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The Safety of High Dose Labetalol in the Pregnant Population 孕妇大剂量拉贝他洛尔的安全性
Pub Date : 2022-11-08 DOI: 10.33696/gynaecology.3.032
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引用次数: 1
The Effects of Vaginal Probiotic Administration on Perinatal Outcomes in Patients with Premature Preterm Rupture of Membrane 阴道益生菌给药对早产儿胎膜破裂患者围产期结局的影响
Pub Date : 2022-11-08 DOI: 10.33696/gynaecology.3.030
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引用次数: 1
Diagnosis and Management of Chorioamnionitis: A Case Report and Short Review of Literature 绒毛膜羊膜炎的诊断与治疗:1例报告及文献综述
Pub Date : 2022-11-07 DOI: 10.33696/gynaecology.3.029
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引用次数: 1
Our State Just Passed a Near-Total Abortion Ban 我们州刚刚通过了一项几乎完全禁止堕胎的法案
Pub Date : 2022-11-07 DOI: 10.33696/gynaecology.3.031
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引用次数: 0
A New Isolated Local Varicella Virus: Isolation, Identification, Comparative Growth Characteristics and Immunological Evaluation in an Animal Model 一种新分离的局部水痘病毒:动物模型的分离、鉴定、比较生长特性和免疫学评价
Pub Date : 2022-05-27 DOI: 10.33696/gynaecology.3.024
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引用次数: 1
Uterine Electrical Signals and Cervical Dilation During the First Stage of Labor 产程第一阶段子宫电信号与宫颈扩张
Pub Date : 2022-05-27 DOI: 10.33696/gynaecology.3.028
Pin Li, Qian Huang, Lele Wang, R. Garfield, Huishu Liu
Objective: The purpose of this study was to explore the changes in uterine electrical signals recorded by electromyography in relationship with the progression of cervical dilation during the first stage of labor. Methods: Uterine electromyography was recorded from the abdominal surface for 30 min in 200 nulliparous women presenting at ≥ 370/7 weeks of gestation. Eight groups were defined as follows: Group 1 (n=10), non-laboring patients with no cervical effacement; Group 2 (n=15), patients with cervical effacement; Groups 3 to 7, patients in the first stage of labor with cervical dilation at 1–2 cm (n=10), 2–3 cm (n=50), 3–5 cm (n=45), 5–7 cm (n=30), and 7–9 cm (n=25), respectively; and Group 8 (n=15), patients in the second stage of labor with the cervix at 10 cm dilation. Uterine electromyography bursts were characterized by the analysis of various burst characteristics, including number of bursts, total power, and peak frequency of power density spectrum. Intergroup differences were assessed using one-way analysis of variance, and linear relationships between data were determined using Pearson’s correlation coefficient. Results: The burst frequency (number/30 minutes) and power density spectrum peak frequency increased steeply to peak levels at a cervical dilation of about 3 cm. However, the electromyography burst power reached peak levels at a cervical dilation of 5–7 cm. The correlations of the frequency of bursts (R=0.934, P<0.001), power (R=0.890, P<0.001), and power density spectrum peak frequency (R=0.972, P<0.001) with cervical changes were significant. Conclusions: Uterine electromyography effectively quantifies the contribution of uterine muscle electrical activity to the advancement of cervical dilation with the progression of labor. This study suggests that the dilation of the cervix is related to uterine electricity activity, helping to clarify the labor process.
目的:探讨子宫肌电图记录的子宫电信号变化与第一产程宫颈扩张进程的关系。方法:对200例妊娠≥370/7周的未产妇女进行30 min的腹部肌电图记录。8组的定义如下:第一组(n=10),未分娩,无宫颈显影的患者;第2组(n=15),宫颈水肿患者;第3 ~ 7组:产程第一阶段宫颈扩张1 ~ 2 cm (n=10)、2 ~ 3 cm (n=50)、3 ~ 5 cm (n=45)、5 ~ 7 cm (n=30)、7 ~ 9 cm (n=25);第8组(n=15)为产程第二阶段宫颈扩张10cm的患者。通过分析子宫肌电图爆发的各种特征,包括爆发次数、总功率、功率密度谱峰值频率等来表征子宫肌电图爆发。使用单因素方差分析评估组间差异,使用Pearson相关系数确定数据之间的线性关系。结果:爆发频率(次数/ 30min)和功率密度谱峰值频率在宫颈扩张约3cm时急剧上升至峰值水平。然而,肌电图爆发功率在宫颈扩张5 - 7cm时达到峰值。突发频率(R=0.934, P<0.001)、功率(R=0.890, P<0.001)、功率密度谱峰值频率(R=0.972, P<0.001)与颈椎变化有显著相关性。结论:子宫肌电图可以有效地量化子宫肌电活动对宫颈扩张进程的贡献。本研究提示子宫颈扩张与子宫电活动有关,有助于厘清分娩过程。
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引用次数: 0
Peritoneal Fluid Leptin Levels in Endometriosis: A Retrospective Cohort Study 子宫内膜异位症腹膜液瘦素水平:一项回顾性队列研究
Pub Date : 2022-05-27 DOI: 10.33696/gynaecology.3.025
C. Vaineau, K. Nirgianakis, Thomas Andrieu, B. McKinnon, S. Imboden, D. Michael, Mueller
Leptin Levels in Abstract Background: Leptin has been proposed as a biomarker for endometriosis. Previous studies have shown mixed results. The aim of this study was to compare peritoneal fluid (PF) leptin concentrations between patients with and without endometriosis in a cohort of sufficient size to detect a significant difference. Methods: Patients of reproductive age undergoing laparoscopic surgery for endometriosis or other benign indications in the Department of Gynecology, University of Bern between 2007 and 2018 were recruited. Peritoneal fluid was aspirated at laparoscopy and the concentration of leptin measured by Enzyme-linked immunosorbent assay (ELISA). Leptin concentrations were compared between patients with and without endometriosis by an analysis of covariance. Results: 1054 patients were included in the analysis, of which 653 patients were diagnosed with endometriosis. Leptin concentrations strongly correlated with body mass index (BMI) (R²=0.313; F (1,1033)=470.73, p<0.001). After correcting for BMI, no difference was found in leptin concentrations between patients with and without endometriosis (p=0.051). Conclusion: Peritoneal fluid leptin concentrations correlated with BMI, but did not significantly differ between patients with and without endometriosis. This suggests leptin does not represent a viable biomarker for endometriosis.
背景:瘦素已被认为是子宫内膜异位症的生物标志物。之前的研究结果好坏参半。本研究的目的是比较有子宫内膜异位症和无子宫内膜异位症患者的腹膜液(PF)瘦素浓度,以检测其显著差异。方法:招募2007年至2018年在伯尔尼大学妇科行腹腔镜手术治疗子宫内膜异位症或其他良性适应症的育龄患者。腹腔镜下抽取腹膜液,酶联免疫吸附试验(ELISA)测定瘦素浓度。通过协方差分析比较有子宫内膜异位症和无子宫内膜异位症患者的瘦素浓度。结果:1054例患者纳入分析,其中653例诊断为子宫内膜异位症。瘦素浓度与体重指数(BMI)呈显著相关(R²=0.313;F (1,1033)=470.73, p<0.001)。校正BMI后,发现有和没有子宫内膜异位症的患者瘦素浓度没有差异(p=0.051)。结论:腹膜液瘦素浓度与BMI相关,但在子宫内膜异位症患者和非子宫内膜异位症患者之间无显著差异。这表明瘦素并不代表子宫内膜异位症的可行生物标志物。
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引用次数: 0
Cerclage Related Complications after Trachelectomy: A Retrospective Case Series 气管切除术后结扎相关并发症:回顾性病例系列
Pub Date : 2021-12-29 DOI: 10.33696/gynaecology.2.021
N. Burger, N. Abdulrahman, M. D. Boer, G. Fons, J. Huirne
Results: Ten patients suffered from cerclage related complications after trachelectomy. The cerclage position was examined by transvaginal ultrasound. Cerclages were displaced after (i) trachelectomy (n=6), (ii) cesarean section following trachelectomy (n=2) and (iii) trachelectomy and cesarean section, complicated by a uterine niche (n=2). Five patients were pregnant at diagnosis of cerclage displacement: four patients presented with preterm prelabor rupture of the membranes (PPROM) in the second trimester and one patient underwent trachelectomy in the late first trimester, complicated by an intrauterine infection and cerclage migration to the vagina. All five pregnancies were terminated because of intrauterine infection and/or poor fetal prognosis after removal of the dislocated cerclage. Cerclages were removed vaginally (n=7), hysteroscopically (n=2) or laparoscopically (n=1). Five patients were not pregnant at diagnosis of cerclage displacement: three patients presented with gynecological symptoms and two patients presented with subfertility with the cerclage located in the uterine niche.
结果:10例患者气管切开术后出现环扎相关并发症。经阴道超声检查环扎位置。在(i)气管切开术(n=6)、(ii)气管切开后剖宫产术(n=2)和(iii)气管切开和剖宫产手术后,子宫颈移位,并伴有子宫小生境(n=2)。5名患者在诊断为环扎移位时怀孕:4名患者在妊娠中期出现早产胎膜破裂(PPROM),1名患者在孕早期晚期接受了气管切开术,并发宫内感染和环扎转移到阴道。所有5例妊娠均因宫内感染和/或脱臼环扎术后胎儿预后不良而终止妊娠。通过阴道(n=7)、宫腔镜(n=2)或腹腔镜(n=1)切除宫颈。5名患者在诊断为环扎移位时未怀孕:3名患者出现妇科症状,2名患者出现低生育能力,环扎位于子宫内。
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引用次数: 0
Postmenopausal Hyperhidrosis and Vasomotor Symptoms in Menopause Should be Treated Differently – A Narrative Review 更年期绝经后多汗症和血管运动症状应区别对待——叙述性综述
Pub Date : 2021-12-29 DOI: 10.33696/gynaecology.2.020
C. Swartling, H. Naver, Philip Cabreus
Postmenopausal hyperhidrosis (PMH) is an important differential diagnosis to vasomotor symptoms (VMS) in menopause. The objective is to describe the differences in clinical presentation and treatment of the two conditions. Patients suffering from PMH represent a unique cohort of patients with primary hyperhidrosis and should therefore not be treated in the same way as those displaying VMS during menopause. Postmenopausal hyperhidrosis is a neglected differential diagnosis to the common VMS in menopause. The two diagnoses have similarities but also distinct differences in presentation. However, the treatments of the diagnoses differ substantially. This review explains the differences in clinical presentation and treatments and suggests botulinum toxin type B in the treatment of vasomotor symptoms due to anti-oestrogen therapy. Swartling C, Naver H, Cabreus P. Postmenopausal Hyperhidrosis and Vasomotor Symptoms in Menopause Should be Treated Differently – A Narrative Review. Arch Obstet Gynecol. 2021; 2(3): 57-63. Arch Obstet Gynecol. 2021 Volume 2, Issue 3 58 These are controlled by nuclei in the preoptic area of the hypothalamus. The eccrine sweat glands are innervated by sympathetic fibres with acetylcholine as transmitters. Important co-transmitters in the postganglionic sweat fibres are VIP (vasoactive peptide) and CGRP (calcitonin gene-related peptide) which with vasodilation and increased vasopermeability provide extravasation of plasma to the sweat glands, which via the sweat exits later becomes a hypotonic salt-containing sweat. While sweat eliminates heat by way of evaporation, where one millilitre of evaporated sweat corresponds to 0.58 kcal energy reduction, redirected blood flow to the skin does so by radiating excess heat to a cooler (< 37°Celsius) environment [3]. Thermoregulatory vasodilation is regulated via reduced stimulation of adrenergic receptors, but the neuropeptides in the nerve endings of the sweat glands can also play a role [1]. Primary Hyperhidrosis Primary hyperhidrosis is an inherited disability in 4.8% of the population and produces a major negative impact on quality of life [4]. The condition is characterised by low thresholds for stimuli such as stress (arousal), heat and exertion, in the sweat-regulating systems of the central nervous system (CNS), which in addition to the hypothalamus also include the limbic system and frontal cortex [5]. Arousal leads to a pathologically increased sympathetic outflow to the sweat glands in patients with hyperhidrosis compared to a normohidrotic control group [6]. Sweat in the palms of hand and soles of the feet, as well as in the paws of many mammals, is crucial for the grip function during “fight and flight”, which explains why nuclei in the limbic system are sweat-regulating and that stress can be a deteriorating factor in patients with mainly thermoregulatory hyperhidrosis which is found on large body surfaces, such as the head and torso. Age of onset varies: hands-feet often
同时,具有耐药性VMS的患者可能会表现出强烈的PMH症状,在补充雌激素之前应使用B型肉毒杆菌毒素。Swartling C,Naver H,Cabreus P.绝经后多汗症和更年期血管运动症状应区别对待——叙述性综述。Arch Obstet Gynecol。2021年;2(3):57-63。Arch Obstet Gynecol。2021年第2卷第3期59绝经后多汗症绝经后多汗症是绝经后妇女原发性体温调节性多汗症的一个误导性名称。这个名字表明更年期和雌激素水平下降与诊断有关。在所有70岁以上的女性中,有10%的人会出汗,这可能不仅与雌激素水平下降有关[8]。此外,多汗症的发作可能发生在更年期发作之前或之后很久。我们的经验是,当更年期停止,多汗症继续时,女性会感觉到:潮热消失,出汗变得取决于情况(压力/热量/努力)。大多数患有PMH的患者在汗液诊所寻求帮助,尽管效果已经减弱或完全消失,但他们还是服用了雌激素。许多女性表示“她们明白自己明显出汗与更年期无关”,但她们仍在继续雌激素替代。这种矛盾很难理解,但患者有时会表示“如果我停下来,情况可能会更糟”。绝经后多汗症没有潮热症状,雌激素替代也没有帮助[9]。绝经后多汗症通常侵袭头部躯干区域,但也可能包括其他身体区域。在一项小型研究中,青少年多汗症(如腋下多汗症)出现双重发作,随后出现无问题的间歇期,然后通常在40至70岁之间开始明显出汗[10]。PMH患者通常意识到,它与更年期没有任何关系,而且家庭中经常出现明显的出汗。绝经后多汗症取决于情况(热量/努力/压力),并且不像VMS那样缺乏潮热。夜间出汗在这两种情况下都很常见。诊断之间的一条重要分界线是对雌激素替代的反应,其中PMH对治疗没有反应,除非患者与VMS联合使用(表2)。表1:区分原发性和继发性多汗症的记忆数据。原发性多汗症继发性多汗病
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引用次数: 0
Reproductive Issues in Neurofibromatosis Type 1: An Update 1型神经纤维瘤病的生殖问题:最新进展
Pub Date : 2021-12-29 DOI: 10.33696/gynaecology.2.023
F. Pepe, Paolo Santoro, M. Monteleone, G. Insalaco
RASopathies are a clinical spectrum of diseases due to germline mutation in components or regulators of the RASMEK-ERK pathways. They include neurofibromatosis type 1 (NF1), Costello syndrome, Noonan syndrome, Noonan syndrome with multiple lentigines, Legis syndrome, cardio faciocutaneous syndrome, capillary malformationarteriovenous syndrome, gingival fibromatosis and autoimmune lymphoproliferative syndrome [1]. Altogether these syndrome affects 1:1,000 newborns [2]. Each syndrome has distinct clinical aspects, although some characteristics are overlapping needing molecular diagnosis.
RASMEK-ERK通路的成分或调节因子发生种系突变导致的一系列临床疾病。它们包括1型神经纤维瘤病(NF1)、Costello综合征、Noonan综合征、多发性扁豆精的Noonan综合症、Legis综合征、心面部皮肤综合征、毛细血管畸形动静脉综合征、牙龈纤维瘤病和自身免疫性淋巴增生综合征[1]。这些综合征总共影响1∶1000名新生儿[2]。每种综合征都有不同的临床方面,尽管有些特征是重叠的,需要分子诊断。
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引用次数: 0
期刊
Archives of obstetrics and gynaecology
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