问题 单项选择题

女,39岁。婚后8年未避孕未怀孕,月经规律,痛经重。月经来潮12小时子宫内膜活检为分泌期子宫内膜,B超下通液输卵管通而不畅。男方精液化验精子数6200万/ ml,活力60%。

最佳的检查方法是

A.宫腔镜检查

B.腹腔镜检查

C.CT检查

D.MRI检查

E.X线检查

答案

参考答案:B

解析:结合患者病史中痛经重,输卵管通畅性检查通而不畅,男方精子活力基本正常,因此首先考虑输卵管因素不孕。月经干净后仍有卵巢囊肿,内有点状密集回声,结合痛经病史,考虑卵巢子宫内膜异位囊肿可能性大。卵巢子宫内膜异位囊肿治疗首选腹腔镜检查,不仅可以去除病变,术中还可以对盆腔情况、输卵管通畅情况做一个评估。

阅读理解

阅读理解。

     For several years, Americans have enjoyed teleshopping - watching TV and buying things by phone.

Now teleshopping is starting in Europe. In a number of European countries, people can turn on their TVs

and shop for clothes, jewelry, food, toys and many other things.

     Teleshopping is becoming popular in Sweden, for example. The biggest Swedish company sells

different kinds of things on TV in 15 European countries, and in one year it made$100 million. In France

there are two teleshopping channels, and the French spend about$20 million a year to buy things through

those channels.

       In Germany, until last year teleshopping was only possible on one channel for 1 hour every day. Then

the government allowed more telepshopping. Other channels can open for telebusiness, including the largest

American teleshopping company and a 24-hour teleshopping company. German businesses are hoping this

new teleshopping will help them sell more things.

      Some people like teleshopping because it allows them to do their shopping without leaving their homes.

With all the problems of traffic in the cities, this is an important reason. But at the same time, other

Europeans do not like this new way of shopping. They call teleshopping "junk on the air". Many Europeans

usually worry about the quality of the things for sale on TV. Good quality is important to them, and they

believe they cannot be sure about the quality of the things on TV.

     The need for high quality means that European teleshopping companies will have to be different from

the American companies. They will have to be more careful about the quality of the things they sell. They

will also have to work harder to sell things that the buyers cannot touch or see in person.

1. Teleshopping is _____ in Europe.   [ ]

A. not popular

B. growing 

C. not possible

D. cheap

2. People like teleshopping because it is _____. [ ]

A. American

B. cheaper

C. easier

D. more popular

3. Some Europeans don't like teleshopping because they _____.[ ]

A. don't like to buy things  

B. don't watch TV

C. believe the things sold on TV are expensive

D. think the things sold on TV are bad quality

4. In Germany, teleshopping may _____. [ ]

A. help businessmen get more money

B. keep the shops open longer

C. have fewer buyers

D. bring better TV programs

5. The best title of this passage is _____. [ ]

A. American Teleshopping

B. Teleshopping Companies

C. Teleshopping in Europe

D. Teleshopping - Junk on the Air

单项选择题