Application of video-laparoscopy to the treatment of severe acute inflammatory pelvic pain / 中国微创外科杂志

Objective To evaluate the feasibility of application of video-laparoscopy to the treatment of acute severe inflammatory pelvic pain in women. Methods Forty-two women patients with severe acute inflammatory pelvic pain were divided randomly into two groups with 21 patients in each group. Conservative therapies were carried out in Group A while laparoscopic operations in Group B. Results Eighteen cases (85.7%) in Group A returned to health, and in the remaining 3 (14.3%), conservative measures failed and thus exploratory operations were performed. Meanwhile all the patients in Group B were treated successfully, with the operative time (42.5?20.6) min, the average blood loss 20ml and the mean hospital stay 7 days. Body temperatures returned to normal on the day of operation and no complications occurred. Conclusions Laparoscopy may be feasibly applied to the treatment of women with severe acute inflammatory pelvic pain, producing results superior to conservative therapies.

Doppler Blood Flow of Uterine Artery and Umbilical Artery in Healthy Pregnant Women / 第二军医大学学报

In this study the umbilical artery and uterine artery blood flow was measured by Acuson 128 color computer ultrasound in 90 healthy pregnant women, and the reference ranges and mathematical models of its indices were established. The variation of observers and measurement time and the effect of different areas of the same vessel on measured blood flow values were also studied. The results show reducing of resistance and increasing of blood flow of the umbilical and uterine arteries in healthy pregnancy with increased gestational age. Doppler blood flow measurement has a good repeatability and is worth while to be used universally. The Doppler signals shound be recorded from near placenta part of umbilical artery and upper branch of uterine artery in a side near to placenta.

Effect of Exercise on the Blood Flow of Maternal Uterine Artery and Fetal Umbilical Artery in Healthy Women / 第二军医大学学报

Effect of exercise on placental blood flow and fetal heart rate was studied using Acuson 128 color computer ultrasound equipment The subjects were ten healthy women ranging from 27 to 35 gesta- ' tional weeks (mean 30.7 weeks). After exercise, the matcrnal mean arterial pressure increased significantly, maternal heart rate rose and amounted to 60%-75% of maximal heart rate (both P0.05). The fetal heart rale rose but within normal limit. These showed that the responses of maternal blood vessel and fetal blood vessel of placenta to the exercise were different This intensity and time of exercise could improve uterine blood flow and reduce its vascular resistance. However, they didn't influence the umbilical artery blood flow. Also the change of fetal heart rate was within normal limit. It is concluded that the moderate and non-exhaustive maternal exercise can improve the supply of the placental blood flow and benefit to the 2nd and 3rd trimister healthy pregnant women.