Revue francaise de gynecologie et d'obstetrique最新文献_第3页

[Are there still indications for cerclage in 1995?]. [在1995年还有做环切术的迹象吗?]

Revue francaise de gynecologie et d'obstetrique Pub Date : 1995-10-01

P Dufour, J Bérard, P Ernoult, N Tordjeman, D Vinatier, J C Monnier

{"title":"[Are there still indications for cerclage in 1995?].","authors":"P Dufour, J Bérard, P Ernoult, N Tordjeman, D Vinatier, J C Monnier","doi":"","DOIUrl":"","url":null,"abstract":"Aim: In order to assess their undertook a retrospective study in their department over a 4 year period: from January 1991 to December 1994.Method: the study concerned 129 patients who were treated by cerclage. This procedure was performed prophylactically in the great majority of them (97), while it was carried out as an emergency in 32 (25%).Results: the authors drew a distinction between two groups (prophylactic and emergency suture) when analyzing the various results: complications due to suture, mean age of pregnancy at delivery, threatened premature labor, mean length of prolongation obtained. These personal data formed the basis of a review of the literature, in order to specify the indications for suture adopted by various authors at the present time.Conclusion: the authors found themselves to be in agreement with data from the literature, considering a history of at least two obstetric accidents (late abortions) and/or the existence of a severe uterine malformation to be the principal indication for prophylactic suture. \"Emergency\" suture should be performed whenever there is a serious threat of early premature labor in the presence of cervical changes such that suture offers the only chance of prolonging the pregnancy.","PeriodicalId":21300,"journal":{"name":"Revue francaise de gynecologie et d'obstetrique","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19522340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Peripartum hysterectomy. Report of eleven cases]. [Peripartum子宫切除术。[11例报告]。

Revue francaise de gynecologie et d'obstetrique Pub Date : 1995-10-01

F Gardeil, S Daly, M J Turner

引用次数: 0

[Postpartum depression: too often neglected!]. 【产后抑郁症:太常被忽视!】

Revue francaise de gynecologie et d'obstetrique Pub Date : 1995-10-01

I O Godfroid, A Charlot

引用次数: 0

[Critical study of the characterization of hyperandrogenism in a group of obese women]. [一组肥胖女性高雄激素症特征的批判性研究]。

Revue francaise de gynecologie et d'obstetrique Pub Date : 1995-10-01

J P Cordray, R E Merceron, P Nys, X Guillerd, P Reboul, M Rainaut

{"title":"[Critical study of the characterization of hyperandrogenism in a group of obese women].","authors":"J P Cordray, R E Merceron, P Nys, X Guillerd, P Reboul, M Rainaut","doi":"","DOIUrl":"","url":null,"abstract":"The authors report the hormonologic characteristics of 20 obese and hirsute women meeting the criteria for adrenaltype hyperandrogenism, suppressible by dexamethasone, without hyperprolactinemia and without any late developing partial enzyme block appearance. The laboratory profile of these women differed from that of a group of women with type 1 polycystic ovaries syndrome. In this same group obese women in whom LH/FSH ratio was below 1, there was evidence under baseline conditions of a moderate increase in testosterone and delta 4-androstenedione in relation to increased plasma levels of DHA and SDHA, plasma delta 4 and delta 5-androgen levels falling precipitalely during the dexamethasone suppression test. The ACTH stimulation test revealed greater reactivity for 17 hydroxy-pregnenolone (p < 0.001) and less for 21-deoxycortisol than in the control group of normal women (p < 0.01). The essentially adrenal origin of plasma hyperandrogenism in certain cases of obesity is discussed. Insulin could increase adrenal sensitivity to ACTH and its possible action in vivo on the activity of adrenal enzymes requires clarification. The accumulation of certain androgens in the adrenal cortex could also be responsible for dysregulation of 3 beta ol-dehydrogenase and 11-hydroxylase.","PeriodicalId":21300,"journal":{"name":"Revue francaise de gynecologie et d'obstetrique","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19519371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Breast angiosarcoma. Five case reports]. (乳腺血管肉瘤。[5例报告]。

Revue francaise de gynecologie et d'obstetrique Pub Date : 1995-10-01

A Gamoudi, K Farhat, S Derouiche, M Hechiche, R Khattech, K Rahal, K Ben Romdhane

{"title":"[Breast angiosarcoma. Five case reports].","authors":"A Gamoudi, K Farhat, S Derouiche, M Hechiche, R Khattech, K Rahal, K Ben Romdhane","doi":"","DOIUrl":"","url":null,"abstract":"The authors report 5 cases of breast angiosarcoma collected in the Salah Azaiz Institute of Tunis, the only oncology center in this country, between 1969 and 1990. They enumerated 4,000 malignant breast tumors during this period; i.e. an incidence of 1.25%, higher than that in the world literature (0.4%). The mean age of patients was 44. Three were post-menopausal, and two were of childbearing age, one of whom was pregnant. This rare tumor is virtually limited to women. Affection is scarce, it affect's almost exclusively women. It generally present as a painless, ill-defined mass, without regional lymphadenopathy. The diagnosis of angiosarcoma is difficult since the histologic appearance is sometimes identical to that of a hemangioma. Hence the value of very thorough histologic examination of the entire operative specimen. Treatment is based upon mastectomy. The usefulness of adjuvant chemotherapy and/or radiotherapy is uncertain. The prognosis remains gloomy despite early diagnosis and treatment. The authors attempt in this study to identify the various features of this serious and uncommon condition, based upon the rare published cases in the world literature.","PeriodicalId":21300,"journal":{"name":"Revue francaise de gynecologie et d'obstetrique","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19522342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[A comparative study of 2 ways of clinical management in premature rupture of the membranes at term: temporization versus labor induction]. 【足月胎膜早破的两种临床处理方法:暂时性与引产的比较研究】。

Revue francaise de gynecologie et d'obstetrique Pub Date : 1995-07-01

L Kouam, J Kamdom-Moyo, P Ngassa, W Shasha, M Tchana Kontchou

{"title":"[A comparative study of 2 ways of clinical management in premature rupture of the membranes at term: temporization versus labor induction].","authors":"L Kouam, J Kamdom-Moyo, P Ngassa, W Shasha, M Tchana Kontchou","doi":"","DOIUrl":"","url":null,"abstract":"Two defined management approaches, temporization limited to 48 hours and immediate induction of labor, for premature rupture of the membranes at term were compared in a prospective study between January 1 1991 and November 30 1993 in the Maternity Unit of Yaoundé University Hospital. During this period, 268 cases of premature rupture of the membranes were seen among 3252 deliveries, i.e. an incidence of 8.2%. In the temporization group (153 cases), spontaneous onset of labor was effective in 95 patients (62.1%) within 12 hours and in 137 patients (89.5%) within 24 hours after premature rupture of the membranes. Spontaneous deliveries in this temporization group accounted for 129 cases (92.8%). In the induction of labor group, spontaneous delivery occurred in 119 cases (93.2%). There were ten cesareans in the temporization group and eight cesareans and two vacuum cup extractions in the induction group. Short term (24 hours) prophylactic antibiotics were given to 34 patients, i.e. 16 cases in which the duration of rupture of the membranes was more than 24 hours and 18 cases of cesarean section. Maternal infections concerned 18 cases (6.7%) including 12 cases (4.4%) of malaria. Microbiology of vaginal swabs revealed 6 cases of pseudomonas, 4 cases of staphylococcus aureus and 3 of candida albicans. Neonatal infections confirmed by blood culture and assay of C-reactive-protein involved 24 cases (20.3%). There were three fetal deaths, i.e. perinatal mortality of 1.1%. Risk factors, in these three fetal deaths, included postmaturity (1 case).(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":21300,"journal":{"name":"Revue francaise de gynecologie et d'obstetrique","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18490660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Sacrococcygeal teratomas. Apropos of a case of teratoma weighing 4200 g]. [Sacrococcygeal畸胎瘤。关于一例重达4200克的畸胎瘤。

Revue francaise de gynecologie et d'obstetrique Pub Date : 1995-07-01

H Rziga, M Barouni, H Oueslati, S Boughizane, H Marrakchi, K Neji, K Guermesi

引用次数: 0

[Cervical pregnancy. Contribution of ultrasonography to diagnosis and therapeutic management]. (宫颈妊娠。超声对诊断和治疗管理的贡献[j]。

Revue francaise de gynecologie et d'obstetrique Pub Date : 1995-07-01

C Guerrier, R Wartanian, V Boblet, E Rohmer, R Le Lirzin

引用次数: 0

[Gynecologic monitoring of tamoxifen treatment of breast cancer]. 他莫昔芬治疗乳腺癌的妇科监测。

Revue francaise de gynecologie et d'obstetrique Pub Date : 1995-07-01

G Le Bouedec, J M Pingeon, E Fondrinier, P Kauffmann, J Dauplat