摘要:

The efficacy of prehysterectomy curettage in ruling out an endometrial cancer was evaluated in three ways. First, by an evaluation of the extent of routine prehysterectomy curettage; second, by the assessment of the clinicians' ability to recognize endometrial cancer on the basis of curettings; and third, by evaluating the presence of a gross endometrial lesion in those uteri removed without a preoperative diagnosis of an endometrial maligancy. It was concluded that the examination of the opened excised uterus was more valuable than prehysterectomy curettage for the operative diagnosis of an endometrial malignancy.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

This study includes 347 cases of ectopic pregnancy. A comparison was made between patients having one ectopic pregnancy, those having a repeat ectopic pregnancy, and those whose first pregnancy was an ectopic one. Emphasis was placed on obstetric history and the reproductive future of these patients. Obstetric performance was poor for all groups of patients studied. In the patient whose first pregnancy was ectopic, total reproductive performance was complicated by an increased risk of a repeat ectopic pregnancy. The incidence of repeat ectopic pregnancy was 11.2%. The average interval between ectopic pregnancies was 2.83 years; 80% of the repeat pregnancies occurred within 4 years of the first ectopic episode. Obstetric outcome was likely to be poor after the second ectopic pregnancy.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

A primary malignant teratoma of the uterine tube, encountered in a 22-year-old female, is described. Forty-four cases of benign “teratomas” of the oviduct have previously been reported. This appears to be the first reported malignant teratoma of the uterine tube.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

A cytogenetic study of 27 spontaneous abortions was carried out using the Q-banding technic. The specimens were selected for study in order to increase the likelihood of finding a chromosome anomaly. Sixteen of 27 specimens (59%) showed a chromosome abnormality. Trisomy was found in 9 of the specimens, and the chromosomes involved were Nos 2, 8, 14, 16, and 22. There were 5 triploids and 2 tetraploids. Using marker chromosomes, it was found that the extra haploid set was paternally derived in two of the triploids which were favorable for study. The Q-banding technic provides accurate identification of the extra chromosomes in trisomy. When favorable markers are present in the parents, the source of the extra haploid set can be identified in triploid abortuses.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Electrical stimulation was applied to the follicular walls, capsules of corpora lutea, and pieces of atrophic ovaries obtained from 29 human ovaries. The quantitative analysis of contractile capacity in these ovarian strips was performed on the basis of stimulation-response relationships. Only with follicular walls and capsules of corpora lutea was the steep linear dose-response relationship similar to that shown by the uterine tube obtained by alternating current stimulation. The basal portions of mature follicular walls showed much more distinct responses to AC-stimulation than the apical portions. This difference further indicates a possible role of contractions by basal follicular walls in the process of follicular rupture at the apex in the human ovulation. The contractile elements of these ovarian strips were electronmicroscopically investigated with the strips which had shown contractions and confirmed to be smooth muscle cells in the ovary.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Two patients who developed hepatic and splenic amebic abscesses during pregnancy are reported. The frequency of incorrect diagnosis in patients with these conditions is stressed. Factors that influence the course and outcome of amebiasis in pregnancy are discussed.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Fifty-one women with missed periods ranging from 5 to 14 days who suspected a pregnancy underwent an aspiration currettage with a flexible soft-tipped cannula attached to a Karman-type syringe. Sera from these women were measured for human chorionic gonadotropin (hCG) by a rapid 2-hour solid phase radioimmunoassay using an antibody with a specificity for the beta subunit of hCG. The sensitivity and specificity of this assay insured detection of hCG with 100% accuracy at the time of the missed period. Of the 51 women, 33 (61.7%) were found to have hCG in their serum, and 29 (56.8%) had histologic evidence diagnostic of pregnancy.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

A randomized comparative study of the Copper T 300, the standard Dalkon Shield® and the Silicone Shell Loop D was conducted on 776 parous women. Net cumulative first event rates at 1 year and at 18 months, calculated by life-table analysis, were as follows: Copper T 300—pregnancy 1.2/1.9, expulsion 6.4/7.0, removal for pain or bleeding 7.4/10.8; Dalkon Shield—pregnancy 2.7/4.5, expulsion 5.8/5.8, removal for pain or bleeding 7.7/14.7; Shell Loop—pregnancy 3.8/4.9, expulsion 0.5/0.5, removal for pain or bleeding 9.1/13.1. None of the differences in event rates, except the lower expulsion rate of the Shell Loop, were significant. The continuation rates for the three devices at both 12 and 18 months were similar, indicating that there was little difference in their performance. As the results of this study showed a similarity of the incidence of events among very differently designed IUD's, previously reported differences in performance of these and possibly other types of IUD's may very likely be more related to differences among clinics than to differences among the devices themselves.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Because the efficacy of prophylactic antibiotic therapy has yet to be established and because numerous variables often hamper studies of such therapy, the results of prophylactic antibiotic therapy were studied in a homogeneous gynecologic population. The patients were 4000 women undergoing first trimester abortions. The surgical procedure, the gynecologists' skill, and the hospital environment were relatively uniform, as was the patient age range. Two groups of 1000 patients each received tetracycline; the other 2000 patients served as controls. The complications associated with abortion were then analyzed in those receiving tetracycline and in the 2000 controls. Complications were less frequent among patients receiving tetracycline. This finding supports the argument of those who favor the prophylactic use of antibiotics in the management of various high-risk surgical problems.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

With the use of routine monitoring of all patients in labor, a number of confusing, seemingly ominous fetal heart rate tracings in otherwise normal, healthy patients have been observed. This report describes one such type of pattern called prolonged end stage deceleration.

ISSN:0029-7844    

出版商:OVID    

年代:1975

数据来源: OVID