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人与海

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作者： (法)雅安·阿瑟斯-伯特兰(Yann ar Thus-ber Trand) (美)布莱恩·斯凯利(Brian Skerry)[]

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卵巢子宫内膜异位囊肿吸引术在卵母细胞单精子显微注射前的应用

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世界核心医学期刊文摘（妇产科学分册） 2005年第2期1卷 31-32页

作者： Pabuccu r. Onalan G. Goktolga U.5 阎红卫

To investigate whether aspiration o f ovarian endometriomas before controlled ovarian stimulation(COH)improves in-tracytoplasmic sperm injection(ICSI )***-tive *** hospital.A p rospective analysis of171patients with ovarian endometriosis and tubal factor infertility were divided into four g roups:aspiration of en-dometriomas at the beginning of COH i n patients with o-varian endometriomas and no history of previous surgery(n =41)(group 1);nonaspirated endometriomas(n =40)(group 2);history of ovarian surgery for endometriomas in patients without ovarian endometriomas at the beginning of COH(n =44)(group 3);and tubal factor infertility(n =46)(control group 4).Aspiration of *** parameters,characteristics of COH,and ICSI re-sults were *** observed hig her levels of E2on the day of hCGinjection after aspira tion of endometriomas compared with nonaspirated *** we compared all endometriomas and tubal factor(control)groups,we observed a lower number of total follicles(>17mm)and metaphase II(MII)oocytes in nonaspi-rated and resected endometrioma gro ups and a longer du-ration of COH in the nonaspirated end ometrioma group compared with the tubal factor *** and clinical pregnancy rates were simil ar among all *** the current study,all patients with endometriomas had significantly lower numbers of MII o ocytes compared with those in patients with tubal factor i *** propose that aspiration of endometriomas before COH neither re-duces the amount of gonadotropins nor increases the num-ber of follicles >17mm,the number of MII oocytes re-trieved,the implantation rates,or the clinical pregnancy *** of small endometriomas(1-6cm)may not present any additional benefits to the IVF -ICSI cycle outcomes.

关键词：显微注射卵母细胞吸引术子宫内膜异位症输卵管因素控制性促排卵临床妊娠率种植率促性腺激素小病灶

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维普期刊数据库

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LETTErS

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China Today 2008年第2期57卷 7-7页

作者： raymond, rebrassier Liu Yan Tambari, r. L Zhejiang Normal University

I was very excited at obtain- ing a copy of the Decem- ber issue of China Today and immediately began reading *** usual method is first to go through the table of contents to see which ar- ticles most interest me,and then do intensive reading of those I like *** I read,I note down new words and expressions,useful sentence structures,and the outline of each article.I read the other features and

关键词：《今日中国》期刊编辑读者

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外路泪囊鼻腔造瘘术中未缝合黏膜边界的长度

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世界核心医学期刊文摘（眼科学分册） 2005年第3期1卷 24-24页

作者： Baldeschi L. MacAndie K. Hintschich C.r. 秦雪娇

To compare the extent of mucosal margins remaining unsutured at the end of ext ernal dacryocystorhinostomy (DCr) using single or double flap techniques and to evaluate the influence on outcome. Prospective, consecutive case series. The num ber and length of mucosal margins remaining unsutured at the end of external DCr were evaluated in 64 patients. Mucosal anastomosis was performed using either a conservative (group 1) or extended (group 2) double flap, or a single flap (gro up 3) dissection. Patients were selected for group 1 if the regional anatomy per mitted the desired dissection. All other patients were randomized to group 2 or 3. The mean length of unsutured mucosal margins was calculated for each group. S ubjects were followed up to 12 months, with final success rate recorded. In grou ps 1, 2, and 3 respectively: 11, 24 and 29 patients were recruited; four, 12, an d 10 mucosal margins remained unsutured; and the mean length of unsutured mucosa l margins was 16.36 mm (SD=2.8), 70.66 mm (SD=9.3), and 62.00 mm (SD=6.0). The m ean length of unsutured mucosal margins was significantly different, although gr oups 1 and 2 collectively did not have a significantly different mean length of unsutured mucosal margin from group 3. Mean follow up was 11 months (SD=2.2), 6 3 patients (98.43%) had a successful outcome with no significant difference amo ng groups (P=.429). Different patterns of mucosal dissection in external DCr cre ate a different number and extent of unsutured mucosal margins which do not appe ar to adversely affect the success rate of external DCr.

关键词：泪囊鼻腔造瘘术切除法局部解剖结构病例研究无显著性差异有显著性差异

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