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The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery 妇科腹腔镜手术输尿管损伤的并发症分析
Pub Date : 2022-01-01 DOI: 10.11648/j.jgo.20221001.17
Z. Dong, Mengyue Chen, Junling Liu, Zhenyue Qin, Huihui Wang, M-W Bao, Ruxia Shi, Jiming Chen
: Compared with traditional laparotomy, laparoscopic surgery has obvious advantages (smaller incisions, shorter hospital stays, and reduced blood loss). At present, more and more gynecological surgeries can be completed under laparoscopy. With the increasement of clinical treatment of gynecological laparoscopic surgery, the complications related to gynecological laparoscopic surgery and their prevention measures have become a continuous concern in the field of gynecology. T he risk of injury to the lower urinary tract, consisting of the bladder and ureters, is inherent to gynecologic surgery regardless of operative technique, because the bladder and ureters lie adjacent to other critical structures. Ureteral injury caused by gynecological laparoscopic surgery is a relatively rare complication. Clinicians do not pay enough attention to it because of its low incidence. However, once it happens, the consequences are often serious. The clinical manifestations of ureteral injury caused by gynecological laparoscopic surgery vary greatly according to the location and severity of the injury. Patients with mild injury can heal themselves after conservative treatment, and patients with severe injury can have serious consequences such as peritonitis and acute renal insufficiency, and even lead to death. This paper will focus on ureteral anatomy, common causes, clinical manifestations, key points of diagnosis, treatment measures and prevention strategies of ureteral injury caused by laparoscopic surgery.
:与传统剖腹手术相比,腹腔镜手术优势明显(切口小、住院时间短、出血量少)。目前,越来越多的妇科手术可以在腹腔镜下完成。随着妇科腹腔镜手术临床治疗的增多,与妇科腹腔镜手术相关的并发症及其预防措施已成为妇科领域持续关注的问题。下尿路由膀胱和输尿管组成,无论采用何种手术技术,下尿路损伤的风险都是妇科手术固有的,因为膀胱和输尿管毗邻其他关键结构。妇科腹腔镜手术引起输尿管损伤是一种比较少见的并发症。由于发病率低,临床医生对其重视不够。然而,一旦发生,后果往往是严重的。妇科腹腔镜手术输尿管损伤的临床表现根据损伤部位和严重程度的不同有很大差异。轻伤患者经保守治疗可自愈,重伤患者可出现腹膜炎、急性肾功能不全等严重后果,甚至导致死亡。本文将重点介绍腹腔镜手术输尿管损伤的输尿管解剖、常见原因、临床表现、诊断要点、治疗措施及预防策略。
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引用次数: 0
Diagnostic Accuracy of the Vulvoscopy Index for Detection of Vulvar Dermatosis (DATRIV Study, Part 1) 外阴镜指数检测外阴皮肤病的诊断准确性(DATRIV研究,第一部分)
Pub Date : 2022-01-01 DOI: 10.11648/j.jgo.20221001.16
Vesna Harni, D. Babić, Suzana Ljubojevic-Hadzavdic, D. Barišić
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引用次数: 0
TSLC-1 and STAT-3 Expression and Its Implication in Cervical Adenocarcinoma TSLC-1和STAT-3在宫颈腺癌中的表达及其意义
Pub Date : 2022-01-01 DOI: 10.11648/j.jgo.20221002.18
Sadik Yusuf Musse
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引用次数: 0
Post Abortion Family Planning Utilization and Associated Factors Among Women Received Abortion Services at Adama Hospital Medical College, Oromia, Ethiopia 埃塞俄比亚奥罗米亚Adama医院医学院接受堕胎服务妇女的堕胎后计划生育利用及相关因素
Pub Date : 2022-01-01 DOI: 10.11648/j.jgo.20221001.12
U. Mohammed, Hunde Lemi, Ephrem Manekullih
Worldwide post abortion contraceptive prevalence varies within a range of from 69% in Eastern and Southern Europe to 78% in Northern Europe. In Asia, South America and Africa post-abortion family planning utilization variation is ranging from 61 to 97%. In Ethiopia 48– 59% of clients left their institution with post-abortion family planning services which showed wide variations in the percentage of women who received post-abortion contraception. Post-abortion family planning has been proposed as a key strategy to decrease unintended pregnancy and repeat induced abortions. Now it is important to investigate the level post abortion family planning and act on the factors accordingly. So this study aimed to assess post abortion family planning utilization and associated factors among women getting abortion services at Adama Hospital Medical College, 2021. Method: Institutional based cross-sectional study was conducted from january-1 to february-28, 2021. A sample of 471 women were enrolled consecutively. Data was collected by semi-structured questionnaires which were administered via face to face interview. Data was entered using Epi-Info version 7 then exported to SPSS version 20 for processing and analysis. Descriptive statistics was used to explore the participant’s characteristics. Binary & multiple logistic regression was used to assess the association between dependent & independent variables. The magnitude of association between dependent & independent variables were measured by odds ratios along with estimated 95% confidence interval. Finally the significance of association was declared by p-value of less than 0.05. Results: The magnitude of post abortion contraceptive was found to be 73.9% (95% CI: 70.1-77.9). The odds of using post abortion family planning for women having diploma level of education was 28.37 (AOR=28.37; 95% CI: 4.09-196.834) times higher than those having no formal educations. After surgical termination the odds of post abortion contraceptive use was 58.9% (AOR=0.411; 95% CI: 0.169-0.991) times lesser than for medical abortion. Conclusion & recommendations: The magnitude of post abortion family planning in this study seems lesser. Independent predictors like maternal education, procedure done, counseling, reason of termination and knowledge status were significantly associated with the outcome variable. So attention should be given for counseling & level of education for consistent & efficient use.
全世界堕胎后避孕普及率从东欧和南欧的69%到北欧的78%不等。在亚洲、南美洲和非洲,堕胎后计划生育利用率的差异从61%到97%不等。在埃塞俄比亚,48%至59%的客户在离开机构时接受了堕胎后的计划生育服务,这表明堕胎后接受避孕措施的妇女百分比差异很大。流产后计划生育被认为是减少意外怀孕和重复人工流产的关键策略。现在调查堕胎后计划生育水平并采取相应的措施是很重要的。因此,本研究旨在评估2021年在阿达玛医院医学院接受堕胎服务的妇女堕胎后计划生育利用率及其相关因素。方法:基于机构的横断面研究于2021年1月1日至2月28日进行。连续招募了471名女性。采用面对面访谈的半结构化问卷收集数据。使用Epi-Info version 7输入数据,然后导出到SPSS version 20进行处理和分析。使用描述性统计来探讨参与者的特征。使用二元和多元逻辑回归来评估因变量和自变量之间的相关性。因变量和自变量之间的关联程度通过比值比和估计的95%置信区间来衡量。最后以p值小于0.05来表示相关性的显著性。结果:流产后避孕率为73.9% (95% CI: 70.1 ~ 77.9)。学历妇女流产后实施计划生育的几率为28.37 (AOR=28.37;95% CI: 4.09-196.834)是没有接受过正规教育的人的两倍。手术终止后流产后使用避孕药的几率为58.9% (AOR=0.411;95% CI: 0.169-0.991)小于药物流产的1 / 3。结论与建议:本研究中堕胎后计划生育的重要性似乎较小。独立预测因子如产妇教育程度、已完成的手术、咨询、终止妊娠的原因和知识状况与结果变量显著相关。因此,应注意咨询和教育水平,以保持一致和有效的使用。
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引用次数: 0
Performance of the sFLT-1 / PLGF Ratio in the Diagnosis of Preeclampsia in Four Hospitals in Brazzaville (Republic of Congo) sFLT-1 / PLGF比值在布拉柴维尔(刚果共和国)四家医院诊断先兆子痫中的作用
Pub Date : 2022-01-01 DOI: 10.11648/j.jgo.20221002.20
Eouani Levy Max Emery, Buambo Gauthier Régis Jostin, Mouhingou Belmar Nick-Desy, Mokoko Jules César, Potokoue Mpia Sekangue Samantha Nuelly, Itoua Clautaire, Iloki Léon Hervé
Preeclampsia is a serious obstetric situation, responsible for high maternal and perinatal morbidity and mortality. Its diagnosis is clinical and biological, with confirmation either by proteinuria on the urine dipstick or by 24-hour proteinuria constituting the gold standard. Current revisions to the definition of preeclampsia tend to free themselves from reliance on proteinuria for diagnosis. They are oriented towards a broader model where the involvement of a target organ concomitant with gestational hypertension is sufficient to make the diagnosis of preeclampsia. Late positivity of proteinuria after the onset of arterial hypertension (HTA) has been reported, contrasting with the precocity of angiogenic factors such as soluble Fms tyrosine kinase type 1 (sFlt-1) and placental growth factor (PlGF). Objective. To evaluate the performance of the sFLT1/PLGF ratio in the diagnosis of preeclampsia. Methods. Cross-sectional multicenter analytical study conducted from October 17 to December 17, 2020 including hypertensive pregnant women, treated or not, with more than 20 weeks of amenorrhea. These all benefited from the Elisa assay of sFLT-1 and PlGF after carrying out the proteinuria on the urine dipstick during the consultation. Preeclampsia was defined by the double positivity of proteinuria on the urine dipstick associated with high blood pressure (Systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg). SPSS software was used for statistical analysis and calculation of performance indices (Se; Sp; PPV; NPV; Youden “J” index, AUC). The p-value of the probability was considered significant for a value < 0.05. Results. Pregnant women were mostly multiparous with a median age of 31 years (24-35). Preeclampsia was noted in 69.2% of cases. sFLT-1 was significantly higher in preeclamptic pregnant women (409±18.9 vs 194.6±12.9; p<0.05). No significant difference was noted for PlGF (11.9 vs 13.6; p< 0.05). The sFlt1/PlGF ratio was higher in case of preeclampsia (39.3 vs 14.6; p< 0.05). The threshold for the sFlt-/PlGF ratio retained was 18.5 (Se=86.4%; Sp=84.6%; PPV=90.5%; NPV=78.6%; J = 0.7; AUC =0.9). Conclusion. The sFlt-1/PlGF ratio was effective in the diagnosis of preeclampsia.
先兆子痫是一种严重的产科情况,负责高产妇和围产期发病率和死亡率。它的诊断是临床和生物学的,通过尿试纸上的蛋白尿或24小时蛋白尿作为金标准来证实。目前对先兆子痫定义的修订倾向于摆脱对蛋白尿诊断的依赖。他们的目标是建立一个更广泛的模型,在这个模型中,伴有妊娠期高血压的靶器官的参与足以诊断子痫前期。与可溶性Fms酪氨酸激酶1型(sFlt-1)和胎盘生长因子(PlGF)等血管生成因子的早发性相比,高血压(HTA)发病后蛋白尿的晚期阳性已被报道。目标。目的探讨sFLT1/PLGF比值在先兆子痫诊断中的价值。方法。横断面多中心分析研究于2020年10月17日至12月17日纳入高血压孕妇,不论治疗与否,闭经20周以上。这些都得益于在会诊期间尿试纸上进行蛋白尿后的sFLT-1和PlGF的Elisa检测。先兆子痫的定义是尿试纸上蛋白尿双阳性并伴有高血压(收缩压≥140 mmHg和/或舒张压≥90 mmHg)。采用SPSS软件进行统计分析和计算绩效指标(Se;Sp;PPV;净现值;约登“J”指数(AUC)。概率的p值< 0.05被认为是显著的。结果。孕妇多为多胎,中位年龄为31岁(24-35岁)。69.2%的病例有先兆子痫。sFLT-1在子痫前期孕妇中显著升高(409±18.9 vs 194.6±12.9;p < 0.05)。PlGF无显著差异(11.9 vs 13.6;p < 0.05)。子痫前期患者的sFlt1/PlGF比值更高(39.3 vs 14.6;p < 0.05)。sFlt-/PlGF比值保留阈值为18.5 (Se=86.4%;Sp = 84.6%;PPV = 90.5%;净现值= 78.6%;J = 0.7;AUC = 0.9)。结论。sFlt-1/PlGF比值对先兆子痫的诊断是有效的。
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引用次数: 0
Association of Pre-Gestational Diabetes Mellitus (Type 1 & Type 2), Gestational Diabetes, and Pre-Eclampsia with Preterm Birth Among Omani Women 阿曼妇女妊娠前糖尿病(1型和2型)、妊娠糖尿病和先兆子痫与早产的关系
Pub Date : 2022-01-01 DOI: 10.11648/j.jgo.20221002.15
Zainab Khalfan Al Maqbali
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引用次数: 1
Obstetric Fistula Repair Through Transvaginal Approach: The Experience in DMCH 经阴道修复产科瘘:DMCH的经验
Pub Date : 2022-01-01 DOI: 10.11648/j.jgo.20221002.23
Bipul Kumar Biswas, Sabrin Farhad, Monoroma Sarkar, Joyonto Kumar Das
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引用次数: 0
Women’s Satisfaction with the Quality of Antenatal Care Services Being Offered in Bamenda Health District 妇女对巴门达卫生区产前保健服务质量的满意度
Pub Date : 2022-01-01 DOI: 10.11648/j.jgo.20221002.21
Eyvonne Ngequih Tumasang, Eric Nuvadga Kamando, Kinga Bertila Mayin
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引用次数: 0
Knowledge of Cervical Cancer and Attitudes Towards Its Prevention Among Women Attending Antenatal Clinics in Primary Health Centres in a Niger Delta Capital City 尼日尔三角洲首府城市初级保健中心产前门诊妇女对宫颈癌的知识和预防态度
Pub Date : 2022-01-01 DOI: 10.11648/j.jgo.20221002.24
Matthias Gabriel Abah, Bles Akpabio Atat, Emmanuel Bassey Edu, Essien Iniokpon Attah, Iniobong Abah
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引用次数: 0
Factors Associated with Low Coverage of Intermittent Preventive Treatment with Sulfadoxyne-Pyrimethamine in Pregnancy in Dassa-Glazoué 妊娠期磺胺多酮-乙胺嘧啶间歇预防治疗覆盖率低的相关因素
Pub Date : 2021-11-10 DOI: 10.11648/J.JGO.20210906.12
Atadé Sèdjro Raoul, O. Mathieu, D. Patrice, Djodi Salamatou, Klipezo Roger, S. Kabibou
Introduction: Malaria during pregnancy is a major public health concern in most endemic areas, including Benin. To overcome this, the World Health Organization (WHO) recommends several prevention strategies, including the administration of sulfadoxine-pyrimethamine (SP) during pregnancy. Objective: To study the factors associated with low coverage of Intermittent Preventive Treatment with sulfadoxine-pyrimethamine (IPT-SP) against Malaria in pregnant women at Dassa-Glazoue area hospital in 2020. Study Method: This was a descriptive, analytical study with retrospective data collection that took place from May 25 to September 25, 2020. Results: During our study, three hundred and forty (340) pregnant women were investigated. The mean age was 27.67±6.12 years. The pregnant women included in the study were traders/dealers (35%) with a primary level of education (35%) and living in a common-law relationship (77.65%). The prevalence of IPT-SP coverage in antenatal care (ANC) was 35.00%. The number of ANC (less than 4) attended by the pregnant women (p=0.00), the age of more than 3 months from pregnancy to the first ANC (p=0.00) and non-compliance with ANC (p=0.00) were the factors associated with this low coverage. Conclusion: ANC is a special time for the administration of SP. New strategies must be put into place for the correct use of this service by pregnant women.
导言:在包括贝宁在内的大多数流行地区,妊娠期疟疾是一个主要的公共卫生问题。为了克服这一点,世界卫生组织(世卫组织)建议了几种预防战略,包括在怀孕期间服用磺胺多辛-乙胺嘧啶(SP)。目的:探讨2020年Dassa-Glazoue地区医院孕妇疟疾间歇预防治疗(IPT-SP)覆盖率低的相关因素。研究方法:这是一项描述性分析研究,回顾性数据收集于2020年5月25日至9月25日。结果:在我们的研究中,调查了340名孕妇。平均年龄27.67±6.12岁。研究中包括的孕妇是贸易商/经销商(35%),受过初级教育(35%),生活在普通法关系中(77.65%)。产前保健(ANC)中IPT-SP覆盖率为35.00%。孕妇参加ANC的次数(少于4次)(p=0.00)、从怀孕到第一次ANC的年龄超过3个月(p=0.00)和未遵守ANC (p=0.00)是导致覆盖率低的因素。结论:产前产前是实施SP的特殊时期,必须制定新的策略,使孕妇正确使用SP服务。
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引用次数: 0
期刊
Supplement to International journal of gynecology and obstetrics
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