摘要:

Abstract.Hysterometry, a method for the quantitative evaluation of drug effect on the myometrium, has now been applied in a study of the changes in uterine tonicity during the menstrual cycle. Six nulli‐gravidae women with regular menstrual periods and normal gynecological examination findings, were studied. Hysterometry was performed in the midproliferative, ovulatory, and midsecretory periods of the cycle and on the first day of menstruation. Uterine tonicity was found to be higher during the proliferative compared with the secretory phase. The change in uterine tonicity was correlated with a change in the quotient of concentration of estradiol and progesterone in serum (E2/P

ISSN:0001-6349    

DOI:10.3109/00016348109155458

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Abstract.The pelvic congestion syndrome is an ill‐defined entity and despite clinical signs and symptoms diagnosis is almost always presumptive. We studied the clearance of133Xenon injected into the cervical myometrium, the aim being to evaluate the usefulness of the method as a diagnostic tool in this condition. At the interoperative controls signs of pelvic congestion were present in 40 patients and absent in 36. The mean cervico‐myometrial blood flow was 14.28±6.46 ml/100 g/min in the first group and 25.13±7.07 ml/100 g/min in the second (p>0.01). We obtained false negative responses in 6 cases, false positive ones in 2 and doubtful ones in 16

ISSN:0001-6349    

DOI:10.3109/00016348109155459

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Abstract.The regeneration of the human endometrium, with particular emphasis on the presence of inflammatory cells, was studied in 106 women undergoing hysterectomy following curettage. The interval between the last curettage and the hysterectomy varied from 1 day to 12 months. A slight but significant increase in the number of neutrophil cells was observed during the first 7 days after the curettage in proliferating endometrium. This increase was considered to reflect the regeneration phenomenon rather than a true infection. No statistically significant increase in the number of neutrophils and mononuclear cells was observed after the first week following the curettage. The study does not provide any evidence that the introduction of a curette or a suction instrument in the uterine cavity increases the risk of endometritis.

ISSN:0001-6349    

DOI:10.3109/00016348109155460

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Abstract.The study evaluated transcutaneous electrical nerve stimulation (TNS) for pain relief in labor, used in parallel with conventional methods. The investigation comprised 566 vaginally delivered women, 283 of whom were given TNS. Pain relief was evaluated with a questionnaire which the women answered shortly after delivery. With a statistical multivariate technique, it was concluded that TNS has a specific effect on pain localized to the back. Few women in either the TNS or the control group reported good relief of pain localized to the suprapubic region. Nitrous oxide‐oxygen mixture was used less often in the TNS group than in the controls. Duration of labor and maternal blood loss were comparable in the two groups. The babies borne by primiparae in the TNS group tended to have better Apgar scores. Fewer babies of primiparae in the TNS group required observation for two days or more on the neonatal ward than was the case with the controls. However, the electrical stimulation could not be used optimally as it interfered with monitoring of the fetal heart rate in half the cases.It is concluded that although TNS has a good effect on low‐back pain and seems to have no negative effects on the mother or child, it is only a complement to conventional meth

ISSN:0001-6349    

DOI:10.3109/00016348109155461

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Abstract.A prospective study on the value of routine HPL determination as a supplement to clinical antenatal care is presented. The HPL values in the apparently normal pregnant woman were not known to the clinicians.The material comprised 1 660 pregnancies and deliveries, in 87% of which at least one HPL value was available.The results are expressed as the ability of a low HPL value to predict the birth of a distressed infant and/or an infant of low birth weight, a normal HPL value the birth of a non‐distressed infant and/or an infant of normal birth weight. Moreover, the results show how many of the distressed infants and infants of low birth weight were born to mothers with low HPL values.Like a number of other authors, we found that HPL screening increases the prognostic reliability in pregnancies with complications. On the other hand, its value in normal pregnancies could not be confirme

ISSN:0001-6349    

DOI:10.3109/00016348109155462

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Abstract.Following therapeutic abortion in 280 patients prior to the 12th week of gestation, the amount of tissue aspirated was investigated. Measurement of the amount of tissue removed by vacuum suction after dilatation of the cervical canal showed a definite relationship between tissue quantity and gestational age. However, there was a wide range of tissue quantity in the various gestational age groups.The amount of blood lost during the procedure also depended upon gestational age. In 71% of the patients less than 100 ml was lost. There was no difference in the amount of blood lost between primigravidae and multigravidae when regard is paid to gestational age.No case of ectopic pregnancy was found.Re‐evacuation was performed in 9 cases. The amount of tissue then recovered was small, in 7 cases 10 ml or less. Placental tissue was removed at re‐evacuation in only one of these patients, decidua in all the others.It is concluded that measurement of the amount of tissue removed does not permit assessment of whether the uterine cavity has been adequately evacua

ISSN:0001-6349    

DOI:10.3109/00016348109155463

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Abstract.Thirty‐eight women were treated with estrone sulphate over a period of 30 months for climacteric problems. A random control group of 29 women were given methyl scopolamine.Bone mineral assays were performed by means of dual photon absorptiometry before the start of treatment and after 6, 12, 18, and 30 months. There was a difference in the mineral loss of trabecular bone between the two groups after 30 months of treatment, that of the control group being significantly higher (p>0.001).In the estrogen‐treated group there was a decrease in serum phosphorus (p>0.01), alkaline phosphatase activity (p>0.001), and albumin (p>0.001). In the control group, serum albumin showed the same decrease, while the other factors either showed no difference or even increased. The urinary excretion of calcium was not significantly reduced in the estrogen group, whereas there was an increase in the control group (p>0.01). There was an increase in hematocrit in both groups.Positive correlation was found between parity and loss of trabecular bone mineral (p>0.

ISSN:0001-6349    

DOI:10.3109/00016348109155464

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Abstract.Venous blood samples were collected prospectively in ten menstrual cycles where conception occurred, and for several weeks thereafter, and the circulating concentrations of pregnancy specific β1glycoprotein (SP1) and human chorionic gonadotrophin (HCG) determined using specific radioimmunoassays. The data were converted to logarithms and pooled using the day of the LH peak as zero time. The concentration profiles so obtained were remarkably similar and showed a rapid exponential increase in concentration during the very early stage of pregnancy. The doubling times were 2.4 days and 2.3 days for SP1and HCG respectively and both proteins were initially secreted in approximately equivalent concentrations. However, some 30 days following the LH peak, the concentration profiles began to diverge, with SP1levels continuing to rise whilst HCG concentrations showed the characteristic plateau at 8 and 10 weeks of gestation

ISSN:0001-6349    

DOI:10.3109/00016348109155465

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Abstract.A new operation for large rectocele is described. The operation combines the method of posterior colporrhaphy with the principles of ventral hernia surgery using a submucosal dermis graft to reinforce the vaginal wall.Fifteen postmenopausal women were examined one to four years after treatment for rectocele with this method.All fifteen patients were cured of their symptoms. Only in one case was the anatomical result less perfect.On proper indications this operation is a good alternative to the existing methods of treating rectocele.The method is not difficult to perform for the surgeon familiar with colporrhaphy, and the operation it no more onerous for the patient than is a simple colporrhaphy.

ISSN:0001-6349    

DOI:10.3109/00016348109155466

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Abstract.Maternal plasma levels of progesterone and estradiol‐17β were measured weekly by radioimmunoassay in 15 healthy women during the last trimester of normal pregnancy. There was a large individual variation for both hormones. The mean concentrations rose slightly with advancing gestational age but the ratio of progesterone to estradiol did not change. It is apparent that the onset of spontaneous labor cannot be predicted by measuring the levels of progesterone and estradiol‐17β in maternal peripheral p

ISSN:0001-6349    

DOI:10.3109/00016348109155467

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY