https://redakce.carecomm.cz/cgyn/issue/feed Česká gynekologie 2025-06-20T10:19:08+00:00 prof. MUDr. Radovan Pilka, Ph.D. cgyn@carecomm.cz Open Journal Systems <p style="margin-bottom: 0cm; line-height: 100%;"><span style="font-family: Times New Roman, serif;"><span style="font-size: medium;"><span style="color: #333333;">Česká gynekologie je oficiální časopis České gynekologické a porodnické společnosti ČLS JEP.</span></span></span></p> <p style="margin-bottom: 0cm; line-height: 100%;"><span style="font-family: Times New Roman, serif;"><span style="font-size: medium;"><span style="color: #333333;">Hlavním zaměřením časopisu je postgraduální výuka a informace o současném stavu a vývoji této oblasti medicíny doma a v zahraničí, dále publikace původních studií a zkušeností z klinické praxe a informace o činnosti odborných společností.</span></span></span></p> <p style="margin-bottom: 0cm; line-height: 100%; background: #fcfbf9;"><span style="font-family: Times New Roman, serif;"><span style="font-size: medium;"><span style="color: #111111;">Dosud publikovaná čísla a informace o časopisu naleznete na této adrese: </span><span style="color: #0000ff;"><u><a href="https://www.prolekare.cz/casopisy/ceska-gynekologie">https://www.cs-gynekologie.cz</a></u></span></span></span></p> https://redakce.carecomm.cz/cgyn/article/view/2600 Analýza rizikových faktorov rastu plodu – vplyv maternálnych faktorov a kongenitálnej cytomegalovírusovej infekcie 2025-01-13T15:32:16+00:00 Miroslava Mandžáková miroslava.jurcisinova@gmail.com Jozef Záhumenský jozef.zahumensky@gmail.com Eva Vajdová cutkova.eva@gmail.com Zuzana Matušíková cizmarikova.zuzana@gmail.com Monika Rosoľanková rosolankovamonika@gmail.com Peter Papcun papcunp@gmail.com <p><strong><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">C</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit" data-ccp-charstyle-defn="{&quot;ObjectId&quot;:&quot;386dc8c1-255b-5a14-a7f1-5777b3628f91|1&quot;,&quot;ClassId&quot;:1073872969,&quot;Properties&quot;:[469775450,&quot;nedelit&quot;,201340122,&quot;1&quot;,134233614,&quot;true&quot;,469778129,&quot;nedelit&quot;,335572020,&quot;99&quot;,134224902,&quot;false&quot;,201334293,&quot;17&quot;,201342446,&quot;1&quot;,201342447,&quot;5&quot;,201342448,&quot;1&quot;,201342449,&quot;1&quot;,469777841,&quot;Calibri&quot;,469777842,&quot;&quot;,469777843,&quot;Calibri&quot;,469777844,&quot;Calibri&quot;,201341986,&quot;1&quot;,469769226,&quot;Calibri&quot;,268442635,&quot;22&quot;]}">ie</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">ľ</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">: </span></span></strong><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">C</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">ľom</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">tejto</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">štúd</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> bolo </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">analyzovať</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> rizikové faktory, </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">ktoré</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">sa</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">odlišujú</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> u </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">novorodencov</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> s nízk</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">pôrodn</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">hmotnosť</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">vzhľadom</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> na </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">gestačný</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> vek (SGA – </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">small</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">for</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">gestat</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">nal</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">age</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">) a </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">novorodencov</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> s </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">primeran</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">pôrodn</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">hmotnosť</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">vzhľadom</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> na </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">gestačný</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> vek (AGA – </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">appropr</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ia</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">te</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">for</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">gestat</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">nal</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">age</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">). </span></span><strong><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">Mater</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-charstyle="nedelit">iá</span></span></strong><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><strong><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">ly a </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">metódy</span></strong><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"><strong>:</strong> </span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">Retrospektívno-prospektívna</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">kohortová</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">štúdia</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> bola r</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ea</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">lizovaná v </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">rokoch</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> 2019–2024 na II. gynekologicko-</span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">pôrodníckej</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">klinike</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">Univerzitnej</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> nemocnice Bratislava. Do </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">štúd</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> bolo zahrnutých 174 </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">donosených</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">novorodencov</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> z </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">jednoplodových</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">tehotenst</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">v</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">, z toho 125 </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">novorodencov</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> s nízk</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">pôrodn</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">hmotnosť</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> (SGA) a 49 </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">novorodencov</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> s </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">primeran</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">pôrodn</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">hmotnosť</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> (AGA). Analyzované </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">boli</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">rôzne</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">materské</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">, </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">fetálne</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> a </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">placentárne</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> rizikové faktory, s </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">osobitným</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">zameraním</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> na </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">kongenitálnu</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">cytomegalovírusovú</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">infekc</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">iu</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> (</span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">cCMV</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">). </span></span><strong><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">Výsledky: </span></span></strong><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">Pôrodná</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">hmotnosť</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">novorodencov</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">sa</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> pohybovala v </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">rozmedzí</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> od 1 480 do 4 470 </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">gramov</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">. Z </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">hodnotených</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> rizikových </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">faktorov</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> bola </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">významne</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> asoc</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">vaná s AGA </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">materská</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">infekc</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ia</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> covidom-19 </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">počas</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">tehotenstva</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> (p = 0,009). </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">Nebola</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">zistená</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">štatisticky</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> významná </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">súvislosť</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">medzi</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">bežnými</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> rizikovými </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">faktormi</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> (</span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">napr</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">. </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">hypertenz</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ia</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">, d</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ia</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">betes </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">mellitus</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">) a </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">rastov</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">reštrikc</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">iou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> plodu. </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">Kongenitálna</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> CMV </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">infekc</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ia</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">nebola</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">významne</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> spojená s SGA. Analýza </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">pomoc</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">logistickej</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">regres</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> potvrdila </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">asoc</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">iá</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">c</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">iu</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">infekc</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> covidom-19 s </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">pôrodn</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">hmotnosť</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">, </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">zat</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ia</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">ľ</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">čo</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">pri</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> CMV nebol pozorovaný </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">ž</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ia</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">dny</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> významný vplyv. </span></span><strong><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">Záver</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">: </span></span></strong><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">Materská</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">infekc</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ia</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> covidom-19 bola asoc</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">vaná s </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">primeran</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">pôrodn</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">hmotnosť</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">vzhľadom</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> na </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">gestačný</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> vek, </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">pravdepodobne</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> v </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">dôsledku</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> zvýšeného </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">lekárskeho</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">dohľadu</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> a </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">imunitnej</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">odpovede</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">. </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">Interpretác</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ia</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">týchto</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">výsledkov</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> je však </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">obmedzená</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> mal</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">veľkosť</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">súboru</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">, a </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">preto</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> je </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">potrebný</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">ďalší</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">výskum</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> na </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">pochopen</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> vplyvu covidu-19 na </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">tehotenstvo</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">. V </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">tejto</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">kohorte</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">nebola</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">zistená</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> významná </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">súvislosť</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">medzi</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">kongenitáln</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> CMV </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">infekc</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">iou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> a </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">rastov</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">reštrikc</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">iou</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> plodu, </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">pravdepodobne</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> v </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">dôsledku</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">nízkej</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">prevalenc</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">cCMV</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">. Dokumentované rizikové faktory </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">intr</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">au</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">terinná</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">rastove</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">reštrikc</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">, </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">vrátane</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">hypertenz</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> a d</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-charstyle="nedelit">ia</span></span><span class="TextRun SCXW204954356 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">betes </span><span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">mellitus</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary">, neboli </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">v</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">študovanej</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">populácii</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW204954356 BCX8" data-ccp-parastyle="Summary">štatisticky</span><span class="NormalTextRun SCXW204954356 BCX8" data-ccp-parastyle="Summary"> významné.</span></span></p> 2025-06-20T00:00:00+00:00 Copyright (c) 2025 Česká gynekologie https://redakce.carecomm.cz/cgyn/article/view/2554 Vzdělávací hodnota chirurgických videí na YouTube – hodnocení kvality a soubor standardů videí o hysterektomii pomocí transluminální endoskopické operace s přirozeným vaginálním vstupem 2025-01-02T12:41:31+00:00 Esra AYANOGLU dresraayanoglu@gmail.com Arzu Bilge Tekin arzubilgetekin@gmail.com Pinar Birol Ilter pinar.birol.93@gmail.com Memis Ali Mutlu dralimutlu@outlook.com Murat Yassa murat.yassa@gmail.com Cihan Kaya drcihankaya@gmail.com Niyazi Tug drniyaztug@gmail.com <p><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"><strong>Cíl:</strong> </span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">Tato stud</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> se zaměřila na pos</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">zení spolehlivosti a vzdělávací hodnoty videí o hysterektomii pomocí </span><span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-parastyle="Summary">transluminální</span><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> endoskopické operace s přirozeným vaginálním vstupem (</span><span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-parastyle="Summary">vNOTES</span><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> – </span><span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-parastyle="Summary">vaginal</span><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> natural </span><span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-parastyle="Summary">orifice</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-parastyle="Summary">transluminal</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-parastyle="Summary">endoscopic</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-parastyle="Summary">surgery</span><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">) na Y</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">Tube a jejich vhodnosti pro školení chirurgů. </span></span><strong><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">Mater</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">iá</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">l a metody: </span></span></strong><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">Dne 12. června 2024 byl Y</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">Tube prohledáván pomocí klíčových slov „</span><span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-parastyle="Summary">vNOTES</span><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> hysterektom</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">“, „TVNOTES hysterektom</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">“, „</span><span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-parastyle="Summary">transvaginální</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-parastyle="Summary">transluminální</span><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> endoskopická hysterektom</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> s přirozeným otvorem“, „</span><span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-parastyle="Summary">vNOTES</span><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">“ a „vaginální hysterektom</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">“. Kritér</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ia</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> pro zařazení splnilo celkem 73 videí. Byly zaznamenány metriky zapojení diváků, jako je doba od nahrání, počet zhlédnutí, hodnocení Líbí se mi, Nelíbí se mi, komentáře a délka vid</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ea</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">. Byly vypočteny poměry, jako je poměr zobrazení, podobný poměr a index výkonu vid</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ea</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> (VPI – vid</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">eo</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-parastyle="Summary">power</span><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> index). Vid</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ea</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> byla kategorizována pomocí modifikované globální škály kvality (GQS – </span><span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-parastyle="Summary">global</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-parastyle="Summary">q</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ua</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-parastyle="Summary">lity</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-parastyle="Summary">scale</span><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">) a hodnocena na základě bodovacího systému odvozeného ze standardizovaného 10krokového postupu hysterektom</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-parastyle="Summary">vNOTES</span><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> se skóre v rozmezí 0–15. </span></span><strong><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">Výsledky: </span></span></strong><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">Ze 73 videí bylo 40 (53,8 %) označeno jako nekvalitní, 13 (17,8 %) jako středně kvalitní a 20 (27,4 %) jako dobré. Mezi skupinami nebyly nalezeny žádné významné rozdíly, pokud jde o dobu od nahrání, počet zhlédnutí, hodnocení Nelíbí se mi, komentářů nebo poměru Líbí se mi. Vid</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ea</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> ve skupině dobré kvality však měla výrazně vyšší počet lajků a skóre VPI. Kritické prvky, jako je příprava a polohování pac</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">ntky, nastavení operačního sálu, obřízka děložního čípku a uzávěr klenby, byly ve videích nižší kvality nedostatečně řešeny. Vid</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ea</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> s didaktickým hlasem měla výrazně více zhlédnutí, lajků a komentářů než vid</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ea</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> s hudb</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> nebo bez zvuku. Mezi délk</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> vid</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ea</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> a metrikami zapojení nebyly nalezeny žádné významné korelace. </span></span><strong><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">Závěr: </span></span></strong><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">Většina videí o hysterektomii </span><span class="NormalTextRun SpellingErrorV2Themed SCXW205068516 BCX8" data-ccp-parastyle="Summary">vNOTES</span><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> (53,8 %) na Y</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">Tube postrádá komplexní vzdělávací obsah, přičemž p</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">ze malá část je považována za vhodn</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> pro </span><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">chirurgický výcvik. Hodnocení zájmu diváků nemusí s</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">viset s mír</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary"> užitečnosti videí. Chirurgové a organizace by se měli zaměřit na produkci vysoce kvalitních instruktážních recenzovaných videí, aby zlepšili vzdělávací hodnotu Y</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW205068516 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW205068516 BCX8" data-ccp-parastyle="Summary">Tube jako zdroje informací.</span></span></p> 2025-06-20T00:00:00+00:00 Copyright (c) 2025 Česká gynekologie https://redakce.carecomm.cz/cgyn/article/view/2558 Účinnost fyzioterapie na úlevu od bolesti a funkční zotavení po císařském řezu 2025-01-02T12:51:00+00:00 Svitlana Ostafiichuk svitlana.ostafijchuk@gmail.com Nataliia Drohomyretska natalya.vl@ukr.net Olena Kusa kusalena@ukr.net Oksana Zhukuliak ozhukulyak@ifnmu.edu.ua Olha Neiko olganeiko10@gmail.com Taras Kotyk tkotyk@ifnmu.edu.ua <p><strong><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">Úvod: </span></span></strong><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">Počty císařských řezů (CS – </span><span class="NormalTextRun SpellingErrorV2Themed SCXW83166336 BCX8" data-ccp-parastyle="Summary">cesar</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW83166336 BCX8" data-ccp-charstyle="nedelit">ea</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW83166336 BCX8" data-ccp-parastyle="Summary">n</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW83166336 BCX8" data-ccp-parastyle="Summary">sect</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW83166336 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW83166336 BCX8" data-ccp-parastyle="Summary">n</span><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">) celosvětově rost</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">, přičemž s</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">visející poporodní komplikace js</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary"> výrazně vyšší ve srovnání s vaginálním porodem. Řešení těchto komplikací pomocí optimalizovaného managementu a cílené fyz</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">terap</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary"> je klíčové pro zlepšení mateřských výsledků a kvality života.</span></span><strong><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary"> Cíl: </span></span></strong><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">Cílem této stud</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary"> bylo zhodnotit účinnost fyz</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">terap</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary"> na úlevu od bolesti a obnovení funkční aktivity žen po CS. </span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">Mater</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">iá</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">l a metody: </span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">Do stud</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary"> bylo zapojeno 91 pac</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">ntek, které byly přijaty do porodnické nemocnice pro elektivní CS. Kontrolní skupině (47 žen) byl poskytnut standardní předoperační a p</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">oo</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">perační dohled. Intervenční skupina (44 pac</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">ntů) kromě standardní péče absolvovala fyz</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">terapii, která zahrnovala předoperační péči (fyz</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">terap</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">eu</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">tický výcvik, edukační výcvik) a p</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">oo</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">perační cvičení (dechové, oběhové a pánevní cvičení spolu s masáží pojiva). Výsledky po CS byly analyzovány po dobu 3 dnů. </span></span><strong><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">Výsledky: </span></span></strong><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">Nižší intenzita p</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">oo</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">peračních bolestí a snazší chůze od 1. dne, nižší obtížnost při provádění funkčních činností 2. den (snazší otočení na lůžku a přechod do sedu), rychlejší obnova střevní motility v důsledku průchodu </span><span class="NormalTextRun SpellingErrorV2Themed SCXW83166336 BCX8" data-ccp-parastyle="Summary">flatusu</span><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary"> za 3,5 hod a defekace na 10 hod, snížená potřeba analgetik navíc 4,21krát (OR = 0,24; </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW83166336 BCX8" data-ccp-parastyle="Summary">95%</span><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary"> CI 0,10–0,58; p = 0,02) a bylo zjištěno významné snížení doby trvání hospitalizace (OR = 0,24; </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW83166336 BCX8" data-ccp-parastyle="Summary">95%</span><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary"> CI 0,09–0,57; p = 0,02). </span></span><strong><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">Závěr: </span></span></strong><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">Stud</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary"> prokázala účinnost navrženého fyz</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">terap</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-charstyle="nedelit">eu</span></span><span class="TextRun SCXW83166336 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">tického programu v časném období po CS ve smyslu snížení bolesti a zlepšení obnovy funkční aktivity </span><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">organizmu</span><span class="NormalTextRun SCXW83166336 BCX8" data-ccp-parastyle="Summary">.</span></span><span class="EOP SCXW83166336 BCX8" data-ccp-props="{&quot;201341983&quot;:2,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:57,&quot;335559740&quot;:240}"> </span></p> 2025-06-20T00:00:00+00:00 Copyright (c) 2025 Česká gynekologie https://redakce.carecomm.cz/cgyn/article/view/2514 Souvislost mezi hladinou kisspeptinu v séru v I. trimestru a prenatálními komplikacemi 2024-12-16T14:55:04+00:00 özlem kayacık günday kayacikozlem@yahoo.com.tr Ayhan Vurmaz ayhan.vurmaz@gmail.com Mehmet Yılmazer drmehmetyilmazer@yahoo.com <p><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary"><strong>Cíl:</strong> </span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary">Naším cílem bylo zhodnotit využitelnost hladiny </span><span class="NormalTextRun SpellingErrorV2Themed SCXW181324835 BCX8" data-ccp-parastyle="Summary">kisspeptinu</span><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary"> (KP) v séru, měřeného v I. trimestru (11–14 týdnu), jako nového b</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary">markeru, který může predikovat prenatální komplikace.</span></span><strong><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary"> Mater</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-charstyle="nedelit">iá</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary">ly a metody: </span></span></strong><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary">Prospektivní případová kontrolní stud</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary"> prospektivně shromážděných dat. Vzorky krve všech pac</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary">ntek (n = 124) byly uchovány při –70 °C pro stanovení hladin KP-10 a KP-54 v séru. Byly stanoveny a srovnány hladiny KP u žen, u kterých došlo ke komplikacím vč. retardace růstu plodu (FGR – </span><span class="NormalTextRun SpellingErrorV2Themed SCXW181324835 BCX8" data-ccp-parastyle="Summary">fetal</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW181324835 BCX8" data-ccp-parastyle="Summary">growth</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW181324835 BCX8" data-ccp-parastyle="Summary">retardat</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW181324835 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW181324835 BCX8" data-ccp-parastyle="Summary">n</span><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary">), těhotenstvím indukované hypertenze (PIH – </span><span class="NormalTextRun SpellingErrorV2Themed SCXW181324835 BCX8" data-ccp-parastyle="Summary">pregnancy-induced</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW181324835 BCX8" data-ccp-parastyle="Summary">hypertens</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW181324835 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW181324835 BCX8" data-ccp-parastyle="Summary">n</span><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary">), předčasného porodu, gestačního d</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-charstyle="nedelit">ia</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary">betu a úmrtí plodu. Kontrolní skupinu tvořily odpovídající subjekty, které dokončily těhotenství bez problémů. Byl zk</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary">mán prediktivní účinek hladiny KP v séru na nepříznivé výsledky těhotenství. </span></span><strong><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary">Výsledky: </span></span></strong><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary">Mezi všemi pac</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary">ntkami s nepříznivými výsledky těhotenství byla hladina KP-10 významně vyšší u těch, u kterých došlo k FGR (p = 0,025). V kohortě pac</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary">ntek postižených těhotenstvím indukovan</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary"> hypertenzí (PIH), buď samotn</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary"> nebo doprovázen</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary"> preeklamps</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-charstyle="nedelit">ií</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary">, byla zaznamenána tendence k vyšším hladinám KP-10 (p = 0,059), ačkoli nebylo dosaženo statistické významnosti. Nicméně pokud jde o KP-10, vypočtená </span><span class="NormalTextRun SpellingErrorV2Themed SCXW181324835 BCX8" data-ccp-parastyle="Summary">cutoff</span><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary"> hodnota a plocha pod křivk</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary"> (AUC – ar</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-charstyle="nedelit">ea</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW181324835 BCX8" data-ccp-parastyle="Summary">under</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW181324835 BCX8" data-ccp-parastyle="Summary">the</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW181324835 BCX8" data-ccp-parastyle="Summary">curve</span><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary">) pro predikci nástupu FGR byly statisticky významné (AUC: 0,684; p = 0,006). Bylo zjištěno, že model vytvořený s KP-10, PIH a plazmatickým proteinem A spojeným s těhotenstvím (PAPP-A) je významný při predikci vývoje FGR (p = 0,006; NPV: 98 %; PPV: 21,4 %; OR: 0,10; </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW181324835 BCX8" data-ccp-parastyle="Summary">95%</span><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary"> CI 0,016–0,611).</span></span><strong><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary"> Závěry: </span></span></strong><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary">Hladiny KP v séru matky v I. trimestru moh</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary"> být využity jako b</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW181324835 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW181324835 BCX8" data-ccp-parastyle="Summary">marker v I. trimestru, který může predikovat vývoj FGR.</span></span><span class="EOP SCXW181324835 BCX8" data-ccp-props="{&quot;201341983&quot;:2,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:57,&quot;335559740&quot;:240}"> </span></p> 2025-06-20T00:00:00+00:00 Copyright (c) 2025 Česká gynekologie https://redakce.carecomm.cz/cgyn/article/view/2561 Hysterosalpingografické vyšetření po léčbě mimoděložního těhotenství 2024-12-19T10:04:12+00:00 karim Krimabdel2013@gmail.com <p><strong><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">Cíl: </span></span></strong><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">Pos</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">dit </span><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-parastyle="Summary">ipsilaterální</span><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary"> a kontralaterální průchodnost vejcovodů pomocí </span><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-parastyle="Summary">hysterosalpingograf</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary"> po </span><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-parastyle="Summary">salpingostomii</span><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary"> a léčbě </span><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-parastyle="Summary">metotrexátem</span><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary"> u </span><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-parastyle="Summary">tubárního</span><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary"> těhotenství. </span></span><strong><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">Pac</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-charstyle="nedelit">ie</span></span></strong><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary"><strong>ntky a metody:</strong> </span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">Stud</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary"> byla provedena v období od září 2021 do října 2023. Probíhala na rad</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">logickém a gynekologicko-porodnickém oddělení univerzitních nemocnic Al-</span><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-parastyle="Summary">Hussin</span><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary"> a Al-</span><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-parastyle="Summary">Azher</span><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">. Do stud</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary"> byly zařazeny pac</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">ntky, které podst</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">pily </span><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-parastyle="Summary">salpingostomii</span><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary"> nebo léčbu </span><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-parastyle="Summary">metotrexátem</span><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">. Za 3 měsíce po propuštění z nemocnice byly pac</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">ntky, které se snažily otěhotnět, znovu vyšetřeny pomocí </span><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-parastyle="Summary">hysterosalpingograf</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">. Stud</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary"> se zúčastnily dvě skupiny žen: skupina I (n = 50) podst</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">pila léčbu </span><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-parastyle="Summary">metotrexátem</span><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">, zatímco skupina II (n = 50) podst</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">pila </span><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-parastyle="Summary">salpingostomii</span><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">. </span></span><strong><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">Výsledky: </span></span></strong><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">Mezi oběma skupinami (léčba medikamenty a chirurgický zákrok) nebyl statisticky významný rozdíl v zachování průchodnosti vejcovodů. Po léčbě </span><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-parastyle="Summary">metotrexátem</span><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary"> byla </span><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-parastyle="Summary">ipsilaterální</span><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary"> průchodnost vejcovodů 72 % a po chirurgickém zákroku 74 %. Kromě toho byla po léčbě </span><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-parastyle="Summary">metotrexátem</span><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary"> průchodnost kontralaterálního vejcovodu 92 % a po </span><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-parastyle="Summary">salpingostomii</span><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary"> 90 %. </span></span><strong><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">Závěr: </span></span></strong><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary">Výsledky ukazují srovnateln</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary"> úspěšnost </span><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-parastyle="Summary">salpingostom</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW60664778 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary"> a </span><span class="NormalTextRun SpellingErrorV2Themed SCXW60664778 BCX8" data-ccp-parastyle="Summary">metotrexátu</span><span class="NormalTextRun SCXW60664778 BCX8" data-ccp-parastyle="Summary"> v zachování průchodnosti vejcovodů.</span></span></p> 2025-06-20T00:00:00+00:00 Copyright (c) 2025 Česká gynekologie https://redakce.carecomm.cz/cgyn/article/view/2564 Pozdní prenatální diagnostika kompletní pentalogie Cantrella 2024-12-19T10:05:14+00:00 Maria Elisa Martini Albrecht mariaelisamartini@gmail.com Roberto Sevillano Filho robertosevillanofilho@gmail.com Edward Araujo Júnior araujojred@terra.com.br <p><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW22111169 BCX8" data-ccp-parastyle="Summary">Cantrellova</span><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> pentalog</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> je vzácný syndrom spojený s embryologick</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> vad</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> střední lin</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> zahrnující řadu malformací: anomál</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> dolní části hrudní kosti, přední části bránice, srdce a přední části břišní stěny. Lze jej klasifikovat jako úplný, pravděpodobný nebo částečný, ale nejdůležitější je popsat a pochopit příslušné anomál</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary">. Popisujeme případ pozdní d</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ia</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary">gnózy </span><span class="NormalTextRun SpellingErrorV2Themed SCXW22111169 BCX8" data-ccp-parastyle="Summary">Cantrellovy</span><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> pentalog</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> v 35. týdnu a 5 dnech těhotenství u ženy z vnitrozemí státu </span><span class="NormalTextRun SpellingErrorV2Themed SCXW22111169 BCX8" data-ccp-parastyle="Summary">Pará</span><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> v brazilské Amazonii. Fetální echokard</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary">graf</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> potvrdila d</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ia</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary">gnózu </span><span class="NormalTextRun SpellingErrorV2Themed SCXW22111169 BCX8" data-ccp-parastyle="Summary">Cantrellovy</span><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> pentalog</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> s </span><span class="NormalTextRun SpellingErrorV2Themed SCXW22111169 BCX8" data-ccp-parastyle="Summary">Fallotov</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> tetralog</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ií</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> a ultrazvukové vyšetření ukázalo ob</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary">stranný </span><span class="NormalTextRun SpellingErrorV2Themed SCXW22111169 BCX8" data-ccp-parastyle="Summary">talipes</span><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary">. Císařský řez byl proveden ve 36. týdnu z důvodu preeklamps</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> superponované na chronick</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> arter</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">iá</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary">lní hypertenzi se známkami závažného průběhu. Novorozenec mužského pohlaví se narodil s hmotností 2 320</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> </span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary">g. Postnatální echokard</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary">graf</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> potvrdila d</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ia</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary">gnózu </span><span class="NormalTextRun SpellingErrorV2Themed SCXW22111169 BCX8" data-ccp-parastyle="Summary">Cantrellovy</span><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> pentalog</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary"> a karyotyp byl normální (46, XY). Novorozenec byl propuštěn ve 47 dnech věku s dobrým hmotnostním přírůstkem, umělým kojením a ambulantním sledováním kard</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary">logem a kard</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW22111169 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW22111169 BCX8" data-ccp-parastyle="Summary">chirurgem.</span></span></p> 2025-06-20T00:00:00+00:00 Copyright (c) 2025 Česká gynekologie https://redakce.carecomm.cz/cgyn/article/view/2537 Raritní děložní malignita dětského věku kombinovaná s kompletní inverzí dělohy 2024-12-04T21:10:54+00:00 Lucie Klenovská Klenovska.Lucie@fnbrno.cz Ivana Meixnerová meixnerova.ivana@fnbrno.cz Luboš Minář minar.lubos@fnbrno.cz Marta Ježová marta.jezova@fnbrno.cz <p><strong><span class="TextRun SCXW175852838 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-parastyle="Souhrn">Cíl: </span></span></strong><span class="TextRun SCXW175852838 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-parastyle="Souhrn">Přehled typů děložních sarkomů doplněný ilustrativní kazuistik</span></span><span class="TextRun SCXW175852838 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW175852838 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-parastyle="Souhrn"> raritního děložního nádoru dětského věku. </span></span><strong><span class="TextRun SCXW175852838 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-parastyle="Souhrn">Kazuistika: </span></span></strong><span class="TextRun SCXW175852838 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-parastyle="Souhrn">Naše kazuistika popisuje případ 9leté dívky s nálezem </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW175852838 BCX8" data-ccp-parastyle="Souhrn">15cm</span><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-parastyle="Souhrn"> tumoru v dutině břišní, který při klinickém vyšetření břišní stěny </span><span class="NormalTextRun SpellingErrorV2Themed SCXW175852838 BCX8" data-ccp-parastyle="Souhrn">zprolaboval</span><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-parastyle="Souhrn"> vaginálně před intr</span></span><span class="TextRun SCXW175852838 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-charstyle="nedelit">oi</span></span><span class="TextRun SCXW175852838 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-parastyle="Souhrn">tus a zapříčinil život ohrožující krvácení. Toto krvácení bylo zastaveno </span><span class="NormalTextRun SpellingErrorV2Themed SCXW175852838 BCX8" data-ccp-parastyle="Souhrn">ligací</span><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-parastyle="Souhrn"> stopky tumoru a jeho resekcí. Histologické vyšetření </span><span class="NormalTextRun SpellingErrorV2Themed SCXW175852838 BCX8" data-ccp-parastyle="Souhrn">resekátu</span><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-parastyle="Souhrn"> prokázalo </span><span class="NormalTextRun SpellingErrorV2Themed SCXW175852838 BCX8" data-ccp-parastyle="Souhrn">müller</span></span><span class="TextRun SCXW175852838 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW175852838 BCX8" data-ccp-charstyle="nedelit">iá</span></span><span class="TextRun SCXW175852838 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW175852838 BCX8" data-ccp-parastyle="Souhrn">nský</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW175852838 BCX8" data-ccp-parastyle="Souhrn">adenosarkom</span><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-parastyle="Souhrn"> dělohy. Na základě </span><span class="NormalTextRun SpellingErrorV2Themed SCXW175852838 BCX8" data-ccp-parastyle="Souhrn">stagingu</span><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-parastyle="Souhrn"> byla </span><span class="NormalTextRun SpellingErrorV2Themed SCXW175852838 BCX8" data-ccp-parastyle="Souhrn">onkogynekologick</span></span><span class="TextRun SCXW175852838 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW175852838 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW175852838 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-parastyle="Souhrn"> komisí indikována laparoskopická hysterektom</span></span><span class="TextRun SCXW175852838 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW175852838 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-parastyle="Souhrn"> s bilaterální </span><span class="NormalTextRun SpellingErrorV2Themed SCXW175852838 BCX8" data-ccp-parastyle="Souhrn">salpingektom</span></span><span class="TextRun SCXW175852838 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW175852838 BCX8" data-ccp-charstyle="nedelit">ií</span></span><span class="TextRun SCXW175852838 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-parastyle="Souhrn">. Operační výkon proběhl bez komplikací, </span><span class="NormalTextRun SpellingErrorV2Themed SCXW175852838 BCX8" data-ccp-parastyle="Souhrn">peroperačně</span><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-parastyle="Souhrn"> byla d</span></span><span class="TextRun SCXW175852838 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-charstyle="nedelit">ia</span></span><span class="TextRun SCXW175852838 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW175852838 BCX8" data-ccp-parastyle="Souhrn">gnostikována kompletní inverze dělohy.</span></span></p> 2025-06-20T00:00:00+00:00 Copyright (c) 2024 Česká gynekologie https://redakce.carecomm.cz/cgyn/article/view/2632 Možnost využití indocyaninové zeleně v managementu endometriózy 2025-02-07T12:54:59+00:00 Vladimír Baláž balazvladimir0@gmail.com Martin Syrůček martin.syrucek@homolka.cz Jiří Presl preslj@fnplzen.cz <p><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">Endometr</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-charstyle="nedelit">ió</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">za postihuje přibližně 10 % žen ve fertilním věku a její hluboká infiltrující forma způsobuje závažné důsledky na plodnost, klinické potíže dle postižených orgánů (močový a trávicí trakt) a bolest, která výrazně ovlivňuje kvalitu života. Resekční výkony na postižených orgánech bývají složité a často si vyžadují mult</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">borový přístup. Resekce v terénu těžké hluboké infiltrující endometr</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-charstyle="nedelit">ió</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">zy je komplikovaná obtížn</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn"> identifikací resekční lin</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">. I když jsme schopni většinu resekčních výkonů provádět laparoskopickým přístupem, pořád js</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn"> zatíženy významným rizikem </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">per- a</span><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn"> p</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-charstyle="nedelit">oo</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">peračních komplikací, z nichž nejzávažnější je vznik </span><span class="NormalTextRun SpellingErrorV2Themed SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">rektovaginálních</span><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn"> píštělí. Identifikace hranic </span><span class="NormalTextRun SpellingErrorV2Themed SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">endometr</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW158654274 BCX8" data-ccp-charstyle="nedelit">iá</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">lního</span><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn"> uzlu a zachování vitality tkání je u resekčních výkonů z tohoto pohledu kruc</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-charstyle="nedelit">iá</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">lní. </span><span class="NormalTextRun SpellingErrorV2Themed SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">Endometr</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW158654274 BCX8" data-ccp-charstyle="nedelit">io</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">tické</span><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn"> uzly na základě patogeneze vzniku léze mají různ</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">vaskularitu</span><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">, a tím pádem i různé </span><span class="NormalTextRun SpellingErrorV2Themed SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">perfuzní</span><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn"> vzorce, přičemž vzhledem k charakteru tkáně a stupni vaskularizace má většina hluboko infiltrujících uzlů spíše </span><span class="NormalTextRun SpellingErrorV2Themed SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">hypoperfuzní</span><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn"> vzor. Prostředek, který by umožňoval cílení (vedení) resekce pomocí sledování </span><span class="NormalTextRun SpellingErrorV2Themed SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">perfuze</span><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn"> tkání, by mohl mít užitečné terap</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-charstyle="nedelit">eu</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">tické využití. Takovým prostředkem by mohlo být fluorescenční barvivo </span><span class="NormalTextRun SpellingErrorV2Themed SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">indocyaninová</span><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn"> zeleň. Cílením resekce pomocí fluorescenčního barviva bychom mohli být schopni managementu or</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">ntovaného na patogenezi onemocnění, a tím i šetrnější resekce s menší destrukcí tkání, s redukcí </span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">per- a</span><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn"> p</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-charstyle="nedelit">oo</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">peračních komplikací a zároveň zlepšení kvality života pac</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW158654274 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW158654274 BCX8" data-ccp-parastyle="Souhrn">ntek, co se týká bolestivosti, rizika recidivy a zachování fertility.</span></span><span class="EOP SCXW158654274 BCX8" data-ccp-props="{&quot;201341983&quot;:2,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:57,&quot;335559740&quot;:240}"> </span></p> 2025-06-20T00:00:00+00:00 Copyright (c) 2025 Česká gynekologie https://redakce.carecomm.cz/cgyn/article/view/2550 Gastroschíza u plodu – současné možnosti prenatální diagnostiky a následný management 2024-12-10T09:20:26+00:00 Anna Jouzová jouzova.anna@fnbrno.cz Lenka Kučerová kucerova.lenka@fnbrno.cz Romana Gerychová gerychova.romana@fnbrno.cz Jakub Turek turek.jakub@fnbrno.cz Ondřej Marek marek.ondrej@fnbrno.cz Martin Jouza jouza.martin@fnbrno.cz Lukáš Hruban hruban.lukas@fnbrno.cz <p><span class="TextRun SCXW54691299 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW54691299 BCX8" data-ccp-parastyle="Souhrn">Gastroschíza</span><span class="NormalTextRun SCXW54691299 BCX8" data-ccp-parastyle="Souhrn"> je vrozená rozštěpová vada břišní stěny charakterizovaná </span><span class="NormalTextRun SpellingErrorV2Themed SCXW54691299 BCX8" data-ccp-parastyle="Souhrn">eventerací</span><span class="NormalTextRun SCXW54691299 BCX8" data-ccp-parastyle="Souhrn"> střevních kliček obvykle pravostranným </span><span class="NormalTextRun SpellingErrorV2Themed SCXW54691299 BCX8" data-ccp-parastyle="Souhrn">par</span></span><span class="TextRun SCXW54691299 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW54691299 BCX8" data-ccp-charstyle="nedelit">au</span></span><span class="TextRun SCXW54691299 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW54691299 BCX8" data-ccp-parastyle="Souhrn">mbilikálním</span><span class="NormalTextRun SCXW54691299 BCX8" data-ccp-parastyle="Souhrn"> defektem. Prenatální detekce </span><span class="NormalTextRun SpellingErrorV2Themed SCXW54691299 BCX8" data-ccp-parastyle="Souhrn">gastroschízy</span><span class="NormalTextRun SCXW54691299 BCX8" data-ccp-parastyle="Souhrn"> není díky pokročilým ultrazvukovým metodám obtížná. Časný záchyt vady je klíčový pro optimalizaci prenatální péče i následný management. Prognóza této vady je dobrá a dl</span></span><span class="TextRun SCXW54691299 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW54691299 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW54691299 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW54691299 BCX8" data-ccp-parastyle="Souhrn">hodobý stav dětí je příznivý, nicméně 10–15 % případů má komplikovaný průběh s vysokým rizikem n</span></span><span class="TextRun SCXW54691299 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW54691299 BCX8" data-ccp-charstyle="nedelit">eo</span></span><span class="TextRun SCXW54691299 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW54691299 BCX8" data-ccp-parastyle="Souhrn">natální mortality či závažné morbidity. Časný záchyt umožňuje efektivní monitorování vývoje plodu, pos</span></span><span class="TextRun SCXW54691299 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW54691299 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW54691299 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW54691299 BCX8" data-ccp-parastyle="Souhrn">zení rizika rozvoje komplikací a jejich minimalizace plánováním porodu v perinatologickém centru s dostupností intenzivní n</span></span><span class="TextRun SCXW54691299 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW54691299 BCX8" data-ccp-charstyle="nedelit">eo</span></span><span class="TextRun SCXW54691299 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW54691299 BCX8" data-ccp-parastyle="Souhrn">natologické péče a možností okamžité chirurgické intervence.</span></span><span class="EOP SCXW54691299 BCX8" data-ccp-props="{&quot;201341983&quot;:2,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:57,&quot;335559740&quot;:240}"> </span></p> 2025-06-20T00:00:00+00:00 Copyright (c) 2024 Česká gynekologie https://redakce.carecomm.cz/cgyn/article/view/2513 Robsonova klasifikácia – cesta k zníženiu počtu cisárskych rezov? 2024-10-30T10:50:28+00:00 Tomáš Debnár tomdebnar@gmail.com Veronika Kováčová tomdebnar@gmail.com Mária Kubalová tomdebnar@gmail.com Miloš Mlynček tomdebnar@gmail.com <p><span class="TextRun SCXW145661942 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">Stúpajúci</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary"> počet </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">cisárskych</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">rezov</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">predstavuje</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary"> závažný zdravotný, ekonomický a psychologický problém v </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">globálnom</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">meradle</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary">. </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">Robsonova</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">klasifikác</span></span><span class="TextRun SCXW145661942 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-charstyle="nedelit" data-ccp-charstyle-defn="{&quot;ObjectId&quot;:&quot;386dc8c1-255b-5a14-a7f1-5777b3628f91|1&quot;,&quot;ClassId&quot;:1073872969,&quot;Properties&quot;:[469775450,&quot;nedelit&quot;,201340122,&quot;1&quot;,134233614,&quot;true&quot;,469778129,&quot;nedelit&quot;,335572020,&quot;99&quot;,134224902,&quot;false&quot;,201334293,&quot;17&quot;,201342446,&quot;1&quot;,201342447,&quot;5&quot;,201342448,&quot;1&quot;,201342449,&quot;1&quot;,469777841,&quot;Calibri&quot;,469777842,&quot;&quot;,469777843,&quot;Calibri&quot;,469777844,&quot;Calibri&quot;,201341986,&quot;1&quot;,469769226,&quot;Calibri&quot;,268442635,&quot;22&quot;]}">ia</span></span><span class="TextRun SCXW145661942 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">predstavuje</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">komplexný</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">prístup</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary">, </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">ako</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary"> na </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">pôrodníckych</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">pracoviskách</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">r</span></span><span class="TextRun SCXW145661942 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-charstyle="nedelit">ea</span></span><span class="TextRun SCXW145661942 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">lizovať</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">pravidelne</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary"> analýzu každého </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">operačného</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">abdominálneho</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">pôrodu</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary">. Ukazuje </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">sa</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary">, že </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">najmä</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary"> podpora </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">vaginálnych</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">pôrodov</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary"> po </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">predošlom</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">cisárskom</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary"> reze a </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">redukc</span></span><span class="TextRun SCXW145661942 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-charstyle="nedelit">ia</span></span><span class="TextRun SCXW145661942 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">cisárskych</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">rezov</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary"> u </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">primipár</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary"> je jedn</span></span><span class="TextRun SCXW145661942 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-charstyle="nedelit">ou</span></span><span class="TextRun SCXW145661942 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary"> z </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">c</span></span><span class="TextRun SCXW145661942 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-charstyle="nedelit">ie</span></span><span class="TextRun SCXW145661942 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">st</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary">, </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">ako</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">zastaviť</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">stúpajúci</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary"> trend </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">cisárskych</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">rezov</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary">. Aj slovenské </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">pracoviská</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary">, </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">ktoré</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary"> akceptovali </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">Robsonovu</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">klasifikác</span></span><span class="TextRun SCXW145661942 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-charstyle="nedelit">iu</span></span><span class="TextRun SCXW145661942 BCX8" lang="CS-CZ" xml:lang="CS-CZ" data-contrast="none"><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary">, </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">vykazujú</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary"> pokles </span><span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">cisárskych</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW145661942 BCX8" data-ccp-parastyle="Summary">rezov</span><span class="NormalTextRun SCXW145661942 BCX8" data-ccp-parastyle="Summary">.</span></span><span class="EOP SCXW145661942 BCX8" data-ccp-props="{&quot;201341983&quot;:2,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:57,&quot;335559740&quot;:240}"> </span></p> 2025-06-20T00:00:00+00:00 Copyright (c) 2024 Česká gynekologie