Zentralblatt fur Gynakologie最新文献_第8页

[Operative therapy of female stress incontinence]. 【女性压力性尿失禁的手术治疗】。

Zentralblatt fur Gynakologie Pub Date : 2006-06-01 DOI: 10.1055/s-2006-933371

J Lahodny, B Lahodny, M Birner, A Kaider

{"title":"[Operative therapy of female stress incontinence].","authors":"J Lahodny, B Lahodny, M Birner, A Kaider","doi":"10.1055/s-2006-933371","DOIUrl":"https://doi.org/10.1055/s-2006-933371","url":null,"abstract":"Description of the fateful change of the differing operation methods for the treatment of female stress incontinence between 1979-2005. For the reason of scientific cognitions and many years of applying experience there are two logical and anatomical well-founded possibilities for the treatment of stress incontinence: 1. Elevation of the bladder neck to it's original position by a shortarm sling plasty. In doing that vaginally the ligg. urethrotendinea and the ligg. pubourethralia posteriora are connected suburethrally by a shortarm sling plasty or a double sling plasty and in this way the bladderneck is elevated to the height of the arcus tendineus fasciae pelvis. So a horizontal bladder base plate able to contract results with a retrovesical angle of about 90 %. The anatomic proof for continence. 2. Producing of the urethrovesical reflex by UST (Urethra Surrounding Tape). A polypropylene mesh with a circumference of 1,5 x 2,6 cm is fixed to the inner surface of the right and left os pubis and paraurethrally right and left too. This stable hammock causes a physiological impression of the dorsal urethra of about 2 mm. Because of that the urethrovesical reflex is set off leading to the contraction of the bladder neck and the relaxation of the detrusor vesicae muscle. This minimal invasive stress incontinence operation method brings about a subjective incontinence healing rate of 83.7 % and a clinical healing rate of 97.7 %. That means the same results like after TVT (Tension Free Vaginal Tape) or TOT (Transobturatorial Tape). In contrast to TVT or TOT there are no complications with UST.","PeriodicalId":23881,"journal":{"name":"Zentralblatt fur Gynakologie","volume":"128 3","pages":"117-22"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2006-933371","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26074047","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

[Integrin expression in eutopic and ectopic endometrium]. 整合素在异位和异位子宫内膜中的表达。

Zentralblatt fur Gynakologie Pub Date : 2006-06-01 DOI: 10.1055/s-2006-921550

R Gaetje, A Rody, S Kissler, M Kaufmann, A Ahr

{"title":"[Integrin expression in eutopic and ectopic endometrium].","authors":"R Gaetje, A Rody, S Kissler, M Kaufmann, A Ahr","doi":"10.1055/s-2006-921550","DOIUrl":"https://doi.org/10.1055/s-2006-921550","url":null,"abstract":"The significance of retrograde menstruation as a risk factor for endometriosis has been confirmed by numerous clinical observations. Integrins mediate both cell-cell and cell-matrix adhesion, and it is therefore suspected that integrins are involved in the development of endometriosis. Using immunohistochemistry, integrin expression in eutopic and ectopic endometrium is examined in endometriosis patients and control individuals. In nearly all cases, the glandular epithelial cells in the endometrium showed expression of alpha (2-), alpha (3)-, alpha (6)- and alpha (v)- integrin and a low percentage of expression of alpha (1)-, alpha (4)-, and alpha (5)-integrin. In comparison with eutopic endometrium, ectopic endometrium shows reduced expression of alpha (2)- and alpha (v)-integrin. Since no differences in alpha (2)- and alpha (v)-integrin expression were observed in eutopic endometrium between endometriosis patients and control individuals, it may be suspected that the reduced expression of these in ectopic endometrium is explained by influences in the altered environment -- e. g., in the peritoneal fluid -- on the ectopic endometrium.","PeriodicalId":23881,"journal":{"name":"Zentralblatt fur Gynakologie","volume":"128 3","pages":"135-7"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2006-921550","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26073951","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: 4

[Plastic reconstructive procedures of vulvar carcinoma: results and complications]. 外阴癌整形再造术:效果及并发症。

Zentralblatt fur Gynakologie Pub Date : 2006-06-01 DOI: 10.1055/s-2006-933424

W Weikel, M Schmidt, E Steiner, P G Knapstein, H Kölbl

{"title":"[Plastic reconstructive procedures of vulvar carcinoma: results and complications].","authors":"W Weikel, M Schmidt, E Steiner, P G Knapstein, H Kölbl","doi":"10.1055/s-2006-933424","DOIUrl":"https://doi.org/10.1055/s-2006-933424","url":null,"abstract":"Purpose: This study describes the results of the plastic reconstructive measures in 207 patients with a primary or a recurrent vulvar cancer. These procedures were analysed in sight of surgical excision, previous therapy, and detailed postoperative results.Methods: All procedures and clinical parameters were recorded standardized in a data bank and analysed using statistical methods.Results: In 123 local (cutaneous or fasciocutaneous) and 84 regional (myocutaneous) flaps we found a primary healing in about 2/3 of the cases. Local flaps exhibited secondary healing in 31 %, regional flaps in 20 %. This often involved the donor sites and generally did not present any permanent problems. Pronounced healing disturbances (necrosis of more than 10 %) was not achieved in local flaps, in regional flaps it aroused in 5.9 %. Gluteal femoral flaps were used most frequently and showing the best results of all myocutaneous flaps. They were comparable with the local reconstructions by a high degree of reliability and healing. In 15 cases a tissue-loss was observed. In these patients, elevated risk factors, certain oncological characteristics and technical problems could be demonstrated.Conclusion: Plastic surgery enlarges the spectrum of operative therapy of vulvar cancer, especially in extensive or recurrent tumors, leading to a favourable oncological outcome and good cosmetic results. Severe healing disturbances are rare and can be controlled.","PeriodicalId":23881,"journal":{"name":"Zentralblatt fur Gynakologie","volume":"128 3","pages":"143-8"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2006-933424","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26073953","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: 1

[Antibiotic prophylaxis in cesarean section -- piperacillin versus piperacillin/tazobactam in 300 cesarean sections]. 剖宫产术中的抗生素预防——300例剖宫产术中哌拉西林与哌拉西林/他唑巴坦的比较

Zentralblatt fur Gynakologie Pub Date : 2006-06-01 DOI: 10.1055/s-2005-872566

K J Wagner, U Bier, R Callies, P A Regidor, A E Schindler

{"title":"[Antibiotic prophylaxis in cesarean section -- piperacillin versus piperacillin/tazobactam in 300 cesarean sections].","authors":"K J Wagner, U Bier, R Callies, P A Regidor, A E Schindler","doi":"10.1055/s-2005-872566","DOIUrl":"https://doi.org/10.1055/s-2005-872566","url":null,"abstract":"Introduction: Antibiotic prophylaxis is a standard procedure in obstetric surgery and has been discussed in various investigations. Use of treatment is judged by high efficacy and good tolerance.Method: In 300 patients undergoing cesarean sections we compared results of application of Piperacillin 4 g and Piperacillin/Tazobactam 4.5 g after cut of umbilical cord. Tazobactam/Piperacillin is a combination of a broad-spectrum penicillin and a beta-lactamase inhibitor with increased toxicity against staph. aureus, enterobacter, and other germs responsible for local and systemic infections in obstetric surgery.Results: We did not observe any severe adverse effects. Rate of severe wound infections was 1.3 % (Tazobactam/Piperacillin) and 2 % (Piperacillin alone). The difference showed no statistic significance (p > 0.01). During postoperative course we found a higher increase of CRP (p < 0.01) in the Piperacillin group. CRP proved to be a useful objective parameter to distinguish between patients with or without postoperative infections. No differences were found in the number of leucocytes, time in hospital and other parameters.","PeriodicalId":23881,"journal":{"name":"Zentralblatt fur Gynakologie","volume":"128 3","pages":"149-52"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2005-872566","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26073954","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: 6

[Adjuvant therapy with trastuzumab in primary breast neoplasms--findings and validity of--opinion on the competence of the Central Oncology section of the North German Society]. 【曲妥珠单抗在原发性乳腺肿瘤中的辅助治疗——结果和对北德学会中央肿瘤学分会能力的有效性意见】。

Zentralblatt fur Gynakologie Pub Date : 2006-06-01

Jens Huober

引用次数: 0

[Women "healthcare" and obstetrics - "thoughts of farewell"]. [妇女“保健”和产科-“告别的想法”]。

Zentralblatt fur Gynakologie Pub Date : 2006-06-01 DOI: 10.1055/s-2006-933510

H Hepp

引用次数: 0

[Treatment of pregnancy associated gynaecological malignancies]. [妊娠相关妇科恶性肿瘤治疗]。

Zentralblatt fur Gynakologie Pub Date : 2006-06-01 DOI: 10.1055/s-2006-933376

W Janni, B Gerber, F Bergauer, B Rack, H Sommer, K Friese

引用次数: 5

Die Autofluoreszenz-Laparoskopie: ein neues endoskopisches Verfahren zur Verbesserung der Endometriosediagnostik 这种装置能有效改善内窥镜诊断技术

Zentralblatt fur Gynakologie Pub Date : 2006-05-15 DOI: 10.1055/s-2006-944459

S. Schäfer, A. Staebler, L. Kiesel, O. Buchweitz

引用次数: 0

Einfluss der maternalen Diabeteskonstellation auf die Gefäßdichte in den Plazentazotten 用糖尿病引起的动脉导管影响胎盘血管密度

Zentralblatt fur Gynakologie Pub Date : 2006-05-15 DOI: 10.1055/S-2006-944448

C. Bartz, M. Kadyrow, P. Bertolami, W. Rath, B. Huppertz

{"title":"Einfluss der maternalen Diabeteskonstellation auf die Gefäßdichte in den Plazentazotten","authors":"C. Bartz, M. Kadyrow, P. Bertolami, W. Rath, B. Huppertz","doi":"10.1055/S-2006-944448","DOIUrl":"https://doi.org/10.1055/S-2006-944448","url":null,"abstract":"Im Verlauf einer normalen Schwangerschaft kommt es zu einer Gefasdilatation feto-plazentarer Gefase, die damit den steigenden Anspruchen des Trophoblasten entgegenkommen. Der raumliche Abstand zwischen Gefaslumen und Trophoblast wird verringert. In Schwangerschaften von Typ-I-Diabetikerinnen konnte eine verstarkte Angiogenese in diesem Stromgebiet gezeigt werden. Wir untersuchten hier, inwieweit die diabetische Stoffwechsellage der Mutter in Gruppen unterschiedlicher Diabetessituationen den relativen Anteil der Gefas an Schnitten von Plazentazotten verandert und Einfluss auf die Gefasproliferation nimmt. Methode: Paraffinschnitte von Zottengewebe folgender Patientinnengruppen wurden untersucht: Kontrollen; diatetisch eingestellter Gestationsdiabetes (GDM), insulinbehandelter GDM, Typ-I-Diabetes mellitus (DM) und Typ-I-DM mit weiteren klinischen Komplikationen. Die Schnitte wurden immunhistochemisch mit Anti-CD34 (QBend 10) gefarbt. Die Gefasanschnitte wurden gezahlt, und die Flachenanteile der Gefasanschnitte wurden an zufallig ausgewahlten Schnittbildern in Beziehung zur Gesamtzottenflache gesetzt. Ergebnisse: In den Plazentazotten der Kontrollen war der Gefasflachenanteil signifikant hoher im Vergleich zu allen diabetischen Stoffwechselsituationen. Insulinbehandelte GDM zeigten den geringsten Gefasflachenanteil. Auf der anderen Seite wiesen die GDM die gleiche Anzahl an Gefasanschnitten wie die Kontrollen auf, wahrend Typ-I-DM tendenziell hohere Gefaszahlen pro Zotte hatten. Schlussfolgerung: Obwohl es zu einer verstarkten Gefasproliferation der plazentaren Strombahnen kommt, die zu einer hoheren Gefasdichte pro Zotte fuhrt, ist der Gefasflachenanteil dieser Gefase dramatisch verringert. Es scheint so, als ware die Elongation dieser Gefase verbunden mit einer verminderten Gefasdilatation. Moglicherweise erklaren diese vaskularen Veranderungen die unterschiedlichen klinischen fetalen Auswirkungen verschiedener diabetischer Stoffwechsellagen.","PeriodicalId":23881,"journal":{"name":"Zentralblatt fur Gynakologie","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2006-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72736010","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

Die Entwicklung der gynäkologischen Endoskopie in Deutschland unter besonderer Berücksichtigung der Komplikationen 从德国发展的妇科内科特别注意这方面的并发症

Zentralblatt fur Gynakologie Pub Date : 2006-05-15 DOI: 10.1055/S-2006-944504

M. Hebold, Hh Riedel

引用次数: 0