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补救卵母细胞单精子显微注射和植入前遗传学诊断联合获得妊娠

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世界核心医学期刊文摘（妇产科学分册） 2006年第11期2卷 45-45页

作者： DeUgarte C.m. Jordan B 张旸 Henry Ford Hospital Detroit MI United States Dr.

Objective: To report the birth of a baby from.the transfer of one em.ryo after rescue intracytoplasm.c sperm.injection (ICSI) and preim.lantation genetic diagnosis (PGD). Design: Case report. Setting: IVF center. Patient(s): A 42- year-old G2P0020 wom.n with unexplained infertility. Intervention(s): Rescue ICSI followed by PGD. m.in Outcom. m.asure(s): Pregnancy. Result(s): Rescue ICSI was perform.d on seven unfertilized oocytes, which resulted in three em.ryos. The PGD analysis revealed one norm.l em.ryo, which was transferred and resulted in pregnancy and delivery. Conclusion(s): Rescue ICSI in com.ination with PGD can result in a successful pregnancy.

关键词：显微注射卵母细胞未受精卵体外受精

醋酸亮丙瑞林和激素反向添加治疗伴慢性盆腔痛的IV期子宫内膜异位症10年

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世界核心医学期刊文摘（妇产科学分册） 2006年第11期2卷 45-45页

作者： Bedaiwy m.A. Casper R.F. 张旸 Division of Reproductive Sciences Department of Obstetrics and Gynecology University of Toronto Toronto Ont. Canada Dr.

This pilot study exam.ned the effect of a low-dose E and pulsed progestogen horm.ne therapy (HT) regim.n for add-back during long-term.GnRH-agonist therapy on bone m.neral density (Bm.) in five patients with stage IV endom.triosis. Bone m.neral density was stable after initiation of HT for the entire follow-up period (up to 10 years). One patient stopped her treatm.nt on two occasions to conceive and was successful each tim. with delivery of a norm.l baby. No patient had return of pelvic pain after HT add-back.

关键词：反向添加治疗 IV 子宫内膜异位症醋酸亮丙瑞林慢性盆腔痛骨密度激动剂

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茶树油在体外和活体内对眼部脂螨的灭活作用

世界核心医学期刊文摘(眼科学分册) 2006年第3期 33-33页

作者： Di Pascuale m.A S.C.G. Tseng 曹绪胜 Ocular Surface Center 7000 SW 97 Avenue Miami FL 33173 United StatesDr.

Aim.: To com.are the in vitro killing effect of different agents on Dem.dex and to report the in vivo killing effect of tea tree oil (TTO) on ocular Dem.dex. m.thods: Survival tim. of Dem.dex was m.asured under the m.croscope. Sam.ling and counting of Dem.dex was perform.d by a m.dified m.thod. Results: Dem.dex folliculorum.survived for m.re than 150 m.nutes in 10%povidone-iodine, 75%alcohol, 50%baby sham.oo, and 4%pilocarpine. However, the survival tim. was significantly shortened to within 15 m.nutes in 100%alcohol, 100%TTO, 100%caraway oil, or 100%dill weed oil. TTO's in vitro killing effect was dose dependent. Lid scrub with 50%TTO, but not with 50%baby sham.oo, can further stim.late Dem.dex to m.ve out to the skin. The Dem.dex count did not reach zero in any of the seven patients receiving daily lid scrub with baby sham.oo for 40-350 days. In contrast, the Dem.dex count dropped to zero in seven of nine patients receiving TTO scrub in 4 weeks without recurrence. Conclusions: Dem.dex is resistant to a wide range of antiseptic solutions. Weekly lid scrub with 50%TTO and daily lid scrub with tea tree sham.oo is effective in eradicating ocular Dem.dex.

关键词：眼部眼睑外涂灭活作用洗发液茶树油

1例孕15周晚期卵巢癌患者的治疗:病例报道及文献回顾

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世界核心医学期刊文摘（妇产科学分册） 2005年第10期1卷 38-38页

作者： Ferrandina G Distefano m.Testa A G. Scam.ia 王雅楠 Dept. of Obstetrics and Gynecology Catholic University of Sacred Heart Lgo. A.Gemelli 8 00168 Rome Italy

Background. To report a case of advanced ovarian carcinom. diagnosed during gestation, which was m.naged with conservative surgery and chem.therapy until delivery. Case. The patient underwent bilateral salpingooophorecto- m., om.ntectom., and appendectom. at 15 weeks of gestation. Six courses of chem.therapy with cisplatin were adm.nistered. Cesarean section followed by total hysterectom. were perform.d at 36 weeks of gestation. The m.le infant was 3000 g, Apgar score 9/9. Twenty- four m.nths after delivery, the patient experienced pelvic recurrence and underwent surgery and six cycles of carboplatin and paclitaxel. The patient is alive with no evidence of disease. After 42 m.nths of follow- up, the baby boy showed no evidence of sequelae. Conclusion. m.dical and surgical m.nagem.nt of ovarian cancer during pregnancy can be an option, although the risks and benefits have to be discussed with caution.

关键词：晚期卵巢癌文献回顾网膜切除术双侧附件化学疗法全子宫切除术辅助化疗剖宫产手术无瘤存活阑尾切除术