期刊文献+
共找到6,243篇文章
< 1 2 250 >
每页显示 20 50 100
Caesarean Scar Ectopic Pregnancies—Case Series from a District General Hospital
1
作者 Folasade Akhanoba Alero Awala Tony Boret 《Open Journal of Obstetrics and Gynecology》 2017年第5期608-615,共8页
Caesarean Scar Ectopic Pregnancy (CSEP) is a rare, but potentially catastrophic complication of a previous Caesarean Section (CS) birth. This is a review of 5 cases of CSEP managed in our Early Pregnancy Unit at Watfo... Caesarean Scar Ectopic Pregnancy (CSEP) is a rare, but potentially catastrophic complication of a previous Caesarean Section (CS) birth. This is a review of 5 cases of CSEP managed in our Early Pregnancy Unit at Watford General Hospital within a 10-month period. Two patients had only one previous CS, whilst 2 had two and the last had 3 previous CS. All our patients presented within the first trimester of pregnancy (range 6 to 11 weeks’ gestation) with light vaginal bleeding;4 of them had associated mild to moderate abdominal pain. All were diagnosed using transvaginal ultrasound scan. Three of our patients were managed surgically by Suction Evacuation under Ultrasound guidance and insertion of a Foley’s catheter prophylactically for tamponade in order to reduce blood loss both intra- and post-operatively. One of our patients had a heterotopic pregnancy with a viable intrauterine pregnancy and a live CSEP. She declined any intervention so she was managed conservatively with weekly Consultant appointments and scans. There was a subsequent demise of the CSEP and she continued with a singleton pregnancy. None of our patients were managed medically. There is no absolute consensus on diagnostic criteria and there is no standard management protocol so each woman should be given all the available information and the opportunity to decide on the management of her pregnancy. The risk of a CSEP in a subsequent pregnancy should be part of the consent process for CS. 展开更多
关键词 CAESAREAN SCAR ectopic PREGNANCY
下载PDF
Efficacy of transvaginal ultrasound-guided local injections of absolute ethanol for ectopic pregnancies with intrauterine implantation sites
2
作者 Toshiyuki Kakinuma Kaoru Kakinuma +3 位作者 Yoshio Matsuda Kaoru Yanagida Michitaka Ohwada HirotsuneKaijima 《World Journal of Clinical Cases》 SCIE 2023年第4期788-796,共9页
BACKGROUND Cervical pregnancies,interstitial tubal pregnancies,and cesarean scar pregnancies,which are ectopic pregnancies with intrauterine implantation sites exhibit increasing trends with the recent widespread use ... BACKGROUND Cervical pregnancies,interstitial tubal pregnancies,and cesarean scar pregnancies,which are ectopic pregnancies with intrauterine implantation sites exhibit increasing trends with the recent widespread use of assisted reproductive technologies and increased rate of cesarean deliveries.The development of highsensitivity human chorionic gonadotropin testing reagents and the increased precision of transvaginal ultrasonic tomography have made early diagnosis possible and have enabled treatment.Removal of ectopic pregnancies using methotrexate therapy and/or uterine artery embolization has been reported.However,delayed resumption of infertility treatments after methotrexate therapy is indicated,and negative effects on the next pregnancy after uterine artery embolization have been reported.AIM To examine the efficacy and safety of ultrasound-guided topical absolute ethanol injection in ectopic pregnancies with an intrauterine implantation site.METHODS In this study,we retrospectively examined the medical records of 21 patients who were diagnosed with an ectopic pregnancy with an intrauterine implantation site at our hospital,between April 2010 and December 2018,and underwent transvaginal ultrasound-guided local injections of absolute ethanol to determine the treatment outcomes.We evaluated the treatment methods,treatment outcomes,presence of bleeding requiring hemostasis measures and blood transfusion,complications,and treatment periods.Successful treatment was defined as the completion of treatment using transvaginal ultrasound-guided local injections of absolute ethanol alone.RESULTS There were 21 total cases comprising 10 cervical pregnancies,10 interstitial tubal pregnancies,and 1 cesarean scar pregnancy.All patients completed treatment with this method.No massive hemorrhaging or serious adverse reactions were observed during treatment.The mean gestation ages at the time of diagnosis were 5.9 wk(SD,±0.9 wk)for cervical and 6.9 wk(SD,±2.1 wk)for interstitial tubal pregnancies.The total ethanol doses were 4.8 mL(SD,±2.2 mL)for cervical pregnancies and 3.3 mL(SD,±2.2 mL)for interstitial pregnancies.The treatment period was 28.5days(SD,±11.7 d)for cervical pregnancies and 30.0±8.1 d for interstitial pregnancies.Positive correlations were observed between the bloodβ-human chorionic gonadotropin level at the beginning of treatment and the total ethanol dose(r=0.75;P=0.00008),as well as between the total ethanol dose and treatment period(r=0.48;P=0.026).CONCLUSION Transvaginal ultrasound-guided local injections of absolute ethanol could become a new option for intrauterine ectopic pregnancies when fertility preservation is desired. 展开更多
关键词 Embryo transfer FERTILITY Fertilization in vitro Pregnancy complications Prenatal care ectopic pregnancy
下载PDF
Prognosis of gestational choriocarcinoma diagnosed incidentally during laparoscopy for a presumed cornual pregnancy:a report of five cases 被引量:1
3
作者 Shiping Liu Chenchen Fan +3 位作者 Fengzhi Feng Yang Xiang Xirun Wan Tong Ren 《Cancer Biology & Medicine》 SCIE CAS CSCD 2017年第2期191-193,共3页
The clinical presentations of gestational choriocarcinoma vary markedly, and a misdiagnosis could be made in atypical patients if simply relying on clinical features. Laparoscopic resection of uterine mass lesion is r... The clinical presentations of gestational choriocarcinoma vary markedly, and a misdiagnosis could be made in atypical patients if simply relying on clinical features. Laparoscopic resection of uterine mass lesion is rarely used in gestational choriocarcinoma diagnosis because of the fear of heavy blood loss and distant metastasis. Five patients who were preoperatively diagnosed as having cornual pregnancy underwent laparoscopic resection of mass lesion and then proved to have gestational choriocarcinoma based on pathological examinations. Chemotherapy was started within two days after surgery, and the rate of complete remission was 100%. The mean follow-up time was 29.8±19.1 months, and no patient showed signs of relapse. Laparoscopic resection of uterine mass followed by timely postoperative chemotherapy may be an effective and safe way to obtain pathologic results in patients with suspected gestational choriocarcinoma. 展开更多
关键词 Gestational choriocarcinoma cornual pregnancy laparoscopy
下载PDF
Misdiagnosis and Delayed Diagnosis for Ectopic and Heterotopic Pregnancies after In Vitro Fertilization and Embryo Transfer 被引量:40
4
作者 王琳琳 陈薪 +4 位作者 叶德盛 刘玉东 何于夏 郭薇 陈士岭 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2014年第1期103-107,共5页
This study examined the misdiagnosis and delayed diagnosis factors for ectopic pregnancy(EP) and heterotopic pregnancy(HP) after in vitro fertilization and embryo transfer(IVF-ET) in an attempt to reduce the dia... This study examined the misdiagnosis and delayed diagnosis factors for ectopic pregnancy(EP) and heterotopic pregnancy(HP) after in vitro fertilization and embryo transfer(IVF-ET) in an attempt to reduce the diagnostic error. Clinical data of patients who underwent IVF-ET treatment and had clinical pregnancy from 12463 cycles were retrospectively analyzed. Their findings of serum β-hCG test and transvaginal ultrasonography were also obtained during follow-up. These patients were divided into two groups according to the diagnosis accuracy of EP/HP: early diagnosis and misdiagnosis/delayed diagnosis. The results showed that the incidence of EP and HP was 3.8%(125/3286) and 0.8%(27/3286) respectively for IVF/ICSI-ET cycle, and 3.8%(55/1431) and 0.7%(10/1431) respectively for frozen-thawed embryo transfer(FET) cycle. Ruptured EP occurred in 28 patients due to initial misdiagnosis or delayed diagnosis. Related factors fell in 3 categories:(1) clinician factors: misunderstanding of patients' medical history, insufficient training in ultrasonography and unawareness of EP and HP;(2) patient factors: noncompliance with medical orders and lack of communication with clinicians;(3) complicated conditions of EP: atypical symptoms, delayed elevation of serum β-hCG level, early rupture of cornual EP, asymptomatic in early gestation and pregnancy of unknown location. All the factors were interwoven, contributing to the occurrence of EP and HP. It was concluded that complicated conditions are more likely to affect the diagnosis accuracy of EP/HP after IVF-ET. Transvaginal ultrasonography should be performed at 5 weeks of gestation. Intensive follow-up including repeated ultrasonography and serial serum β-hCG tests should be performed in patients with a suspicious diagnosis at admission. 展开更多
关键词 ectopic pregnancy heterotopic pregnancy MISDIAGNOSIS assisted reproductive technology early diagnosis
下载PDF
Successful Management of a Live 14-week Primary Hepatic Ectopic Pregnancy Combined with a Residual Horn of the Uterus Using Laparoscopy 被引量:10
5
作者 Ren-Feng Zhao Shun-Rong Huang +2 位作者 Li-Li Xu Ni-Ping Liu Ning Liang 《Chinese Medical Journal》 SCIE CAS CSCD 2017年第24期3013-3014,共2页
Intra-abdominal pregnancy is rare and affects approximately 1 in 10,000 births.It occurs in 1.4% ofectopic pregnancies and carries a mortality rate of 5.1/1000 cases,7.7 times higher compared with nonabdominal ectopic... Intra-abdominal pregnancy is rare and affects approximately 1 in 10,000 births.It occurs in 1.4% ofectopic pregnancies and carries a mortality rate of 5.1/1000 cases,7.7 times higher compared with nonabdominal ectopic pregnancies.This study aimed to present a case of a live 14-week primary hepatic ectopic pregnancy diagnosed using ultrasound,computed tomography (CT),and magnetic resonance imaging (MRI) and managed using laparoscopic microsurgery. 展开更多
关键词 laparoscopy MANAGEMENT Primary Hepatic ectopic Pregnancy
原文传递
Operative laparoscopy versus laparotomy for the management of ectopic pregnancy 被引量:15
6
作者 朱兰 黄胡信 白峻 《Chinese Medical Journal》 SCIE CAS CSCD 2000年第9期42-44,共3页
To compare the surgical managements for ectopic pregnancy Methods In a retrospective analysis, we examined the trend of surgical procedures and the results of different management in 149 patients Results The chan... To compare the surgical managements for ectopic pregnancy Methods In a retrospective analysis, we examined the trend of surgical procedures and the results of different management in 149 patients Results The change from laparotomy to laparoscopic treatment was significant The success rates of salpingostomy and salpingectomy under laparoscopy or laparotomy were 100% No serious complications occurred The operation time and length of hospital stay for laparoscopic salpingostomy were shorter than those for laparotomy with salpingostomy Conclusion Laparoscopic salpingostomy and laparoscopic salpingectomy are better than laparotomy in the treatment of ectopic pregnancy 展开更多
关键词 ectopic pregnancy surgical treatment
原文传递
Retroperitoneal para-aortic ectopic pregnancies:A review of reported cases 被引量:1
7
作者 Junxiang Ren Hongjing Han 《Gynecology and Obstetrics Clinical Medicine》 2023年第4期220-228,共9页
Objective:To gain insights into the diagnosis and treatment of retroperitoneal para-aortic ectopic pregnancies(RPEP).Methods:We conducted a review of the existing literature from the web of science,PubMed,and CNKI usi... Objective:To gain insights into the diagnosis and treatment of retroperitoneal para-aortic ectopic pregnancies(RPEP).Methods:We conducted a review of the existing literature from the web of science,PubMed,and CNKI using the search terms"ectopic pregnancy"and'retroperitoneal."The present review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analysis(PRISMA)guidelines.Results:After applying the inclusion and exclusion criteria,we included a total of 54 relevant works,encompassing 55 cases.The studies have revealed that a history of artificial abortion,embryo transfer,salpingectomy,and uterine cavity operation,accounted for 65.5%(36/55)of the cases.Typical symptoms of RPEP include abdominal pain(43.6%,24/55)and vaginal bleeding(36.4%,20/55),with only 32.7%(18/55)of cases being asymptomatic.The most common sites of RPEP are the abdominal aorta and the inferior vena cava(74.5%,41/55).There were no statistically significant differences in the incidence of acute abdomen,diameter of the pregnancy sac,number of surgeries,and the time for postoperative hcG to normalize in different pregnant site.The most effective imaging examination for RPEP was found to be abdominal ultrasound(72.7%,40/55),and the most commonly used treatment method was laparoscopy surgery(55.3%,21/38).Conclusion:It is crucial to consider the possibility of RPEP when a pregnancy mass cannot be located during routine examinations.Expanding the scope of the scan may significantly expedite diagnosis and treatment. 展开更多
关键词 Retroperitoneal pregnancy ectopic pregnancy Para-aortic TREATMENT
原文传递
New frontiers in ectopic pancreatic tissue management
8
作者 Serghei Covantsev 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第4期1215-1217,共3页
The pancreatic development variations are relatively frequent but are often overlooked in clinical practice.This is due to the fact that they do not present with a distinct clinical picture and are usually asymptomati... The pancreatic development variations are relatively frequent but are often overlooked in clinical practice.This is due to the fact that they do not present with a distinct clinical picture and are usually asymptomatic.It also refers to the ectopic pancreatic tissue in the stomach.This anomaly can be diagnosed in any part of the digestive system,but it is mostly seen in the upper gastrointestinal tract,especially in the stomach,duodenum and jejunum.The management of this condition has evolved due to the development of minimally invasive procedures. 展开更多
关键词 ectopic pancreatic tissue STOMACH Endoscopy laparoscopy PANCREAS ANOMALIES
下载PDF
Hepatic ectopic pregnancy with hemorrhage secondary diaphragmatic adhesion:A case report
9
作者 Xiu-Ci Yang Miao Fang +2 位作者 Yi-Gen Peng Liang Wang Rong Ju 《World Journal of Hepatology》 2024年第9期1289-1296,共8页
BACKGROUND Primary abdominal pregnancy is an extremely rare form of ectopic pregnancy.Ectopic pregnancies that occur in the liver and diaphragm are even rarer,limited case reports are available in the literature.CASE ... BACKGROUND Primary abdominal pregnancy is an extremely rare form of ectopic pregnancy.Ectopic pregnancies that occur in the liver and diaphragm are even rarer,limited case reports are available in the literature.CASE SUMMARY A woman of childbearing age was transferred to the emergency department due to lumbar and abdominal pain radiating to the back toward the lower right.After a series of physical and auxiliary examinations,she was clinically diagnosed with hepatic ectopic pregnancy.Laparoscopic surgery was performed to remove the pregnancy tissue and achieve hemostasis.After a period of follow-up,the patient was successfully cured.CONCLUSION Paying attention to the patient's signs and utilizing imaging examination methods can help avoid missed diagnoses of liver pregnancy. 展开更多
关键词 ectopic pregnancy Liver DIAPHRAGM Diagnosis Case report
下载PDF
Conservative Management of Unruptured Ectopic Pregnancy—A Retrospective Study
10
作者 Yazhini Selvaraj 《Surgical Science》 2024年第10期536-546,共11页
An ectopic pregnancy (EP) is defined as any pregnancy that occurs outside the uterine cavity. The most common site of ectopic pregnancy is the fallopian tube. The goal of this retrospective study is to address medical... An ectopic pregnancy (EP) is defined as any pregnancy that occurs outside the uterine cavity. The most common site of ectopic pregnancy is the fallopian tube. The goal of this retrospective study is to address medical and conservative surgical management of unruptured fallopian tube EP as an effective manner to preserve tubes to prevent secondary infertility. This study was conducted between January 1, 2010, and April 30, 2024, in Ponni Hospital, Madurai. It included 319 women, out of 6248 pregnant women diagnosed with ectopic pregnancy by using an Inexecreen kit, trans-abdominal scan, trans-vaginal scan, and doubling of beta-human chorionic gonadotropin (β-HCG) in 48 hours and Magnetic Resonance Imaging (MRI). Medical and conservative surgical management were given to those patients effectively. Out of 319 patients, 62 patients (19.4%) had a ruptured ectopic pregnancy and underwent surgical treatment;257 patients (80.6%) had an unruptured ectopic pregnancy. The conservative medical management was provided to 257 patients. Out of 257 patients, 235 patients were treated by injecting methotrexate and folic acid rescue when the criteria were met. 14 patients had salpingostomy and injection methotrexate (Inj. Methotrexate) and inj. Prostaglandin F2 alpha was administered into the tubal wall to preserve tubes. 8 patients had a live ectopic pregnancy;for those patients, Inj. Methotrexate was injected into the gestational sac through ultrasound guidance. 225 out of 257 patients reached out to us to seek fertility treatment;the remaining 32 patients were not seeking fertility. All fertility-seeking patients had successful pregnancies. We lost follow-up of 12 patients in this study. Out of 213 patients who came for fertility treatment, a 76.1% success rate was achieved with live birth, the recurrent ectopic pregnancy rate was 13.6%, the miscarriage and stillbirth rates were 10.3%. 32 patients, who were not seeking fertility, had quality life without surgical scars for ectopic pregnancy and cost-effective treatment. 25 patients out of 32 had laparoscopic sterilization later, and 7 patients followed temporary contraception as per our advice. This clinical data was retrieved from medical records. 展开更多
关键词 ectopic Pregnancy (EP) Beta-Human Chorionic Gonadotrophin (β-HCG) Medical Management Methotrexate (MTX) SALPINGOSTOMY
下载PDF
Evaluation of Spontaneous Fertility after Medical Treatment of Tubal Ectopic Pregnancy in Two Hospitals in the City of Yaounde
11
作者 Noa Ndoua Claude Cyrille Tchedele Guidebta Hilary +4 位作者 Nyada Serge Robert Astrid Ruth Ndolo Kondo Ayissi Gregory Ngo Dingom Anne Madye Tompeen Isidore 《Open Journal of Obstetrics and Gynecology》 2024年第1期175-185,共11页
Background: Ectopic pregnancy is a major cause of maternal morbidity and mortality, estimated to occur in 1% - 2% of pregnancies worldwide. This condition also has an adverse effect on the fertility prospects of women... Background: Ectopic pregnancy is a major cause of maternal morbidity and mortality, estimated to occur in 1% - 2% of pregnancies worldwide. This condition also has an adverse effect on the fertility prospects of women who experience it. Objective: To determine the outcomes of subsequent spontaneous fertility after medical treatment of patients with methotrexate (MTX) in patients with ectopic pregnancy at two university teaching hospitals of Yaounde. Methodology: We carried out a cross-sectional study with retrospective data collection in two university teaching hospitals of Yaounde during a six years period from 1<sup>st</sup> January 2015 to 31<sup>st</sup> May 2021. Seventy records of patients who had medical treatment for ectopic pregnancy were included in this study. Statistical analysis was performed using SPSS. 23. The Chi-2 statistical test was used to compare qualitative variables. Binary logistic regression method was performed to identify independent risk factors associated with infertility after medical treatment of tubal ectopic pregnancy (TEP). The significance level was set at 0.05. Results: The mean age in our study population was 27.8 ± 3.8 years. According to the past medical history, 52.9% had a pelvic inflammatory disease (PID) and the most frequently germ found was C. trachomatis (47.1%). Almost 15% of our study population had previous surgery for EP. The median Fernandez score was 11 with a minimum score of 4 and a maximum score of 13. The route of administration of methotrexate was intramuscular in all our patients, and the single-dose protocol was used most frequently (58.6%). After medical treatment of the EP, we found a spontaneous conception rate of 58.6%. After multivariate analysis, we were unable to confirm that there was an association between a history of sexually transmitted infections (STIs) and fertility prognosis. Conclusion: The spontaneous fertility rate after medical management of EP was 58.6%, of which 73.2% were term pregnancies and 14.6% were recurrent ectopic pregnancies. 展开更多
关键词 ectopic Pregnancy Maternal Morbidity
下载PDF
Ruptured Ectopic Pregnancy: Epidemiology and Management in the General Surgery Department of the Ignace Deen National Hospital, Conakry University Hospital
12
作者 Barry Mamadou Sakoba Barry Boubacar +2 位作者 Guirassy Mariam Touré Aboubacar Diallo Aissatou Taran 《Open Journal of Obstetrics and Gynecology》 2024年第4期503-508,共6页
Introduction: The aim of this study was to contribute to improving the quality of GEUR management in the general surgery department and in the maternity ward of the Ignace Deen national hospital, Conakry University Ho... Introduction: The aim of this study was to contribute to improving the quality of GEUR management in the general surgery department and in the maternity ward of the Ignace Deen national hospital, Conakry University Hospital. Methodology: This was a retrospective, descriptive study lasting two years (January 1, 2020 to December 31, 2022), carried out in the general surgery and gyneco-obstetrics departments of the Ignace Deen national hospital, Conakry University Hospital. We included all patients with a ruptured ectopic pregnancy who received surgical treatment during the study period. Results: We collected 13,524 cases of surgical interventions in the two services, among them, we recorded 89 cases or 0.66% GEUR. The average age of the patients was 24.26 years. Brides were the most represented with 80.96% of cases. Women practicing a liberal profession were 51.69% (n = 46) and housewives 26.97% (n = 24). Clinically, amenorrhea was noted in all patients, i.e. 100%, abdominal-pelvic pain in 95.2% (n = 85) of cases, metrorrhagia in 94.08% (n = 84), abdominal-pelvic sensitivity in 97.44% (n = 87) of cases and anemia in 85.39% of cases. The GEUR was ampullary in 69.66% (n = 62) cases. Salpingectomy was performed in 90.72% (n = 81). The surgical outcomes were satisfactory in 98.87% (n = 88) of cases. We recorded one case of surgical site infection. We have not recorded any deaths. The average length of hospitalization was 4 days. Conclusion: GEUR is relatively high in our context. A good understanding of the prognostic factors of GEUR, awareness and family planning could reduce GEUR. 展开更多
关键词 Ruptured ectopic Pregnancy Epidemiology and Management
下载PDF
宫内外复合妊娠MRI表现一例
13
作者 令潇 李洁 +2 位作者 朱思成 张静 岳松虹 《磁共振成像》 北大核心 2025年第1期167-169,共3页
本研究为回顾性研究,遵守《赫尔辛基宣言》,并经兰州大学第二医院伦理委员会审核批准,免除受试者知情同意,批准文号:2024A-1075。患者女,34岁,G2P1,孕9周,因突发右下腹疼痛,伴恶心呕吐于2024年3月3日凌晨就诊于我院急诊科。患者既往诊... 本研究为回顾性研究,遵守《赫尔辛基宣言》,并经兰州大学第二医院伦理委员会审核批准,免除受试者知情同意,批准文号:2024A-1075。患者女,34岁,G2P1,孕9周,因突发右下腹疼痛,伴恶心呕吐于2024年3月3日凌晨就诊于我院急诊科。患者既往诊断多囊卵巢综合征。 展开更多
关键词 宫内外复合妊娠 异位妊娠 磁共振成像
下载PDF
经腔内彩色多普勒超声检查鉴别输卵管不同节段异位妊娠的效能评估
14
作者 刘亚君 《罕少疾病杂志》 2025年第1期108-109,112,共3页
目的 探讨经腔内彩色多普勒超声检查鉴别输卵管不同节段异位妊娠的效能评估。方法2021年1月至2022年10月,从就诊本院的输卵管异位妊娠中选取100例为研究对象,用腔内彩色多普勒超声检查鉴别诊断输卵管不同节段异位妊娠,分析其对输卵管不... 目的 探讨经腔内彩色多普勒超声检查鉴别输卵管不同节段异位妊娠的效能评估。方法2021年1月至2022年10月,从就诊本院的输卵管异位妊娠中选取100例为研究对象,用腔内彩色多普勒超声检查鉴别诊断输卵管不同节段异位妊娠,分析其对输卵管不同节段异位妊娠鉴别诊断的效能。结果100例输卵管异位妊娠患者,经腔内超声确诊95例,诊断准确率为95%,其中附件包块检出94例,检出率为94%,包块血流检出95例,检出率为95%,盆腔积液检出93例,检出率为93%;经腔内超声确诊的95例患者,其中壶腹部妊娠70例,占比73.68%,准确率为93.33%(70/75),间质部妊娠8例,占比5.26%,准确率为75.00%(6/8),峡部妊娠6例,占比6.3 2%,准确率为42.85%(6/14),伞部妊娠11例,占比11.58%,准确率为45.45%(5/11);壶腹部的AUC为0.817,间质部为0.701,峡部为0.624,伞部为0.630。结论经腔内彩色多普勒超声检查对于输卵管不同节段异位妊娠具有诊断价值,且对壶腹部、间质部的诊断准确率最高,伞部及峡部诊断准确率次之,可用于输卵管不同节段异位妊娠的鉴别诊断。 展开更多
关键词 输卵管不同节段异位妊娠 经腔内彩色多普勒超声检查 效能评估
下载PDF
经阴道超声用于异位妊娠的早期诊断价值分析
15
作者 王芳 《影像技术》 2025年第1期57-61,共5页
目的:探讨经阴道超声在异位妊娠早期诊断中的作用。方法:选择2021年1月-2022年12月住院的可疑宫外孕病人100例,行经阴道超声及经腹超声检查,以综合诊断为金标准,比较经阴道超声和经腹部超声诊断结果及诊断效能。结果:以停经史、血β-HC... 目的:探讨经阴道超声在异位妊娠早期诊断中的作用。方法:选择2021年1月-2022年12月住院的可疑宫外孕病人100例,行经阴道超声及经腹超声检查,以综合诊断为金标准,比较经阴道超声和经腹部超声诊断结果及诊断效能。结果:以停经史、血β-HCG测定、TAS和TVS扫查,或经腹腔镜手术及病理检查等综合措施为诊断依据,确诊异位妊娠80例,非异位妊娠20例,其中异位妊娠者包含孕囊型40例,流产型10例,杂乱混合型20例,陈旧型10例。经阴道超声诊断异位妊娠的灵敏度较高,两组数据对比,有统计学意义,P<0.05;特异度和准确性进行组间对比,无统计学意义,P>0.05。结论:经阴道超声在异位妊娠的早期诊断中具有较高的敏感性,特别是对于孕囊型、流产型等不同类型的异位妊娠均有较好的诊断效果,因此值得临床推广应用。 展开更多
关键词 经阴道超声 异位妊娠 早期诊断价值
下载PDF
针对性护理在急诊宫外孕患者中的应用价值
16
作者 何霄 黄静谊 《医药前沿》 2025年第1期108-110,114,共4页
目的分析针对性护理在急诊宫外孕患者中的应用价值。方法选取2022年6月—2024年5月厦门大学附属妇女儿童医院收治的120例宫外孕患者,依据随机数字表法将其分为参照组与试验组,每组60例。参照组给予常规护理,试验组给予针对性护理。观察... 目的分析针对性护理在急诊宫外孕患者中的应用价值。方法选取2022年6月—2024年5月厦门大学附属妇女儿童医院收治的120例宫外孕患者,依据随机数字表法将其分为参照组与试验组,每组60例。参照组给予常规护理,试验组给予针对性护理。观察两组护理前后恐惧情绪评分、心理与生理应激反应以及满意度情况。结果护理后,试验组家庭关系、职业、自主感丧失、情感反应以及焦虑应对评分均低于参照组(P<0.05),焦虑情绪评分、抑郁情绪评分、心率以及平均动脉压均低于参照组(P<0.05),护理满意度高于参照组(P<0.05)。结论在急诊宫外孕患者中,针对性护理可以有效减轻患者恐惧情绪,提高其心理适应能力,降低心理与生理应激反应,提高手术安全性,提升手术效果,从而有利于提升患者对医疗服务满意度。 展开更多
关键词 针对性护理 急诊 宫外孕 应激反应 术后康复 满意度
下载PDF
不同切口下腹腔镜输卵管切除治疗输卵管妊娠的临床比较
17
作者 韩亚琴 邵小丽 陆惠菊 《生殖医学杂志》 2025年第1期61-66,共6页
目的 探讨不同切口腹腔镜输卵管切除术治疗输卵管妊娠的疗效差异。方法 收集2021年4月至2024年4月于上海大学附属南通医院接受腹腔镜下输卵管切除术治疗的89例输卵管妊娠患者,随机分为单切口组(采用经脐单切口手术,44例)和多切口组(采... 目的 探讨不同切口腹腔镜输卵管切除术治疗输卵管妊娠的疗效差异。方法 收集2021年4月至2024年4月于上海大学附属南通医院接受腹腔镜下输卵管切除术治疗的89例输卵管妊娠患者,随机分为单切口组(采用经脐单切口手术,44例)和多切口组(采用三孔入路手术,45例)。比较两组患者手术指标、性激素水平、疼痛血清指标及卵巢截面积的差异,评估出院时及出院后6个月的卵巢窦卵泡计数(AFC)。结果 两组患者间手术时间、术中出血量比较均无统计学差异(P>0.05);相较于多切口组,单切口组住院时间更短、下床活动更早、切口满意度更高(P<0.05)。术前两组患者间性激素(FSH、LH、E2)、AMH水平和疼痛相关血清指标(NPY、SP)比较均无统计学差异(P>0.05),出院时单切口组FSH、LH、E2、AMH、NPY及SP水平均显著低于多切口组(P<0.05)。出院时和出院6个月后,单切口组的患侧卵巢AFC均显著高于多切口组(P<0.05),出院6个月后单切口组的健侧卵巢AFC显著低于多切口组(P<0.05)。两组患者间术后并发症总发生率比较无统计学差异(P>0.05)。结论 单切口腹腔镜下输卵管切除术治疗输卵管妊娠,与多切口方法相比,具有住院时间短、术后康复快、对卵巢功能影响小等优势,值得在临床上推广应用。 展开更多
关键词 腹腔镜 输卵管切除 输卵管妊娠 经脐单切口 三孔入路
下载PDF
米非司酮联合消瘕复通汤治疗异位妊娠的临床效果
18
作者 时娟娟 李南 +1 位作者 王敏 张丹 《国际医药卫生导报》 2025年第1期21-25,共5页
目的研究米非司酮联合消瘕复通汤治疗异位妊娠的临床效果。方法本研究为随机对照试验。以滕州市中心人民医院2023年6月至12月因异位妊娠行保守治疗的80例患者为研究对象,简单随机分为两组。观察组年龄(30.38±4.52)岁,停经天数(35.0... 目的研究米非司酮联合消瘕复通汤治疗异位妊娠的临床效果。方法本研究为随机对照试验。以滕州市中心人民医院2023年6月至12月因异位妊娠行保守治疗的80例患者为研究对象,简单随机分为两组。观察组年龄(30.38±4.52)岁,停经天数(35.05±17.41)d,血人绒毛膜促性腺激素(human chorionic gonadotropin,HCG)水平(771.18±515.59)mIU/ml,异位妊娠包块大小(2.61±0.93)cm;对照组年龄(29.90±5.40)岁,停经天数(40.00±15.59)d,血HCG水平(855.13±680.85)mIU/ml,异位妊娠包块大小(2.42±0.72)cm。对照组口服米非司酮,50 mg每次,一天两次,连服3 d。观察组在对照组基础上联合消瘕复通汤口服,每日一剂,400 ml药汁分早晚两次服用,7 d为1个疗程(如果HCG未能在第7天下降15%以上,则进行第2个疗程的治疗)。比较两组临床疗效及血清指标变化,同时观察两组不良反应发生情况。采用t检验、χ^(2)检验进行统计学分析。结果观察组药物治疗成功未行手术者39例(97.5%),对照组药物治疗成功者37例(92.5%),两组药物治疗成功率比较,差异无统计学意义(χ^(2)=1.053,P=0.305)。观察组治疗后第7天血HCG水平低于对照组[(422.01±249.80)mIU/ml比(536.56±316.20)mIU/ml],血HCG降至正常时间以及异位妊娠包块消失时间短于对照组[(13.28±2.91)d比(19.03±4.43)d、(23.46±7.38)d比(30.38±11.73)d],差异均有统计学意义(均P<0.05)。治疗前,两组血管内皮生长因子(vascular endothelial growth factor,VEGF)、糖类抗原125(carbohydrate antigen 125,CA125)及肌酸激酶(creatine kinase,CK)水平比较,差异均无统计学意义(均P>0.05);治疗后第7天,观察组上述指标均低于对照组,差异均有统计学意义(均P<0.05)。两组药物不良反应发生率比较差异无统计学意义(χ^(2)=0.251,P=0.617)。结论米非司酮联合消瘕复通汤能够促进异位妊娠患者血HCG下降以及异位妊娠包块吸收,不增加药物不良反应,效果显著。 展开更多
关键词 异位妊娠 米非司酮 消瘕复通汤 血管内皮生长因子 糖类抗原125 肌酸激酶
下载PDF
Reproductive outcomes after operative laparoscopy of patients with tubal infertility with or without hydrosalpinx 被引量:15
19
作者 Xiao Li Liu Dong Song Yong Huang Wei 《Chinese Medical Journal》 SCIE CAS CSCD 2014年第3期593-594,共2页
Infertility is defined as the inability for a couple to have children without any contraceptive methods within 1 year.Tubal factors are responsible for 25% to 35% of female reasons,and these have been proven to be a... Infertility is defined as the inability for a couple to have children without any contraceptive methods within 1 year.Tubal factors are responsible for 25% to 35% of female reasons,and these have been proven to be a major cause of female infertility.Hydrosalpinx is a special type of tubal occlusion in which fluid accumulates inside the hymen of the tube.This adversely affects fallopian function,and hydrosalpinx fluids have a toxic effect on the quality of the embryos and endometrial receptivity.Currently,reconstructive surgery still plays a role in female infertility for tubal factors and has not been totally replaced by assisted reproductive technology in developing countries and districts.Keywords:infertility; hydrosalpinx; laparoscopy; pregnancy; ectopic pregnancy rate 展开更多
关键词 INFERTILITY HYDROSALPINX laparoscopy PREGNANCY ectopic pregnancy rate
原文传递
LAPAROSCOPIC SURGERY IN PATIENTS WITH HYPOVOLEMIC SHOCK DUE TO ECTOPIC PREGNANCY 被引量:7
20
作者 Zhi-gangLi Jin-huaLeng +3 位作者 Jing-heLang Zhu-fengLiu Da-weiSun ZhuLan 《Chinese Medical Sciences Journal》 CAS CSCD 2005年第1期40-43, ,共4页
Objective To evaluate the feasibility and safety of operative laparoscopy for ectopic pregnancy with hypovolemic shock. Methods Two hundred and fifteen women with ectopic pregnancy underwent operative laparoscopy. The... Objective To evaluate the feasibility and safety of operative laparoscopy for ectopic pregnancy with hypovolemic shock. Methods Two hundred and fifteen women with ectopic pregnancy underwent operative laparoscopy. These patients were divided into two groups. The study group included 21 patients with shock and intraperitoneal hemorrhage more than 1000 mL, and control group included 194 patients, hemodynamically stable, with blood loss less than 1000 mL. Clinical data of perio-perative periods in two groups were retrospectively analyzed. Results All patients were tubal pregnancies. The occurrence rate of tubal rupture was higher in study group than in control group (80.95% vs. 15.98%, P < 0.001). Intraabdominal blood loss was significantly higher in study group than in control group (1900 mL vs. 300 mL, P < 0.001), and autologous blood transfusions were given to 95.24% and 9.3% of patients in study and control group, respectively (P < 0.001). Laparoscopic salpingectomy was performed on 85.7 % and 50.5% of patients in study and control group (P < 0.001). The operative time was somewhat longer in study group than that in control group (60 minutes vs. 45 minutes), but with no significant difference. All patients had no perioperative complications. Conclusion Operative laparoscopy in patients with hopovolemic shock can be safely and effectively performed by experi-enced laparoscopists with the aid of optimal anesthesia, advanced cardiovascular monitoring, and autologous blood transfusion. 展开更多
关键词 laparoscopic surgery ectopic pregnancy hypovolemic shock gynecologic surgical procedures
下载PDF
上一页 1 2 250 下一页 到第
使用帮助 返回顶部