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71.
Yukito Ichinose Hiroshi Asoh Tokujiro Yano Hideki Yokoyama Takashi Inoue Kohsuke Tayama Takashi Ueda Eiji Takai 《Surgery today》1995,25(9):811-815
An experimental study was conducted to determine whether pericardial fat tissue could induce neovascularization and produce cytokines related to tissue repair. Neovascularization was examined using chick chorioallantoic membranes. Pieces of pericardial fat tissue, omentum, and intercostal muscle were individually placed on a number of chorioallantoic membranes and neovascularization induced by each material was assayed 6 days after the implantation. The intensity of neovascularization was in the order of pericardial fat omentum > muscle. Cytokines, such as interleukin 1 (IL-1) and , tumor necrosis factor- (TNF), interferon- (IFN-), and interleukin 6 (IL-6) were assayed in a culture supernatant of pericardial fat tissue. The latter was obtained 24h after the addition of lipopolysaccharide (LPS) following various incubation times. All cytokines other than IFN are known to play a part in tissue repair, whereas IFN is negatively related to tissue repair because it inhibits fibroblast growth. The pericardial fat tissue incubated with LPS produced a certain amount of IL-1 on day 1, and TNF on days 1 and 8, whereafter these values decreased to an undetectable level. Irrespective of the addition of LPS, a large amount of IL-6 was observed in the supernatant of pericardial fat tissue and it was detectable until day 29. On the contrary, INF was not detected at any assay time. These observations suggest that a pericardial fat pad flap could possibly be beneficial in the prevention of bronchopleural fistula after pulmonary resection. 相似文献
72.
目的:提高对食管异物主动脉食管瘘的早期诊断率;方法:报告一例食管异物致主动脉食管瘘并复习文献,对其发现机理、临床表现、诊断、治疗进行分析;结果:由于临床对本病缺乏足够认识,虽经积极治疗,但本例患者死亡;结论:主动脉食管瘘预后极差,对食管异物患者,出现呕血时,应考虑本病。早期手术治疗或可挽救患者生命。 相似文献
73.
Internal biliary fistulas (IBF) are seen rarely. Because the symptoms and signs of IBF are not specific and the diagnosis
is not suspected, these patients are commonly investigated with plain abdominal films (PAF), ultrasonography (US), upper gastrointestinal
series (UGIS), barium enema (BE), and computed tomography (CT), but not always with endoscopic retrograde cholangiopancreatography
(ERCP). The purposes of this article are (a) to attract attention of radiologists to presumptive findings of IBF, so as not
to misdiagnose this unsuspected and rare disease, and (b) review of the literature while presenting radiologic features of
our cases. Five cases of IBFs in which extrahepatic biliary tree communicating with duodenum (four cases) and colon (one case)
are reported. Diagnostic work-up of cases were done by PAF, US, UGIS, BE, and CT. Aerobilia, which cannot be explained using
other means, ectopic gallstone and small bowel dilatation, nonvisualization of the gallbladder despite no history of cholecystectomy,
and thick-walled shrunken gallbladder adherent to neighboring organs were suggestive findings of IBF in our study. Knowledge
of imaging findings suggestive of IBF and a high index of suspicion increase the diagnostic rate of IBFs.
Received: 4 June 1998; Revision received: 28 July 1998; Accepted: 14 October 1998 相似文献
74.
Tracheomalacia (TM) is well known as a complication associated with esophageal atresia (EA) and tracheoesophageal fistula
(TEF); however, the occurrence of TM requiring surgical treatment in a patient having EA without a tracheoesophageal fistula
has never been reported. We describe herein a rare case of TM associated with EA without TEF. Respiratory distress was caused
by compression of the trachea by a severely dilated upper esophageal pouch with weakness of the tracheal wall. Aortopexy was
performed, and an excellent postoperative result was achieved. 相似文献
75.
Narrowing the embryologic window of the adriamycin-induced fetal rat model of esophageal atresia and tracheoesophageal fistula 总被引:2,自引:1,他引:1
We recently reported on a new fetal rat model of esophageal atresia (EA) with tracheoesophageal fistula (TEF) induced by prenatal exposure to adriamycin (1.75 mg/kg i. p. injected daily to the pregnant dam from the 6th to 9th gestational days). With this treatment regime, many fetuses were resorbed and the number of associated malformations was very high. The present study demonstrates that similar doses of the drug administered only on the 8th and 9th gestational days allow higher fetal survival (9.7 3.9 vs. 6.8 4.7 fetuses per litter, P < 0.01) with a similar incidence of EA-TEF (41.2% vs. 56.4%, n. s.) and decreased occurence of associated anorectal and genitourinary malformations. Since this model is an instrument for further investigation of the disturbed cellular and morphogenetic events leading to EA and TEF, the narrowing of the embryologic window obtained by the present study will allow better focusing of the research on the critical period of time involved. 相似文献
76.
Laparoscopic rectopexy for complete rectal prolapse 总被引:5,自引:0,他引:5
A. C. Poen M. de Brauw R. J. F. Felt-Bersma D. de Jong M. A. Cuesta 《Surgical endoscopy》1996,10(9):904-908
Background: The purpose of this study was to evaluate the clinical outcome of laparoscopic rectopexy and its effect on anorectal function investigations.
Methods: Twelve patients with complete rectal prolapse without constipation underwent laparoscopic rectopexy. Pre- and postoperative evaluation included scoring of incontinence, anorectal manometry, and anal endosonography.
Results: No recurrences of rectal prolapse were seen (median follow-up 19 months). Continence improved in eight of nine preoperatively incontinent patients. Two patients had mild constipation after surgery. Median maximum basal pressure measured by anorectal manometry increased from 20 to 25 mmHg (p=0.005) and the rectoanal inhibitory reflex improved in seven patients (p=0.03). Rectal sensitivity did not change significantly. Endosonography showed asymmetry and thickening of the internal anal sphincter and submucosa preoperatively. After surgery the maximum internal anal sphincter thickness decreased from 3.0 mm to 2.6 mm (p=0.02).
Conclusions: Laparoscopic rectopexy improved continence in our patients. Anorectal function tests show a partial recovery of the internal anal sphincter. Laparoscopic rectopexy combines the low morbidity of minimal invasive surgery with the good outcome of abdominal rectopexy.Presented at the annual meeting of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES), Orlando, Florida, USA, 11–14 March 1995 相似文献
77.
Makoto Komura Yoshiaki Tsuchida Toshiro Honna Yoshiyuki Kamii Shu-ichiro Kitahara Shin-pachi Ishizone 《Pediatric surgery international》1993,8(2):157-161
A case showing many of the typical visceral features of cloacal exstrophy is reported. The patient had fn imperforate anus, a cecal-cloacal fistula, dehiscence of the pubiic symphysis, and lumbosacral spina bifida with synsingomyelia, but the lower abdominal wall was intact without any visceral extroversion. The pertinent literature was reviewed, and it was found that this case corresponded to t typical case of completely covered cloacal exstrophy. Only six cases, including the present one, have so far been reported in the literature. From a clinical viewpoint, it apparently occupies an intermediate position in the wide spectrum of cloacal anomalies between classical cloacal exstrophy and imperforate anus with recto-cloacal fistula, but anatomatically and embryologically it is definitely a variant of cloacal exstrophy. In other words, it looks like an imperforate anus with recto-cloacal exstrophy, but should be treated as a variant of loacal exstrophy. The anatomy, classification, embryology, diagnosis, and management of this peculiar surgical condition are discussed, and recognition of this entity is urged. 相似文献
78.
目的 :对喉癌、梨状窝癌行全喉切除术后早期经口进食进行可行性研究。方法 :42例行全喉切除术的患者 (其中喉癌 34例 ,梨状窝癌 8例 )随机分为两组 :观察组 2 1例 ,术后 48~ 72h经口进食 ;对照组 2 1例 ,按常规 10~ 12d经口进食。结果 :观察组咽瘘发生率为 4.8%(1/ 2 1) ,对照组为 9.5 %(2 / 2 1) ,两者差异无显著性意义(P >0 .0 5 ) ;观察组术后平均住院天数较对照组明显缩短。结论 :术前未行放疗的喉癌、梨状窝癌患者行全喉切除术后 48~ 72h经口进食是安全可行的。 相似文献
79.
80.
运用祛瘀法为主,结合清热、化湿、养阴、理气法以及祛腐、生肌、拖线、灌注等内外合治法,治疗臁疮、窦瘘、脱疽、股肿等疮疡疾病,并附验案四则。 相似文献