Bailliere's clinical obstetrics and gynaecology最新文献_第3页

6 The effects of pain and its management on mother and fetus 疼痛对母体和胎儿的影响及其处理

Bailliere's clinical obstetrics and gynaecology Pub Date : 1998-09-01 DOI: 10.1016/S0950-3552(98)80076-X

MBBS, FRCA Anne E. May (Consultant, Obstetric Anaesthesia), MB, ChB, BMedSci, FRCA Christopher D. Elton (Senior Registrar, Anaesthesia)

引用次数: 14

5 Traditional analgesic agents: are parenteral narcotics passé and do inhalational agents still have a place in labour? 传统镇痛药:非肠外麻醉是否有效，吸入镇痛药在分娩中是否仍有一席之地?

Bailliere's clinical obstetrics and gynaecology Pub Date : 1998-09-01 DOI: 10.1016/S0950-3552(98)80075-8

MD, PhD Christina Olofsson (Assistant Professor), MD, PhD Lars Irestedt (Associate Professor)

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引用次数: 8

2 Clinical presentation of uterine fibroids 2子宫肌瘤的临床表现

Bailliere's clinical obstetrics and gynaecology Pub Date : 1998-06-01 DOI: 10.1016/S0950-3552(98)80060-6

MD, FRCOG Mary Ann Lumsden (Senior Lecturer), MD, MRCOG, FRACOG Euan M. Wallace (Senior Lecturer)

{"title":"2 Clinical presentation of uterine fibroids","authors":"MD, FRCOG Mary Ann Lumsden (Senior Lecturer), MD, MRCOG, FRACOG Euan M. Wallace (Senior Lecturer)","doi":"10.1016/S0950-3552(98)80060-6","DOIUrl":"10.1016/S0950-3552(98)80060-6","url":null,"abstract":"<div><p>It is often accepted that fibroids cause a variety of female reproductive problems, such as menorrhagia, pain, infertility, pregnancy loss and pregnancy complications. Understandably, therefore, many ‘successful’ medical or surgical interventions have been proposed. However, while fibroids are certainly commonly associated with these conditions, it remains unclear whether this is coincidental, because of the high prevalence of fibroids, or causal. In particular, this chapter explores the roles of fibroids in menorrhagia, discussing possible pathophysiological mechanisms and the utility of medical and surgical management. Similarly, the relationship between fibroids and infertility is examined, concluding that fibroids are not causative in the vast majority of cases and thereby questioning the effectiveness of myomectomy as a treatment for infertility. The use of hormone replacement therapy in post-menopausal women with existing fibroids is also discussed, concluding that this is generally safe and appropriate. In pregnancy, it is a commonly held tenet that uterine fibroids enlarge and that they are associated with various adverse outcomes such as miscarriage, placental abruption, fetal growth retardation and Caesarean section. This chapter evaluates the available evidence for this and concludes that, as with infertility, the role of fibroids has been exaggerated. Nonetheless, pregnancy management options are discussed.</p></div>","PeriodicalId":77031,"journal":{"name":"Bailliere's clinical obstetrics and gynaecology","volume":"12 2","pages":"Pages 177-195"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0950-3552(98)80060-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20898010","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: 109

3 Pathology of uterine fibroids 子宫肌瘤的病理

Bailliere's clinical obstetrics and gynaecology Pub Date : 1998-06-01 DOI: 10.1016/S0950-3552(98)80061-8

BSc, MB BS, FRCPath Julie Crow (Senior Lecturer and Consultant Histopathologist)

引用次数: 7

9 Hysterectomy and myomectomy by laparotomy 9剖腹子宫切除术和子宫肌瘤切除术

Bailliere's clinical obstetrics and gynaecology Pub Date : 1998-06-01 DOI: 10.1016/S0950-3552(98)80066-7

MD, FRCOG Christine P. West (Consultant Obstetrician and Gynaecologist and Part-time Senior Lecturer)

引用次数: 8

Factors in fibroid growth. 肌瘤生长的因素。

Bailliere's clinical obstetrics and gynaecology Pub Date : 1998-06-01

J Andersen

引用次数: 0

6 Gonadotrophin hormone-releasing hormone analogue treatment of fibroids 促性腺激素释放激素类似物治疗肌瘤

Bailliere's clinical obstetrics and gynaecology Pub Date : 1998-06-01 DOI: 10.1016/S0950-3552(98)80063-1

MD, FRCOG, FRCS Robert W. Shaw (Head of Department)

引用次数: 21

Index 指数

Bailliere's clinical obstetrics and gynaecology Pub Date : 1998-06-01 DOI: 10.1016/S0950-3552(98)80068-0

引用次数: 0

7 Other medical management of uterine fibroids 子宫肌瘤的其他医学处理

Bailliere's clinical obstetrics and gynaecology Pub Date : 1998-06-01 DOI: 10.1016/S0950-3552(98)80064-3

MD, PhD Talia Eldar-Geva (Research Fellow), PhD, FRACOG, CREI David L. Healy (Professor and Chairman)

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引用次数: 7

8 Endoscopic treatment of uterine fibroids 子宫肌瘤的内镜治疗

Bailliere's clinical obstetrics and gynaecology Pub Date : 1998-06-01 DOI: 10.1016/S0950-3552(98)80065-5

MBBS, FRCS(Eng), FRACOG, CREI Carl Wood (Professor), MBBS, FRACOG, FRCOG Peter Maher (Associate Professor)

引用次数: 9