Gynecologie Obstetrique & Fertilite最新文献_第10页

Révélation tardive d’une tumeur du site d’implantation placentaire 胎盘着床部位肿瘤的晚期发现

Gynecologie Obstetrique & Fertilite Pub Date : 2016-07-01 Epub Date: 2016-06-21 DOI: 10.1016/j.gyobfe.2016.05.004

M. Lodi , A.-J. Carin , C.Y. Akaladios , V. Gabriele , O. Garbin

引用次数: 1

Approche segmentaire des cardiopathies congénitales : principes et applications en imagerie prénatale 先天性心脏病的节段治疗:产前成像的原理和应用

Gynecologie Obstetrique & Fertilite Pub Date : 2016-07-01 Epub Date: 2016-07-19 DOI: 10.1016/j.gyobfe.2016.06.003

E. Lesieur , A. Dabadie , H. Pico , M. Bourachot , P. Gach , C. Sorensen , M. Capelle , F. Bretelle , S. Sigaudy , G. Gorincour

引用次数: 0

Methotrexate treatment for ectopic pregnancy after assisted reproductive technology: A case-control study 甲氨蝶呤治疗辅助生殖技术后异位妊娠:一项病例对照研究

Gynecologie Obstetrique & Fertilite Pub Date : 2016-06-01 Epub Date: 2016-05-20 DOI: 10.1016/j.gyobfe.2016.04.004

A. Ohannessian, P. Crochet, B. Courbiere, A. Gnisci, A. Agostini

{"title":"Methotrexate treatment for ectopic pregnancy after assisted reproductive technology: A case-control study","authors":"A. Ohannessian, P. Crochet, B. Courbiere, A. Gnisci, A. Agostini","doi":"10.1016/j.gyobfe.2016.04.004","DOIUrl":"10.1016/j.gyobfe.2016.04.004","url":null,"abstract":"<div><h3>Objectives</h3><p>Ectopic pregnancy (EP) occurs in 2% to 5.6% of pregnancies achieved by assisted reproductive technology (ART). EP treatment options include medical treatment by uses of methotrexate (MTX) systemic injection. The objective of this study was to compare MTX treatment effectiveness for EP occurring spontaneously or following ART.</p></div><div><h3>Methods</h3><p>A case-control study performed in the department of obstetrics and gynecology at a tertiary health care center in France. Twenty EP achieved by ART (ART group) and 60 spontaneous EP (SEP group) received MTX treatment between January 2002 and May 2012. The main outcome measures were MTX treatment failure rates, number of MTX injections administered and recovery time.</p></div><div><h3>Results</h3><p>MTX treatment failure rates observed in ART and SEP groups were similar (3/20 [15%] versus 10/60 [17%]: OR=0.88 [0.22–3.58]). Mean duration of recovery time in patients with successful MTX treatment did not differ between ART and SEP groups (33±14 days versus 28±13 days, <em>P</em>    <!-->5 [1.65–15.15]).</p></div><div><h3>Conclusions</h3><p>It is concluded that MTX treatment is equally effective for spontaneous EP and EP achieved by ART, two injections of MTX being more frequently required in case of ART.</p></div>","PeriodicalId":55077,"journal":{"name":"Gynecologie Obstetrique & Fertilite","volume":"44 6","pages":"Pages 341-344"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.gyobfe.2016.04.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34510982","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

Psychologie et sexologie : une approche essentielle, du diagnostic à la prise en charge globale de l’endométriose 心理学和性学:子宫内膜异位症从诊断到全面管理的基本方法

Gynecologie Obstetrique & Fertilite Pub Date : 2016-06-01 Epub Date: 2016-05-20 DOI: 10.1016/j.gyobfe.2016.03.017

A. Leroy , H. Azaïs , C. Garabedian , S. Bregegere , C. Rubod , F. Collier

{"title":"Psychologie et sexologie : une approche essentielle, du diagnostic à la prise en charge globale de l’endométriose","authors":"A. Leroy , H. Azaïs , C. Garabedian , S. Bregegere , C. Rubod , F. Collier","doi":"10.1016/j.gyobfe.2016.03.017","DOIUrl":"10.1016/j.gyobfe.2016.03.017","url":null,"abstract":"<div><p>Endometriosis, defined by the presence of endometrial tissue outside the uterine cavity, is a common but often under diagnosed pathology. The clinical manifestations are varied (chronic pelvic pain, urinary or gastrointestinal symptoms) and can sometimes be very frustrated, delaying the diagnosis. This delay in diagnosis can be a high source of stress responsible for an important psychological impact in these patients, having a sense of misunderstanding and neglect of the medical profession. This climate of stress and anxiety can cause alteration of behavior including sexual disorders. In addition, endometriosis can be revealed as part of an infertility evaluation, and the patient and the couple can already be affected by this situation. The clinical and psychological impact of endometriosis inevitably leads to an impairment of patient's quality of life and sexuality. The objective of this article is to show the psychological consequences of endometriosis and its impact on sexuality, in order to highlight this essential aspect for a comprehensive care of patients.</p></div>","PeriodicalId":55077,"journal":{"name":"Gynecologie Obstetrique & Fertilite","volume":"44 6","pages":"Pages 363-367"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.gyobfe.2016.03.017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34510981","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: 10

Dépistage de masse par frottis cervicovaginal : résultats d’une expérience africaine 宫颈阴道涂片质量筛查:非洲经验的结果

Gynecologie Obstetrique & Fertilite Pub Date : 2016-06-01 Epub Date: 2016-05-20 DOI: 10.1016/j.gyobfe.2016.04.006

O.-R. Somé , N. Zongo , S. Ka , R. Wardini , A. Dem

{"title":"Dépistage de masse par frottis cervicovaginal : résultats d’une expérience africaine","authors":"O.-R. Somé , N. Zongo , S. Ka , R. Wardini , A. Dem","doi":"10.1016/j.gyobfe.2016.04.006","DOIUrl":"10.1016/j.gyobfe.2016.04.006","url":null,"abstract":"<div><h3>Objectives</h3><p>To assess the impact of smear test in the fight against cervix uteri cancer in Senegal.</p></div><div><h3>Methods</h3><p>This was a descriptive cross-sectional study of 1836 Pap smears performed in patients over 15 years during several screening campaigns in Senegal conducted between June 2010 and June 2012. We analyzed epidemiological data, pathological smears, and the proposed management.</p></div><div><h3>Results</h3><p>In 69% of cases, the women were less than 45 years old. They were mostly multiparous and did not use contraceptive methods before. The smears were interpreted in 91.4% (<em>n</em>  =46), 1.7% (<em>n</em>  =19) of cases. Multiparity, early marriages were the main risk factors. Patients with pathological smars had colposcopy with cryotherapy (23 cases), and colposcopy and biopsy (13 cases). A hysterectomy was performed in 4 cases.</p></div><div><h3>Conclusion</h3><p>The pathological smear rate found in this study confirms the interest to continue cervical cancer screening with this practice. Strengthening of its geographical and financial access through a national prevention program will effectively help to lower cases of cervical cancer.</p></div>","PeriodicalId":55077,"journal":{"name":"Gynecologie Obstetrique & Fertilite","volume":"44 6","pages":"Pages 336-340"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.gyobfe.2016.04.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34512418","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: 2

Une maladie de Biermer mimant un HELLP syndrome 比尔默氏症类似于帮助综合症

Gynecologie Obstetrique & Fertilite Pub Date : 2016-06-01 Epub Date: 2016-05-20 DOI: 10.1016/j.gyobfe.2016.04.002

C. Morin, A. Berman, B. Haddad

引用次数: 0

Influence de la précocité de la rupture des membranes et de la parité sur le délai d’expulsion des interruptions médicales de grossesse 膜破裂的早期和奇偶性对医疗终止妊娠驱逐时间的影响

Gynecologie Obstetrique & Fertilite Pub Date : 2016-06-01 Epub Date: 2016-04-27 DOI: 10.1016/j.gyobfe.2016.04.001

J. Ephrem-Duron , A. Stadler , B. Pereira , H. Laurichesse-Delmas , D. Gallot

引用次数: 1

Interprétation du pH au cordon à la naissance : le piège de l’hypercapnie 出生时脐带pH值的解释:高碳酸血症的陷阱

Gynecologie Obstetrique & Fertilite Pub Date : 2016-06-01 Epub Date: 2016-05-20 DOI: 10.1016/j.gyobfe.2016.04.011

E.G. Simon

引用次数: 0

Le méthotrexate autorisé dans la grossesse extra-utérine : on y est presque ! 甲氨蝶呤被批准用于宫外妊娠:我们快成功了!

Gynecologie Obstetrique & Fertilite Pub Date : 2016-06-01 Epub Date: 2016-05-21 DOI: 10.1016/j.gyobfe.2016.04.008

Henri Marret (Professeur de gynécologie obstétrique, responsable de la commission hors AMM du CNGOF)

引用次数: 0

Prise en charge des myomes utérins durant la grossesse 怀孕期间子宫肌瘤的管理

Gynecologie Obstetrique & Fertilite Pub Date : 2016-06-01 Epub Date: 2016-05-20 DOI: 10.1016/j.gyobfe.2016.04.007

F. Levast , G. Legendre , P.-E. Bouet , L. Sentilhes

{"title":"Prise en charge des myomes utérins durant la grossesse","authors":"F. Levast , G. Legendre , P.-E. Bouet , L. Sentilhes","doi":"10.1016/j.gyobfe.2016.04.007","DOIUrl":"10.1016/j.gyobfe.2016.04.007","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the impact of myomas on pregnancy and discuss the role of myomectomy during cesarean section.</p></div><div><h3>Methods</h3><p>Databases <em>PubMed</em>, <em>Medline</em> and <em>Cochrane</em> were searched until 30 June 2015.</p></div><div><h3>Results</h3><p>The most commonly reported obstetric complications relative to fibroids are: increased rate of spontaneous miscarriage in women with submucosal or intramural fibroids, pain, placentation disorders and malpresentation. A higher cesarean section rate is found among pregnant women with fibroids. The most common postpartum complication is postpartum haemorrhage. For years, risk of haemorrhage led caregivers not to practice myomectomy during cesarean section. Current data are rather reassuring. No study shows significant hemorrhage differences between myomectomy during cesarean section and cesarean section alone or myomectomy alone. The long-term morbidity of myomectomy during cesarean section is not enough studied but does not appear higher than expected for fertility and complications during pregnancy. Therefore, myomectomy during cesarean section is not currently recommended by learned societies.</p></div><div><h3>Conclusion</h3><p>Women with fibroids is a common obstetric situation. Complications are rare. Myomectomy during cesarean section seems to be not associated with higher short-term maternal morbidity. But studies with a longer-term follow-up of patients are necessary.</p></div>","PeriodicalId":55077,"journal":{"name":"Gynecologie Obstetrique & Fertilite","volume":"44 6","pages":"Pages 350-354"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.gyobfe.2016.04.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34510977","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: 8