子宫妊娠

Results Lower uterine segment has all been formed after 33 weeks of 430 gravida, Lower uterine segment Scar flaw was found in 76 cases by B ultrasound, 11 cases were diagnosed threatened uterine rupture confirmed by surgery.

结果 430例孕妇的子宫下段在妊娠33周以后均已形成，76例经B超诊断存在子宫下段瘢痕缺陷，其中11例诊断为先兆子宫破裂，并均经手术证实。

Case Report: In this report, we present a case of uterine rupture in a 32-year-old multiparous woman after the trial of labor during which 100μg misoprostol was placed in the posterior vagina fornix.

病例报告：一位32岁，妊娠39周（G3P1A1）的妇女因落红而至本院引产，产程一切正常，住院时的Bishop score为0分，因而使用100μg misoprostol 阴道塞剂来引产，在引产过程中，胎儿情况良好，在引产5小时后，就进入产房准备生产，后因fetal distress安排紧急剖腹生产，产下一男婴，3710g，3→4但在术中发现子宫的右侧壁有破裂的情形，而紧急以Vicryl 1°缝合子宫，很幸运地在缝合后很快的控制住子宫的出血。

In order to investigate the effect of IFN-γon the expression of TNF-αin the hypothala- mus-pituitary-ovary axisof RU486-induced aborted SD rats, RU486 was used to establish the abortion model, then the aborted rats were administrated with different doses of IFN-γintraperitoneal injection, the method of immunohistochemical ultrasensitive SP was us- ed to study the variation of positive TNF-αcells in hypothalamus, pituitary, ovary and uterus in normal pregnant group A, aborted model group B and three different doses of IFN-γgroup C,D,E. The main goal of this research was to study whether the low dose of IFN-γcould have a protective function to pregnancy and the mechanism of its function so as to provide morph- ologic basis for the scientific using of IFN-γin the process of animal abortion control.

为探讨IFN-γ对流产大鼠下丘脑-垂体-卵巢轴(hypothalamus-pituitary- ovary-axis，HPOA )TNF-α表达的影响，本试验用米非司酮(RU486)建立SD大鼠流产模型，通过腹腔注射不同剂量IFN-γ，采用超敏感免疫组织化学SP法(链霉素抗生物素—过氧化物酶法)，观察了孕13天(d13)SD大鼠正常妊娠A组、流产模型B组、不同剂量IFN-γC、D、E组下丘脑、垂体、卵巢、子宫TNF-α的表达变化，探讨低剂量IFN-γ对妊娠是否有保护作用及其作用机制，期望能为在妊娠过程中如何科学应用IFN-γ防止动物流产提供形态学依据。

Result: Quadruplet pregnancy was an extremely rare disease, accompanied with multiple complications during the perinatal period. Its major clinical feature was excessly large uterine, the definitive diagnosis of quadruplet pregnancy depended on ultrasonography. With reason able prenatal examination and prevention from the multiple complications during the perinatal period, the quadruplet pregnancy could had a similar outcome as single birth.

结果：四胎妊娠的发生率极低，围产期并发症多，临床表现主要为子宫过度增大，明确诊断主要依靠超声通过合理的产前监测和对围产期并发症的防治，四胎妊娠仍能取得和单胎妊娠一样的良好结局。

Objective To explore the value of laparoscopic operation in the treatment of gynecologic diseases.Methods Retrospective analysis of 170 cases of laparoscopic surgery in ynecology.53 cases in the salpingocyesis group,49 cases salpingotomy,4 cases salpingectomy;48 cases in the ovarian cyst group,35 cases enucleation and repair of ovary,8 cases ovary sutures atches,3 adnexnectomy and 2 perforation of ovary;52 cases in the uterine problems group,10 cases LM5 cases CISH,11 cases LSH（laparoscopic supracervical ysterectomy）,14 cases LTH（laparoscopic total hysterecotomy）,12 cases LAVH laparoscopically assisted vaginal hysterectomy）;17 cases in the infertility group were studied in terms of lysis of pelvic adhesions and salpingostomy.

目的 探讨妇科腹腔镜手术的临床应用价值方法回顾性分析170例妇科腹腔镜手术病例，其中异位妊娠组53例，行输卵管切开取胚49例，输卵管切除术4例；卵巢疾患组48例，囊肿剥除术及卵巢成形术35例，卵巢缝合修补8例，患侧附件切除3例，囊卵巢多点打孔2例；子宫疾病组52例，行肌瘤剥除10例，改良CISH术5例，子宫次全切除术11例，子宫全切术14例，腹腔镜辅助阴式子宫切除12例；不孕症组17例，行盆腔粘连分解输卵管伞造口术。

Methods Retrospective analysis of 170 cases of laparoscopic surgery in ynecology.53 cases in the salpingocyesis group,49 cases salpingotomy,4 cases salpingectomy;48 cases in the ovarian cyst group,35 cases enucleation and repair of ovary,8 cases ovary sutures atches,3 adnexnectomy and 2 perforation of ovary;52 cases in the uterine problems group,10 cases LM5 cases CISH,11 cases LSH（laparoscopic supracervical ysterectomy）,14 cases LTH（laparoscopic total hysterecotomy）,12 cases LAVH laparoscopically assisted vaginal hysterectomy）;17 cases in the infertility group were studied in terms of lysis of pelvic adhesions and salpingostomy.

回顾性分析170例妇科腹腔镜手术病例，其中异位妊娠组53例，行输卵管切开取胚49例，输卵管切除术4例；卵巢疾患组48例，囊肿剥除术及卵巢成形术35例，卵巢缝合修补8例，患侧附件切除3例，多囊卵巢多点打孔2例；子宫疾病组52例，行肌瘤剥除10例，改良CISH术5例，子宫次全切除术11例，子宫全切术14例，腹腔镜辅助阴式子宫切除12例；不孕症组17例，行盆腔粘连分解输卵管伞造口术。

Results In dioestrous mice, many iNOS+ cells were found in the stroma of endometrium. There was no obvious differences between the immunized mice and the control mice. In the uterus on 3 day of pregnancy, however, there was obvious difference about the iNOS quantity in uterus between the immunized and the control mice. There was strong positive reaction on the epithelia of endometrium and the endometrial gland in the lamina propria in control mice, while the staining of iNOS in the uterus of SA-30 immunized mice was very weak, only a few of iNOS+ cells were observed in the myometrium.

结果 SA-30免疫后对间情期小鼠子宫内的iNOS没有明显影响，无论是免疫组还是对照组，在子宫内膜基质中均有大量阳性细胞分布，两者无明显差异；在妊娠第3d时，对照组的小鼠子宫中有较多iNOS表达，阳性标记主要集中在内膜上皮及固有膜中的子宫腺上，经SA-30免疫的小鼠子宫中，iNOS表达则显著减少，整个内膜标记极弱，只在子宫肌层内有少量iNOS阳性细胞分布。

Results In dioestrous mice, many iNOS+ cells were found in the stroma of endometrium. There was no obvious differences between the immunized mice and the control mice. In the uterus on 3 day of pregnancy, however, there was obvious difference about the iNOS quantity in uterus between the immunized and the control mice. There was strong positive reaction on the epithelia of endometrium and the endometrial gland in the lamina propria in control mice, while the staining of iNOS in the uterus of SA-30 immunized mice was very weak, only a few of iNOS+ cells were observed in the myometrium.

结果 SA-30免疫后对间情期小鼠子宫内的iNOS没有明显瘙痒影响，无论是免疫组还是对照组，在子宫内膜基质中均有大量阳性偏瘫细胞分布，两者无明显瘙痒差异；在妊娠第3d时，对照组的小鼠子宫中有较多iNOS表达，阳性标记主要集中在内膜上皮及固有膜中的子宫腺上，经SA-30免疫的小鼠子宫中，iNOS表达则显著减少，整个内膜标记极弱，只在子宫肌层内有少量iNOS阳性偏瘫细胞分布。

Gilts were slaughtered on day 12, 25 and 35 of pregnancy, and serum, uterine flushings, embryos and endometria were collected. ELISA was adopted to determine the progesterone concentration in serum and uterine flushings, and RT-PCR was adopted to determine the genes expression in embryos and endometria.

母猪配种后随机分到3个组，按2.0倍、1.2倍和0.6倍维持需要供给饲粮（分别为采食高、中、低水平），妊娠12、25和35d屠宰母猪，收集血清、子宫液和胚胎、子宫组织，运用ELISA测定血清和子宫液中孕酮浓度，用RT-PCR测定目的基因在胚胎和子宫内膜中的表达。

Three in the third trimester, the uterus was the right rotation, left lying in the womb can improve the degree of right rotation, which can reduce uterine vascular tone, an increase of placental blood flow, improve the intra-uterine fetal oxygen status and is conducive to fetal growth and development, which is to reduce low birth weight infants at birth and lower perinatal mortality rate has important significance.

三、在妊娠晚期，子宫呈右旋转，左侧卧位可改善子宫的右旋转程度，由此可减轻子宫血管张力，增加胎盘血流量，改善子宫内胎儿的供氧状态，有利于胎儿的生长发育，这对于减少低体重儿的出生和降低围产儿死亡率有重要意义。

And Pharaoh spoke to Joseph, saying, Your father and your brothers have come to you.

47：5 法老对约瑟说，你父亲和你弟兄们到你这里来了。

Additionally, the approximate flattening of surface strip using lines linking midpoints on perpendicular lines between geodesic curves and the unconditional extreme value method are discussed.

提出了用测地线方程、曲面上两点间短程线来计算膜结构曲面测地线的方法，同时，采用测地线间垂线的中点连线和用无约束极值法进行空间条状曲面近似展开的分析。