卷 47, 编号 2 (1998)

A problem of the obstetrical sepsis on the basis of the analysis of the control of sick persons with shown pathology in 1997 Saint-Petersburg is considered in the article. The features of development sepsis are allocated.

Were examined 55 pregnant women with the purpose of development of optimum methods of preventive maintenance and treatment postpartum infectious diseases. Differential diagnostics between BV and colpitis was conducted, pathological attributes BV in the period of pregnancy in sorts and postpartum established. A microbial flora of the pregnant women’s vagines with BV and colpitis with normal and with complicated current of pregnancy was investigated. The preventive maintenance and treatment of postpartum infectious mother’s diseases, foetus, baby at pregnant women with BV and colpitis based on restoration microbiocenosis and local immunoresistence.

Analysis of current inflammatory of uterus diseases and uterine appendages diseases was conducted at 1769 patients - age from 18-48 years. It is revealed, that the introduction IUC is responsible gynecological operation, requiring careful selection of woman with account of contraindicated, with observance of the rules aseptic and antiseptic subsequent strict regular medical check-up not less twice per year with vaginal bacteriological researching. The development of inflammatory process internal genital organs on a background IUC requires timely hospitalization, removal IUC and complex treatment as there is tendency, to spreading of infection for area of uterus and uterine appendages, that determines volume of surgical operation.

Is investigated contents of substances low and average molecular of weight (SLAMW) in plasma of blood, in erythrocytes and urine, and process of oxidizing updating serum s proteins of blood at 11 unpregnant women, at 22 pregnant women with physiological current of pregnancy, at 9 pregnant of risk’s group on development EPH-gestosis and at 33 pregnant, suffering by EPH-gestosis. On the basis of received facts following conclusions were made. Processes of agrégation of proteins prevail at physiological current of pregnancy. Endogenic intoxication at healthy pregnant not observed. In connection with an increase of concentration the active forms of an oxygen in a body of pregnant from risk’s group, process of agrégation of protein considerably more intensive. We can observe among the pregnant of risk’s group the first “compensatory” phase of endogenic intoxication, which accompanied by increase SLAMW in erythrocytes. The oxidizing updating of protein amplifies in a greater degree at pregnant women suffering by EPH- gestosis. Is observed as agrégation of protein’s molecules, as its destruction.

Analysis of 140 cases microsurgical operation on fallopian tubes was made. On the basis of received results the conclusion is done that using of microsurgical operation is justified at recanalisation, imposing tubo-tubarian anastomosis and fimbrioplastics. At the same time, the tubes sterility at availability permanent current inflammatories processes with damaged at tubes on the long line and thereto with form formations of sactos are not subject of microsurgical correction connection with small quantity set in pregnancies. Thus the application of the microsurgical correction is shown at hightly motivated ill with consideration of contra-indications offered by author.

Some results of work, executed in Scientific Research Institute of Obstetrics and Gynecology named after D.O.Ott of RAMS are submitted in the article. A regulation about pathological transformation of the myoma uterus was formulated. It was shown, that the changes in muscular, vascular and nervous systems of the uterus, normally developing and progressive in accordance with an increase of the tumours weight were pathological, biological inexpedient reaction of organ on occurrence into “extraneous” subject, which has dependence from hormones and possessing weight and scope. Pathological reactions, developed in myoma uteri are created the conditions for adverse current of pregnancy. Representations about morphological state of the uterus and the tumour during the pregnancy was detailed.

New aspects of using vaginal ovules “Ovestin” at 20 couples of the senior age with purpose correction of the sexual infringements at the women stipulated by period of postmenopause are considered.

In the review the data are submitted, which witnessed about expediency of using detoxication therapy in the complex treatment of EPH-gestosis.

“The greatest people left the life But they continue to be example And by their example act as live”. A. Koni

Order No. 113 of 10.04.98 "On enactment of the model regulation for women's consultation".

In the article the questions of the indications, contraindications and the special features of the surgical tactic and approaches at the patients with endometriosis are considered.

In the article on origin sight of the authors on the decision of a problem a hygenic education and social behaviour of under-ages is submitted.

The article provides a comparative analysis of oral and transdermal estrogen replacement use in peri/postmenopausal women.

This article summarizes the experience with Lowen's body-oriented therapy in 100 pregnant women with the threat of pregnancy failure.

This article presents two clinical observations of surgical treatment of gynecological patients with concomitant cardiovascular pathology.

On May 26-28, 1998, the Joint Plenum of the Interdepartmental Scientific Council for Obstetrics and Gynecology of the Russian Academy of Medical Sciences and the All-Russian Scientific Conference of the Association of Obstetricians and Gynecologists "Topical Questions of Infections in Obstetrics and Gynecology", dedicated to the 200th anniversary of the first Russian Chair in Obstetrics and Gynecology at the Military Medical Academy in Saint-Petersburg, were held.