Participants in this study were 28 patients who were diagnosed with cervical disc herniation by magnetic resonance imaging (MRI) at the Internal Medicine Department of the Military Hospital 108 between July 1997 and July 2001. Mean age of patients was 47.54 years, ranged from 34 to 66. Males: 19, females: 9. It was found that that out of these, 10 patients had 1-segment cervical disc herniation, 15 patients had 2-segment cervical disc herniation, and 3 patients had 3-segment cervical disc herniation. Total of herniated cervical discs was 49 per 28 patients. Good and moderate results of nonoperative management were achieved in 84% of root syndrome sub-group, in 33.3% of myelo-root syndrome sub-group and in 78.57% of total group. Internal management included cervical immobility, analgesics, non-steroid anti-inflammatory drugs, vitamin B, muscle dilation, sedation, cervical block and manipulation, and physiotherapy.
Uterine Cervical Diseases ; therapeutics

By spectrometry, in 78 patients with uterine servical cancer and a control group of 45 healthy person, the activity of erythrocyte antioxidant enzymes and plasma total antioxidant was determined. Results showed a significant decrease of SOD enzyme and blood red cell GPX in cervical cancer patients versus that of the controls. There is a light decrease of total antioxidant state of plasma in patients with cervical cancer versus the controls, and of Hb level in patients with cervical cancer versus the controls. The results suggests a relation between the activity of antioxidant enzyme in cervical cancer patients and DNA damage due to oxygene stress
Uterine Cervical Neoplasms ; Uterine Cervical Diseases ; Patients

Arteriovenous malformations (AVM) are vascular disorders with a mixture of arterial, venous and small capillary-like channels with fistulous connections. Uterine arteriovenous malformations are rare cause of abnormal uterine bleeding with only a few reported cases. They may arise from pregnancy, miscarriage, previous cesarean section or other uterine surgery and gestational trophoblastic disease. Diagnosis can be made through angiography or doppler ultrasonography. Traditionally, uterine AVMs are treated with hysterectomy but with the advances in technology, minimally invasive conservative approaches such as radiologic arterial embolization or laparoscopic uterine artery ligation have become available. We present a case of a 29-year-old, G2P1 (1011) who had a three- month history of heavy, intermittent vaginal bleeding from uterine arteriovenous malformation after a miscarriage. Laparoscopic bilateral uterine artery occlusion, offered a minimally invasive treatment with high symptomatic effectiveness.
Uterine Artery ; Arteriovenous Malformations ; Uterine Diseases ; Ligation ; Uterine Hemorrhage

Cohort prospective study was carried out on 196 women with Papanicolaou (Pap) smears diagnosed as ASC, LSIL or AGC. Results: reference standard verification was available in 108 patients. The rate of DNA-aneuploidy in Pap smears increased significantly from cervical intraepithelial neoplasia (CIN) 1 (54%) and CIN2 (64.3%) to CIN3 or above (83.3%) in subsequent biopsies (p<0.05). Using ASC/LSIL/AGC as input cytological criteria and CIN2 or above as output histological diagnosis, positive predictive value (PPV) of conventional cytology and DNA-ICM was 35.2% and 65.9%, respectively (p<0.01). Negative predictive value (NPV) of DNA-ICM was 85.0%. Using CIN3 or above as output histological diagnosis, conventional cytology showed a PPV of 22.2%. PPV and NPV of DNA-ICM were 43.9% and 93.3%, respectively.
Uterine Cervical Diseases ; Diagnosis ; DNA

Hysteroscopy is frequently used to assist the diagnosis and treatment of a series uterine diseases. However, complications associated with the procedure including fluid overload, hyponatremia, hypo-osmolality, hemorrhage, uterine perforation, and air embolism have been reported. The incidence of fluid overload with hyponatremia during hysteroscopic procedures has been reported to be up to 6% and it can probe fatal. Thus, early recognition of this condition and prompt intervention thereof is important to prevent adverse sequelae. Here, we report a case of hyponatremia with incidental fluid overload during hysteroscopy. We detected the signs of complication early on and were thus able to manage it promptly without any resulting adverse sequelae.
Embolism, Air ; Hyponatremia ; Hysteroscopy ; Incidence ; Uterine Diseases ; Uterine Hemorrhage

Placenta accreta is one of the most feared complications among gravid women, as it is associated with massive and potentially life-threatening intrapartum and postpartum hemorrhage. Due to its natural history, placenta accreta is only naturally seen or expected as a cause of bleeding only among obstetric patients. This case report describes a rare manifestation of profuse abnormal uterine bleeding secondary to a placenta accreta in a non-gravid patient. The non-pregnant state was evidenced by the absence of history of amenorrhea and pregnancy signs and symptoms, a negative urine pregnancy test and normal serum bhcg results. A diagnosis of placenta accreta was mainly based on a post-hysterectomy histopathological examination. Theoretical explanations to explain this phenomenon is discussed in this case report.
Pregnancy ; Female ; Placenta Accreta ; Uterine Diseases ; Uterine Hemorrhage

The study involved 115 patients who was diagnosed with cervical disc herniation by MRI at the Military Hospital 108 and ViÖt - §øc Hospital from January 1997 to July 2001. Among these, 82 patients underwent cervical discectomy and 33 patients were treated by medication. 15 patients were studied retrospectively, and 100 patients were studied prospectively. Mean age of patients was 49.15 years (ranged from 27 to 78). 93 men, 22 women. The results showed that 1-segment disc herniation was most common (53.9%), followed by 2-segment herniation. 3-segment herniation was seen only in 10 cases. 100% of patients in operative group have post-operative diagnosis as same as MRI diagnosis. 87.5% of patients have excellent and good outcome at 1 week after operation. It was suggested that the diagnosis of cervical disc herniation and operative indication was appropriate.
Magnetic Resonance Imaging ; Uterine Cervical Diseases

From November 1996 to December 1998 within 90 MRI diagnosed cases of cervical disc herniation found in Hanoi region. 90 male patients with 23-68 years old (on average 45). The result showed that MRI is the best sensible method to determine the cervical disc herniation. The study is performed separately in two levels of the disc herniation: bulging disc 44% and typical disc herniation 56%, pick levels of the disc herniation occur at levels C4/C5 and C5/C6. Cervical canal stenosis and spondylosis may be combined with the disc herniation.
Magnetic Resonance Imaging ; Uterine Cervical Diseases

From November 1996 up to December 1998 with 90 MRI diagnosed cases of cervical disc herniation found in Hµ Néi region. 73 males patients and 23-68 years old (on average 45). We found that MRI is the best sensible method to determine the cervical disc herniation. The study is performed separately in two levels of the disc herniation: Bulging disc 44% and typical disc herniation 56%. Peak levels of the disc herniation occur at levels C4/C5 and C5/C6. Cervical canal stenosis and spondylosis may be combined with the disc herniation.
Magnetic Resonance Imaging ; Uterine Cervical Diseases

A randomized study was carried out in women of reproductive age (from 18 to 49 years old) with vaginitis, cervititis due to bacteria who were treated with CTK tablets at Health Centre of Tuong Duong district, Nghe An province. The result showed that: CTK had high effect in treatment vaginitis, cervititis due to bacteria. The antibacterial effect of CTK tablets was the same with chloramphenicol. Antibacterial ability was 38.7% after one treatment course. Result of clinical treatment of CTK was better than chloramphenicol, expressed in reducing leucorrhoea and healing the cervical lesion. There was no side effect from CTK
Vaginitis ; Uterine Cervical Diseases ; Therapeutics ; Bacteria