BV Blue检测快速诊断细菌性阴道病

【目的】运用BVBlue试剂盒检测细菌性阴道病 ,观察它的临床诊断价值。【方法】用棉拭子收集病人阴道分泌物 ,用BVBlue试剂盒检测分泌物中的唾液酸酶 ,将其阳性率与Amsel标准比较 ,所得数据经统计学分析。【结果】BVBlue检测的阳性率与Amsel标准比较无统计学差异 ( P>0 0 5 ) ,其灵敏性 ( 96 % )、特异性 ( 97 6 % )、正确诊断指数 ( 0 936 )均较高。【结论】BVBlue检测方法与Amsel标准比较 ,既准确又简便 ,值得在门诊推广。     

产气肠杆菌不典型菌落的鉴定

我们从 1例慢性肾盂肾炎患者尿中检出菌落变异的产气肠杆菌 ,报道如下。1　细菌培养以无菌手续留取临床诊断为慢性肾盂肾炎患者中段尿 ,接种于血平板和中国蓝玫瑰酸平板 ,35℃培养 2 4h ,2种平板均生长出 2种菌落。菌落为 2～ 3mm ,灰白色 ,光滑 ,湿润 ,圆整 ,不透明 ,另一种直     

妊娠合并卵泡膜细胞瘤破裂误诊1例分析

对足月妊娠合并卵泡膜细胞瘤破裂并失血性休克误诊1例分析如下。     

胎儿卵巢囊肿3例报告并文献复习

目的：了解胎儿卵巢囊肿的诊断方法与处理原则。方法：通过对3例胎儿卵巢囊肿的病例复习，熟悉胎儿卵巢囊肿的影像学诊断特点、发生、发展及预后。结果：3例胎儿卵巢囊肿均于孕晚期发现，1例胎儿卵巢畸胎瘤选择引产；1例出生后诊断为卵巢单纯性囊肿于6月龄时行腹腔镜下剔出术，手术顺利，病理结果符合；1例出生后随诊3个月囊肿消失。结论：胎儿卵巢囊肿主要于孕晚期B超发现，绝大多数是良性的，大部分可自然消退，如不能消退或出现扭转等并发症，则应适时进行手术治疗。     

2型糖尿病与内皮功能障碍

2型糖尿病与内皮功能障碍之间的关系密切相关，糖尿病伴发的高血糖、脂质代谢紊乱、胰岛素抵抗、炎性因子的升高等可导致内皮功能障碍，内皮功能障碍常被认为是动脉粥样硬化中极其重要的一步，因此，深入了解2型糖尿病与内皮功能障碍之间的相关关系及其发生机制，对防治糖尿病血管并发症具有重要意义。     

发育不同一性双胎妊娠的妊娠结局临床分析

目的探讨发育不同一性双胎妊娠的临床诊断、处理与妊娠结局。方法以双胎胎儿体重差〉20%为发育不同一性双胎妊娠诊断标准,回顾性分析比较1997年1月-2009年8月间中山三院分娩的66例发育不同一性双胎妊娠（观察组）与同期312例发育一致双胎妊娠（对照组）的临床资料,比较两组在妊娠并发症、合并症、分娩情况和围产儿预后等的差异。结果观察组晚期流产、早产、羊水过多、双胎输血综合征、双胎之一胎死宫内和胎盘早剥的发生率分别为18.2%（12/66）、63.6%（42/66）、30.0%（20/66）、34.8%（23/66）、13.6%（9/66）和4.5%（3/66）,对照组为8.0%（25/312）、35.9%（112/312）、14.7%（46/312）、1.3%（4/312）、3.8%（12/312）、0.96%（3/312）,两组间比较差异有统计学意义（P〈0.01）;观察组剖宫产率78.8%（52/66）,阴道分娩率21.2%（14/66）,对照组剖宫产率为75.0%（234/312）,阴道分娩率25.0%（78/312）,两组间差异无统计学意义（P〉0.01）;观察组围产儿病死率18.1%（24/132）,新生儿窒息率44.7%（59/132）,对照组围产儿病死率为2.9%（18/624）,新生儿窒息率15.7%（98/624）,两组间比较差异有统计学意义（P〈0.01）;观察组胎儿畸形的发生率为3.7%（5/132）,显著高于对照组0.6%（4/624）。结论发育不同一性双胎妊娠主要的并发症（晚期流产、早产、羊水过多、双胎输血综合征、胎盘早剥、围产儿死亡、新生儿窒息和胎儿畸形）发生率明显高于发育一致双胎妊娠,临床上应给予重视,及时发现,及时诊断,适时终止妊娠以提高围产质量。     

56例产后女性性功能障碍病因分析

目的：分析产后女性性功能障碍病因,了解女性生殖健康现状。方法：通过对56例产后女性性功能障碍患者进行问卷调查,分析相关病因,提出相应治疗方案。结果：56例产后女性性功能障碍患者中,性欲下降48例,发生率为85.71％ ;性交疼痛41例,发生率为73.21％ ;性高潮障碍38例,发生率为67.86%;阴道痉挛或松弛共20例,发生率为35.71％。性功能障碍与哺乳、文化程度、及夫妻感情相关。结论：妇女产后性功能障碍很多与心理、环境因素有关,重视和加强产后性健康知识宣教,能预防产后性功能障碍。     

中药外敷有助于糖尿病足溃疡的愈合

目的:探讨中药外敷治疗糖尿病足溃疡的疗效并制定临床护理措施。方法:将130例糖尿病足患者随机分为对照组(65例)和治疗组(65例),对照组给予饮食、胰岛素、阿司匹林、抗生素、弥可保、低分子右旋糖酐、血塞通治疗,治疗组经以上综合治疗后给予中药外敷,并根据观察指标进行比较和进行统计学处理。结果:治疗组痊愈率为81.6%,胫后神经传导速度提高至(21.1±3.2)m/s,对照组痊愈率为64.6%,胫后神经传导速度提高至(16.9±3.1)m/s。根据统计学分析治疗组的疗效显著优于对照组(P<0.05)。结论:中药外敷治疗糖尿病足溃疡能缩短疗程,促进伤口愈合。     

126例青春期女性盆腔包块的病因及诊治分析

Objective To explore the clinical characteristics,causes,diagnosis and treatment of pelvic mass in adolescents caused by gynecologic diseases. Methods One hundred and twenty-six adolescents with gynecologic diseases presented as pelvic mass were retrospectively reviewed. Results The average age of all patients was 17. 6 years,ranging from 10. 0 to 19. 0 years. Ectopic pregnancy was found in 38 patients(30. 2%) ,the average age of the patients was 18.6 ±0.5 years, ranging from 17.0 to 19.0 years. Ovarian neoplasm was found in 35 patients (27. 8%) ,the average age of the patients was 17. 1 ± 2. 1 years, ranging from 10. 0 to 19. 0 years. Twenty cases (57. l%)had germ cell tumor, eighteen with mature teratomas, one with endodermal sinus tumor and one with immature teratoma. Thirteen cases(37. 2%)had epithelial ovarian tumors;eight with serous cystadenomas,three with mucinous cystadenoma, one with mucinous cystadenoma complicated with serous cystadenoma and one with borderline mucinous cystadenoma. Two cases had simple cyst of the ovary (5. 7%) . Congenital abnormality of reproductive tract was found in 14 patients (11. 1%), the average age was 14. 7 ±2. 2 years, ranging from 13.0 to 19. 0 years. Seven had imperforate hymens, two had rudimentary horn of uterus,four had atresia of vagina,one had atresia of vagina complicated with rudimentary horn of uterus,and one had oblique septum of vagina. Corpus luteum rupture was found in 11 patients (8. 7%) , the average age was 18. 1 ± 1. 9 years, ranging from 13. 0 to 19. 0 years. 116 patients underwent operative treatment and 10 patients underwent conservative therapy. Conclusions According to the stage of adolescents, main causes of pelvic mass in adolescents are different Main causes of pelvic mass in early adolescents are tumorous disease. Congenital abnormalities of reproductive tract are usually in middle adolescents. The gonads develop closely mature in late adolescent period; main causes of pelvic mass are ectopic pregnancy, ovarian neoplasm and physiologic ovarian cyst Surgery is the main therapy of pelvic mass in adolescents.