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961.
962.
Back pain in in-vitro fertilized and spontaneous pregnancies 总被引:1,自引:0,他引:1
Kristiansson P; Nilsson-Wikmar L; von Schoultz B; Svardsudd K; Wramsby H 《Human reproduction (Oxford, England)》1998,13(11):3233-3238
The influence of ovarian stimulation in in-vitro fertilization (IVF) on the
prevalence of back pain with onset during pregnancy was studied in 31 women
who became pregnant after IVF treatment and compared with that of 200
spontaneously pregnant women. A two times higher prevalence rate of sacral
pain in late pregnancy was reported among IVF pregnant women (P <
0.0001), as well as a significantly higher prevalence rate of positive
results of pelvic pain provocation tests performed in late pregnancy
(0.0001 < or = P < or = 0.015), as compared with that of the
spontaneously pregnant women. Among the IVF pregnant women, there was a
significant positive correlation between relaxin concentrations in early
pregnancy and the outcome of pelvic pain provocation tests (0.44 < or =
r < or = 0.51, P < 0.05). In addition, the serum relaxin
concentration was the factor that best explained differences in sacral pain
prevalence. When the influence of serum relaxin concentration on back pain
prevalence was taken into account, women carrying multiple pregnancies had
no more pain than women carrying singletons, and IVF pregnant women had no
more pain than spontaneously pregnant women. These results support the
hypothesis that relaxin is involved in the generation of pelvic pain in
pregnant women.
相似文献
963.
964.
I. Celebi S. Tekgül H. A. Özen I. Özgü D. Remzi 《International urology and nephrology》1995,27(2):183-187
Bilateral germ cell tumours of the testis are rare but a rise in their incidence is expected since with the new therapeutic
possibilities a significant improvement in prognosis has been achieved even in patients with advanced metastatic spread. Of
the 210 patients treated for malignent germ cell tumours at our Department, six (2.9%) developed a contralateral testicular
tumour. All patients had metachronous tumours and the second tumours occurred after an interval ranging between 1 and 22 years.
The epidemiology, histology, diagnosis, therapy and prognosis are discussed, and the significance of regular self-examination
of the remaining testis in patients with testicular tumour is emphasized. 相似文献
965.
966.
967.
968.
969.
A P Jones A Sofat C H Davis S Denton N T Gurusinghe 《British journal of neurosurgery》1990,4(3):193-197
The high cost of commercial CT-compatible stereotactic frames has restricted the availability of CT-guided stereotaxy for many neurosurgical centres. However, many of these centres do possess the standard stereotactic frames for projection radiography, of which the old type Leksell frame is probably the most common. We have devised a simple and low-cost modification to an old Leksell frame to allow CT-guided stereotaxy. The nature of the modifications allow complete freedom of positioning of the frame relative to the CT scanner and coordinate transformations can be performed simply and effectively. The modified frame has been used successfully for some 18 months and the modification has now been performed at two centres in the North West Regional Health Authority. We hope this modification will allow many other centres to embark on CT-guided stereotaxy. 相似文献
970.
Hydrosyringomyelia associated with a Chiari I malformation in children and adolescents 总被引:3,自引:0,他引:3
The clinical presentation, radiological features, and results of surgical treatment were analyzed in 17 cases of hydrosyringomyelia associated with a Chiari malformation, in children and adolescents younger than 20 years of age. The initial symptoms were a skeletal abnormality (71%), such as scoliosis (11 patients) or pes cavus (1 patient), pain or numbness (24%), and motor weakness (6%). Frequently seen signs on admission were sensory deficit (100%), scoliosis (85%), muscle weakness (64%), muscle atrophy (35%), and lower cranial nerve palsy (35%). The characteristic neurological findings were unilateral sensory and motor deficits (65%) with decreased or absent deep tendon reflexes on the same side. The localization of the syrinx on the axial section varied according to the level, even in the same patient. In 11 patients with unilateral sensory disturbances or unilateral sensory and motor deficits, the syrinx was located in the region corresponding to the posterolateral portion on the same side as that of sensory disturbance at the cervical or thoracic level. On the other hand, in 6 patients with bilateral sensory and motor deficits, the syrinx was located in the central portion and extended into the posterolateral portion of the more affected side. A syringosubarachnoid shunt was placed in 16 patients, foramen magnum decompression without closure of the obex was performed in 1 patient, ventriculoperitoneal shunt in 1 patient, terminal syringostomy in 1 patient, and foramen magnum decompression with terminal syringostomy in 1 patient. In 15 of 17 patients (88%), the neurological symptoms improved after an average follow-up of 4 years and 1 month. We think that as a surgical treatment, placement of a syringosubarachnoid shunt is effective. 相似文献