摘要:

Chain cystourethrograms of 50 continent women and 67 women with stress urinary incontinence were compared. Wide variations were found in anterior and posterior urethrovesical angles, with a large overlap between the two groups. X-rays of 35 parous continent and 56 incontinent women were reexamined with reference to the bladder-neck lesions described by Hodgkinson—again a nonspecific variation was found. The influence of operation on the aforementioned factors as demonstrated on postoperative CUG's was studied, and none of these factors was constantly related to the surgical cure of stress incontinence.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Twelve patients with nonmetastatic (NMTD) and 20 patients with metastatic trophoblastic disease (MTD) of gestational origin were treated with actinomycin D as primary therapy. Complete, sustained remission was obtained in 100% of the patients with NMTD and 80% of those with MTD. In the metastatic group, 100% of patients in whomnochorio-carcinoma (CCA) was present achieved remission on actinomycin D alone, while only 64% of those with metastatic CCA were cured. The 4 patients who failed to respond to actinomycin D subsequently responded to amethopterin (2 patients) and triple therapy (2 patients). Toxi-city was less than that reported for comparable doses of amethopterin alone, particularly with respect to the liver, making actinomycin D the drug of choice in the presence of impaired liver function.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Chromosomes of 21 human vulvar lesions were studied by a direct squash method. A majority of the cells from condyloma acuminatum and Paget's disease of the vulva were normal dip-loid. However, most of those from in situ and invasive neoplasia were aneuploid. All immature squamous-cell carcinomas were predominantly diploid or peridiploid and devoid of triploid elements. The mature invasive squamous-cell carcinoma with keratinization and pearl formation had scattered ploidy distribution with some triploid components. Five of six patients with mature carcinomas had lymph-node metastasis, contrary to the findings in the immature carcinomas which showed no metastasis. Cells from the melanoma of the vulva demonstrated the most striking chromosomal aberrations with a peritriploid mode and marked structural deviation of the chromosomes.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Blood loss in gynologic surgical procedures, with and without a hemostatic drug, is compared. Under blind technic, 104 patients underwent abdominal or vaginal hysterectomy, with or without plastic repair. The drug-treated group of 53 patients lost less blood than did the 51 control (sham-injected) patients at 2, 48 and 120 hours postoperatively, but the difference was not statistically significant. Postoperative morbidity was evaluated using published criteria for sustained elevated temperatures. Antibiotics, or other specific therapy, were used only for postoperative infection. In the control group, 15 patients developed infections; in the treated group there werenone. Carbazochrome salicylate is a worthwhile adjunct in the postoperative management of gynologic surgical patients.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

An unusual cause of maternal mortality is described in a young primigravida who sustained a rapidly fatal course secondary to aCysticerus cellulosaelocated in the anterior horn of the right ventricle of her brain during the twelfth week of her gestation. Cysticercus infection in the United States is very uncommon but is more common in Mexico and has been reported to be present in approximately 3% of human autopsies. It also accounted for 25% of 100 cerebral tumors that came to operation.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

The preoperative status of tubal patency in 61 infertile patients was compared with findings at laparotomy. Using the method of quantitative hydrotubation, a correct preoperative diagnosis was made in 52 (85%) patients. Of the 48 in whom tubal patency was thought to be abnormal on the basis of this test, 43 (90%) were found to have tubal dysfunction at laparotomy. This method offers a much more reliable index of the status of tubal function than can be obtained with tubal insufflation. It can be done as a simple office procedure, offers minimal or no discomfort to the patient and is extremely safe.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Although the cytologic smear has increased the numbers of premalignant cervical lesions identified, no unanimity of opinion regarding adequate therapy has been attained. While it remains true that no single mode of therapy is suitable for all patients, experience with 861 patients with carcinoma in situ has shown that simple hysterectomy—without—vaginal—cuff removal has been and remains the treatment of choice at our institution. The recurrence rate was 2.9% for all methods of treatment, and no patient is known to have died from the recurrence. Neither endocervical glandular involvement nor the amount of vaginal cuff removed at hysterectomy appears to predicate recurrence rate.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

A benign solid teratoma of the uterine tube found incidentally in a 52-year-old woman is reported. There have been 43 teratomas reported previously, of which a majority were cystic. Most of the neoplasms were found in the 30 to 40-year age group and nulliparous women. The pathogenesis and clinical symptoms of the tumor are discussed.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Clomiphene was administered to anovulatory, infertile women for 1 to 20 cycles. At selected times during the treatment cycle, endometrial biopsies were obtained and dated according to the histologic criteria of Noyes, Hertig and Rock. In preovulatory endometria, fewer than the expected number of mitoses and less stratification of nuclei were noted, indicating less estrogen stimulation. In postovulatory endometria, the histologic changes normally seen in secretory endometrium were found. Endometrium can be dated accurately after clomiphene-induced ovulation. The conception rateper ovulatory cyclewas virtually the same as the conception rate of fertile womenper calendar month. This study provides no evidence of an increased incidence of luteal insufficiency in patients treated with clomiphene.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

In a woman hypophysectomized at the time a craniopharyngioma was performed and who showed full panhypopituitarism, several regimens of human menopausal gonadotropin (Humegon) and chorionic gonadotropin failed to induce ovulation. After a year of full replacement therapy with thyroid, corticosteroids and sequential estrogen-progestin, a single course of Humegon-HCG resulted in ovulation and conception. The pregnancy proceeded uneventfully to spontaneous term delivery; levels of estrogen, pregnanediol and chorionic gonadotropin were normal throughout.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID