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输卵管妊娠保守性手术后重复异位妊娠发生的多因素分析 [PDF]
【目的】探讨输卵管妊娠保守性手术后重复异位妊娠发生的高危因素。【方法】回顾分析1999年1月至2004年1月,收治于广东省人民医院及中山大学附属第一医院经保守性手术治疗确诊为输卵管妊娠的有生育要求的330例患者,追踪生育结局18~72个月。据生育结局分为重复性异位妊娠组与非异位妊娠组,采用多重logistic回归分析13项临床变量与生育结局间的关系,探讨引起保守治疗术后重复性异位妊娠发生的危险因素。运用Pearson/Spearman相关性分析探讨两次异位妊娠发生部位的相关性。【结果】①70/330 ...
王海英, 姚书忠, 闻安民
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【目的】分析异位妊娠误诊的原因,以便提高对本病的认识,做到早期诊断、及时治疗。【方法】用回顾性分析方法,对 7 年间误诊 的 169 例异位妊娠(观察组)与同期就诊时即明确诊断为异位妊娠的 213(对照组)对比分析。【结果】对异位妊娠缺乏认识、症状不典型,过份 依赖辅助检查是误诊的原因。【结论】提高认识,详细询问病史、全面认真分析各种辅助检查,可使误诊降低到最低限度。
王振文
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【目的】研究腹部超声引导下胚胎移植对体外受精-胚胎移植结局的影响。【方法】回顾性分析2001年7月至2005年3月,在本中心接受体外受精-胚胎移植(包括卵母细胞内单精子注射)治疗的461名患者521个周期的资料,按照胚胎移植时有无B超引导分为常规胚胎移植组(A组)和超声引导下胚胎移植组(B组),分别有187个周期和334个周期,比较两组患者的临床妊娠率、胚胎种植率、胚胎残留率和异位妊娠率。【结果】A组和B组的周期妊娠率分别是35.8%(67/187)和38.3%(128/334),P〉0.05 ...
张清学 +9 more
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【目的】 动态检测隔日血清中白血病抑制因子LIF、β-hCG 及P水平,评估其对早期异位妊娠的诊断价值?【方法】 选取异位妊娠患者60例作为EP组;正常早孕20例作为对照(NIUP)组?采用ELISA法测血清LIF水平;采用RIA法测血清β-hCG 及P水平?【结果】 ①血清LIF水平在异位妊娠组及正常早孕组分别为 (5.26 ± 0.51)pg/mL及(5.88 ± 0.26)pg/mL;异位妊娠组与正常早孕组血清LIF水平比较,差异有统计学意义(P < 0.01)?异位妊娠组血LIF较正常早孕组低?
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【目的】了解宫颈妊娠的临床特点,提高对本病的诊治水平。【方法】通过分析我院住院的宫颈妊娠 15 例临床表现、诊断及处理。 【结果】15例宫颈妊娠占同期异位妊娠的1. 9%,本组中 13 例保守治疗病例均成功,但单纯用 MTX 治疗的阴道流血时间长,持续7~ 30 d, 7 例 在宫腔镜下行钳刮术,镜下清楚见到胚胎组织种植部位,清除胚胎组织,术后阴道流血 3~ 7 d,恢复快。2 例行经腹全子宫切除术。【结论】宫 腔镜下钳刮清除胚胎组织可能是治疗宫颈妊娠的一种有价值新方法。
林荣春, 张建平
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【目的】探讨腹腔镜下保守性手术治疗输卵管妊娠的效果、安全性。【方法】选择我院腹腔镜下作输卵管修补术 的输卵管壶腹部妊娠 30 例,同时选择同期经剖腹输卵管修补术的输卵管壶腹部妊娠 27 例,比较两组术中及术后妊娠的情况。 【结果】腹腔镜组手术时间、术后住院时间均较剖腹组明显缩短,腹腔镜组比剖腹组术后妊娠率高、未增加重复异位妊娠率, 1 年内腹腔镜组受孕快。【结论】腹腔镜融诊断与治疗于一体,在输卵管妊娠方面, 对于希望保留生育功能的妇女, 有不可取代 的优势。
王宁宁 +3 more
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Forensic Analysis of Eighteen Tubal Pregnancy-Related Medical Damage [PDF]
Objective To analyze the cases of medical damage after misdiagnosis of tubal pregnancy, to explore the causes of medical damage, the causal relationship between medical malpractice and the damage consequences, as well as the causative potency, in order ...
Ying LI, Yong YU, Xing-hua KOU, Zhan-long HAN
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Comparison of long-term pregnancy outcomes between neosalpingostomy and salpingectomy for infertile women with bilateral severe hydrosalpinx [PDF]
Objective·To compare the pregnancy outcomes of infertile women with bilateral severe hydrosalpinx receiving neosalpingostomy or salpingectomy.Methods·The single-center prospective cohort study from 2005 to 2012 focused on pregnancy outcomes of infertile ...
LIU Jinglan +6 more
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Influence of Two Endometrial Preparation Programs Independent of Endogenous Ovarian Cycle on the Pregnancy Outcome of Thin Endometrial Patients with Freeze-thaw Embryo Transfer [PDF]
BackgroundThin endometrium is one of the crucial reasons leading to the reduction of pregnancy rate in patients. The whole embryo freezing is an important strategy in the process of assisting pregnancy in patients with thin endometrium.
WEI Longlong, ZHANG Cuilian
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Threshold Effect Analysis of Influence of Age on Live Birth Rate in Poor Ovarian Response Patients Treated by Assisted Reproductive Technology [PDF]
BackgroundPregnancy outcome in patients with poor ovarian response (POR) has always been one of the difficult problems in reproductive medicine, but there is few threshold effect analysis of influence of age on live birth rate in POR patients treated by ...
CHEN Ying, LI Fei, DILIXIATI•Abulizi, WU Xiao, REYILA•Mumin, FENG Xingmei, ZHANG Yali
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