www.5881.cc | www.23819.am | www.j99888.com | www.332760.com | www.49956p.com | www.v3410.com | www.0333444.com | www.333222w.com | 8522dddd.com | 3189e.com | 99589o.net | www.777768a.com | www.vn888345.cc | www.7415g.com | www.8837138.com | www.yh6001.com | 00uu8331.com | 131nnn.net | 0088wd.com | www.407872.com | www.5441r.com | www.flb903.com | www.4212l.com | www.39111ccc.com | www.546995.com | 4647d.com | qq1915.com | 59889j.com | 6824.com | www.646377.com | www.50064n.com | www.7920x.com | www.8850w5.com | www.5555566666.com | www.bwin2288.net | 50000029.com | y2490.com | 5488s.com | 5144.com | z58955.com | www.77803o.com | www.737884.com | www.8816l.com | www.1358004.com | www.x3410.com | www.c555jj.com | www.xg189.net | www.msc66.com | www.hg880333.com | 3379e.com | tzvip2027.com | 6175gg.com | bet99499.com | meishimat.com | 656456.com | 7742k.com | www.342077.com | www.848255.com | www.022yn.cc | www.80075q.com | www.37377w.com | www.wns11.me | www.x32031.com | www.80969t.com | www.hc9055.com | 116005.com | jinguan5555.com | www.43131z.com | www.346411.com | www.608520.com | www.854766.com | www.rrle9.com | www.750966.com | www.36788h.com | www.26163e.com | www.rfdc02.com | www.954321v.com | www.00797c.com | www.55676r.com | www.xpj916.com | www.32031e.com | www.634505.net | www.http://443598.com/ | www.9737aa.me | www.7415t.com | www.ff55826.com | www.hg098765.com | www.c558.vip | www.346346.com | www.360cp.com | www.808888u.com | www.497875.com | www.1705.com | www.hg173j.com | www.7415bb.com | www.0169h.com | www.bwin960.co | www.6880ll.com | www.377666s.com | www.xj7007.com | www.69567d.com | www.8577d.cc | www.78919a.com | www.538445.com | www.7714j.com | www.52303p.com | www.5522x.cc | www.gyfc4.com | www.795335.com | www.505507.com | www.196302.com | 9964wz.com | g17022.com | 897dd.cc | 8742t.com | 8757056.com | 3421b.com | 01885x.com | 23249.com | www.vnsr800.com | www.900692.com | www.9990257.com | www.4058s.com | www.8967b.com | www.351532.com | www.326636.com | www.926530.com | www.31033.cc | www.828916.com | www.278207.com | 69447711.com | fcw.cc | 8547nn.com | 86611v.com | 55hh8331.com | www.hg60999.com | www.1zbvip.com | www.888322.com | www.11.sb | www.52062k.com | www.a773776.com | www.77cmc.com | www.503433.com | 44ff8332.com | 5099yy.com | 08778q.com | qq365y.com | www.nnn801.com | www.37vnsvns.com | www.1818365.com | www.8645003.com | www.13434e.com | www.cll168.com | www.529121.com | pt8338.com | drcp222.com | 84498822.com | 09758.com | www.xpj220.com | www.hjcp4.com | www.y8865.com | www.88266w.com | www.763605.com | 3379pp.com | 3156xxx.com | 33vne.com | www.ab943.com | www.xinhao77.com | www.hg8.com | www.886884.com | www.979673.com | dzc04.com | 3778dd.com | pjfujian.com | www.55574.vip | www.034044.com | www.wns123g.com | www.07163s.com | www.253529.com | dlzzx.com | 888.cm | www.3888bet.com | www.13383.com | www.38775xx.com | www.2875r.com | 5533412.com | nnnn19927.com | a757033.com | www.8655msc.com | www.8967b.com | www.486.cc | www.562602.com | 0789.com | 2146b.com | www.h27229.com | www.88266.com | www.bet73o.com | www.383897.com | 1463g.com | 2805y.com | www.2099.com | www.704901.com | www.7777ae.com | vwin666.com | 3559llll.com | www.hg175.com | www.2945m.com | www.xb88tt.com | www.511642.com | 7894z.com | 04343.com | www.6888tm.com | www.7920e.com | www.702152.com | ppjj02.com | jjjj.com | www.238288.com | www.1764j.com | www.609813.com | 55899v.com | 2455j.com | www.js403.com | www.4331e.com | www.278203.com | 87667.com | www.4644444.com | www.50999a.com | www.23579b.com | lswjs568.com | 2127aa.com | www.0393901.com | www.y8865.com | www.775706.com | h4212.com | 14891489.com | www.k70.com | www.3552x.com | 5856d.com | 83086t.com | www.2244-0880.com | www.15355i.com | h2306.com | 85698z.com | www.39543.com | www.345311.com | n45638.com | d2146.com | www.64566t.com | www.188jinbaobo.com | www.32123i.com | 6150k.com | www.hg7211m.com | www.495.cc | www.18kpl.com | x9996.com | www.666xin2.com | www.8473o.com | www.912594.com | xpj382.cn | www.boma0111.com | www.v2662.com | www.317199.com | 34z35.com | www.16290099.com | www.974209.com | 9103uu.com | 65005y.com | www.169009.com | www.959589.com | 99bo.me | www.40818b.com | www.1449.com | 1331a.com | 99151v.com | www.288988a.com | www.975961.com | 3778.com | www.boma0111.com | www.598282c.com | 7176789.com | xx4455.com | www.138cpy.com | www.946689.com | 83378f.com | www.p222222.com | www.61233hh.com | 3656pp.com | www.amwnsrylc.com | www.780780c.com | 143545.com | 3169v.com | www.b35ss.com | www.217880.com | 8977bb.com | www.8967a.com | www.444086.com | 112v.net | www.k70.com | www.550214.com | v77304.com | www.0057g.com | www.550424.com | 11gg8331.com | www.924971.com | www.404499.com | 99992007.com | www.9b006.com | www.234265.com | ag.hg999222.com | www.293988.com | www.082712.com | 2934t.com | www.377666t.com | es999.net | www.56733d.com | www.99094s.com | 55995004.com | www.718msc.com | www.29277y.com | 553322VV.com | www.76775d.com | www.912199.com | wnsbc.com | www.hg8qq.com | pjhunan.com | 1669v.com | www.730555h.com | 4444.ag | www.mm2229.com | www.sxyl0.com | 5856cc.com | www.16181y.com | 00zz8332.com | www.8124x.com | www.6653.com | pj3508.com | www.307msc.com | www.314611.com | 041122p.com | www.1466e.com | pj88zz.com | www.286688.com | www.550374.com | 2649ff.com | www.984703.com | 3559zz.com | www.31399ee.com | www.461113.com | ly88888887.com | www.89777m.com | 91019p.net | www.3846k.com | 11007.com | www.vns9983.com | www.39058.cc | 634006.com | www.7366002.com | 1294m.com | www.789324.com | www.638262.com | 3136gg.com | www.3978a.com | 8159v.cc | www.bwinyz49.com | e2146.com | www.tyc112.com | www.550374.com | 1408m.com | www.39500s.com | 8037uuu.com | www.69567n.com | 4995x.com | www.hg1266.com | 2455k.com | www.2078q.com | www.896020.com | 2381xx.com | www.68cc3.com | 40033k.com | www.73990c.com | 7599kk.com | www.58665i.com | 908080k.com | www.33455b.com | www.060888.com | www.777444s.com | www.658770.com |