目的 研究超声追踪技术联合超声心动图在妊娠期高血压(HIP)孕妇心功能中的应用价值.方法 前瞻性选择2018年1～12月北京市平谷区医院妇产科接受治疗的70例HIP孕妇作为研究组,同期健康体检者60例作为对照组.采用超声心动图及超声追踪技术2种方法检查患者左心室功能,比较2组心脏形态指标、左心室收缩和舒张功能指标、左心室旋转指标、左心室运动情况.结果 研究组左心室舒张末期内径(LVDd),左心室收缩末期内径(LAD)、左心室后壁舒张期厚度(LVPWTd)、室间隔舒张末期厚度(IVSTd)、左心室重量指数(LVMI)及相对室壁厚度(RWT)值均显著高于对照组,差异有统计学意义(P<0.05).研究组舒张早期最大流速/舒张晚期最大速度比值(E/A)、舒张早期快速充盈分数(RFF)及心脏指数(CI)值显著小于对照组,左心室射血分数(LVEF)值显著高于对照组,差异有统计学意义(P<0.05);2组心输出量(CO)值比较差异无统计学意义(P>0.05).研究组心底水平旋转角度峰值(Prot-MV)、心底水平旋转角度达峰时间(Pti-MV)值显著低于对照组,心尖水平旋转角度峰值(Prot-AP)、心尖水平旋转角度达峰时间(Pti-AP)、心底水平旋转角度达峰时间百分比(Perc-Pti-MV)值显著高于对照组,差异有统计学意义(P<0.05);2组心尖水平旋转角度达峰时间百分比(Perc-Pti-AP)值比较差异无统计学意义(P>0.05).研究组舒张早期左心室侧壁速度(ELV)和位移(ELD)值显著小于对照组,舒张晚期左心室侧壁速度(ALV)和位移(ALD)值显著高于对照组,差异有统计学意义(P<0.05).结论 超声追踪技术联合超声心动图能准确评价HIP孕妇高血压孕妇心功能.

目的 探讨腹腔镜下全子宫加双附件切除术对Ⅰ期子宫内膜癌的治疗效果及对预后的影响.方法 选取2017年1月至2017年5月间北京市平谷区医院收治的30例Ⅰ期子宫内膜癌患者,分析经全子宫加双附件切除术后患者的生活质量,多因素分析患者预后的影响因素.结果 术后6个月,患者生活质量提高,负面情绪降低;但FSFI总分及性欲望、性呼唤及性高潮等单项评分均低于术前,差异均有统计学意义(均P＜0.05).单因素分析结果显示,患者年龄、病理分期、病理分级、有复发高危因素、治疗前卵巢癌的特异性标志物(CA-125)及术后心理干预为Ⅰ期子宫内膜癌的预后影响因素.以术后预后不良为因变量(术后复发为1,未复发为0),行Cox风险比例模型分析.结果 显示,患者年龄、病理分级、有复发高危因素及病理分期为Ⅰ期子宫内膜癌患者预后不良的危险因素.术后心理干预为Ⅰ期子宫内膜癌患者预后不良的保护因素,差异均有统计学意义(均P＜0.05).结论 Ⅰ期子宫内膜癌患者行全子宫加双附件切除术后,短期内患者负性情绪及生活质量得到改善,性生活质量下降,术后辅助治疗及心理干预有助于提高生存质量.

Objective With methods of literature review, item test, reliability and validity test, etc., to develop a fall risk assessment scale specific to the obstetrical department, which, after reliability and validity test, can be used for women health care before, at and after delivery.Methods Items in the fall risk assessment scale for pregnant and maternal women were determined and weights were assigned by reviewing relative risk factors in literature, referring to items in other fall risk assessment tools from home and aboard. After a preliminary scale was formed, 154 pregnant and maternal women hospitalized from May to December 2016 were assessed, so that reliability and validity of the scale were tested.Results In this fall risk assessment scale for the obstetrical department, test-retest reliability was 0.822, interrater reliability was 0.926, content validity of expertise was 0.927, and area under the curve (ROC) was 0.750 (P<0.05). When the dividing value was 3.5, sum of sensitivity (0.714) and specificity (0.714) reached the max.Conclusions The new fall risk scale, with favorable reliability and validity, can filter patients with high risk of fall, yet, it is still to be testified and perfected in future application.

目的：将电视腹腔镜引入教学中。方法：通过先进的腹腔镜录像系统，可获得大量腹腔内脏器病变的录像资料。结果：利用腹腔镜录像资料进行妇科临床教学，可有效充实课堂内容，有效再现疾病相关图像信息，增强教学视觉效果。结论：腹腔镜技术的应用，不但可提高学生的学习兴趣，还能让学生更容易理解、掌握所学知识。