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与恶性肿瘤相关的急性阴道及子宫出血的诊断与治疗
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作者 D.Jap B.Lampe +1 位作者 m.w.beckmann 武忠弼 《德国医学》 CAS 2001年第2期101-104,共4页
阴道子宫出血是妇科最常见的症状。这主要是闭经期前、后或与妊娠有关的出血。阴道子宫出血的鉴别诊断有:癌瘤,内分泌障碍引起的出血,器质性病变引起的出血(息肉、子宫内膜异位症、子宫肌瘤),凝血系统改变,外伤,异物,性生活。但... 阴道子宫出血是妇科最常见的症状。这主要是闭经期前、后或与妊娠有关的出血。阴道子宫出血的鉴别诊断有:癌瘤,内分泌障碍引起的出血,器质性病变引起的出血(息肉、子宫内膜异位症、子宫肌瘤),凝血系统改变,外伤,异物,性生活。但每逢阴道出血,必须考虑到癌症的因素,而与此有关的则可能有许多不同部位的癌瘤,其中较典型的有宫颈癌、子宫内膜癌等,较少见的为阴道癌。据Gerber等1998年发表的研究,在1031例闭经期后的患者中,因癌症引起的阴道出血占23%,其中子宫内膜癌与宫颈癌之比约为3:1。阴道出血的其他原因,为非典型但并不罕见的肿瘤,如直肠癌在穿人或形成瘘道而进入阴道后穹隆时,也可引起显著的阴道出血。泌尿系肿瘤也可从腹侧浸润子宫或阴道,临床上表现阴道出血。 展开更多
关键词 急性阴道出血 子宫出血 肿瘤 并发症 诊断 治疗
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育龄妇女对避孕知识的了解状况:欧洲避孕研究组组织的德国人群调查研究结果
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作者 Podlinski K. Porsch B. +2 位作者 Krüssel J.S. m.w.beckmann 张丽娟 《世界核心医学期刊文摘(妇产科学分册)》 2005年第2期33-34,共2页
Purpose:The EGOC(European Group of Contraception)initiated an international survey o n the use of contracep-tives.The survey was designed to assess the knowledge about contraception of women in the r eproductive age.T... Purpose:The EGOC(European Group of Contraception)initiated an international survey o n the use of contracep-tives.The survey was designed to assess the knowledge about contraception of women in the r eproductive age.Thisarticle presents survey findings wi th regard to the following:first use of contraceptives,first s exual intercourse,first pregnancy,as well as the extent of kn owledge of the women in regard to different methods of con traception.Material and Methods:The EGOC questionnaire was translated,revised and supplemented.The survey took place between August 2000and December 2002.1330w omen were ad-mitted in the age span of 11-49.Resul ts:More than86%of thewomen considered themselv es to be suffi -ciently or very well informed about c ontraceptives.76%of the women named their gynaecologist as the main source of information,followed by 57%,who re ceived their infor-mation from magazines,and 48%from f riends.Women were better able to evaluate the safe ty of well -known as compared lesser -known or new forms o f contraception:82%of the women considered oral cont raceptives safe,74%the IUD,whereas depot injection s were considered safe by only 63%of the women surveyed.The subjects were insecure and uninformed about t he safety of the morning -after pill.Condoms were considered very safe by65%,whereas 10%considered the IUDs and 17%the depot injection as completely unsafe.4%of the women judged coitus interruptus as a safem ethod and 5%of the-women had used it as a method of contra ception during their first sexual intercourse.Con clusion:Although the knowledge on contraceptives of the e valuated women women is generally high,there were inform ation deficits in many areas.Additional sexual education,especially regarding modern contraceptive methods,shou ld be able to fill knowledge gaps,above all in very you ng women. 展开更多
关键词 避孕知识 调查研究结果 避孕方法 避孕剂 宫内避孕器 避孕针 口服避孕药 避孕措施 问卷表 妇科医生
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育龄妇女的流产、意外妊娠及紧急避孕状况:欧洲避孕研究组(EGOC)的德国人群调查研究结果
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作者 Porsch B. Podlinski K. +2 位作者 Bender H.G. m.w.beckmann 张丽娟 《世界核心医学期刊文摘(妇产科学分册)》 2005年第2期34-34,共1页
Purpose:Aim of the survey was to analyze the prevalence of unintended pregnancies,induced abortions and their association with determinants e.g.contraception,emer-gency contraception(EC),and socio -demographic data in... Purpose:Aim of the survey was to analyze the prevalence of unintended pregnancies,induced abortions and their association with determinants e.g.contraception,emer-gency contraception(EC),and socio -demographic data in Germanwomen.Material and Method s:A German ver-sion of a modified questionnaire on c ontraception designed by the European Group of Contracepti on was applied.Anonymized data sheets encompassin g 1217women aged15-45years recruited from gynaecological services in D¨usseldorf and Regensburg were analy zed usingχ2-test and age -adjusted logistic regression a nalysis.Results:51%of first pregnancies were unplanned and 37%of all preg-nancies were unwanted.Induced abortion of this subgroup was observed in 35%and 55%,resp.Overall,7.9%of all participants reported at least o ne abortion resulting in193abortions per 1000births.There was a clear age -dependent correlation with 1.4%abortions among women aged 15-19and 21.1%among those aged40-45years.This corresponds to 0.5and 1.0abortion per 100fertile years,resp.EC was applied at least o nce by 19%of all participants.EC was significantly more frequently used by women with unintended pregnancies(26%)or abortions(28%)as compared to the other participant s(14%and19%,resp.;p <0.01).The amount of contraceptive means ever used could be identified a s an important indi-cator for a history of induced aborti on and EC,resp.(oddsratio95%confidence interval:3.51.8-6.9and10.46.5-16.,resp.).Occupation,marital status,level of urbanisation and religious affiliation were identified as further determinants.Conclusio n:Women with in-creased risk for abortions and EC can be more selectively identified by their lifetime pattern of contraception and so-ciodemographic data.Medical atten dance and devices for women of increased risk should in particular focus on the necessity to use an effective contra ceptive and the im-provement of patients’compliance. 展开更多
关键词 紧急避孕 EGOC 意外妊娠 调查研究结果 初次妊娠 避孕方式 流产率 避孕措施 统计学资料 服务中心
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