日本気管食道科学会会報
Online ISSN : 1880-6848
Print ISSN : 0029-0645
ISSN-L : 0029-0645
25 巻, 1 号
選択された号の論文の6件中1~6を表示しています
  • 海野 徳二
    1974 年 25 巻 1 号 p. 1-6
    発行日: 1974/02/10
    公開日: 2010/11/26
    ジャーナル フリー
    An apparatus for the measurement of cough was devised. It consisted of a volume displacement body plethysmograph, Krogh spirometer, hot wire flow meter, and transducer for the esophageal pressure. A slower response of the volume displacement body plethysmograph than the pressure plethysmograph was compensated by “pressure correction” as suggested by previous authors. A semi-conductor transducer was used to measure pressure changes in the box. A mixing circuit of the output signal from the plethysmograph with that from the pressure transducer of the box was easily built since both signals were direct current.
    Simultaneous measurements of VBOX and VATPS showed new aerodynamic aspects in expirations. VBOX represented volume changes of a subject in the box while VATPS actually expired air from the mouth. A disagreement of VBOX and VATPS meant at least in part the intrathoracic compression of the air and pulmonary structures.
    As previously reported, a cough movent was divided into three phases. These were the inspiratory, minimum flow, and expiratory phase. The minimum flow phase corresponded to the period when the glottis was tightly closed. The intrathoracic compression was most manifest during this phase. Favourable effects of this compression on the cough mechanism were suggested from analyses of the data.
  • 片側声帯麻痺に対するSilicone注入について
    北原 哲
    1974 年 25 巻 1 号 p. 7-21
    発行日: 1974/02/10
    公開日: 2010/10/20
    ジャーナル フリー
    目的: 片側声帯麻痺の硬声は, 気息性の強い嗄声であるが, これは声門閉鎖不全に起因する事が多い。しかしBrünings techniqueにより, 声門閉鎖を充分にして, 呼気の発生に対する効率を高めてやるにも関らず, 粗?性の成分が消失しない事を時として経験するが, これは嗄声改善に対し, 声門閉鎖以外に, 他の因子が存在するからであり, これを解明するため, microstoroboscopyをBrüinings techniqueに導入したものである。
    方法: 注入物質としてsiliconeを用い, 注入前後の声帯振動をストロボスコープを用いて観察した。ストロボスコープの光を2本のグラスファイバーにより喉頭鏡の先端に導き, 手術用microscopeを通して声帯振動を観察する一方, この様相を16mm cine filmに収め分析した。
    結果: 27例に本法を施行した結果, 術前の麻痺側声帯振動は, 非常に不規則であるがsiliconeを注入していくに従い, 健側と同期したきれいな声帯振動が出現する事がわかった。
  • 尾形 キョウ子
    1974 年 25 巻 1 号 p. 22-31
    発行日: 1974/02/10
    公開日: 2010/10/20
    ジャーナル フリー
    Microsurgery of the larynx has been widely performed on many larygeal lesions since the precise operation is practicable through the operating microscope. Experienced in more than 1300 cases in clinic, this is believed the most effective operative procedures.
    The study of the postoperative results, however, revealed that excellent restoration of the voice is not always obtained in the case of polypoid vocal cords in comparison with vocal polyps, vocal nodules or the like. This fact let the author make an attempt to devise new surgical procedures to be employed in microsurgery of the larynx for the treatment of polypoid vocal cords.
    Recent histopathological or histochemical study showed that, in the case of polypoid degeneration of the vocal cord, epithelium of the vocal cords is usually unaffected.
    This new surgical procedure, hence, is carried out without removal epithelium of the vocal cords. Excision of the epithelium was longitudinally performed on the almost midline of the vocal cords. And then, pathological mucous substances under the epithelium were just removed by suction.
    It should be emphasized that this procedure is performed without removal any epithelium. In addition to that, from the author's histochemical study it seems most likely that tnis procedure might stimulate the mechanism of healing pathologic conditions as shown in polyps, polypoid degeneration or the like.
    In this paper, this new surgical procedure was reported and discussed from the viewpoint of histopathologic study and postperative phonetic results.
  • 鮒橋 建夫, 佐藤 嗣人, 長尾 光修, 池口 栄吉, 田近 毅, 林田 福富, 松本 章一, 児玉 充雄
    1974 年 25 巻 1 号 p. 32-35
    発行日: 1974/02/10
    公開日: 2010/10/20
    ジャーナル フリー
    In regard to the forein body in airway, there have been a few published case reports and statistical observation. We recently experienced one case in whom chemical depositions were found in airway.
    The patient, who is a chemist working at the laboratory, came to our hospital with cough and sputum. The chest roentgenogram showed no specific change. However, the bronchcsccpic study clearly demonstrated cristal depositions in airway especially around bifurcation. These were identified as aminc-compounds which the patient has used daily for his research. After partial removal of depositions, cough and sputum have reduced apparently.
  • 嶋村 嘉高, 横山 拓也, 鈴木 卓二, 宇津見 瑞雄
    1974 年 25 巻 1 号 p. 36-41
    発行日: 1974/02/10
    公開日: 2010/10/20
    ジャーナル フリー
    A 69 year old male patient complaining of mild dysphagia was examined by X-ray which showed no gross adnormalties. The esophagoscopy, however, ravealad a small reddish swelling at 1.5cm below the esophageal introitus. The biopsy from this area exhibited squamous cell carcinoma.
    The Cervical esophagotomy which was performed subsequently disclosed no lymph node metastasis in the neek nor tumor formation recognizable in the scar tissues where the biopsy had been taken. The examination also of the frozen section from the lesion failed to show malignant cells in the partially resected section of the cervical esophagus.
    The esophagoscopic examination with biopsy was found to be a useful method for detection of an incipient cancer of the esophagus.
  • 追加, 質問, 応答
    1974 年 25 巻 1 号 p. 43-57
    発行日: 1974/02/10
    公開日: 2010/10/20
    ジャーナル フリー
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