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41.
目的:探讨经直肠彩色多普勒超声对良性前列腺增生的诊断价值。方法:采用经直肠彩色多普勒对37例良性前列腺增生患者进行检查,测量大小,计算体积,并按前列腺重量分成四组,测定、分析增生内腺动脉的血液动力学参数。分组评价增生内腺的彩色血流图。结果:随前列腺重量的增加,增生内腺血流分布逐渐增加,血流的最大流度(Vmax)、血流最低流速(Vmin)、血流阻力指数(RI)、搏动指数(PI)逐渐增加。结论:经直肠彩色多普勒检查有助于临床对前列腺增生的准确诊断。 相似文献
42.
应用免疫组化(ABC法)和银染技术检测10树前列腺癌和20例前列腺增生患者增殖细胞核抗原(PCNA)和核仁组成区嗜银蛋白(AgNOR)数量变化.结果显示PCNA阳性检出率及AgNOR计数有显著差异(P<0.01).且随肿瘤分级增高而增高.随访资料显示PCNA强级(~)者,AgNOR计数高者预后明显低于PCNA弱级(~),AgNOR计数低者.结果提示PCNA,AgNOR可作为前列腺良恶性肿瘤鉴别诊断指标之一,并且与前列腺癌恶性程度有关,对推测预后具有重要参考价值。 相似文献
43.
特殊型前列腺增生症的诊治 总被引:1,自引:1,他引:0
收治特殊型前列腺增生症110例,分别伴有逼尿肌无力、不稳定性膀胱、前列腺结石、膀胱结石、前列腺炎或糖尿病。认为:治疗前认真检查发现特殊前列腺增生症,是提高治愈率、减少并发症的关键步骤之一。 相似文献
44.
目的 探讨高血压病病左室肥厚(LVH)与非在室肥厚(NLVH)患者QTcd的关系及临床意义。方法 用分层抽样法测定103例原发性高血压病患者住院首次12导联心电图QTc离散度(QTcd)其中合并LVH患者57例,合并NLVH患者46例,并与20例健康人作对照,结果 QTcdLVH组分别与NLVH组,对照组比较均有非常显著性差异(P〈0.01)NLVH组与对照组比较无显著性差异(P〉0.05)。结论 相似文献
45.
Chronic ischemia produces corresponding tissue hypoplasia. However, here we report a distinctive hypertrophy of the intestine due to chronic mesenteric insufficiency, which was confirmed by angiography in two patients with opposite characteristic pathologic presentation of intestine. During surgery of the first patient, an approximately 60cm long ileum with sausage consistency and cyanosis color was identified proximal to the caecum; wall-attached thromboembolism material and the hypertrophied segment of ileum were removed. In the other patient, the intestine wall was paper thin; after aorto-mesenteric bypass the intestine wall grew thicker. Post operative recovery of both patients was uneventful. The commonly observed situation after a long-standing hypoxic insult in a setting of chronic mesenteric ischemia is that the target tissue will at least develop a slight hypoplasia. However, the cases we present here had either pronounced hyperplasia or severe hypoplasia. We thus report it, expecting to identify a special mechanism to explain this paradox. 相似文献
46.
鼻内镜下等离子射频治疗儿童腺样体肥大60例分析 总被引:1,自引:1,他引:0
目的探讨鼻内镜下运用等离子治疗仪行腺样体射频减容的优点。方法分析60例腺样体肥大儿童接受等离子手术前、后的临床资料,并对术前术后听力、夜间打鼾、鼻塞等症状恢复情况进行观察比较。结果术后腺样体明显缩小,A/N值小于0.6,鼻咽部结构显示良好,无咽鼓管损伤等并发症发生。随访1~2年,患儿症状消失或明显减轻,治疗有效率为100%。结论鼻内镜下运用等离子射频减容手术治疗腺样体肥大是一种安全有效、简单易行的手术方法,值得推广。 相似文献
47.
排尿期尿道压力分布描记诊断膀胱出口梗阻及比较 总被引:4,自引:3,他引:1
应用排尿期尿道压力分布描记(MUPP)方法诊断膀胱出口梗阻(BOO),并与压力流率结果相比较,对24例前列腺增生症患者进行排尿期尿道压力测定与压力流率测定,将MUPP所得后尿道压力跌落(UPG)与压力流率测定所得尿道阻力因子(URA)及被动尿道阻力关系(PURR)进行相关性研究与诊断试验。结果表明:UPG与URA及PURR呈显著性正相关,MUPP诊断BOO结果与AG图、URA及PURR具有较高的诊断符合率。与压力流率相比,MUPP诊断BOO各有优点与缺点,但不失为定量诊断BOO的一种新方法。 相似文献
48.
C. Marie C. Mossiat C. Gros T. Monteil J. Bralet 《Cardiovascular drugs and therapy / sponsored by the International Society of Cardiovascular Pharmacotherapy》1996,10(5):593-598
Summary Myocardial infarction was induced in rats by ligation of the left coronary artery. Treatment with TM1, a prodrug of SQ 28,603, an inhibitor of neutral endopeptidase (NEP, EC 3.4.24.11), was started 18–20 hours after ligation and was continued for 4 weeks (100 mg/kg, orally, twice daily). Morphological and biochemical parameters were assessed at the end of therapy. The treatment resulted in a significant reduction of heart hypertrophy, which was restricted to the parts of myocardium hemodynamically upstream of the infarcted left ventricle. The weights of the right ventricle and atria were reduced by 15–20%, whereas the treatment had no effect on the left ventricle and septum weights. Treatment led to an almost complete inhibition of plasma NEP activity and to a slight decrease (-14%, p<0.05) in plasma ACE activity. Plasma ANF level increased 3.8-fold after ligation, and treatment resulted in a slight (+29%) and nonsignificant additional increase in the ANF level. The amount of hydroxyproline in the right ventricle was enhanced by +207% in control ligated rats and by +140% (NS) in treated rats. These data indicate that prolonged NEP inhibition exerts a favorable effect in heart failure by reducing the development of right ventricular and atrial hypertrophy. These effects may result from an improvement in hemodynamic conditions, leading to a reduction in cardiac preload. 相似文献
49.
良性前列腺增生组织中一氧化氮合酶活性的变化 总被引:7,自引:0,他引:7
为探讨一氧化氮(NO)与良性前列腺增生(BPH)发病的关系,应用双波长分光光度法测定15例正常前列腺及25例BPH组织中一氧化氮合酶(NOS)活性,并比较不同年龄组的正常前列腺及BPH组织中NOS活性水平。结果:BPH组织中NOS活性(96.77±28.02pmol.mg-1.min-1)明显低于正常前列腺者(290.99±130.68pmol.mg-1.min-1),P<0.001。不同年龄组的正常前列腺组织中NOS活性水平与年龄无相关关系。而在50岁、60岁和≥70岁三个年龄组之间的BPH组织中NOS活性水平有显著性差异,P<0.01,BPH组织中NOS活性水平随年龄增大呈下降趋势。结果提示前列腺组织中NOS活性水平与BPH有相关关系,NOS活性降低可能是BPH的年龄依赖性发病原因之一。 相似文献
50.
Summary In order to learn more about early nerve lesions observed in leprosy, we performed a clinical, electrophysiological and morphological study in seven patients with untreated lepromatous leprosy, palpably enlarged radial cutaneous nerve and preserved sensation in the corresponding territory. The conduction velocity of the cutaneous radial nerve, which was decreased in all patients, did not significantly differ from that of a group of patients with lepromatous leprosy, hypertrophy of the radial cutaneous nerve and sensory loss. In contrast, the sensory action potential was significantly lower in patients with sensory loss, which demonstrates that axon loss is more important than demyelination in producing sensory loss. In all patients nerve enlargement was due to thickening of the epineurium and of the perineurium subsequent to inflammatory infiltrates and proliferation of fibroblasts and perineurial cells. In several fascicles, the inflammatory infiltrates and the infected cells infiltrated endoneurial connective tissue septa and blood vessels.Mycobacteria leprae were abundant in peri neurial cells, fibroblasts, macrophages, Schwarm cells and endothelial cells, and lymphocytic vasculitis present in all cases. The average density of myelinated fibres was 2600 SD 880 fibres/mm2 (control: 7700 fibres/mm2), with marked differences between individual fascicles, versus 420 fibres/mm2 in patients with nerve hypertrophy and sensory loss (range 0–2080 fibres/mm2). Single fibre preparations showed that segmental demyelination pre dominated in two patients, axonal degeneration in one, while inflammatory infiltrates and proliferation of connective tissue adhering to individual fibres were prominent in the others. Both infection of Schwann cells and secretory products released by mononuclear cells involved in the inflammatory process are likely to play a role in the lesions of nerve fibres observed in early stages of lepromatous leprosy.Presented in part at the Second Meeting of the European Neurological Society, Brighton (UK), June 1990 相似文献