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61.
目的探讨经直肠超声引导下经会阴125I粒子永久植入治疗前列腺癌的疗效和并发症。方法本组前列腺癌患者5例。年龄61 ̄83岁,平均70.4岁。临床分期T2bN0M0者2例,T3aN0M0者3例。Gleason评分6分者2例,7分者1例,8分者2例。术前前列腺特异性抗原(PSA)4.5 ̄17.5ng/ml。T3a期患者植入治疗前先行内分泌治疗。术前制定治疗计划,经直肠超声引导下经会阴125I粒子永久植入操作。术后观察PSA水平变化,连续3次PSA升高即为生化复发,观察术后尿路和直肠并发症发生情况。结果5例患者均术后恢复顺利。术后随访18个月,PSA均明显下降,PSA为0.1ng/ml者3例,0.01ng/ml者1例,0.04ng/m1者1例。5例患者术后均出现不同程度的尿路刺激症状,但6个月后逐渐好转。4例术后出现排便次数增多,术后3个月均好转。未发现尿失禁、直肠溃疡等并发症。结论经直肠超声引导下经会阴125I粒子永久植入治疗前列腺癌的疗效确切,创伤较小。 相似文献
62.
63.
Seiji Furuya Hiroshi Ogura Yoshinori Tanaka Taiji Tsukamoto Hiroshi Isomura 《International journal of urology》1997,4(5):524-526
The case of a 53-year-old man with hematospermia and massive postejaculation hematuria that caused urinary retention is described. This is the sixth case in the English and Japanese language literature. Cystourethroscopic examination revealed that a solitary raised tumor was present just distal to the vermontanum, and that bleeding was from its apex. Histologic examination of an excisional biopsy sample showed features compatible with hemangioma. 相似文献
64.
Amyloidaceous ulcerated gingival hyperplasia: a newly described entity related to ligneous conjunctivitis 总被引:2,自引:0,他引:2
A. Y. Gokbuget S. Mutlu C. Scully A. Efeoglu S. R. Porter P. Speight G. Erseven M. Karacorlu 《Journal of oral pathology & medicine》1997,26(2):100-104
Gingival hyperplasia may be genetic, may be acquired as a consequence of exposure to drugs and other agents or may appear as part of a more widespread disorder. Five patients who acquired gingival hyperplasia due to amyloidaceous deposits staining only for fibrin are presented. This appears to be a new entity related to ligneous conjunctivitis. 相似文献
65.
维拉帕米灌注治疗前列腺术后膀胱痉挛性疼痛的临床疗效观察 总被引:15,自引:2,他引:13
为探讨前列腺术后膀胱痉挛性疼痛的药物治疗效果,将26例前列腺增生行耻骨上经膀胱前列腺摘除术后频繁发作膀胱逼尿肌无抑制性收缩导致膀胱痉挛性疼痛者,按随机抽样法分为两组,第1组15例接受维拉帕米膀胱灌注治疗,第2组11例作为对照,不用任何可能影响下尿中功能的药物。 相似文献
66.
Susumu Akimoto Yuzo Furuya Koichiro Akakura Jun Shimazaki Haruo Ito 《International journal of urology》1997,4(6):580-582
Background :
The aim of this study was to investigate the influence of osteoarthritis of lumbar vertebrae on serum bone formation and resorption marker levels of patients with benign prostatic hypertrophy (BPH).
Methods :
Serum levels of carboxyterminal propeptide of type I procollagen (PICP), alkaline phosphatase (ALP), carboxyterminaltelopeptide of type I collagen (ICTP), and prostate-specific antigen (PSA) were examined in 40 patients with BPH, and the presence of osteoarthritis at the lumbar vertebrae of the patients was evaluated by plain x-ray-p.
Results :
Findings of osteoarthritis were observed in 23 of the 40 patients (58%), and 10 of the patients had severe osteoarthritis (involving at least 2 lumbar vertebral bodies). The serum levels of PICP, ALP, ICTP, and PSA of the patients without osteoarthritis findings were not different from those of the patients with osteoarthritis or severe osteoarthritis.
Conclusion :
The influence of osteoarthritis on serum bone formation and resorption marker levels of patients with BPH appears to be rather slight, if there is any influence at all. 相似文献
The aim of this study was to investigate the influence of osteoarthritis of lumbar vertebrae on serum bone formation and resorption marker levels of patients with benign prostatic hypertrophy (BPH).
Methods :
Serum levels of carboxyterminal propeptide of type I procollagen (PICP), alkaline phosphatase (ALP), carboxyterminaltelopeptide of type I collagen (ICTP), and prostate-specific antigen (PSA) were examined in 40 patients with BPH, and the presence of osteoarthritis at the lumbar vertebrae of the patients was evaluated by plain x-ray-p.
Results :
Findings of osteoarthritis were observed in 23 of the 40 patients (58%), and 10 of the patients had severe osteoarthritis (involving at least 2 lumbar vertebral bodies). The serum levels of PICP, ALP, ICTP, and PSA of the patients without osteoarthritis findings were not different from those of the patients with osteoarthritis or severe osteoarthritis.
Conclusion :
The influence of osteoarthritis on serum bone formation and resorption marker levels of patients with BPH appears to be rather slight, if there is any influence at all. 相似文献
67.
T. Koldas H. Agir F. Sirin B. Barbek T. Hayirlioglu 《European journal of plastic surgery》1997,20(5):273-274
In this report, a case is presented with large recurrent, benign, vascular and proliferative lesion on the scalp. Complete surgical excision of the tumor mass and split thickness skin grafting of the defect had favorable results with no recurrences after 24-month follow-up. 相似文献
68.
Diversion colitis refers to the inflammatory changes that occur in the defunctioned segment of the large intesting following diversion of the faecal stream. We report the histological features in the defunctioned rectums from seven patients: one each with severe constipation and Behcet's disease, two with Crohn's disease with rectal sparing and three with ulcerative colitis. The appearances of diversion colitis in a previously normal rectum are compared with diversion colitis with superimposed inflammatory bowel disease. Lymphoid follicular hyperplasia was found in all cases. This was marked in patients with inflammatory bowel disease. with or without initial rectal involvement. Other changes comprised surface epithelial degeneration and ulceration, mucosal inflammation including crypt abscesses, and crypt branching. Inflammatory and crypt changes were mild, except in ulcerative colitis where changes were marked and resembled those of the proximal colon. Lymphoid hyperplasia is a distinctive feature in diversion colitis. The term follicular proctitis, previously used to indicate chronic ulcerative colitis exclusively, should be re-examined. 相似文献
69.
Jian-Hui Wu Zu-Yue Sun Yan Zhu En-Hong Zhong Gui-Lin He Gui-Ming LiuNational Key Laboratory of Planned Parenthood DevicesResearch Shanghai Institute of Planned Parenthood Research National Evaluation Centre for the Toxicology of FertilityRegulating Drugs Shanghai China 《Asian journal of andrology》2003,(4)
Objective: To establish a prostatic hyperplasia model with beagle dogs. Methods: Twenty-four male beagle dogs, 2 years of age, were divided into the treatment and control groups at random and were administrated testosterone propionate (TP) i.m. two months after castration. Three treatment groups were set with the doses of TP at 0.8 mg/kg, 2.5 mg/kg and 7.5 mg/kg, respectively, and the control was given the same volume of vehicle. Two months later, half of the animals were killed and sera samples were obtained. The wet weight and volume of prostate were measured. The dihydro testosterone (DHT) level of the serum and prostate were determined with the commercial radioimmunoassay (RIA) kit. The prostate was sectioned, fixed and stained with hematoxylin and eosin. Pictures were taken with a digital camera under the microscope and were analyzed with a computer for the epithelial cell height and the acinar luminal area with micro image analysis software. The prostate volume was measured with ultrasonic diagnost 相似文献
70.
目的:探讨前列腺特异抗原(PSA)及前列腺特异抗原密度(PSAD)、前列腺特异抗原移行区密度(PSAT)作为前列腺癌肿瘤标志物的临床价值。方法:选择前列腺癌患者30例、前列腺增生患者30例、健康志愿者20例,采用放射免疫法检测PSA并计算PSAD、PSAT,比较3组间的变化情况。结果:前列腺增生组PSA升高,与对照组相比差异有统计学意义(P<0.05),前列腺癌组PSA、PSAD、PSAT均升高,与对照组及前列腺增生组对比差异有统计学意义(P<0.001)。结论:PSA作为前列腺癌肿瘤标志物有重要临床价值,但单纯测定血PSA含量有时不易区分前列腺增生与前列腺癌;PSAD、PSAT在前列腺增生与前列腺癌的鉴别诊断中优于PSA。 相似文献