目的:探究腹腔镜手术治疗休克型输卵管妊娠的临床效果.方法:将2015年4月—2018年6月我院收治的休克型输卵管妊娠患者58例作为研究对象,将其平均分为实验组和对照组各29例.实验组实施腹腔镜手术治疗.对照组采用传统的开腹手术治疗.结果:实验组的手术时间、术后复发率、排气时间等均优于对照组,差异显著(P<0.05);两组腹腔出血量无显著差异(P>0.05).结论:腹腔镜手术在治疗休克型输卵管妊娠上比传统的开腹手术,不但手术时间短而且恢复快,复发率低,临床治疗效果好,值得推广应用.
目的:对先兆流产并绒毛膜下血肿孕妇在孕早期的激素水平的变化情况和妊娠结局之间的相关性进行研究.方法:从我院在2017年5月至2018年5月收治的患者中随机抽取出40例先兆流产合并绒毛膜下血肿孕妇患者进行研究,将其作为观察组,再在同时期选取40例健康孕妇,将其作为对照组,对两组患者通过化学发光分析法将不同时期的孕妇血清孕酮以及HCG水平进行比较,收集两组患者的妊娠结局,从而分析两者之间的相关性.结果:观察组患者的孕12周、孕28周、孕37周的孕酮水平(ng/ml)分别为:(14.98±4.76)、(21.64±3.72)、(22.42±4.9),HCG水平(IU/L)分别为:(37986.4±2946.8)、(13429.2±774.8)、(9948.5±284.5),对照组患者的孕12周、孕28周、孕37周的孕酮水平(ng/ml)分别为:(35.87±6.12)、(86.42±4.21)、(91.52±17.2),HCG水平(IU/L)分别为:(90543.5±4876.8)、(8124.2±534.8)、(2754.5±304.5),组间差异显著,具备统计学意义,P<0.05;对照组患者中流产率、早产率、死胎率、足月分娩率均显著优良于观察组患者.结论:先兆流产合并绒毛膜下血肿孕妇的孕12周、孕28周、孕37周的孕酮水平越低,HUG水平在孕12周时较低,在孕28周、孕37周下降幅度较低,明显高于健康孕妇,流产率、早产率、死胎率越高,足月分娩率越低.
目的：了解重庆市大学城地区未婚人工流产女性避孕知识知晓现状及避孕措施现状。方法选择在重庆市沙坪坝区陈家桥医院进行人工流产的733例未婚女性进行问卷调查,分析未婚人工流产女性避孕现状。结果未婚人工流产女性平均年龄(21.15±2.44)岁,首次性行为开始于(18.73±1.78)岁,因未避孕而导致人工流产者占67.1%,70.0%的患者在过去3个月内采取过避孕措施。调查对象避孕方法知晓率最高的是避孕套(75.4%),其次是体外射精(46.1%)、安全期避孕(46.0%)、紧急避孕(45.4%)、宫内节育器(38.5%),知晓率最低的是口服短效避孕药(29.9%)。调查对象获取避孕知识宣教的主要途径依次为媒体、报纸杂志、同事或朋友、性伴侣、医生、父母和学校。63.6%的调查对象希望从医生处接受避孕知识宣教。结论未婚人工流产女性高效避孕措施使用率低,对避孕知识缺乏,但普遍有需求,需要积极开展流产后关爱优质服务医院建设工作,减少非意愿妊娠的发生。
objective To explore current status of knowledge about contraception and contraceptive measures Situation among unmarreidwomen in Chongqing Dax-uecheng City,and provide scientific evidence for unmarried women of reproductive health interventions.Methods 733 cases of unmarried female subjects from abor-tion Shapingba District of Chongqing Chenjiaqiao hospital in October 2012 to October 2013 ,Discussed by the family planning clinics,the questionaire were dis-igned according to the survey content ,using descriptive statistical analysis unmarried female contraception abortion situation.Result The average age of unmar-ried women abortion was (21.15 ±2.44)years,The respondends'average age of having the first sexual activity was (18.73 ±1.78)years.No contraception leads to abortion was 67.1%,contraceptive failure was 32.9%.Take contraception measures in the past three months was 70.0%,the highest awareness of contracep-tive methods are condoms (76.4%),followed by coitus interruptus (46.1%),Rhythm (46.0%),emergency contraception (45.4%),IUD (38.5%),the lowest was short -acting oral contraceptives (29.9%).The main way to get contraceptive knowledge was the media,newspapers and magazines,colleagues /friends,sexual partners,doctors,parents and school.63.6% of respondents expressed the wish to accept contraception knowledge missionary from doctor.Con-sultion The utilization rate of contraceptive measures among unmarried female was relatived low and lack of knowledge about contraception,but had a reproductive demands generally.Post -abortion care services hospital construction work was need to carry out actively,and reduce the incidence of unwanted pregnancies.
目的:探讨腹腔镜下子宫动脉阻断术治疗输卵管间质妊娠的手术效果及临床价值。方法:回顾性分析完成的腹腔镜下子宫动脉阻断术治疗输卵管间质部妊娠7例,并对术中、术后效果及优越性进行总结。结果:所有病例全部在腹腔镜下完成,手术过程顺利,无1例中转开腹,无手术并发症。手术时间45～80分钟,平均60±20分钟。术中出血量20～50ml,平均35±10ml,术后8小时可下床活动,术后10～20小时肛门排气,住院时间2～4天,切口为甲级愈合。结论:腹腔镜下子宫动脉阻断术治疗输卵管间质部妊娠是一种有效、安全、可行的手术方式。
