剖宫产术后子宫瘢痕妊娠12例临床分析

目的探讨剖宫产术后子宫瘢痕妊娠（CSP）的诊断及治疗方法。方法对我院2005年1月至2009年12月收治的12例CSP患者临床资料进行回顾性分析。结果 12例均经超声明确诊断。6例子宫动脉栓塞后行清宫术成功保留生育功能;3例行甲氨蝶呤联合米菲司酮保守治疗成功保留生育功能;1例二次清宫术中阴道流血伴失血性休克,手术修补子宫裂口保留子宫;2例行子宫次全切除术。结论超声诊断CSP简便可靠;子宫动脉栓塞后清宫术是安全有效的治疗方法。     

子宫动脉栓塞联合宫腔镜治疗子宫切口妊娠的疗效分析

目的 分析子宫动脉栓塞联合宫腔镜治疗子宫切口妊娠的临床疗效。方法 选取50例汉川市第二人民医院2015年9月~2017年5月收治的子宫切口妊娠患者,通过随机方式将其分为常规组和联合组,各25例,给予常规组患者肌注氨甲蝶呤及B超检测下清宫术治疗,给予联合组患者子宫动脉栓塞联合宫腔镜下清宫术治疗,观察两组患者术中各指标水平,不良反应发生情况。结果 联合组患者各手术指标术中出血、阴道流血时间、血β-HCG转阴时间水平均低于常规组患者,差异有统计学意义（P＜0.05）;联合组患者不良反应发生率低于常规组患者,差异有统计学意义（P＜0.05）。结论 子宫动脉栓塞联合宫腔镜治疗子宫切口妊娠的临床疗效显著,能有效降低术中出血量,加快患者术后恢复,且具有较高的安全性,临床价值较高。     

子宫动脉栓塞治疗产后大出血的临床应用

目的评价应用子宫动脉栓塞手术治疗产后大出血的临床应用价值。方法26例产后大出血患者行子宫动脉栓塞手术,超选择插管进入双侧子宫动脉及侧支供血血管,造影证实后,注入明胶海绵颗粒予以栓塞,重复造影,证实栓塞成功。结果26例患者共栓塞子宫动脉51支,侧支供血血管3支,全部栓塞成功,21例患者术后即时止血,5例患者出血逐渐停止,无一例出血复发,无一例严重并发症发证。结论子宫动脉栓塞手术治疗产后大出血,即时、准确,疗效高,创伤小,恢复快,并发症少,保留了子宫、卵巢正常的生理功能,有利于患者的身心健康,具有较高的临床应用价值。     

剖宫产术后早期子宫瘢痕部位妊娠11例临床分析

目的探讨剖宫产术后子宫瘢痕部位妊娠（CSP）早期诊断及治疗方法。方法对2002年至2008年我院收治的11例剖宫产瘢痕部位妊娠患者资料进行回顾分析。结果11例病例临床表现缺乏特异性,4例误诊为宫内早孕;1例误诊为滋养细胞疾病而给以化疗。阴道大出血4例给予子宫动脉栓塞后行清宫术;氨甲喋呤联合米非司酮治疗6例,4例成功,2例失败后行开腹局部病灶切除术。所有患者均痊愈出院,随诊HCG值至正常。结论超声检查是诊断CSP的简单可靠方法;子宫动脉栓塞可以迅速止血,栓塞后联合药物或手术治疗是安全有效的治疗方法,刮宫术前需用氨甲蝶呤联合米非司酮进行有效地杀胚治疗。     

剖宫产后子宫动静脉瘘行子宫动脉栓塞术治疗的近远期疗效观察

目的：对子宫动脉栓塞术治疗剖宫产后子宫动静脉瘘的疗效进行研究和观察。方法剖宫产后,12例患有子宫动静脉瘘者给予Seldinger技术,首先进行穿刺、然后进行导管超选择插管,同时对双侧子宫动脉进行造影及栓塞治疗,对患者术后效果及术后6个月月经是否恢复进行观察。结果术后所有患者均停止出血,对患者随访6个月以上,病情好转的患者未出现异常出血。结论对剖宫产后患有子宫动静脉瘘的患者运用子宫动脉栓塞术治疗,可得到较好的疗效且远期不会复发。     

子宫动脉插管栓塞在妇产科良性疾病应用进展

子宫动脉插管栓塞是治疗妇科及产科各种出血的有效方法之一。生殖道及盆腔出血传统的治疗方法是局部保守治疗失败后行双侧的髂内动脉或子宫动脉结扎术 ,对于子宫动脉结扎后仍有顽固性出血的病人 ,为了挽救病人的生命 ,则行子宫全切术 ,病人失去了再生育的机会。手术治疗的缺点包括髂内动脉结扎的失败率高 ,需全身麻醉 ,术后易有并发症如感染、出血及输尿管损伤。六十年代 ,诊断性血管造影术是用于胃肠道手术探查止血失败 ,以明确动脉出血病灶的部位 ,随后有了多种经皮穿刺治疗胃肠道出血的方法 ,包括动脉内注入血管收缩剂 ,Ｗｈｏｌｅｙ气囊…     

子宫动脉栓塞术在产科出血治疗中的应用

目的:探讨子宫动脉栓塞术在治疗胎盘植入等产科出血性疾病中的意义。方法:对20例因胎盘植入等各种病因发生产科大出血的患者,应用Seldinger技术行双侧子宫动脉造影并注入明胶海绵颗粒行栓塞术,其中8例胎盘植入和5例宫颈妊娠者栓塞前先行化疗药物灌注。结果:子宫动脉栓塞术后30 min内阴道流血量显著减少,栓塞术后病人仅表现轻微的疼痛和不同程度的发热,无严重并发症。20例均治愈并保留了生殖功能。结论:子宫动脉灌注栓塞术具有止血迅速、创伤小、并发症及副反应少的特点,且可同时药物灌注,是治疗产科大出血的有效方法。     

子宫瘢痕处妊娠5例治疗体会

回顾性总结分析2010年1月～2010年12月我院妇科收治的5例子宫疤痕妊娠治疗的方法,探讨剖宫产子宫疤痕妊娠(CSP)的治疗方法.5例子宫疤痕妊娠通过不同的治疗方法,均达到了杀死胚胎,排出孕囊,保留了患者的生育功能,且术中出血少,术后无残留组织.     

子宫动脉栓塞术治疗早期宫角妊娠的临床疗效观察

<正>宫角妊娠(cornual pregnancy,CP)是指受精卵在靠近子宫与输卵管开口交界处的宫角部着床并生长发育,因孕囊周围血运非常丰富且包绕的肌层较薄,一旦发生破裂,易引起失血性休克[1]。宫角妊娠采用保守治疗效果并不确切,而手术治疗风险较高,甚至使患者丧失生育能力,不易被患者接受[2]。子宫动脉栓塞术(uterine artery embolization,UAE)因可有效阻止产科出血而被越来越多地应用于治疗宫角妊娠。本文回顾性分析22例行子宫动脉栓塞术并灌注甲氨喋呤治疗未破裂的早期宫角妊娠患者病例疗效,现报告如下。     

剖宫产术后疤痕妊娠患者经米非司酮联合B超监护下清宫术治疗的疗效分析

目的:探讨剖宫产术后疤痕妊娠患者经米非司酮联合B超监护下清宫术治疗效果.方法:选取2019年7月～2020年6月我院98例剖宫产术后疤痕妊娠患者,参照随机数字表法分为常规组(n=49)和研究组(n=49).常规组治疗方案为开腹子宫疤痕妊娠病灶切除术,研究组实施米非司酮与B超监护下清宫术联合治疗,比较两组手术相关指标(手术时间、术中出血量)、术后恢复情况[月经恢复时间、术后住院时间、β-人绒毛膜促性腺激素(β-HCG)恢复时间]、术后并发症发生率及术前、术后3d血清性激素[雌激素(E2)、孕酮(P)、血清促卵泡素(FSH)、黄体生成素(LH)]水平.结果:研究组手术时间、术中出血量低于常规组(P<0.05);研究组 β-HCG降至正常时间、月经恢复时间及术后住院时间较常规组短(P<0.05);术后3d,研究组血清LH、P水平较常规组低,E2、FSH水平较常规组高(P<0.05);研究组并发症发生率4.08％较常规组16.33％低(P<0.05).结论:米非司酮、清宫术(B超监护下)联合治疗剖宫产术后疤痕妊娠,可缩短手术时间,减少患者术中出血量,促进术后恢复,在稳定性激素水平、减少并发症发生方面具有积极意义.     

Level of functioning of siblings and parents of probands of varying degrees of retardation

A further analysis of already published data supports the position that retardates of low ability level less frequently have retarded siblings, retarded parents, and parents low in occupational level than do retardates higher in ability level. The analysis supports the position that there are two types of retarded individuals, persons retarded as a result of gene or chromosomal anomalies, brain injury, etc., who more frequently occur in the lower-level retardate group, and persons whose retardation represents polygenic segregation, who more frequently occur in the higher-level group.     

局部注射辛伐他汀对骨质疏松大鼠股骨髁骨小梁的改建效应

背景：局部注射具有成骨作用的辛伐他汀,可显著增加骨质疏松大鼠股骨颈及股骨髁部的骨密度及力学强度,分析局部注射辛伐他汀对股骨髁骨小梁的影响。 目的：进一步研究骨质疏松大鼠股骨内局部注射辛伐他汀对股骨髁骨小梁的影响。为将辛伐他汀应用于临床骨质疏松局部治疗提供实验基础。 方法：18只雌性SD大鼠双侧卵巢切除后3个月,制备大鼠骨质疏松模型。实验大鼠随机数字表法均分为3组,分别在实验大鼠的右侧股骨髓腔内单次注射辛伐他汀溶液5 mg、10 mg,对照组单纯注射空白载体。分别在注射后1个月处死大鼠并取材。Micro-CT扫描并定量分析骨组织形态变化。 结果与结论：给药后1个月,Micro-CT扫描结果显示,辛伐他汀治疗组的骨微结构参数如骨皮质厚度、骨小梁密度及连接率明显优于对照组。说明疏松骨骼单次注射小剂量辛伐他汀可显著促进股骨髁部骨小梁改建,改善骨骼微结构,可为强化局部、防治骨质疏松骨折的新选择进一步提供实验基础。     

石斛属民族药用植物的分类及生药学研究

中药石斛早在《神农本草经》中就被列为上品,其应用历史悠久,具有养阴生津、补肾益气、润喉护嗓、活血明目、抗癌防老等功效。本文对国内外石斛属民族药用植物的分类及生药学研究进行了综述。     

膝关节骨性关节炎的关节镜治疗体会

目的我科自2001～2005年4月对59例67膝的骨性关节炎（0A），进行关节镜检查及镜下清理术。方法镜检：膝关节骨性关节炎伴不同程度滑膜炎，滑膜皱壁粘连纤维片，关节软骨不同程度破坏。镜下清除增生滑膜，松解粘连，去除剥脱软骨、修复关节面。结果随访2月～4年，平均1.5年，术后综合评估2月～1年，优良率94％；1～2年，优良率79.2％；2年以上优良率54.8％。结论关节镜对膝关节骨性关节炎诊断能提供了比较全面的资料，并对骨性关节炎早期有良好疗效，具有创伤小、恢复快、并发症少和重复治疗等优点。     

Anatomical study of distribution of valves of the cutaneous veins of adult''s limbs

Since the cutaneous veins of the four limbs have been used as autogenous grafts in the treatment of cardiovascular disorders, knowledge of distribution of the valves is increasingly required depending upon the use. In the gross anatomical study of distribution of valves of the trunci venae, there has been argument about locational relationships between the venous roots and the valves in the vicinity of the roots and the inter-valvular distance. However, there have been only few reports discussing detailed information about valves of the cutaneous veins of the four limbs. The authors observed patterns of distribution of the cutaneous venous valves of the four limbs of cadavers prepared for practice in anatomy. The following parts were excised from each cadaver: the cephalic, basilic, and the great saphenous veins, which originate from the acral venous network and flow into the proximal deep veins, and the venous roots communicating with these veins. An incision was made on each excised vein in the direction of the long axis under observation with a stereoscopic microscope, and the inter-valvular distance and the distance between the valve and the orifice of venous root in the vicinity of the valve were measured. The inter-valvular distance varied with type of the truncus venae, and it varied according to area even in the same truncus venae.     

Pathways of the realization of immunomodulating effects of neurotransmitters

Translated fromByulleten' Eksperimental'noi Biologii i Meditsiny, Vol. 115, N ^o 4, pp. 401–404, April, 1993     

Characterization of sterols of three digenetic trematodes of buffalo

Sterols of three digenetic trematodes were isolated and characterized by infrared and 1H nuclear magnetic resonance spectroscopies, and gas-liquid chromatography and gas chromatography-mass spectrometry. Sterols identified were cholesterol, cholestanol, 24-methylcholesterol, 24-methylcholestanol, 24-ethyl-22-dehydrocholesterol, 24-ethyl-22-dehydrocholestanol, 24-ethylcholesterol and 24-ethylcholestanol.     

Mechanisms of generation of slow components of bioelectric activity in diagnostics of functional state of the gastrointestinal tract

New electrophysiologic devices were used for the diagnostics of the state of excitable structures in the gastrointestinal tract and correction of their motor functions. Bioelectrical and biomechanical activities form the basis of functioning of internal organs. The mechanisms of generation of slow bioelectrical activity that are important for clinical and physiological studies are described. One of these mechanisms is a capacitance parametric transducer converting the energy of contractions into specific electric signals reflecting muscle functions. Another mechanism results from slow oscillations of resting potentials of interrelated excitable cells in large neuromuscular structures of internal organs. The elaborated procedure is efficient for preventing early postoperative paresis of the gastrointestinal tract. Translated fromByulleten' Eksperimental'noi Biologii i Meditsiny, Vol. 128, No. 10, pp. 448–452, October, 1999     

胃小弯侧血管弓的MDCT解剖

目的：研究正常胃小弯侧血管弓及其属支血管的多排螺旋CT表现。方法：回顾性分析51例正常成人的上腹部CT资料,观察胃小弯侧血管弓及其属支血管的显示情况、血管弓形态及其与胃壁的关系。结果：51例均显示胃小弯侧血管弓,血管弓贲门部属支、胃体部属支和幽门部属支分别显示46例、15例和10例;血管弓与胃壁紧邻41例。结论：MDCT检查可良好显示正常胃小弯侧血管弓及其属支血管。     

Assessment of the efficacy of treatment of hemangiomas

Assessment of the aftereffects of cryoexposure and ultrahigh-frequency cryoexposure on hemangioma tissue of various types, cavernous and squamous, showed a higher cryogenic effect in hemangiomatous tissue preexposed to ultrahigh-frequency waves. A quantitative criterion is proposed for assessing the efficacy of the studied methods of exposure. Translated fromByulleten' Eksperimental'noi Biologii i Meditsiny, Vol. 119, N ^o 6, pp. 669–672, June, 1995