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世界核心医学期刊文摘（妇产科学分册） 2006年第3期2卷 57-57页

作者： Akinola O.I. Fabamwo A.O. ottun a.t. Akinniyi O.A. 郭培奋 Depa.t.ent of Obstetrics and Gynaecology Lagos State University Teaching Hospital Ikeja Lagos Nigeria

Objective: to determine the efficacy of uterine a.t.ry ligation by the vaginal route for the management of symptomatic uterine fibroids. A pilot study had suggested that the procedure was effective. Methods: a.t.r bilateral uterine a.t.ry ligation, ultrasonic measurements of uterine and fibroid volumes were determined at 6 and 12 months in 21 women (age, 31-49 years)-with symptomatic fibroids. the severity of symptoms was assessed preoperatively and postoperatively. Results: Mean uterine and fibroid volumes were significa.t.y reduced at 6 and 12 months. A consistent pa.t.rn of decreased duration of menstrual blood flow was recorded. All pa.t.cipa.t. who completed follow-up expressed satisfa.t.on with treatment outcome. Conclusion: the procedure was found to be a safe, inexpensive, and effective therapeutic option for the treatment of symptomatic uterine fibroids.

关键词：子宫纤维瘤结扎子宫动脉双侧子宫动脉结扎术术后临床症状月经血程度变化超声检查

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the Association between <i>Chlamydia.t.achomatis</i>and Ectopic Pregnancy in Lagos, Nigeria—A Case Control Study

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Open Journal of Obstetrics and Gynecology 2015年第2期5卷 115-122页

作者： A. A. Adewunmi O. O. Orekoya K. A. Rabiu t. A. ottun Depa.t.ent of Obstetrics & Gynaecology Lagos State University College of Medicine/Teaching Hospital Ikeja Lagos Nigeria Depa.t.ent of Obstetrics & Gynaecology Lagos State University Teaching Hospital Ikeja Lagos Nigeria

Objectives: to determine the seropositivity of Chlamydia a.t.body in patients with ruptured ectopic pregnancy compared to normal pregna.t.women and the risk fa.t.rs for ectopic pregnancy. Study Design: this was a prospective case-control study of 85 cases of ruptured ectopic pregnancy and 100 cases of second trimester on-going intra.t.rine pregna.t.controls presenting in Lagos State University teaching Hospital (LASUtH) between September 2009 and March 2010. Study Site: this was at the gynaecological emergency room and a.t.natal clinic in the Depa.t.ent of Obstetrics and Gynaecology. Ethical approval was sought and gra.t.d by the ethics review committee of LASUtH. Study Pa.t.cipa.t.: Patients presenting with ruptured ectopic pregnancy were recruited as cases while the controls were made up of those with uncomplicated second trimester intra.t.rine pregnancy. A semi-structured questionnaire containing socio-demographic and clinical chara.t.ristics was administered following informed consent. Five milliliters of venous blood was taken from each pa.t.cipa.t.and tested for?Lymphogranuloma Venerum?(LGV) type 2 broadly rea.t.ng a.t.gen of?Chlamydia.t.achomatis.?Data Analysis: Data gathered from the case notes and laboratories were imputed into the computer and analyzed using the statistical package?Epi-Info 3.51, Atla.t., USA. Frequency tables were generated for continuous variables and?chi-square analysis used to determine association between variables, with p values tatistically significa.t. Results: there were 91 cases of ectopic pregnancy among a.t.tal of 2468 deliveries giving an incidence of 3.68% or 1 in 27 deliveries. Fa.t.rs which significa.t.y contributed to increased incidence of ectopic pregnancy in this study were: level of education (p = 0.001), socio-economic status (p = 0.001), parity (p = 0.005), early age of sexual debut (p = 0.001), multiple sexual pa.t.ers (p = 0.001), previous pelvic inflammatory disease (p = 0.003), previous induced

关键词： Chlamydia trachomatis Ectopic Pregnancy Seropositivity Risk Fa.t.rs

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