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    Those that obstructed in ampullary and fimbriaend portions of fallopian tube had the better unobstruction rate (84.71%) after the treatment than that obstructed in interstitial and isthmus portion of the tube (7.14%, 15%) (P<0.000 1).
    壶腹部、伞部阻塞术后再通率(84·71%)明显高于间质部和峡部阻塞者(7·14%、15·00%),差异有非常显著意义(P<0·0001)。
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    Application of laparoscope in early diagnosis and treatment of interstitial tubal pregnancy
    腹腔镜在输卵管间质部妊娠早期诊断及治疗中的应用
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    The analysis of 17 cases of interstitial tubal ectopic pregnancy treated with laparoscope
    腹腔镜手术治疗输卵管间质部妊娠17例分析
短句来源
    Diagnosis and Treatment of 20 Cases with Nonrupture Interstitial Tubal Pregnancy by Using Laparoscope
    腹腔镜诊治未破裂型输卵管间质部妊娠20例
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    Under the combined use of laparoscopy and hysterscopy resulted in 13 oviducts patency of interstitial obstruction succeeded(20.31 %), failed in 4 oviducts (6.25%), and succeeded in 14 isthmus obstruction (21.88%), failed in 5 (include 2 penetration).
    宫、腹腔镜下间质部插管成功13条,占20.31%(13/64),失败4条6.25%(4/64); 峡部插管成功14条,占21.88%(14/64),失败5条,占7.81%(5/64),穿孔2条,占3.130/0(2/64)。
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Laparoscopies combined with hysteroscopies were performed in 144 ovulatcry infertilewomen. The results of 112 cases out of 144 are sufficient for diagnosis, they are: normaluterine and pelvic cavities in 28 cases (25%), abnormalities of pelvic cavities in 58 cases(51.79%), abnormatities of uterine cavities in 12 cases (10.71%) and abnormalties ofboth uterine and pelvic cavities in 14 cases (12.5%). In 68 out of 112 cases the hystero-scopic tubal catheterization and chromotubation were done concomitantly for...

Laparoscopies combined with hysteroscopies were performed in 144 ovulatcry infertilewomen. The results of 112 cases out of 144 are sufficient for diagnosis, they are: normaluterine and pelvic cavities in 28 cases (25%), abnormalities of pelvic cavities in 58 cases(51.79%), abnormatities of uterine cavities in 12 cases (10.71%) and abnormalties ofboth uterine and pelvic cavities in 14 cases (12.5%). In 68 out of 112 cases the hystero-scopic tubal catheterization and chromotubation were done concomitantly for evaluation oftubal patency. In 32 women suffering from infertility or sterility the hysteroseopic intra-uterine surgeries were performed under laparoscopic monitoring, including lysis of severeintrauterine adhesions (12), resection of incomplete intrauterine septa (16), removal ofembedded fetal bones retained in uterine cavity (2 cases), removal of tubal intramuralpolyps and proximal tubal cannulation (2 cases). All the mentioned methods have beenevaluated and discussed.

144例排卵正常的不孕妇女作了宫腔镜、腹腔镜联合检查。112例用于明确诊断,结果发现:宫、盆腔基本正常28例(25%)、盆腔异常58例(51.79%)、宫腔异常12例(10.71%)和宫、盆腔均有异常14例(12.5%);其中68例同时作宫腔镜输卵管插管注染液检查以判定输卵管通畅度。32例腹腔镜监护下作宫腔镜矫治手术,包括:困难的宫腔粘连分离(12例)、不完全子宫纵膈切除术(16例)、子宫内嵌顿的胎儿骨片取出(2例),双侧输卵管间质部息肉摘除和疏通术(2例),对此种检查方法的优点进行了评价和讨论。

This Paper reports 30 cases of fallopin tubal anastomosis without support after female sterilization. The rate of reversal of sterilization is 86.7%, and the rate of reversal of intertility is 80%. The operation is characterized by instilling mixture with saline and procaine into fallopin tubes during and after the operation, and not using support. It is shown that the method can prevent tubal fibrosis and narrowness caused by abnormal stimulation of support during operation, and endosalping injuries and the...

This Paper reports 30 cases of fallopin tubal anastomosis without support after female sterilization. The rate of reversal of sterilization is 86.7%, and the rate of reversal of intertility is 80%. The operation is characterized by instilling mixture with saline and procaine into fallopin tubes during and after the operation, and not using support. It is shown that the method can prevent tubal fibrosis and narrowness caused by abnormal stimulation of support during operation, and endosalping injuries and the Postoperative obstruction of the isthmus portion resulting from frequently placing support to the uterus cavity. Washing the wound with mixed saline and heparin instead of sponge reduces stimulation to tubes and prevents tubal fimbria adhesion and gauze fibres from becoming microforeign matters in the pelvic cavity.

本文介绍了女性绝育术后无支架输卵管复通术的操作方法和治疗结果,再通率86.7%,再孕率80%。此术的特点是术中及术后均给予通水,不放输卵管支架。临床表明该方法防止了支架对输卵管的异常刺激致输卵管纤维化形成及狭窄;防止了多次放支架入宫腔而造成的输卵管内膜损伤使间质部及峡部不通。操作中用液体冲洗代替纱布擦压止血,减小了对输卵管刺激,防止了伞端粘连,台防止纱布纤维被带入盆腔成为颗粒状异物。

Twenty-one patienls with uriruptured ectopic pregnancy were treated with an individualized dosing regum-u of methotrexate(MTX). Nine of which were treated as outpatients,the rest were inpatients. They had a mean age of 31. 5 years(range 23-41)and a mean gravidity of 3.0(range 2 -5). Before the treatment ,abdominal ultrasonographic visualization had no change in 8 of 21 pa-tients(38. 1%). Before the treatment ,β-HC,G titers ranged from 167-26 000 IU/L. Patients were treated with 10 mg MTX per day intramuscularly...

Twenty-one patienls with uriruptured ectopic pregnancy were treated with an individualized dosing regum-u of methotrexate(MTX). Nine of which were treated as outpatients,the rest were inpatients. They had a mean age of 31. 5 years(range 23-41)and a mean gravidity of 3.0(range 2 -5). Before the treatment ,abdominal ultrasonographic visualization had no change in 8 of 21 pa-tients(38. 1%). Before the treatment ,β-HC,G titers ranged from 167-26 000 IU/L. Patients were treated with 10 mg MTX per day intramuscularly for 5-7 days depending on β-HCG decline. In order lo evaluate the dose of MTX patients were monitored with β-HCG titers three times for the first week,and then weekly until the β-HCG was less than 5 IU/L. Besides,the individualized doses ranged from 45 - 90mg(rnean 61. 5mg). Nineteen of 21 patients(90. 4% )were successfully treated. Two p;itients of inrerstitial pregnancy failed becnuse of having been found too late. No patient had obvious side effects. Nineteen patients were followed up,the ectopic mass disappeared after treatment in 1 - 3 months. Three of them conceived after to be cured. It has been showed that the individualized low dose MTX was safe and effective when used as primary therapy for early ectopic pregnancy .especially suitable for those wishing to conserve reproductive potency.

采用小剂量个体化MTX方案治疗未破裂异位妊娠21例。治疗前血β-HCG范围在167~26000IU/L,治疗时连续测定血β-HCG用于监测个体化用药量,范围为45~90mg,平均61.5mg。19例治愈,成功率为90.4%;失败两例为间质部妊娠发现较晚。证明本方案对早期异位妊娠治疗安全有效,且能保留生育能力,关键在于早诊断。本组腹部B超检查有38.1%为阴性,因此应结合病电,连续测定血β-HCG,综合分析,尤其对存在异位妊娠好发因素者应提高警惕。

 
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