Gynecologie Obstetrique Fertilite & Senologie最新文献_第10页

La cholestase gravidique : pour une vision holistique de la femme. À propos des examens complémentaires lors du diagnostic [妊娠期肝内胆汁淤积症：从妇女的角度看问题。关于超声波筛查]。

IF 0.8 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-06-01 DOI: 10.1016/j.gofs.2024.02.023

Jeremy Boujenah

引用次数: 0

Applicabilité de l’Adnex score dans la prédiction de la malignité des kystes ovariens [Adnex 评分在预测卵巢囊肿恶性程度中的适用性]。

IF 0.8 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-06-01 DOI: 10.1016/j.gofs.2023.12.001

Karima Mekni , Meriam Baba , Ines Haddad , Monia Aaraar , Oumayma Mejri , Chiraz ElFekih

{"title":"Applicabilité de l’Adnex score dans la prédiction de la malignité des kystes ovariens","authors":"Karima Mekni , Meriam Baba , Ines Haddad , Monia Aaraar , Oumayma Mejri , Chiraz ElFekih","doi":"10.1016/j.gofs.2023.12.001","DOIUrl":"10.1016/j.gofs.2023.12.001","url":null,"abstract":"<div><h3>Objective</h3><p>Ovarian cancer screening is a difficult problem due to the anatomy of the ovaries. Only histology allows a definite diagnosis. Our objective was to study the contribution of the Adnex score in the histological characterization of adnexal images for adequate management.</p></div><div><h3>Methods</h3><p>It was a retrospective, mono-center, descriptive and analytical. Sixty-five patients were included, those operated for an ovarian cyst and meeting the Adnex criteria: clinical, ultrasound and laboratory.</p></div><div><h3>Results</h3><p>The mean age of the patients was 38.6 years. They were nulliparous in 43 % of cases, and only four had a history of operation on ovarian cyst. Abdominal pelvic pain was the most frequent reason for consultation in 48 % of cases. An abdominopelvic mass was found on abdominal examination in 11 % of cases. Pelvic ultrasound made it possible to objectify the presence of an ovarian mass in all cases, with an average size of 79.66mm and a reassuring appearance in 66 % of cases. The calculation of the Adnex score was done in all patients preoperatively, for a 10 % cut-off, the model showed an 86 % chance of benignity for tumors proven to be histologically benign. The main route of entry was laparoscopy, in 61 % of cases. The treatment was in most cases conservative consisting essentially of a cystectomy.</p></div><div><h3>Conclusion</h3><p>The Adnex score discriminated well between benign and malignant masses, allowing for a better diagnosis preoperatively. It thus deserves its applicability in the clinical setting.</p></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 6","pages":"Pages 398-402"},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Sommaire 目录

IF 0.8 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-06-01 DOI: 10.1016/S2468-7189(24)00217-4

引用次数: 0

Sentilhes L, Sénat M.V, Bouchghoul H, Delorme P, Gallot D, Garabedian C, Madar H, Sananès N, Perrotin F, Schmitz T. Réponse à l’article de Boujenah J. intitulé « La cholestase gravidique : pour une vision holistique de la femme. À propos des examens complémentaires lors du diagnostic ». Gynecol Obstet Fertil 2024;52(6). doi:10.1016/j.gofs.2024.02.023 [L.Senthiles、M.V Sénat、H.Bouchghoul、P.Delorme、D.Gallot、Ch Garabedian、H.Madar、N.Sananès、F.Perrotin、T.Schmitz 对 J.Boujenah 题为 "La cholestase gravidique: pour une vision holistique de la femme.À propos des examens complémentaires lors du diagnostic".Gynecol Obstet Fertil 2024; 52(6).10.1016/j.gofs.2024.02.023].

IF 0.8 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-06-01 DOI: 10.1016/j.gofs.2024.02.024

Loïc Sentilhes , Marie-Victoire Sénat , Hanane Bouchghoul , Pierre Delorme , Denis Gallot , Charles Garabedian , Hugo Madar , Nicolas Sananès , Franck Perrotin , Thomas Schmitz

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Devenir obstétrical des patientes transplantées rénales suivies dans une maternité de type III. Étude rétrospective de 2000 à 2020 一家三甲妇产医院随访的肾移植患者的产科结果。2000年至2020年的回顾性研究

IF 0.8 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-06-01 DOI: 10.1016/j.gofs.2024.01.011

Aurélie Reitz , Marion Rouzaire , Romain Cahierc , Bruno Pereira , Richard Lemal , Cyril Garrouste , Denis Gallot

{"title":"Devenir obstétrical des patientes transplantées rénales suivies dans une maternité de type III. Étude rétrospective de 2000 à 2020","authors":"Aurélie Reitz , Marion Rouzaire , Romain Cahierc , Bruno Pereira , Richard Lemal , Cyril Garrouste , Denis Gallot","doi":"10.1016/j.gofs.2024.01.011","DOIUrl":"10.1016/j.gofs.2024.01.011","url":null,"abstract":"<div><h3>Aim</h3><p>To describe pregnancy outcome of kidney transplant patients till 1 year postpartum.</p></div><div><h3>Methods</h3><p>This retrospective, monocentric study included 15 kidney transplant patients who presented 18 pregnancies, between January 2000 and January 2020. For each of them, we searched for possible obstetrical, fetal and renal complications and we evaluated renal function before, during and after pregnancy.</p></div><div><h3>Results</h3><p>The live birth rate was 84% (16/19) with an average gestational age at delivery of 37 weeks of gestation. The rate of prematurity was 50% (8/16), gestational diabetes was 16.6% (3/18) and preeclampsia was 27.7% (5/18). Cesarean section was performed in 61.1% (11/18) of cases including, 81.8% (9/11) unplanned surgery. The average birth weight was 2635 grams and 37.5% (6/16) of the newborn were small for gestational age. All patients had stable renal function before conception of pregnancy. We noticed two acute graft rejection during pregnancy with only one resulting in graft loss. Four patients had a reduced graft function in 12months of the postpartum.</p></div><div><h3>Conclusion</h3><p>Risk of maternal, fetal and renal complications remained high in kidney transplant recipients. Pregnancy should be carefully planned in transplanted women associated with adequate follow-up according to clinical guidelines (normal renal function and blood pressure without proteinuria before pregnancy, no recent graft rejection, period of one year after transplant respected and no teratogenic treatment in the month before pregnancy).</p></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 6","pages":"Pages 391-397"},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139687813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Comment Palmer faisait… Raoul Palmer et l’aventure de la cœliochirurgie [帕尔默是如何做到的......拉乌尔-帕尔默和腹腔镜奥德赛]。

IF 0.8 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-06-01 DOI: 10.1016/j.gofs.2024.02.004

Patrick Madelenat , Gautier Chene

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Comment je fais… Optimiser mes réglages Doppler pour une analyse du cœur fœtal au premier trimestre de la grossesse ? 如何...... 优化多普勒设置，以便在怀孕前三个月进行胎心分析？

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-05-24 DOI: 10.1016/j.gofs.2024.05.002

Maud Allary , Edwin Quarello

引用次数: 0

Faut-il dépister un vasa prævia ? 有必要筛查前置胎盘吗？

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-05-23 DOI: 10.1016/j.gofs.2024.05.001

Jeremy Boujenah , Celine Dupont-Bernabe , Claire Thuillier , Nicolas Sananes , Philippe Bouhanna , Patrick Rozenberg

引用次数: 0

L’hyperparathyroïdie primaire durant la grossesse : étude d’un cas [妊娠期原发性甲状旁腺功能亢进症：病例报告]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-05-09 DOI: 10.1016/j.gofs.2024.04.005

Jonathan Sabah , Alexis Marouk , Eric Boudier , Gilles-Davy Kossa-Ko-Ouakoua , Philippe Deruelle

引用次数: 0

Impact du mode de suivi des ruptures prématurées des membranes avant 36 SA sur la durée de latence [妊娠36周前胎膜早破的随访方式对潜伏期的影响]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-05-09 DOI: 10.1016/j.gofs.2024.04.006

Charlotte Le Lann , Élodie Drumez , Louise Ghesquiere , Norbert Winer , Vincent Dochez , Émilie Misbert

{"title":"Impact du mode de suivi des ruptures prématurées des membranes avant 36 SA sur la durée de latence","authors":"Charlotte Le Lann , Élodie Drumez , Louise Ghesquiere , Norbert Winer , Vincent Dochez , Émilie Misbert","doi":"10.1016/j.gofs.2024.04.006","DOIUrl":"10.1016/j.gofs.2024.04.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Preterm premature rupture of membranes (PPROM) is the main cause of premature delivery, complicating 1–3% of all pregnancies. Conventional hospitalization (CH) is the most frequent mode of follow-up, but homecare (HC) seems to be an alternative.</div></div><div><h3>Objectives</h3><div>Study of the impact of the monitoring mode on the duration of the latency period and on the latency ratio after PPROM, and analysis of the risk factors modifying this ratio.</div></div><div><h3>Methods</h3><div>This was a bicentric retrospective cohort study here-abouts including patients who presented a PPROM between 24 and 36weeks of gestation from 2016 to 2018. Patients had a follow-up in HC at Lille University Hospital center (UHC) and in CH at Nantes UHC according to two different follow-up protocols. The latency ratio corresponded to the real latency period divided by the latency period to theoretical term.</div></div><div><h3>Results</h3><div>We included 154 patients: 102 in HC and 52 in CH. The mean latency period was significantly higher in HC: 36.9±21.8 days, corresponding to an 85.5±23.7% latency ratio versus 20.2±12 days, corresponding to an 66.9±29.8% latency ratio in CH (<em>P</em>  =0.001).</div></div><div><h3>Conclusions</h3><div>The duration of the latency period seems prolonged for PPROM followed by HC management versus CH in selected populations. This study suggests a benefit to HC in stable patients.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"52 12","pages":"Pages 677-682"},"PeriodicalIF":0.6,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140909644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0