<正>盆腔炎性疾病后遗症是指盆腔炎性疾病未得到及时正确的治疗而发生的一系列后遗症。过去多称之为慢性盆腔炎,该病发病率高,患者疼痛缠绵难愈,我院多年来用中药妇炎灵汤并中药灌肠及药渣热敷治疗盆腔炎性疾病后遗症取得了很好的疗效,现报告如下。

<正>多年来我院一直采用中西医结合的方法治疗异位妊娠,使许多患者避免了手术,但患者住院时间较长,对于如何提高治愈率,缩短住院时间,减轻患者的经济负担,一直是我们探索的目标,近年来我们采用甲氨蝶呤加米非司酮及中药联合治疗异位妊娠,取得了良好的治疗效果,现报告如下。

子宫肌瘤是妇科最常见的良性肿瘤,在育龄期妇女中的发病率呈逐年上升趋势,但对其发病机制尚不清楚.本文从肿瘤细胞凋亡受抑制这个角度,详尽阐述了Bcl-2/Bax 、Fas/Fas-L 、P53基因的表达与子宫肌瘤细胞凋亡异常的关系和机理,并阐述了中医药的治疗机理,旨在应用药物来诱导肿瘤细胞凋亡,开拓多种非手术方法治疗子宫肌瘤的手段.

Objective To study the feasibility of propofol used in the induced abortion.Methods Two hundred early pregnant women receiving propofol for painless induced abortion were chosen as the study group,and the other 200 women with a general abortion were chosen as control group.The pain of patients,the morbidity of the induced abortion syndrome and the following-up results one month after the abortion between two groups were compared.The blood pressure,heart rate and oxygen saturation in two groups were also observed during the whole procedure.Results The results showed that there was significant difference between two groups in pain and morbidity of the induced abortion syndrome,but not in the following-up results one month after the abortion.The blood pressure,heart rate and oxygen saturation between the two groups were not significantly different.Conclusion Propofol have a good anesthesia effect on induced abortion,and is a practical anesthesia method for induced abortion.

异位妊娠是妇科常见的疾病,临床多见为一侧输卵管妊娠,两部位同时妊娠较少见,近几年随着辅助生殖技术的开展,我们收治了2例体外受精-胚胎移植后所致的异位妊娠,报告如下.

目的对52例细菌性阴道病进行分析.方法对门诊92例患者均化验滴虫、霉菌及细菌;滴虫采用显微镜检法,霉菌采用培养法,细菌采用改良的多胺法.结果92例患者中有52例化验细菌为阳性,占56.6%,细菌与滴虫同时阳性的有5例,占9.6%;细菌与霉菌同时阳性的有6例,占11.5%.结论细菌性阴道病是阴道常见病,可和滴虫、霉菌同时混合感染,采用改良的多胺法是适合临床快速、简便、准确的测定方法.

目的探讨人绒毛膜促性腺激素游离β亚单位(F-βHCG)及F-βHCG/HCG百分比在滋养细胞疾病诊断中的价值.方法应用化学发光免疫测定法测定15例葡萄胎患者清宫前、20例侵蚀性葡萄胎(侵葡)患者及17例绒癌患者未治疗前血清HCG、βHCG及F-βHCG质量浓度(含量),计算F-βHCG/HCG、F-βHCG/βHCG 的百分比,并且在治疗期间动态监测其变化.选择同期正常早孕患者40例作为对照组. 结果 F-βHCG在正常早孕妇女、葡萄胎患者、侵蚀性葡萄胎及绒癌患者的血清平均值分别为(24±11)IU/L、(715±397)IU/L、(69±11)IU/L、(245±229)IU/L .F-βHCG/HCG及F-βHCG/βHCG的百分比在恶性滋养细胞肿瘤患者显著高于葡萄胎及正常早孕妇女(P<0.001).该比值在绒癌患者又高于侵蚀性葡萄胎患者.结论 F-βHCG可作为妊娠后判断是正常妊娠,还是滋养细胞疾病的一项监测指标;F-βHCG/HCG、F-βHCG/βHCG的百分比可反映滋养细胞疾病的恶性程度.

人绒毛膜促性腺激素(human chorionic gonadotropin,hCG)是一种糖蛋白激素,其分子家族在分子水平的结构上具有多型性的特点.通过对hCG分子家族的测定,可以诊断妊娠及与妊娠有关的疾病,特别是对于滋养细胞肿瘤,指导疾病治疗以及监测病情变化.

异位妊娠是严重威胁妇女健康的疾病之一,近年来国内外文献均报道其发病率呈上升趋势,以往对异位妊娠多采用手术治疗,随着腹腔镜、B超、HCG测定等新技术的应用,及妇女自身保健意识的提高,使对异位妊娠的早期诊断成为可能,为保持输卵管的完整,减少输卵管组织的破坏,因此,保守性的治疗方法也不断增加,但如何选择最佳治疗方案,是临床医生关注的问题,本文就近年来文献有关异位妊娠的治疗方法进行回顾、综述.