Objective: To compare maternal and fetal outcome associated with two methods Reverse breech extraction versus Head pushing to deliver the impacted fetal head in advanced labor requiring emergency Cesarean section. Met...Objective: To compare maternal and fetal outcome associated with two methods Reverse breech extraction versus Head pushing to deliver the impacted fetal head in advanced labor requiring emergency Cesarean section. Method: A prospective comparative study was conducted on 80 pregnant women at term with cephalic presentation in advanced labour, requiring emergency Cesarean Section. Reverse breech extraction technique (pull method) was used in 40 cases (group I) and pushing the head up through the vagina (“push” method) was tried in (group II) 40 cases. The maternal outcome was assessed by extension of the uterine Incision, bladder injury, intra and postoperative blood transfusion, Postpartum hemorrhage, wound infection and duration of hospital stay. Fetal outcome was Apgar score and admission to neonatal intensive care unit. Results: Extension of the uterine incision was significantly lower in women undergoing reverse breech extraction compared to cephalic delivery (20% versus 50%;p = 0.001). The mean operative time (pull group) was lower than that in the (push group) 59.7 ± 4.2, versus 75.2 ± 6.1 p = 0.001 and blood loss was significantly lower in the (pull group) than that in the (push group) 878 ± 67 ml, versus 1321 ± 57 ml, p = 0.001. No significant difference between groups regarding maternal and neonatal outcome. Conclusion: Reverse breech extraction (pull) is safer than pushing head up through vagina (push) for delivery of a deeply impacted fetal head in advanced labour sensitizing emergency Cesarean Section and is associated with the least maternal complications.展开更多
目的探讨Kiwi胎头真空吸引器在阴道助产分娩中的应用价值。方法选取2020年7月至2023年3月于扬州大学临床医学院使用Kiwi胎头真空吸引器实施胎头吸引的初产孕妇30例为胎吸组,同时选取计划阴道分娩而后因特殊原因行剖宫产终止妊娠的孕妇2...目的探讨Kiwi胎头真空吸引器在阴道助产分娩中的应用价值。方法选取2020年7月至2023年3月于扬州大学临床医学院使用Kiwi胎头真空吸引器实施胎头吸引的初产孕妇30例为胎吸组,同时选取计划阴道分娩而后因特殊原因行剖宫产终止妊娠的孕妇23例为剖宫产组。比较2组术中及术后情况及新生儿相关指标。结果2组第二产程时间、产时出血量、产后24 h出血量、产后住院时间及软产道损伤、产后会阴水肿发生情况比较,差异无统计学意义(P>0.05)。2组产后尿潴留发生率比较,差异有统计学意义(P<0.05)。2组新生儿出生体重及头皮血肿、颅内出血发生情况比较,差异无统计学意义(P>0.05)。胎吸组新生儿中,3例娩出后1 min Apgar评分分别为8、9、6分。剖宫产组新生儿中,仅1例娩出后1 min Apgar评分为7分。胎吸组新生儿中,有9例(30.00%)因黄疸、呼吸急促、窒息等原因转至新生儿科;剖宫产组新生儿中,有4例(17.39%)因黄疸、新生儿低血糖、鼻塞等原因转至新生儿科。胎吸组转科新生儿中,2例(15.38%)出现高总胆红素血症,剖宫产组未出现高总胆红素血症。胎吸组、剖宫产组新生儿动脉血pH值分别为(7.38±0.02)、(7.45±0.02),二者比较差异有统计学意义(P<0.05)。结论Kiwi胎头真空吸引器操作简便,适用范围广,其应用于阴道助产中有效缩短产程,降低剖宫产率、产妇及新生儿相关并发症发生率。展开更多
骨巨细胞瘤(giant cell tumor of bone,GCTB)是一种由梭状肿瘤间质细胞和多核巨细胞组成的溶骨性骨肿瘤,具有较强的侵袭性和转移能力,对骨质破坏明显。1只法国斗牛犬左后肢轻度跛行,通过临床症状观察、血常规检查、荧光免疫检查、X射线...骨巨细胞瘤(giant cell tumor of bone,GCTB)是一种由梭状肿瘤间质细胞和多核巨细胞组成的溶骨性骨肿瘤,具有较强的侵袭性和转移能力,对骨质破坏明显。1只法国斗牛犬左后肢轻度跛行,通过临床症状观察、血常规检查、荧光免疫检查、X射线检查和骨组织病理切片观察等综合诊断,确诊该犬左后肢股骨头处患有GCTB。采用手术切除股骨头的治疗方案,术后犬股骨头部位恢复良好,复查无瘤细胞扩散,3个月后患犬完全恢复正常。由此可见,小型犬股骨头GCTB采用完全切除的方式可以起到较好的治疗效果。本文为小型犬GCTB的临床诊断和治疗提供了参考。展开更多
The sarcoma structure of goldfish was first analyzed by frozen section technique. The present study revealed the alkaline and acid phosphatase distribution in the head sarcoma of goldfish. And the histochemical staini...The sarcoma structure of goldfish was first analyzed by frozen section technique. The present study revealed the alkaline and acid phosphatase distribution in the head sarcoma of goldfish. And the histochemical staining in situ by calcium-cobalt method and lead nitrate method displayed a large amount of alkaline and acid phosphatases in the head sarcoma, with higher enzyme activity. The alkaline and acid phosphatases belong to hydrolases, which are widely present in various tissues. The results showed that the activity of external sarcoma is similar to the middle one, while there was more alkaline phosphatase near to the tissue sarcoma under the goldfish scales. And they have the strong activity. The study will lay the theoretical basis on enhancing the ornamental value of goldfish.展开更多
文摘Objective: To compare maternal and fetal outcome associated with two methods Reverse breech extraction versus Head pushing to deliver the impacted fetal head in advanced labor requiring emergency Cesarean section. Method: A prospective comparative study was conducted on 80 pregnant women at term with cephalic presentation in advanced labour, requiring emergency Cesarean Section. Reverse breech extraction technique (pull method) was used in 40 cases (group I) and pushing the head up through the vagina (“push” method) was tried in (group II) 40 cases. The maternal outcome was assessed by extension of the uterine Incision, bladder injury, intra and postoperative blood transfusion, Postpartum hemorrhage, wound infection and duration of hospital stay. Fetal outcome was Apgar score and admission to neonatal intensive care unit. Results: Extension of the uterine incision was significantly lower in women undergoing reverse breech extraction compared to cephalic delivery (20% versus 50%;p = 0.001). The mean operative time (pull group) was lower than that in the (push group) 59.7 ± 4.2, versus 75.2 ± 6.1 p = 0.001 and blood loss was significantly lower in the (pull group) than that in the (push group) 878 ± 67 ml, versus 1321 ± 57 ml, p = 0.001. No significant difference between groups regarding maternal and neonatal outcome. Conclusion: Reverse breech extraction (pull) is safer than pushing head up through vagina (push) for delivery of a deeply impacted fetal head in advanced labour sensitizing emergency Cesarean Section and is associated with the least maternal complications.
文摘目的探讨Kiwi胎头真空吸引器在阴道助产分娩中的应用价值。方法选取2020年7月至2023年3月于扬州大学临床医学院使用Kiwi胎头真空吸引器实施胎头吸引的初产孕妇30例为胎吸组,同时选取计划阴道分娩而后因特殊原因行剖宫产终止妊娠的孕妇23例为剖宫产组。比较2组术中及术后情况及新生儿相关指标。结果2组第二产程时间、产时出血量、产后24 h出血量、产后住院时间及软产道损伤、产后会阴水肿发生情况比较,差异无统计学意义(P>0.05)。2组产后尿潴留发生率比较,差异有统计学意义(P<0.05)。2组新生儿出生体重及头皮血肿、颅内出血发生情况比较,差异无统计学意义(P>0.05)。胎吸组新生儿中,3例娩出后1 min Apgar评分分别为8、9、6分。剖宫产组新生儿中,仅1例娩出后1 min Apgar评分为7分。胎吸组新生儿中,有9例(30.00%)因黄疸、呼吸急促、窒息等原因转至新生儿科;剖宫产组新生儿中,有4例(17.39%)因黄疸、新生儿低血糖、鼻塞等原因转至新生儿科。胎吸组转科新生儿中,2例(15.38%)出现高总胆红素血症,剖宫产组未出现高总胆红素血症。胎吸组、剖宫产组新生儿动脉血pH值分别为(7.38±0.02)、(7.45±0.02),二者比较差异有统计学意义(P<0.05)。结论Kiwi胎头真空吸引器操作简便,适用范围广,其应用于阴道助产中有效缩短产程,降低剖宫产率、产妇及新生儿相关并发症发生率。
文摘骨巨细胞瘤(giant cell tumor of bone,GCTB)是一种由梭状肿瘤间质细胞和多核巨细胞组成的溶骨性骨肿瘤,具有较强的侵袭性和转移能力,对骨质破坏明显。1只法国斗牛犬左后肢轻度跛行,通过临床症状观察、血常规检查、荧光免疫检查、X射线检查和骨组织病理切片观察等综合诊断,确诊该犬左后肢股骨头处患有GCTB。采用手术切除股骨头的治疗方案,术后犬股骨头部位恢复良好,复查无瘤细胞扩散,3个月后患犬完全恢复正常。由此可见,小型犬股骨头GCTB采用完全切除的方式可以起到较好的治疗效果。本文为小型犬GCTB的临床诊断和治疗提供了参考。
文摘The sarcoma structure of goldfish was first analyzed by frozen section technique. The present study revealed the alkaline and acid phosphatase distribution in the head sarcoma of goldfish. And the histochemical staining in situ by calcium-cobalt method and lead nitrate method displayed a large amount of alkaline and acid phosphatases in the head sarcoma, with higher enzyme activity. The alkaline and acid phosphatases belong to hydrolases, which are widely present in various tissues. The results showed that the activity of external sarcoma is similar to the middle one, while there was more alkaline phosphatase near to the tissue sarcoma under the goldfish scales. And they have the strong activity. The study will lay the theoretical basis on enhancing the ornamental value of goldfish.
