宫内节育器所致子宫出血123例的宫内膜病理学检查分析

带器出血是宫内避孕器（IUD）常见并发症之一，其原因还不十分清楚。为了进一步探讨其原因，我们对123例带器出血的妇女作宫内膜检查，结果如下。     

输卵管壶腹部造孔法在复孕术中的应用

复孕术中,当输卵管的两个断端管径差异较大时,难以达到满意吻合,从而影响复孕效果。采用在壶腹部育端造一小孔,使远端孔径和近端管径大小一致,以达到满意吻合的改良方法。临床应用32例,随访1年以上,复通率100％,复孕率为93.7％。介绍了手术方法。     

针刺复合麻醉用于子宫全切除术的临床研究

<正> 全子宫切除术是妇科常见的手术,麻醉要求除要有良好的镇痛效果外,肌肉松弛及抗牵拉反应等亦很重要。针麻子宫切除术虽然具有生理干扰小、术后恢复快等优点,但部分病例由于镇痛不全,肌肉紧张,鼓肠等影响手术操作,进而影响针麻的临床应用。而最常用的硬膜外麻醉,虽然麻醉效果好,但术中生理干扰大,术后恢复较慢。本文用针刺及硬膜外腔注入小剂量局麻药相结合的针刺复会麻醉方法,以期扬长避短,探求改     

A Multicentre Comparative Clinical Study of Three Types of IUD（Eight：Year Follow up）

The Stainless steel ring(SSR), VCu200 and TCu220C were in randomized comparison for eight years in a cohort of 4,490 subjects covering 16 centres in 9 provinces and municipalities. The follow-up rate at the end of the eithth year was 90.33%. The cumulative continuation rates were 47.06 per 100 women at the end of the eighth year for SSR,54.05 for VCu200 and 61.14 for TCu220C. The cumulative pregnancy rates for VCu200 and TCu220C were 10.35 and 8.94 per 100 women respectively, significantly lower than 24.14 for SSR. There were significant differences in eight-year expulsion rates among SSR(21.69%), VCu200(13.05%) and TCu220C(7.48%). The removal for bleeding and/or pain was the lowest in SSR; and no significant differences were found between VCu200 and TCu200C. but the rate ws getting higher in VCu200 at the end of the eighth year than in TCu220C. The discontinued use of lUD for desire to become pregnant in rural area was extremely higher than in urban area. The risk of pregnancy and expulsion was in association with the types of lUD in this study, age at insertion, previous use of IUD and pregnancy frequency prior to insertion. The risk of pregnancy and expulsion for VCu200 and TCu220C was significantly lower than that for SSR. Failure risks were associated with age at insertion, the types of IUD in this study and pregnancy frequency prior to insertion, and failure risk in SSR was still higher than in VCu200 and TCu220C at the end of the eighth year. The study revealed that TCu220C was of good long-term safe ty, efficacy, and acceptability.     

人工流产术后宫颈粘连(附6例报告)

宫颈粘连是人工流产及刮宫术后的并发症之一。由于人工流产及刮宫术的广泛应用，所以国内外有关此症的报导也不断增多。近几年来我院也发现此种病例，由     

恶性滋养细胞肿瘤误诊8例分析

化疗大大改善了滋养细胞肿瘤的预后,只要早期诊断,及时治疗,经有效化疗后,恶葡的死亡率极低,绒癌的死亡率亦下降到20%左右。但由于恶性滋养细胞肿瘤转移早且广泛。不同部位转移病灶有不同的     

剖宫产率增高的有关因素分析

目的：分析剖宫产指征在哪些方面增加，应用是否合理。方法：对１９９４～１９９７年剖宫产５６４例进行回顾分析。结果：剖宫产指征在各方面大大放宽，社会因素、臀位、胎儿窘迫、羊水过少、脐绕颈、相对头盆不称、高龄初产成为剖宫产的主要指征。结论：提高产科医生的技术水平，加强孕产期监护，医患配合的条件下，合理掌握剖宫产指征，在一定程度上可降低剖宫产率。     

A Multicentre Comparative Clinical Study of Three Types of IUD （Eight－Year Follow up）

Ａ　ＭｕｌｔｉｃｅｎｔｒｅＣｏｍｐａｒａｔｉｖｅＣｌｉｎｉｃａｌＳｔｕｄｙｏｆＴｈｒｅｅＴｙｐｅｓｏｆＩＵＤ（Ｅｉｇｈｔ－ＹｅａｒＦｏｌｌｏｗｕｐ）ＦａｎｇＫｅ－ｊｕａｎ；ＣｈｅｎＪｕｎ－ｈａｎｇ；ＨｅＭｅｉ－ｌｉ；ＨａｎＹａｏ－ｌｉｎｇ；ＷｕＭｉｎ...     

妇科下腹痛腹腔镜检查与处理：附128例分析

急性与慢性下腹痛是妇科领域中最常见的,也是最困惑的问题,为了提高诊断水平,及时制定出合理的治疗方案,自1988年4月至1991年12月,我们对住院病人,且临床不能确诊的128例急性或慢性下腹痛患者,施行腹腔镜检查,对部分病人施行腹腔镜手术,现报道如下:     

输卵管壶腹部造孔输卵管吻合法

输卵管壶腹部造孔输卵管吻合法景锦华，陈玲，沈庆泉复孕术中，当输卵管的两个断端管径差异较大时，难以达到吻合满意，从而影响复孕效果，以峡部一壶腹部的吻合更为突出。我们自１９８５年以来，对峡部一壶腹部输卵管吻合的手术方法作了改进，称为壶腹部造孔输卵管吻合法...