Abstract：
PURPOSE:Hysterosalpingography (HSG) is an important tool for evaluation of tubal factors in infertility. It does not require anesthesia but can be a painful procedure. Thus, this study was undertaken to establish the role of intracervical block as pain relief modality for HSG. METHODS:This prospective, randomized study included hundred women attending the Department of Obstetrics and Gynecology, at a tertiary care centre in India. They were divided randomly through a computer generated table into two groups of 50 women each. In the study group, women received intracervical block along with premedication whereas in the control group women received premedication alone. Each patient was asked to rate her pain at six different points of time (T1-T6) during HSG using Visual analogue scale (VAS) and Verbal descriptive score. The difference in pain scores amongst the two groups was analyzed using independent t test. RESULTS:Reduction of pain was observed from placement of tenaculum till end of procedure (T3-T6) with intracervical block (p < 0.05). Pain remained at a statistically lower level during the most painful steps i.e. traction of the cervix (VAS: 2.080.49 cm, 95 % C I 1.18-2.98 vs. 4.21.15 cm, 95 % CI 3.3-5.1, p = 0.001) and with the insertion of dye (VAS: 2.640.49, 95 % CI 1.7-3.5 vs. 5.121.45. 95 % CI 4.3-6.0, p = 0.001) in the study group as compared to control group. CONCLUSION:Intracervical block can be offered to all women undergoing HSG to make the procedure less painful and thus improve the compliance.
journal_name
Arch Gynecol Obstetjournal_title
Archives of gynecology and obstetricsauthors
Chauhan MB,Lakra P,Jyotsna D,Nanda S,Malhotra Vdoi
10.1007/s00404-012-2515-zsubject
Has Abstractpub_date
2013-01-01 00:00:00pages
155-9issue
1eissn
0932-0067issn
1432-0711journal_volume
287pub_type
杂志文章,随机对照试验abstract：BACKGROUND AND PURPOSE:Ovarian cancer (OC) is one of the most fatal malignancies in women. High mortality rate may be due to problems with diagnosis in the early stages. The use of new biomarkers for faster diagnosis and selection of more efficient therapies is one of the main concerns in this area. miRNAs are non-codi...
journal_title：Archives of gynecology and obstetrics
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doi：10.1007/s00404-019-05107-x
更新日期：2019-05-01 00:00:00
abstract：OBJECTIVE:To review the outcomes of pelvic exenterative surgery done with a palliative intent and evaluate its role in relapsed gynaecology malignancies. METHOD:This is a retrospective cohort study between April 2009 and May 2012 in Oxford Gynaecological Cancer Centre. Patients were identified from the oncology surgic...
journal_title：Archives of gynecology and obstetrics
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abstract：PURPOSE:The purpose of our study was to evaluate obstetrical and fetal outcomes in pregnancies complicated by acute appendicitis, and to specifically evaluate the impact of peritonitis. METHODS:We conducted a population-based cohort study using the Healthcare Cost and Utilization Project-Nationwide Inpatient Sample fr...
journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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pub_type： 杂志文章,评审
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,评审
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
doi：10.1007/s00404-005-0013-2
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
doi：10.1007/s00404-011-1844-7
更新日期：2011-12-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,meta分析
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journal_title：Archives of gynecology and obstetrics
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doi：10.1007/s00404-013-3070-y
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
doi：10.1007/BF02390860
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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pub_type： 杂志文章,随机对照试验
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abstract：:The study was conducted to establish a correlation between Doppler velocimetry in relation to uterine weight in any phase of the menstrual cycle and symptoms in women who have leiomyomas. Doppler velocimetry was carried out on both uterine arteries in 18 pre-menopausal women and one post-menopausal woman prior to unde...
journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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更新日期：2011-11-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
doi：10.1007/s00404-007-0504-4
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
doi：10.1007/BF00634344
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abstract：INTRODUCTION:Worldwide, 20-30 million people are estimated to be infected with HTLV. HTLV-1 is endemic in Western Africa and Southern Japan, whereas HTLV-2 is considered to be spread among native American people. MATERIALS AND METHODS:The impact of HTLV in gynaecology and obstetrics is being reviewed. Search strategy ...
journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,评审
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更新日期：2010-11-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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更新日期：2003-10-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,随机对照试验
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更新日期：2013-05-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
doi：10.1007/s00404-010-1402-8
更新日期：2011-03-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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更新日期：2019-03-01 00:00:00
