Objective. The aim of the study was to compare the efficiency of complex therapy of pelvic inflammatory diseases (PID) in patients using the drug Longidaza and the effectiveness of therapy without the use of this drug.
Materials and methods. 150 patients of reproductive age with PID. All women underwent basic therapy. The complex treatment of group 1 included the additional drug Longidaza in vaginal suppositories 3000 IU with the general course of 20 injections once every three days. The patients were observed for 60 days. The effectiveness of therapy was determined by the dynamics of diagnostic criteria (clinical and laboratory).
Results. During the follow-up period, among patients receiving complex therapy with Longidaza relief of pain syndrome in the lower abdomen was observed much faster, and only 14 (18,5 %) women of group 1 continued to fill it after 2 months of treatment, where as in group 2 60 (81,1 %) patients (p 0,001). Reduction of pain in palpation and cervical traction in patients of the main group was recorded in all (100 %) patients, while in the group of basic therapy this symptom continued to be observed in 23 % of women (p 0.001). The dynamics of decrease in the share of patients with increased uterine size in group 1 was 14.9 % and in group 2 only 8.4 % (p 0.001). In the experimental group, during the 2-month follow-up period, there was observed an increase in the number of patients with a normal number of leukocytes in the vaginal smear by 13 %, while in the second group this parameter increased by only 3 % to the initial value.
Conclusions. The results of the research allow indicating the efficiency of treatment of PID when using the drug Longidaza.
Ectopic pregnancy is one of the most frequent and serious complications when using assisted reproductive technologies (ART). Difficulties in diagnosing ectopic pregnancy after ART are explained by atypical localization and ambiguous clinical picture. To analyze the clinical case of management and delivery of a pregnant woman words with twins when one of the fetuses is located in rudimentary horn. The retrospective analysis of anamnestic data, results of clinical and instrumental studies pregnant based on the exchange card of the pregnant woman and new mothers, birth history of the perinatal center of Tyumen. The clinical case of atypical placement of the fetus in the rudimentary horn in multiple pregnancies after ART is a fairly rare complication of the gestational period. Difficulties with timely diagnosis were associated with the lack of clear imaging during ultrasound examination. A timely diagnosis, in the current emergency situation, allowed the pregnancy to end favorably, both for the mother and for the fetus.
В статье приводятся результаты анализа частоты кесарева сечения классификацией Робсона. Использование данной классификации рекомендовано ВОЗ, а с 2019 г. классификация рекомендована МЗ РФ. Проведен анализ причин роста частоты кесарева сечения и связанного с ним риска осложнений. Авторами представлены данные анализа частоты кесарева сечения в Тюменской области (ТО). Было проанализировано 18884 случая родов, из них 5143 кесаревых сечений. Общую частоту кесарева сечения -27,2 % -оценили как высокую. Были сопоставлены показатели частоты кесарева сечения в области и в перинатальном центре, используя распределение по группам Робсона. В статье дан анализ показателей, наблюдаемых в группах. Основным показанием к кесареву сечению закономерно является наличие операции в анамнезе. Основным путем к снижению частоты кесарева сечения является профилактика первичного кесарева сечения. Анализируя полученные показатели, отметили значительный резерв к снижению первичного кесарева сечения. Автор классификации указывал на необходимость обсуждения показателей, полученных при использовании его методики в различных учреждениях, в разных системах здравоохранения. Понимая важность данного подхода, публикуем полученные данные.
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