超声下子宫输卵管碘油造影结合X光摄片的应用评价

目的　评价超声下子宫输卵管碘油造影术在临床上的应用价值。方法　子宫输卵管碘油造影术与超声相结合。结果　540例不孕妇女中，双侧输卵管完全通畅者占54．82％，双侧完全阻塞、单侧阻塞及通而不畅的比例分别为25．74％、7．96％和11．48％；46例经该方法诊断为双侧输卵管远端完全阻塞的病例，经腹腔镜诊断证实，两种方法诊断符合率为100％；行造影术时月经干净的天数及注入碘油量的差异与碘油静脉返流的发生率有显著性意义。结论　输卵管性不孕已成为女性不孕症的最重要的病因；适当选择行造影术的时间和注入碘油的量有预防和明显降低碘油静脉返流的发生率；超声下子宫输卵管碘油造影术具有直观、无创、简便、经济、诊断准确率高等优点，可作为不孕症输卵管通畅性检查的首选。     

15卷1期疑难病案讨论选登

一、诊断：宫颈妊娠不全流产二、诊断依据及分析：本病的特点：①早期有停经及早孕反应史。尿ｈＣＧ阳性。②反复吸宫二次后阴道出血未止伴大出血和昏倒１次。血β－ｈＣＧ＜３．１。③ＰＥ：ＢＰ１２／８ｋＰａ,稍呈贫血貌。④妇科检查：阴道有少许积血、宫颈光滑,显著...     

383例剖腹产术分析

剖腹产术已被广泛采用，并普及至基层，但延误手术及滥用手术的情况都有所发生，因此怎样正确使用剖腹产术甚为重要。鉴于国内文献中重点探讨剖腹产术适应症及并发症者不甚多，故将我院1974年1月至1977年5月期间所进行的383例剖腹产术分析报告如下：     

COMPUTER-AIDED PREDICTION OF CEPHALIC LABOR OUTCOME

Using Bayes' conditional probability model and computer technology, we made multivariate analysis of 412 consecutive labors and set up an overall in trapartum computer predicting program for obstc tricians. In a retrospective study, the computer pre- dieting accuracy rate in the series was 95To, and in another 221 cases 94,12%. In a prospective study of 147 cases, the accuracy rate was 93.88%. Com pared with clinical judgement, computer prediction in 102 cases proved to be accurate in 94.12%, 13.73%。 higher than the figure obtained from an original clinical evaluation. Our study suggests that computer- aided prediction of the outcome of cephalic labor may be of value to obstetricians.