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Implicación del factor de necrosis tumoral alfa en el síndrome de ovario poliquístico 肿瘤坏死因子α在多囊卵巢综合征中的意义
Q4 Medicine Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i6.3402
Mario Alberto Garza-Garza, Dealmy Delgadillo-Guzmán
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引用次数: 0
Ovario supernumerario en una paciente embarazada. Reporte de un caso y revisión bibliográfica 孕妇卵巢过多。案例报告和文献综述
Q4 Medicine Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i5.3746
Aldo Francisco Rodríguez-Ruiz, Roberto Sánchez-Moreno
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引用次数: 0
Mioma intraligamentario de gran tamaño en una adolescente 青春期巨大韧带内肌瘤
Q4 Medicine Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i1.3483
Yanet Huerta-Reyero, Itzel Berenice Peña-Cambrón, I. Suárez-Zaragoza, Víctor Saúl Vital-Reyes
BACKGROUND: The uterine leiomyomas are the most common gynecological benign tumors in fertile females; however, they are very rare in adolescents (less than 1%) and there are only a few reports in the literature. CLINICAL CASE : A 16-year-old patient with a fast-growing suprapubic tumor, accom- panied by generalized abdominal pain, sent to the hospital with diagnosis of pelvic tumor probable uterine miomatosis, to rule out malignant tumor. Pelvic ultrasound was performed with a report of multiple disseminated hypoechoic lesions in myometrium giving appearance of metastasis, without being the characteristic images of myomas, pelvic abdominal tomography reported hepatomegaly of the left lobe, intramural leiomyomas of medium and large elements, tumor markers within normal limits. The laparotomy was performed, left intraligamentary myoma of giant elements was located; and the histopathological study reported uterine leiomyoma of conventional histological pattern. CONCLUSIONS: The clinical of leiomyomas in adolescent patients represents a chal- lenge for the gynecologist. The age, symptomatology, and preservation of reproductive function are important aspects to decide the therapeutic regimen.
背景:子宫平滑肌瘤是生殖期女性最常见的妇科良性肿瘤;然而,它们在青少年中非常罕见(不到1%),文献中只有少数报道。临床病例:16岁患者,耻骨上肿瘤快速生长,伴全身腹痛,以盆腔肿瘤诊断送院,可能为子宫miomatosis,排除恶性肿瘤。盆腔超声提示子宫肌层多发弥散性低回声病灶,表现为转移,未见肌瘤特征性表现,盆腔腹部断层显示肝左叶肿大,壁内大中型平滑肌瘤,肿瘤标志物正常。开腹手术,定位左侧韧带内巨大元素肌瘤;组织病理学研究报告子宫平滑肌瘤的常规组织学模式。结论:青少年平滑肌瘤患者的临床对妇科医生来说是一个挑战。年龄、症状和生殖功能的保存是决定治疗方案的重要方面。
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引用次数: 0
Hemorragia intraparto y lesión renal aguda en pacientes con finalización del embarazo mediante cesárea 剖宫产终止妊娠患者的产后出血和急性肾损伤
Q4 Medicine Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i4.3841
J. G. Vázquez-Rodríguez
OBJECTIVE: To quantify intrapartum hemorrhage and serum creatinine (Cr) postpartum concentration to calculate its correlation and determine the frequency of acute kidney injury in patients undergoing caesarean section. MATERIALS AND METHODS: Cross-sectional and retrospective study carried out in women who ended their pregnancy by caesarean section between January 1 and December 31, 2019 at the Hospital for Gynecology and Obstetrics 3 of the IMSS. The clinical records were consulted to calculate the amount of intrapartum hemorrhage and the value of Cr to determine its correlation and the frequency of acute kidney injury (postpartum Cr >1 mg/dL). Statistical analysis: descriptive statistics, Student's T test and Pearson's correlation coefficient (r). RESULTS: The mean age was 32.44 ± 7.11 years with gestational age 32.55 ± 4.18 weeks, intrapartum hemorrhage 558.11 ± 570.62 mL and postpartum Cr 0.77 ± 0.21 mg/dL. The correlation of intrapartum hemorrhage vs postpartum Cr was r = 0.158 and obstetric hemorrhage (> 1,000 mL) vs postpartum Cr r = 0.390. The frequency of AKI was 14.03% (16 cases) and dialysis requirements 2.42% (3 cases). CONCLUSIONS: The amount of intrapartum hemorrhage was acceptable with low frequency of obstetric hemorrhage. Postpartum Cr increased significantly. correla-partum hemorrhage vs postpartum Cr correlation was positive which increased its significance as the amount of bleeding increased. Low percentage of acute kidney injury and dialysis requirements was found.
目的:量化剖宫产患者产时出血和产后血清肌酐(Cr)浓度,计算其相关性,并确定剖宫产手术患者急性肾损伤的发生频率。材料和方法:对2019年1月1日至12月31日期间在IMSS妇产科3医院通过剖腹产结束妊娠的女性进行的横断面和回顾性研究。查阅临床记录,计算产时出血量和Cr值,以确定其相关性和急性肾损伤的频率(产后Cr>1 mg/dL)。统计分析:描述性统计、Student T检验和Pearson相关系数(r)。结果:平均年龄32.44±7.11岁,胎龄32.55±4.18周,产时出血558.11±570.62 mL,产后Cr 0.77±0.21 mg/dL。产时出血与产后Cr的相关性为r=0.158,产科出血(>1000mL)与产后Cr相关性为r=0.390。AKI发生率为14.03%(16例),透析需要率为2.42%(3例)。结论:产时出血量可接受,产科出血发生率低。产后Cr显著增加。correla产后出血与产后Cr呈正相关,其显著性随着出血量的增加而增加。发现急性肾损伤和透析需求的百分比较低。
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引用次数: 1
Bacteriemia con afectación inflamatoria pélvica y miositis secundaria a histeroscopia diagnóstica. Reporte de un caso 诊断性宫腔镜继发的盆腔炎症性细菌血症和肌炎。报告个案
Q4 Medicine Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i2.3529
Javier Navarro-Sierra, Marcos Berdejo-Alloza, Marta Chóliz-Ezquerro, Isabel Negredo-Quintana, Lourdes Gabasa-Gorgas, M. A. Ruiz-Conde
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引用次数: 0
Cáncer de ovario endometrioide asociado con útero didelfo: reporte de un caso 子宫内膜样卵巢癌伴子宫didelfo:一例报告
Q4 Medicine Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i11.4289
V. E. Valdespino-Castillo, Juan Landa-Mejía, G. Maytorena-Córdova, Yazmín Ballesteros-Montenegro, Giselle Zavala-Ramírez, Víctor Manuel Valdespino-Gómez
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引用次数: 0
Desenlaces obstétricos en mujeres embarazadas con enfermedad renal crónica y factores asociados 慢性肾脏疾病孕妇的产科结局及其相关因素
Q4 Medicine Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i4.3325
Martha Cecilia Guzmán-Solís, Olivia Sánchez-Rodríguez, Abisaí Montaño-Martínez, Dulce Elvia Peredo-Villa, R. Paniagua-Sierra, Miguel Trejo-Villeda, Juan-Carlos-H Hernández-Rivera
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引用次数: 1
Correlación de los valores de vitamina D con los de hormona antimülleriana en mujeres con infertilidad 不孕症妇女维生素D值与抗mullerian激素值的相关性
Q4 Medicine Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i12.4498
Mario Alberto Garza-Garza, A. E. Aguilar-Melgar, Sergio Alberto Dávila-Garza, P. Galache-Vega, R. Santos-Haliscak
OBJECTIVE: To evaluate the association between serum concentrations of 25-hydroxyvi- tamin D and antimullerian hormone in Mexican patients with infertility. MATERIALS AND METHODS: Retrospective, cross-sectional study of relational analysis of patients who came to consult at the IECH Fertility Center between the months of May 2019 and May 2020. The Kolmogorov-Smirnov normality test was used, with means and standard deviations (SD) for normal values; medians and interquantity ranges (IQR) for non-parametric values. To show differences between the groups the paired t-test and Mann-Whitney test were applied depending, respectively, on the normality of the data and the Spearman correlation coefficient to calculate the dependence between non-parametric variables. GraphPad Prism (v 8) was used, the value of p < 0.05 was considered with statistical significance. RESULTS: A total of 106 files of patients diagnosed with infertility with a mean age of 35 4.97 and a median of 19.90 ng/mL (IQR 57.06) of 25-hydroxyvitamin D were analyzed. Vitamin D deficiency (less than 20 ng/mL) was not associated with antimul- lerian hormone values (p = 0.0525); a difference was found between vitamin D con-Mario centrations for patients younger and older than 35 years (p = 0.0423) and a correlation between vitamin D and antimullerian hormone (Spearman’s rho: -0.210, 95%CI -0.41 to -0.005, p = 0.0495). CONCLUSIONS: 50% of the infertile patients had vitamin D deficiency. Although the mechanism is not properly elucidated, there is a dependence on the values of 25-hy-droxyvitamin D and the antimullerian hormone.
目的:评价墨西哥不孕患者血清25-羟基维生素D浓度与抗穆耳激素的关系。材料和方法:对2019年5月至2020年5月期间在IECH生育中心就诊的患者进行关系分析的回顾性横断面研究。使用Kolmogorov-Smirnov正态性检验,具有正态值的平均值和标准偏差(SD);非参数值的中位数和数量区间(IQR)。为了显示各组之间的差异,分别根据数据的正态性和Spearman相关系数,应用配对t检验和Mann-Whitney检验来计算非参数变量之间的相关性。使用GraphPad Prism(v8),p<0.05的值被认为具有统计学意义。结果:共分析了106例被诊断为不孕的患者档案,这些患者的平均年龄为35.4.97岁,25-羟基维生素D的中位数为19.90 ng/mL(IQR 57.06)。维生素D缺乏(低于20 ng/mL)与抗穆勒激素值无关(p=0.0525);35岁以上和35岁以下患者的维生素D含量之间存在差异(p=0.0423),维生素D与抗穆耳激素之间存在相关性(Spearman氏rho:0.210,95%CI-0.41至-0.005,p=0.0495)。结论:50%的不孕患者存在维生素D缺乏症。尽管其机制尚未得到正确的阐明,但仍依赖于25-羟基维生素D和抗穆勒激素的值。
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引用次数: 0
Caracterización ecográfica y anatomopatológica de pacientes con artrogriposis múltiple congénita. Serie de casos 先天性多发性骨关节炎患者的超声和解剖病理学特征。案例系列
Q4 Medicine Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i4.3449
D. K. Sandoval-Martínez, Luz Ángela Gutiérrez-Sánchez, M. Z. Jaimes-Sanabria
OBJECTIVE: To describe a series of cases of multiple congenital arthrogryposes reported in fetal and newborn autopsies, performed in the pathology department of a high complexity hospital, between September 2016 and April 2019. MATERIALS AND METHODS : A retrospective descriptive study of a series of cases of autopsies, with anatomopathological findings of multiple congenital arthrogryposes, performed on fetuses and newborns, during the established time lapse. RESULTS: The analysis included 8 cases with an anatomopathological diagnose of multiple congenital arthrogryposes, six of them with PCR positive for ZIKA. Among the ultrasound reports, altered limb movement and abnormal central nervous system development (corpus callosum and cerebellum), were the main findings; which were confirmed by the anatomopathological study. Regarding perinatal results, 7/8 cases died during the first hour of life. CONCLUSION: In case of suspicion or confirmation of multiple congenital arthrogry- poses by ultrasound, infectious processes should be ruled out; also, a clinical genetics consult should be sought to exclude associated alterations. en el sistema nervioso central. Letra A. Hiperdensidades a nivel talámico, caso 1 semana 26; letra B. Hiperdensidades en cerebelo, caso 6, semana 32; letra C Aspecto macroscópico de corte coronal en el que se reconocen (en los círculos rojos) lesiones amarillentas concordantes con hiperecogenicidades ecográficas, caso letra D. Histología de las calcificaciones (+) corticales en cortes del encéfalo, caso teñidos eosina letra Corte de la región periventricular en la que se observan manguitos perivasculares señala reactividad glial subependimaria, con hematoxilina eosina manguitos perivasculares reactividad glial subependimaria, caso eosina
目的:对2016年9月至2019年4月在一家高复杂性医院病理部进行的胎儿和新生儿尸检中报告的一系列先天性多发性关节挛缩病例进行分析。材料和方法:回顾性描述性研究的一系列病例尸检,与解剖病理发现的多种先天性关节挛缩,执行胎儿和新生儿,在既定的时间推移。结果:分析8例经解剖病理诊断为多发性先天性关节挛缩的患者,其中6例寨卡病毒PCR阳性。超声报告以肢体运动改变和中枢神经系统(胼胝体和小脑)发育异常为主要表现;解剖病理研究证实了这一点。关于围产期结果,7/8例在出生后一小时内死亡。结论:超声检查怀疑或确认多发先天性关节痉挛时,应排除感染过程;此外,临床遗传学咨询应寻求排除相关的改变。enel sistema nervioso central。Letra a . Hiperdensidades a nivel talámico, caso 1 semana 26;[a] [b] [a] [b] [b] [b] [c] [6];letra C Aspecto macroscópico de corte corononal en que que se reconocen (en los círculos rojos) lesiones amarillentas concorantes con hipercogenicidades ecográficas, caso letra D. Histología de las钙化(+)皮质en cortes en cortes del encacfalo, caso teñidos eosina letra corte la región心室周围en la que se observan manguitos血管周围señala反应性神经胶质下,con hematoxilina eosina manguitos血管周围反应性神经胶质下,caso eosina manguitos血管周围反应性神经胶质下,caso eosina
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引用次数: 0
Tratamiento del edema vulvar con terapia de frío en el puerperio inmediato: serie de casos 冷疗法治疗产后早期外阴水肿:一系列病例
Q4 Medicine Pub Date : 2021-01-15 DOI: 10.24245/gom.v88i1.3458
Carlos Manuel Espinosa-García, Es Rodríguez-Colorado, Verónica Granados-Martínez, C. Ramírez-Isarraraz, Viridiana Gorbea-Chávez
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引用次数: 0
期刊
Ginecologia y obstetricia de Mexico
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