Ginekologia polska最新文献_第7页

Comparison of USG-MRI and post-natal results of cases with anomalies detected in fetal CNS examination. 胎儿中枢神经系统检查发现异常的USG-MRI与产后结果比较。

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Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2025-04-14 DOI: 10.5603/gpl.101730

Zafer Bütün, Masum Kayapınar, Gökalp Şenol

{"title":"Comparison of USG-MRI and post-natal results of cases with anomalies detected in fetal CNS examination.","authors":"Zafer Bütün, Masum Kayapınar, Gökalp Şenol","doi":"10.5603/gpl.101730","DOIUrl":"10.5603/gpl.101730","url":null,"abstract":"Objectives: Magnetic resonance imaging (MRI) imaging can be useful when fetal central nervous system (CNS) anomalies are detected by ultrasound (USG). This study aims to compare the findings from USG and MRI with post-natal results in cases of fetal CNS anomalies.Material and: METHODS: This is a retrospective/prospective study that analyzed the records of 55 pregnant women who underwent both fetal MRI and USG and whose birth results were obtained due to suspected CNS abnormalities between 2020 and 2023.Results: Pearson correlation analysis and Blant-Altman analysis showed that USG and MRI results of right lateral ventricle measurement were more similar compared to left lateral ventricle measurement. When the cut-off value for lateral ventricle measurement was 10 mm, there was a difference in the USG and MRI results of only 1 pregnant woman in the right lateral ventricle USG-MRI comparison, whereas no difference was observed in 9 pregnant women in the left lateral ventricle analysis. One pregnant woman with healthy USG results was found to have corpus callosum hypoplasia by MRI and one pregnant woman with posterior fossa anomaly by USG had healthy MRI results. All other measurements showed similar results between USG and MRI.Conclusions: Fetal MRI, when performed with appropriate indications in selected cases evaluated by USG, is useful for measuring the lateral ventricles and detecting various CNS anomalies. The advancing technology of USG and MRI devices, along with the experience of the physicians interpreting these examinations, will always be important.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"570-576"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050515","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

The role of uterine anteversion and flexion angles in predicting pain severity during diagnostic hysteroscopy: a prospective cohort study. 子宫前倾和子宫屈曲角度在预测诊断宫腔镜疼痛严重程度中的作用：一项前瞻性队列研究。

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Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2025-05-26 DOI: 10.5603/gpl.102956

Can Tercan, Emrah Dagdeviren, Ali Selcuk Yeniocak, Sultan Can

{"title":"The role of uterine anteversion and flexion angles in predicting pain severity during diagnostic hysteroscopy: a prospective cohort study.","authors":"Can Tercan, Emrah Dagdeviren, Ali Selcuk Yeniocak, Sultan Can","doi":"10.5603/gpl.102956","DOIUrl":"10.5603/gpl.102956","url":null,"abstract":"Objectives: Diagnostic hysteroscopy (DH) is a gold standard diagnostic imaging tool in gynecology. There is insufficient data in the literature regarding the reduction of pain felt during the DH and there is no study in the literature that examines the relationship between the measurement of uterine version or flexion angles and the pain felt during DH procedure. The aim of this study was to investigate the effects of uterine version or flexion angles on pain severity during DH and to identify predictive factors for severe pain experienced during the procedure.Material and methods: This prospective single-center cohort study included patients who were eligible for DH within medical indications. Exclusion criteria comprised menopausal status, congenital uterine anomalies, uterine fibroids larger than 2 cm detected on ultrasonography, suspected malignancy, or retroverted uterus. Before hysteroscopy, all patients underwent transperineal ultrasonography to measure uterine version and flexion angles. Patients were asked to rate their pain levels using a 0-10 numerical visual analog scale (VAS). Patients with VAS scores ≥ 6 were categorized into the severe pain group, while those with scores < 6 were classified into the moderate pain group.Results: The study comprised 98 women undergoing DH. Multivariate binary logistic regression analysis identified anteversion angle and nulliparity as significant predictors of severe pain during DH. The optimal cut-off value for predicting severe pain during DH was identified as 74.5°, providing a sensitivity of 66.7% and specificity of 69.0% [area under curve (AUC) = 0.722, p = 0.001].Conclusions: This study demonstrates that a uterine anteversion angle narrower than 74.5° is associated with severe pain during DH.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"524-531"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145145","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

Uterine fibroids - why you should choose tailored therapies based on the joint decision of the physician and the patient. 子宫肌瘤-为什么你应该根据医生和病人的共同决定选择量身定制的治疗方法。

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Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2025-07-25 DOI: 10.5603/gpl.107627

Michal Ciebiera, Tomasz Lozinski, Ayman Al-Hendy

{"title":"Uterine fibroids - why you should choose tailored therapies based on the joint decision of the physician and the patient.","authors":"Michal Ciebiera, Tomasz Lozinski, Ayman Al-Hendy","doi":"10.5603/gpl.107627","DOIUrl":"10.5603/gpl.107627","url":null,"abstract":"Uterine fibroids (UFs) are the most common benign tumors of the myometrium, affecting up to 70% women by age 50. Although many cases remain asymptomatic, symptomatic UFs can significantly reduce quality of life through excessive bleeding, anemia, pelvic pain, infertility, and obstetric complications. Despite the availability of various conservative treatments - including pharmacotherapy, uterine artery embolization, and ultrasound thermoablation - surgical interventions, particularly hysterectomy, remain the dominant approach in many countries. This discrepancy between evidence-based recommendations and routine practice highlights the persistence of a paternalistic model of care, where patients are often excluded from treatment decisions and not informed about alternatives. Emerging concepts such as shared decision making (SDM) and personalized therapy emphasize the need to adapt treatment plans to each woman's clinical profile, reproductive goals, and preferences. SDM fosters trust, better adherence to therapy, and improved acceptance of complications by actively involving patients in choosing their care. The development of modern pharmacological options, like GnRH analogs, further expands possibilities for effective, reversible, fertility-preserving treatments. A paradigm shift toward patient-centered, individualized management is essential to address ethical challenges, reduce unnecessary hysterectomies, and improve outcomes. Implementing SDM and expanding access to conservative therapies require systemic changes in reimbursement, training, and patient education to ensure that care focuses not only on the disease but on the woman as a whole.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"519-523"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144710392","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

Vaginal natural orifice transluminal endoscopic surgery (vNOTES): a minimally invasive approach in gynecology. A comprehensive review. 阴道自然孔腔内窥镜手术（vNOTES）：妇科的微创方法。全面审查。

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Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2025-09-26 DOI: 10.5603/gpl.108103

Tadeusz Issat, Katarzyna Sachadel

引用次数: 0

Using the National Nosocomial Infections Surveillance risk index to determine risk factors associated with surgical site infections following gynecologic surgeries. 使用国家医院感染监测风险指数来确定妇科手术后与手术部位感染相关的风险因素。

Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2023-10-20 DOI: 10.5603/gpl.95073

Dong Wang, Jinlin Wu, Jianjun Deng, Ming Luo, Jie Ruan, Zhan Yang

{"title":"Using the National Nosocomial Infections Surveillance risk index to determine risk factors associated with surgical site infections following gynecologic surgeries.","authors":"Dong Wang, Jinlin Wu, Jianjun Deng, Ming Luo, Jie Ruan, Zhan Yang","doi":"10.5603/gpl.95073","DOIUrl":"10.5603/gpl.95073","url":null,"abstract":"Objectives: We used the National Nosocomial Infections Surveillance (NNIS) risk index to determine risk factors associated with surgical site infections (SSIs) following gynecologic surgeries.Material and methods: A retrospective study was conducted based on the medical records of 185 patients with SSIs, following gynecologic surgeries at a Grade A tertiary gynecologic and obstetric hospital in southwest China during September 2013-June 2021.Results: Suspected risk factors associated with SSIs were: length of hospital stay, age, whether the patient had cancer, whether the patient had chemotherapy or high-dose antibiotic therapy before surgery, duration of surgery, amount of blood loss, and whether a blood transfusion was done. It was found that SSIs were more likely to occur in cancer patients with an NNIS risk index score of 1 and in patients with preoperative chemotherapy and an NNIS risk index score of 2. Among the patients with an NNIS risk index score of 2, the older the patient, the higher incidence of SSIs.Conclusions: Gynecologic surgery teams should pay more attention to the independent risk factors associated with SSIs determined by the NNIS risk index score to prevent SSIs following gynecologic surgeries, thus ensuring patient safety.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"7-12"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686619","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

Transvaginal single posterior incision extraperitoneal bilateral sacrospinous ligament suspension combined with reconstruction of pericervical ring through cervical cerclage. 经阴道单后切口腹膜外双侧骶棘韧带悬吊术，通过宫颈环扎重建宫颈环。

Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2024-10-16 DOI: 10.5603/gpl.102089

Luo Puying, Yi Sijie, Luo Wenqun, Xiong Yuanhuan

引用次数: 0

Evaluation of the utility of the sFlt-1/PlGF ratio in pregnancy complicated by pre-eclampsia - single-center study. Preliminary analysis. 评估sFlt-1/PlGF比值在妊娠合并子痫前期的应用-单中心研究初步分析。

Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2025-01-29 DOI: 10.5603/gpl.101484

Justyna A Kuciel, Jagoda N Sarad, Natalia M Mroczek, Andrzej Jaworowski, Magdalena L Kolak, Hubert K Huras

{"title":"Evaluation of the utility of the sFlt-1/PlGF ratio in pregnancy complicated by pre-eclampsia - single-center study. Preliminary analysis.","authors":"Justyna A Kuciel, Jagoda N Sarad, Natalia M Mroczek, Andrzej Jaworowski, Magdalena L Kolak, Hubert K Huras","doi":"10.5603/gpl.101484","DOIUrl":"10.5603/gpl.101484","url":null,"abstract":"Objectives: To evaluate relationship between sFlt-1/PlGF ratio, clinical characteristics and outcomes of pre-eclampsia.Material and methods: Retrospective analysis of 29 pregnant women with pre-eclampsia who had measured sFlt-1/PlGF ratio was conducted using electronic medical records from Obstetrics and Perinatology ward of University Hospital in Cracow.Results: Women median age: 33.5 years, number of pregnancies: one 52%, two 15%, three 18%,more than three 15%, number of deliveries: one 59.3%, two 37%, three 3.7%, median body mass index during hospitalization: 29.4 kg/m². Chronic diseases apart from hypertension: 67% of women (diabetes 37%, hypothyroidism 26%, obesity 11%). Median newborns birth weight: 1640 g, median Apgar score at 5 minutes: 8, median umbilical cord blood pH: 7.32. Fetal growth restriction: 28.6% of cases. All deliveries were by c-section. Median gestational age at delivery: 32 weeks. sFlt-1/PlGF ratio was inversely correlated with gestational age at delivery (r = -0.42, p = 0.02). The median sFlt-1/PlGF ratio was higher in women with severe pre-eclampsia (n = 15) than in those with mild pre-eclampsia (n = 14) (211 vs. 57, p < 0.001). sFlt-1/PlGF ratio of > 85 had a sensitivity of 80% and a specificity of 71% for predicting severe pre-eclampsia.Conclusions: sFlt-1/PlGF ratio is useful in assessing the severity and prognosis of pre-eclampsia. sFlt-1/PlGF ratio should not be used as a sole criterion for making clinical decisions, but as an adjunct to other clinical and laboratory parameters.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"148-152"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061823","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 multiple male and female pregnancy in a patient with stage IV endometriosis undergoing single embryo transfer after IVF-ICSI. IV期子宫内膜异位症患者在IVF-ICSI后接受单胚胎移植的多男多女妊娠。

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Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2025-03-27 DOI: 10.5603/gpl.100073

Piotr Olcha, Lukasz Nowakowski, Lechoslaw Putowski, Iwona Radzik, Michal Ciebiera

引用次数: 0

Impact of disease activity on pregnancy outcomes and risk factors for fetal loss in systemic lupus erythematosus: a single-center cohort study. 系统性红斑狼疮患者疾病活动度对妊娠结局和胎儿丢失危险因素的影响：一项单中心队列研究

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Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2025-06-09 DOI: 10.5603/gpl.103389

Lidan He, Yajun Ke, Feng Zhan, Jianbo Wu

{"title":"Impact of disease activity on pregnancy outcomes and risk factors for fetal loss in systemic lupus erythematosus: a single-center cohort study.","authors":"Lidan He, Yajun Ke, Feng Zhan, Jianbo Wu","doi":"10.5603/gpl.103389","DOIUrl":"10.5603/gpl.103389","url":null,"abstract":"Objectives: To investigate the impact of systemic lupus erythematosus (SLE) disease activity on neonatal outcomes and analyze risk factors associated with fetal loss in SLE pregnancies.Material and methods: This retrospective study analyzed 102 pregnancies in 99 women with SLE at the First Affiliated Hospital of Fujian Medical University, China, between 2013 and 2020. Demographic data, live birth outcomes, and fetal loss were evaluated.Results: Significant differences were observed among SLE disease activity groups in early preterm birth (χ² = 9.825, p < 0.05), term birth (χ² = 13.320, p < 0.05), neonatal birth weight (F = 8.688, p < 0.05), small for gestational age (χ² = 12.291, p < 0.05), neonatal intensive care unit (NICU) admission (χ² = 9.820, p < 0.05), neonatal infection (χ² = 9.227, p < 0.05), and neonatal myocardial injury (χ² = 7.033, p < 0.05). Multivariate logistic regression analysis identified unplanned pregnancy [adjusted odds ratio (aOR) = 2.772, 95% confidence interval (CI): 1.321-5.814], moderate-to-severe SLE activity (aOR = 4.537, 95% CI: 2.103-9.789), preeclampsia (aOR = 6.223, 95% CI: 2.845-13.615), 24-hour urinary protein > 1.0 g (aOR = 3.682, 95% CI: 1.726-7.854), and positive antiphospholipid antibodies (aOR = 5.250, 95% CI: 2.437-11.308) as independent risk factors for fetal loss (all p < 0.05). Medication initiated at least six months before pregnancy, particularly hydroxychloroquine, was associated with reduced fetal loss (aOR = 0.378, 95% CI: 0.185-0.772, p < 0.05).Conclusions: Planned pregnancy, early initiation of hydroxychloroquine treatment, and close monitoring of disease activity, urinary protein, antiphospholipid antibodies, and blood pressure are crucial strategies to reduce fetal loss in SLE pregnancies. Early intervention for abnormal parameters may improve outcomes.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"661-669"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251536","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

Evaluation of the sperm DNA Fragmentation Index in men from infertile couples diagnosed under the health policy program of the Minister of Health, entitled "Government Program for Comprehensive Protection of Procreative Health in Poland" in the Cracow University Hospital. 在克拉科夫大学医院，对根据卫生部题为“波兰生殖健康政府综合保护方案”的卫生政策方案诊断的不育夫妇的男性精子DNA断裂指数进行评估。

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Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2025-05-26 DOI: 10.5603/gpl.102193

Malgorzata Swornik, Grzegorz Mirocki, Marcin Przybylski, Dominik Pruski, Klaudia Kotynia, Sonja Millert-Kalinska, Tomasz Szmatola, Robert Jach

引用次数: 0