巻号一覧
16 巻 (1965)
- 6 号 p. 239-
- 5 号 p. 197-
- 4 号 p. 145-
- 3 号 p. 107-
- 2 号 p. 51-
- 1 号 p. 5-
16 巻, 6 号
選択された号の論文の7件中1～7を表示しています
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岩本 彦之丞1965 年 16 巻 6 号 p. 239-243,en1
発行日: 1965年
公開日: 2010/10/20
ジャーナル フリーThis report is the statistical analysis on 139 cases of cancer of the larynx operated by partial laryngectomy during the period of 5 years, 1960 through 1964. The techniques of partial laryngectomy used in these cases were laryngofissure, frontolateral laryngectomy, hemilaryngectomy, epiglottectomy, supraglottic horizontal laryngectomy and pharyngotomy. The postoperative results were analysed according to the techniques of operation, classification of the cases and compared with those of total laryngectomy and radiation therapy.抄録全体を表示PDF形式でダウンロード (1037K) -
金子 敏郎1965 年 16 巻 6 号 p. 245-254,en1
発行日: 1965年
公開日: 2010/10/20
ジャーナル フリーA) Criteria of indication
In order to formulate the criteris for selection of partial laryngectomy, the following experiments were performed.
1) The compartmentalisation of lymphatic flow were reconfirmed by the injection of radiogold 198 Au into the different area of animal larynx.
2) The mode of spread of laryngeal cancer were minutely analysed by the anatomo-pathological examination on the specimens extirpated by the total laryngectomy.
3) Clinical observation of the partial laryngectomized cases were analysed in consideration of location, extention and microscopic character of lesion, lymphadenopathy and mobility of vocal cord etc.
The resulte obtained by these experiments to formulate criteria of the indication to the partial laryngectomy.
B) Determination of indication
X-ray diagnosis especially tomography or contrast laryngography and endoscopy are indispensable to determine the extension of laryngeal cancer. But it is difficult to ascertain the submucous infiltration of the cancer.
To resolve this problem, pulsed ultrasound was clinically applied and the extention of the cancer to the submucous area was sufficiently recognized before operation by A and B scan.
C) Conclusion
Although our cases can not prove the long term resulte, partial laryngectomy (vertical and horizontal) must be applied more frequently after confirming its indication by the diagnostic procedure mentionned previously.抄録全体を表示PDF形式でダウンロード (3239K) -
黒住 静之1965 年 16 巻 6 号 p. 255-259,en1
発行日: 1965年
公開日: 2010/10/20
ジャーナル フリー1. Fourty five cases, of vertical partial laryngectomy in Okayama University Medical School during 1931-1964 and Hiroshima University Medical School during 1950-1964 were presented.
2. Thirty mine out of 45 cases were cordectomy with anterior commissure technique or clipping technique.
3. Numbers of cordectomy cases were one nineth of laryngectomy cases during the mentioned periods.
4. Indication and diagnosis of laryngeal cancer and some problems on vertical partial laryngectomy were discussed.
5. It is the author's opinion that instead of the term“laryngofissure”, often used by many as synonym of cordectomy, surgeon should use other nomenculature according to the degree of the surgical interventions.抄録全体を表示PDF形式でダウンロード (1464K) -
北村 武1965 年 16 巻 6 号 p. 261-266,en2
発行日: 1965年
公開日: 2010/10/20
ジャーナル フリーThe result of 18 cases operated by the new technics was presented. The preepiglottic space was not opened because the one third of the thyroid cartilage was cut off horizontally, and the hyoid bone was dissected, so that the indication was spred. The rest of the larynx was declined forward, so that the swallowing was not disturbed.
The respiration and the phonation was disturbed according to the range of the resected endolaryngeal tissues.
When necessary, the neck dissection had been performed at one stage.
The last 5 cases was irradiated (4000r) before operation, and the of the skin healed primarily.抄録全体を表示PDF形式でダウンロード (1238K) -
岡安 大仁, 石川 宗高, 児玉 充雄, 布山 峰雄, 広原 公昭, 新垣 盛良, 高橋 淳司1965 年 16 巻 6 号 p. 267-272,en2
発行日: 1965年
公開日: 2010/10/20
ジャーナル フリーFour cases of tracheoesophageal fistula, two of which had pulmonary cancer were seen recently.
The first case was a 67-year-old male patient with pulmonary carcinoma (adenocarcinoma), originated from bronchiole of the left upper lobe. The second case, a 58-year-old male with pulmonary carcinoma (squamous _??_ell carcinoma), originated from the left main bronchus. The third, 63-year-old male patient with esophageal cancer (squamous cell carcinoma), superimposed with far adhanced pulmonary tuberculosis. The fouth, a 70-year-old male patient was suffered from Hodgkin's disease. These cases developed tracheoesophageal fistula during their course.
Some bibliographical consideration were also added here.抄録全体を表示PDF形式でダウンロード (2718K) -
滝野 賢一, 坂口 幸雄1965 年 16 巻 6 号 p. 272-275,en2
発行日: 1965年
公開日: 2010/10/20
ジャーナル フリーIt is not at all rare to observe longitudinal folds of the bronchial mucosa during bronchoscopic examinations but no studies in particular concerning their clinical significance have appeared, perhaps because their presence is easily overlooked during routine procedures. In reviewing a serier of color slides taken in 250 cases during routine endoscopic procedures, distinct longitudinal folds of the bronchial mucosa were found in 40 cases (16%).
The clinical data in these 40 cases were then examined to discover if there were any signs or symptoms in common that might throw light on the clinical significance of these mucosal folds. The following facts were revealed:
Most of the cases were male patients (29 cases or 72%) over middle age and many of them were smokers over the age of 50.
They complained chifly of cough, sputum, respiratory disorder (shortness of breath, breathing difficulty) and low-grade fever, and in many of these cases these symptoms had been present for long periods.
They were found to suffer from chronic bronchitis, pulmonary tuberculosis, bronchiectasis, asthma, emphsema, lung cancer or other diseases in which cough is one of the cardinal symptoms.
The folds in the mucous membrane were observed more often near the bifurcation of the lobular bronchi or on the bronchial walls of the upper lobe bronchi and superior and basal branches. The chief findings were hyperemia of the bronchial mucosa, swelling, mucoid and frothy secretions, and frothy secretions, and constriction and deviation of the bronchi.
A noteworthy observation on bacteriogical examination of the secrations was the high rate of detection of fungus, which was found in many of those that had difficulty in expectorating.
Pathohistologically, cytologic examination of the secretions revealed no distinctive findings other than the presence of eosinophils in one asthmatic patient. Examination of biopay specimens and an autopay case demonstrated definite proliferation and thickening of longitudinal elastic fibers in the bronchial mucosa.
On the basis of these observations, it is speculated that the prominent folds of the bronchial mucosa seen most often in those that suffer from cough, sputum and breathing difficulty are principally caused by functional proliferation and thickening of the submucosal longitudinal elastic fibers due to persistent coughing spells.抄録全体を表示PDF形式でダウンロード (1428K) -
坂倉 光蔵, 井上 寿樹, 中村 茂, 寺田 義雄1965 年 16 巻 6 号 p. 276-283,en3
発行日: 1965年
公開日: 2010/10/20
ジャーナル フリーAuthors performed the lymphangiography to the cases of maxillary, esophageal and laryneal cancers. The needle was canulized into the retroauricular portion, and oilcontrast medium, Lipiodol, mixed dye, Chlorophll, was pured into them 0.1-0.2c. c. per minite and total dose from 3 to 5c.c.. X-photo was admitted after that immediately and after 48 hours. Figures of lateral deep and supraclavicular lymph nodes and lymph vessels were found obviously. By radical neck dissection, colored lymph nodes were seen, and their histological findings were found.
Anthors studied their methods, findings of figures, and complications briefly.抄録全体を表示PDF形式でダウンロード (2821K)
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