1.Clinical diagnosis and treatment analysis of 3 cases with primary abdominal pregnancy after in vitro fertilization and embryo transfer
Yanxin XIE ; Miao DING ; Qi QIU ; Yanan ZHAO ; Ping PAN ; Yu LI ; Qingxue ZHANG
Chinese Journal of Reproduction and Contraception 2020;40(8):663-669
Objective:To investigate the clinical diagnosis and treatment of primary abdominal pregnancy after in vitro fertilization and embryo transfer (IVF-ET). Methods:This paper reports 3 cases of primary abdominal pregnancy after IVF-ET in Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, and discusses the diagnosis and treatment.Results:All 3 cases of abdominal pregnancy were diagnosed by transvaginal B-ultrasound before operation. Laparoscopic resection of the abdominal cavity pregnancy gas was performed, and the level of postoperative human chorionic hormone (hCG) decreased.Conclusion:Primary abdominal pregnancy after IVF-ET is a rare ectopic pregnancy. Close monitoring of hCG level and B-ultrasound are helpful for early diagnosis. Laparoscopic exploration and abdominal pregnancy resection are effective treatments. Early diagnosis and treatment of abdominal pregnancy can improve the prognosis.
2.Clinical diagnosis and treatment analysis of 3 cases with primary abdominal pregnancy after in vitro fertilization and embryo transfer
Yanxin XIE ; Miao DING ; Qi QIU ; Yanan ZHAO ; Ping PAN ; Yu LI ; Qingxue ZHANG
Chinese Journal of Reproduction and Contraception 2020;40(8):663-669
Objective:To investigate the clinical diagnosis and treatment of primary abdominal pregnancy after in vitro fertilization and embryo transfer (IVF-ET). Methods:This paper reports 3 cases of primary abdominal pregnancy after IVF-ET in Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, and discusses the diagnosis and treatment.Results:All 3 cases of abdominal pregnancy were diagnosed by transvaginal B-ultrasound before operation. Laparoscopic resection of the abdominal cavity pregnancy gas was performed, and the level of postoperative human chorionic hormone (hCG) decreased.Conclusion:Primary abdominal pregnancy after IVF-ET is a rare ectopic pregnancy. Close monitoring of hCG level and B-ultrasound are helpful for early diagnosis. Laparoscopic exploration and abdominal pregnancy resection are effective treatments. Early diagnosis and treatment of abdominal pregnancy can improve the prognosis.
3.Observation of curative effect on lumbar facet joint syndrome by palace bonesetting therapeutic combined with lumbar medial branch nerve block
Yongwen HU ; Guodong ZHAO ; Hang LIU ; Qingxue QI ; Pengchao ZHEN ; Gang LIU
International Journal of Traditional Chinese Medicine 2019;41(8):809-812
Objective To observe the clinical effect of "palace bone-setting" Dieda-Wanying cream combined with Yuan Shu Zhi Pai Zi fixation in the treatment of acute ankle sprain.Methods A total of 60 patients with acute ankle sprain were collected and randomly divided into observation group and control group according to the random number table method,with 30 cases in each group.The observation group was treated with "Palace Bone-setting" Dieda-Wanying cream combined with Yuan Shu Zhi Pai Zi for fixation.The control group was treated with external application of diclofenac diethylamine emulsion and fixation of elastic bandage.Two groups were treated for 14 days.The patients pain disappeared time and the swelling subsided,the VAS scale for assessment of ankle pain observed.The American Orthopedic Foot and Ankle Society (AOFAS) Ankle-after scoring system was used to assess the Ankle function,evaluation of clinical curative effect.Results The pain disappear time (9.7 ± 1.6 d vs.13.4 ± 3.5 d,t=5.638),regression and time (3.5 ± 1.3 d vs.6.7 ± 1.1 d,t=10.292) in the observation group were significantly earlier than those in the control group (P<0.01).After treatment,VAS score (1.9 ± 1.1 vs.3.3 ± 1.3,t=4.503) of the observation group significantly lower than that of the control group (P<0.01);AOFAS score (93.6 ± 3.9 vs.84.2 ± 5.1,t=8.019) significantly higher than the control group (P<0.01).Total effective rate in the observation group was 96.7% (29/30),and the control group was 80.0% (24/30),which the difference was statistically significant (x2=4.043,P=0.044).Conclusions The "Palace Bone-setting" Dieda-Wanying cream combined with Yuan Shu Zhi Pai Zi fixation has definite curative effect on acute ankle sprain,relieve pain,swelling and promote the ankle function.

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