Gynecology and Obstetrics2025|PDF|Epub|mobi|kindle电子书版本百度云盘下载

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Chapter 1．APPLIED EMBRYOLOGY1

Gametogenesis1

Fertilization3

Development of the Embryo5

Fetal Growth12

Extraembryonic Fetal Structures21

Ovular Defects26

Abnormalities of the Placenta，Cord and Membranes29

Twinning31

Chapter 2．EMBRYONIC DEVELOPMENT OF THE GENITALIA34

Stage 134

Stage 239

Stage 342

Stage 445

Stage 550

Development of the Pelvic Floor51

Development of the Bony Pelvis52

Clinical Connotations54

Chapter 3．DEVELOPMENTAL ABNORMALITIES OF THE GENITALIA57

Perineum and Vulva57

Urethra，Bladder and Ureter57

Hymen60

Vagina61

Uterus63

Uterine Tube67

Ovary67

Intersexuality68

Chapter 4．GYNECOLOGIC ASPECTS OF CHILDHOOD73

Genital Development73

Development of the Bony Pelvis76

Psychologic Development77

History and Examination78

Endocrine Disorders80

Genital Infections89

Genital Tumors93

Chapter 5．GYNECOLOGIC PROBLEMS OF ADOLESCENCE99

Growth Processes99

History and Examination102

Instruction in Genital Physiology103

Menstrual Problems103

The Management of Menstrual Disorders107

Leukorrhea110

Genital Neoplasms111

Pregnancy112

Other Problems112

Chapter 6．APPLIED ANATOMY OF THE ADULT GENITALIA114

Perineum114

Pelvic Diaphragm122

Genital Viscera123

The Urinary Tract129

Pelvic Bowel134

Supporting Structures136

Other Pelvic Muscles140

Pelvic Lymphatics141

Pelvic Blood Vessels143

Pelvic Autonomic Nerves146

Bony Structure of the Pelvis148

Pelvic Articulations and Ligaments155

Chapter 7．APPLIED HISTOLOGY OF THE ADULT GENITALIA159

The Vulva159

The Vagina162

The Cervix163

Isthmic Portion of the Uterine Corpus168

The Uterine Corpus169

The Uterine Tubes178

The Broad Ligaments181

The Ovary184

Chapter 8．PHYSIOLOGY OF THE FEMALE GENITALIA(EXCLUSIVE OF PREGNANCY)200

Endocrine Factors200

The Ovary207

The Uterine Tube213

The Uterus214

Cervix224

Vagina226

Vestibule and Vulva228

Libido and Coitus229

The Effect of Hysterectomy231

The Pelvic Musculofascial Supporting Structures231

Chapter 9．GYNECOLOGIC EXAMINATION235

History235

Examination238

Chapter 10．MENSTRUAL DISORDERS245

Ovulatory Pain245

Premenstrual Disturbances245

Dysfunctional Uterine Bleeding246

Intermenstrual Bleeding251

Anovulatory Menstruation253

Extragenital Menstruation255

Primary Dysmenorrhea255

Secondary Dysmenorrhea258

Amenorrhea259

Infrequent Menstruation268

Chapter 11．COITAL DIFFICULTIES271

Causative Factors271

History274

Examination274

Management275

Chapter 12．REPRODUCTIVE FAILURE278

History278

Examination279

Etiology281

Diagnosis288

Treatment297

Chapter 13．PHYSIOLOGIC CHANGES IN PREGNANCY305

Ovary305

Uterine Tube307

Uterus308

Vagina315

Vulva and Perineum316

Pelvic Vasculature and Lymphatics316

Pelvic Supporting Tissues316

Bony and Ligamentous Pelvis316

Cardiovascular System317

Respiratory Tract318

Gastrointestinal Tract319

Liver319

Urinary Tract320

The Blood322

Endocrine System325

Metabolic Changes327

Breasts346

Psychologic Changes346

Skin347

Skeletal Changes347

Fetus347

Umbilical Cord350

Membranes350

Placenta351

Chapter 14．THE DIAGNOSIS OF PREGNANCY358

History358

Signs and Symptoms359

Examination364

Estimating Pelvic Capacity374

Chapter 15．ABORTION383

Etiology383

Threatened Abortion388

Inevitable Abortion390

Complete Abortion392

Incomplete Abortion392

Missed Abortion393

Habitual Abortion394

Infected Abortion396

Uterine Perforation399

Therapeutic Abortion400

Chapter 16．ECTOPIC PREGNANCY405

Tubal Pregnancy405

Abdominal Pregnancy417

Ovarian Pregnancy419

Intraligamentous Pregnancy421

Cervical Pregnancy421

Angular Pregnancy421

Cornual Pregnancy421

Pregnancy in a Rudimentary Horn of the Uterus422

Pregnancy in a Uterine Diverticulum422

Combined Pregnancies422

The Uterus in Ectopic Pregnancy423

Treatment of Ectopic Pregnancy423

Chapter 17．MANAGEMENT OF NORMAL PREGNANCY428

First Trimester428

Second Trimester438

Third Trimester444

Surgery during Pregnancy449

Chapter 18．NORMAL LABOR451

Prodromal Period453

First Stage of Normal Labor457

Second Stage of Labor462

Third Stage470

Immediate Pospartum Period473

Management of Labor474

Analgesia，Amnesia and Anesthesia482

Chapter 19．THE PUERPERIUM491

Early Puerperium491

Lactation498

Late Puerperium498

Management of the Puerperium500

Chapter 20．DISORDERS COMPLICATING PREGNANCY508

Heart Disease508

Chronic Hypertensive Vascular Disease514

Thrombophlebitic Disorders518

Blood Disorders518

Diabetes Mellitus520

Other Endocrine Disorders525

Urinary Tract Disorders526

Pulmonary Disorders530

Gastrointestinal Disorders533

Liver Disease534

Orthopedic Disorders535

Surgical Problems535

Psychiatric Disturbances538

Neurologic Disorders539

Infectious Diseases541

Tropical Diseases542

Skin Disorders543

Syphilis543

Chapter 21．DISEASES OF PREGNANCY549

Preeclampsia and Eclampsia549

Chronic Hypertensive Disease with Superimposed Acute Toxemia573

Placenta Praevia574

Abruptio Placentae579

Hyperemesis Gravidarum583

Tumors of the Placenta and Membranes585

Anomalies of the Placenta and Cord592

Diseases of the Membranes594

Diseases of the Placenta595

Chapter 22．PREMATURE LABOR AND DELIVERY600

Clinical Aspects600

Etiology600

Treatment603

Chapter 23．LESS COMMON CEPHALIC PRESENTATIONS605

Occiput Posterior Positions605

Persistent Occiput Posterior Positions611

Persistent Occiput Transverse Positions615

Face Presentations617

Brow Presentation624

Chapter 24．BREECH PRESENTATION628

Etiology628

Diagnosis628

Mechanism of Labor630

Prognosis633

Principles of Management635

Management of Labor636

Complications640

Chapter 25．TRANSVERSE PRESENTATION644

Diagnosis644

Etiology646

Labor647

Principles of Treatment648

Chapter 26．MULTIPLE PREGNANCY651

Incidence651

Antepartum Course652

Diagnosis654

Differential Diagnosis654

Etiology and Development654

Labor656

Principles of Management657

Conjoined Twins659

Chapter 27．DIFFICULT LABOR DUE TO ABNORMALITIES OF PELVIC STRUCTURE660

Etiology of Pelvic Contractions660

Types of Contracted Pelves662

Diagnosis of Pelvic Contractions666

Effect of Pelvic Contractions on Labor667

Management668

Chapter 28．DIFFICULT LABOR ASSOCIATED WITH FETAL ABNORMALITIES671

Hydrocephalus671

Anencephaly673

Fetal Tumors674

Double Monsters676

Excessive Fetal Size676

Prolonged Pregnancy and Postmature Fetus678

Chapter 29．DIFFICULT LABOR DUE TO ABNORMALITIES OF THE EXPULSIVE FORCES681

Uterine Inertia681

Incoordinate Uterine Action686

Pathologic Retraction688

Constriction Ring689

Precipitate Labor691

Missed Labor692

Prolonged Labor693

Chapter 30．OPERATIVE OBSTETRICS701

The Forceps701

Cesarean Section708

Cervicotomy717

Manual Rotation717

Manual Flexion of the Extended Head717

Manual Rotation of the Shoulders718

Vernon718

Manual Extraction of the Placenta722

Packing the Uterus722

Symphysiotomy722

Vaginal Hysterotomy723

Destructive Operations723

Chapter 31．ACCIDENTS DURING LABOR728

Antepartum Hemorrhage728

Rupture of the Uterus729

Cervical Injuries733

Vaginal Injuries735

Injury to the Pelvic Supports736

Perineal and Vulvar Lacerations736

Inversion of the Uterus738

Amniotic Fluid Embolism740

Air Embolism740

Prolapse of the Cord741

Other Accidents of Labor742

Fibrinogenopenia743

Intrapartum and Postpartum Collapse744

Placenta Accreta745

Retained Placenta746

Postpartum Hemorrhage747

Chapter 32．DISORDERS OF THE PUERPERIUM752

Hematomas752

Retained Lochia753

Subinvolution754

Traumatic Neuritis755

Puerperal Hemorrhage755

Puerperal Mastitis756

Chapter 33．THE NEWBORN INFANT758

The Examination758

Anoxia759

Intracranial Hemorrhage761

Neonatal Apnea763

Other Injuries768

Developmental Anomalies770

Prematurity774

Hyaline-Like Membrane Syndrome776

Hemolytic Disease of the Fetus and Newborn777

Chapter 34．TRAUMATIC LESIONS OF THE GENITALIA789

Obstetric Injuries of the Perineum789

Rectocele790

Urethrocele792

Cystocele and Cystourethrocele792

Uterine Descensus794

Pelvic Hernias796

Lesions Resulting from External Trauma798

Urogenital Fistulas799

Enterogenital Fistulas804

Chapter 35．URINARY INCONTINENCE810

Regional Anatomy810

Physiology812

Stress Incontinence813

Urogenital Fistulas816

Incontinence Due to Intrinsic Urinary Tract Lesions818

Incontinence Due to Dysfunction of the Uretrovesical Sphincteric Mechanism819

Incontinence Due to Neurologic Disorders819

Incontinence Due to Embryonic Malformotion of the Urinary Tract819

Chapter 36．UTERINE DISPLACEMENTS821

Anterior Displacements822

Posterior Displacements823

Lateral Displacements830

Torsion830

Chapter 37．DISEASES OF THE VULVA AND THE VAGINA831

Infections831

Allergic Disorders847

Common Dermatologic Disorders847

Vulvar Neurodermatitis850

Kraurosis and Leukoplakia851

Lesions Secondary to Systemic Disorders854

Urethral Disorders855

Leukorrhea861

Chapter 38．DISEASES OF THE UTERUS，UTERINE TUBES AND OVARIES869

Diseases of the Cervix869

Diseases of the Uterine Corpus881

Postabortive and Puerperal Infections886

Other Acute Pelvic Infections891

Tuberculosis894

Gonorrhea902

Residuals of Pelvic Infection907

Thrombosis and Thrombophlebitis912

Syphilis916

Other Disorders917

Chapter 39．BENIGN TUMORS OF THE VULVA923

Vulvar Cysts923

Adenomas of the Vulva928

Vulvar Endometriosis929

Condylomata Accuminata930

Papillomas931

Other Benign Tumors931

Chapter 40．BENIGN TUMORS OF THE VAGINA933

Mesonephric(Gartner)Duct Cysts933

Paramesonephric Duct Cysts935

Inclusion Cysts of the Vagina935

Vaginal Endometriosis936

Granulation Polyps937

Squamous Cell Papillomas938

Vaginal Fibromyomas938

Vaginitis Emphysematosa938

Other Tumors of the Vagina939

Chapter 41．BENIGN TUMORS OF THE UTERUS941

Benign Cervical Tumors941

Benign Tumors of the Uterine Corpus948

Excessive Enlargement of the Nonpregnant Uterus969

Chapter 42．BENIGN TUMORS OF THE UTERINE TUBES AND PELVIC SUPPORTING STRUCTURES974

Tumors of the Uterine Tubes974

Tumors of the Broad Ligament976

Tumors of the Other Pelvic Ligaments979

Chapter 43．BENIGN OVARIAN TUMORS981

Predominantly Cystic Tumors of the Ovary984

Predominantly Solid Tumors of the Ovary1001

Accidents to Ovarian Tumors1008

Ovarian Tumors and Pregnancy1012

Chapter 44．HORMONE-PRODUCING TUMORS1016

Feminizing Tumors1016

Virilizing Tumors1022

Struma Ovarii1028

Remarks Regarding Histogenesis1026

Chapter 45．EXTERNAL ENDOMETRIOSIS1031

Clinical Picture1031

Pathology1033

Diagnosis1037

Etiology1038

Treatment1039

Endometriosis and Pregnancy1041

Chapter 46．MALIGNANT TUMORS OF THE VULVA1043

Primary Carcinoma of the Vulva1043

Other Primary Malignant Tumors of the Vulva1049

Metastatic Vulvar Malignancies1050

Malignant Tumors of the Urethra1051

Chapter 47．MALIGNANT TUMORS OF THE VAGINA1053

Primary Malignant Tumors1053

Secondary Malignant Tumors1057

Chapter 48．MALIGNANT TUMORS OF THE UTERUS1059

Epidermoid(Squamous Cell)Carcinoma of the Cervix1060

Carcinoma of the Cervical Stump1072

Carcinoma of the Cervix Complicated by Pregnancy1072

Adenocarcinoma of the Cervix1073

Adenocarcinoma of the Body of the Uterus1074

Sarcoma of the Uterus1078

Sarcoma of the Endometrial Stroma1080

Management of Terminal Cancer Patients1081

Chapter 49．MALIGNANT TUMORS OF THE UTERINE TUBES AND PELVIC SUPPORTING STRUCTURES1088

Primary Carcinoma of the Uterine Tube1088

Other Primary Malignant Tumors of the Uterine Tube1090

Secondary Malignant Tumors of the Uterine Tube1090

Primary Malignant Tumors of the Pelvic Supporting Structures1090

Secondary Malignant Tumors of the Pelvic Supporting Tissues1091

Chapter 50．MALIGNANT TUMORS OF THE OVARY1092

Carcinoma1092

Sarcoma1103

Solid Teratomas1104

Dysgerminoma1105

Clear-Cell Carcinoma1107

Mesonephroma1107

Other Malignant Tumors1108

Chapter 51．THE PREMENOPAUSE AND THE MENOPAUSE1110

Symptoms1110

Changes during the Premenopause and the Menopause1112

Management1113

Problems1116

Chapter 52．GERIATRIC GYNECOLOGY1124

Changes during Senescence1124

Gynecologic Problems1127

Management of the Geriatric Gynecologic Patient1130

Index1133