妇产科住院总医师培训模式的探讨

住院总医师制度是医院人才培养和医院管理的重要环节。在住院总医师培训过程中,实行主动申报和严格遴选,进行岗前培训;加强日常管理,保障医疗安全及医疗质量;强化考核,进行规范化管理,收到了良好效果。     

Ovarian carcinoma of low malignant potential treated at the 1(st) Department of Obstetrics and Gynecology Semmelweis University Faculty of Medicine,between 1990 and 2000

The authors analyzed the epidemiologic and histological characteristics and the management of ovarian carcinoma of low malignant potential (LMP) at a university hospital between 1990 and 2000. The authors carried out a retrospective study reviewing hospital charts. Based on the records experience with 29 such tumors is peresented. Of these 20 (74%) were of the serous variety, 7 (26%) were mucinous. LMP tumors accounted for 16% of proliferating epithelial ovarian tumors. They occured at a mean age of 45 years. The LMP tumors were bilateral in 12% of the cases. The majority of patients (87%) with LMP tumors presented with early stage disease. Tumor markers such as CA-125 were not always elevated as in invasive ovarian carcinoma. Laboratory investigations have not demonstrated that these tumors represent an intermediate step between benign ovarian tumors and carcinoma. The recommended therapy is surgical, consisting of total abdominal hysterectomy, bilateral salpingo-oophorectomy, peritoneal washings, and tumor debulking. Conservative surgery consisting of unilateral salpingo-oophorectomy is considered to be an appropriate treatment for young women with early stage LMP ovarian tumors who wish to retain their fertility potential. 50 percent of women who underwent conservative surgery subsequently conceived in this study. There were no recurrences in the study group, so the authors conclude that the long term outcome of LMP tumors is extremely favorable.     

浅谈病例导入式教学在妇产科理论教学中的应用

目的：将CBS教学法运用于妇产科学的教学中,探讨其教学效果。方法：在妇产科学教学中,将我校2005级临床医学160名本科学生分为试验组（CBS教学法）和对照组（传统讲授方法）。结果：学科考试中,试验组的平均分数显著高于对照组（P〈0.01）。结论：CBS教学法是行之有效并且切实可行的,对提高妇产科学的教学质量、提高学生的综合能力具有积极的意义。     

浅谈病例导入式教学在妇产科理论教学中的应用

目的:将CBS教学法运用于妇产科学的教学中,探讨其教学效果。方法:在妇产科学教学中,将我校2005级临床医学160名本科学生分为试验组(CBS教学法)和对照组(传统讲授方法)。结果:学科考试中,试验组的平均分数显著高于对照组(P<0.01)。结论:CBS教学法是行之有效并且切实可行的,对提高妇产科学的教学质量、提高学生的综合能力具有积极的意义。     

头孢哌酮钠/舒巴坦钠用于治疗妇产科感染的临床疗效分析

目的：分析头孢哌酮钠/舒巴坦钠治疗妇产科感染的临床疗效。方法：选择我院2010年1月至2012年7月收治的132例妇科门诊或者住院感染患者,并将其随机分为观察组和对照组,每组66例患者。观察组患者采用头孢哌酮钠/舒巴坦钠治疗,对照组患者采用阿莫西林/克拉维酸治疗,治疗7-15天后比较两组患者的临床效果。结果：治疗后,观察组患者的总有效率为96.96%,明显高于对照组患者,差异具有明显统计学意义（P〈0.05）。两组患者的细菌清除率和不良反应的发生率基本相当,差异无明显统计学意义（P〉0.05）。结论：头孢哌酮钠/舒巴坦钠治疗各种妇产科感染疗效显著,安全性高,值得临床推广应用。     

妇产科临床带教实习教学模式的实践与体会

教学质量将直接影响到医学生专业素质与技能的培养,通过对妇产科临床带教的的总结,探索适合目前医学教育要求的临床实习教学模式;临床带教的实践表明,教师自身素质的提高,生动灵活实用的教学方式,与国际接轨的多语教学以及师生相互的教学评估是我们目前对进一步提高妇产科临床带教质量与水平的重要因素.