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Showing 2 results for Ultrasound.
Dr Elham Shobeiri, Dr Sohrab Kolivand,
Volume 19, Issue 3 (10-2014)
Abstract
Background and Aim: Ectopic pregnancy is an emergency gynecologic problem which means replacement of blastocyst outside the uterine cavity and it has many detrimental effects in regard to social, economic and personal aspects. The aim of this study was to determine the relationship between endometrial thickness measured by transvaginal ultrasound and response rate to the treatment of ectopic pregnancy with single-dose intramuscular methotrexate.
Material and Method: This cross-sectional study was conducted in Imam Reza Hospital, in Kermanshah, and included 63 patients with βHCG greater than or equal to 1200 mIU/mL and without ultrasonography evidence of intrauterine gestational sac. Also patients with constant βHCG level or increased levels of less than 50% within 48 hours were regarded as cases of ectopic pregnancy. Then endometrial thickness was measured. Methotrexate 50 mg/m2 was administered intramuscularly. βHCG titers were measured 4 and 7 days after treatment. Using SPSS 21 software, data were analyzed by statistical tests.
Result: We achieved a treatment success of 82.5% with single dose intramuscular methotrexate. Age and size of mass had no relationship with endometrial thickness (p>0.05). However, there was a correlation between endometrial thickness and βHCG titer (p<0.05). We also found a significant relationship between endometrial thickness and the response rate to the treatment of ectopic pregnancy with single-dose intramuscular methotrexate.
Conclusion: According to the results of this study, endometrial thickness has a significant relationship with the response to therapy with single dose intramuscular methotrexate. Therefore, endometrial thickness, measured by transvaginal ultrasound, can be used as a parameter in ectopic pregnancy.
Keywords: Ectopic Pregnancy, βHCG, Endometrial, Transvaginal ultrasound.
Received: Nov 10, 2013 Accepted: Mar 11, 2014
Dr Farhad Naleini, Dr Soghra Pormehr, Jamal Hoseini,
Volume 19, Issue 3 (10-2014)
Abstract
Background and Aim: Gastroesophageal Reflux (GER) is defined as the return of gastric contents into the esophagus or oropharynx without effort which is a common problem in the children. Ultrasound is a sensitive and accurate method for evaluation of reflux. The aim of this study was to compare the abdominal esophagus length between the children below 2 years of age with gastroesophageal reflux and children of the same age without gastroesophageal reflux.
Material and Method: This was a case-control study and included 100 children less than 2 years of age. The children were allocated to two groups, 50 children without GER and sonographic evidence as control group and 50 with GER confirmed by sonographic or barium swallow under fluoroscopy as our case group. The length of the abdominal esophagus was measured according to the protocol. Using SPSS 21 software, data were analyzed by statistical tests.
Result: The average length of the abdominal esophagus in the patients with GER and those without GER were 19.46±4.54 and 26.23±5.01 respectively. There was a significant difference between the two groups in regard to the length of abdominal esophagus.
Conclusion: According to the results of this study, it seems that the length of the abdominal esophagus is shorter in the children under 2 years of age with gastroesophageal reflux compared to those without gastroesophageal reflux. Therefore, measurement of abdominal esophagus length by ultrasound can be a useful parameter in children with gastroesophageal reflux.
Keywords: Gastroesophageal reflux, Abdominal esophagus length, Children below 2 years old, Ultrasound.
Received: Jan 7, 2014 Accepted: Jun 10, 2014
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