巻号一覧
40 巻 (1989)
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- 2 号 p. 75-
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40 巻, 2 号
選択された号の論文の29件中1～29を表示しています
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H. Bryan Neel III1989 年 40 巻 2 号 p. 75-81
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーIt appears that some patients with cancer die with functioning, intact immune systems. We know little about the significance of these findings. Is cancer really a manifestation of an immune deficiency or are the immunologic perturbations secondary to the process-further evidence of the systemic nature of this disease? Certainly, the orchestrated activity of the immune system provides some natural defense against malignant disease. A better understanding of this should stimulate rapid advances in the treatment of patients with cancer in all specialties.抄録全体を表示PDF形式でダウンロード (996K) -
その現状と考察-まとめ進 武幹1989 年 40 巻 2 号 p. 82-83
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーPDF形式でダウンロード (193K) -
進 武幹1989 年 40 巻 2 号 p. 84-85
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーThis paper is a discussion of the mechanisms of normal swallowing based on studies undertaken by the author and on a review of the literature.
The afferent impulse in the deglutitive reflex is conveyed to multiple synapses via the solitary nucleus in the medulla oblongata, and is them conveyed to the medullary reticular formation. The efferent impulse from the central nervous system activates the internal laryngeal muscles, the intra- and suprahyoid muscles and the pharyngeal constrictor muscles according to predetermined programming.抄録全体を表示PDF形式でダウンロード (244K) -
嚥下ニューロンと呼吸ニューロンの関連前山 忠嗣, 梅崎 俊郎1989 年 40 巻 2 号 p. 86-87
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーIn this study, impulses of the medullary respiratory neurons, electromyogram of the diaphragm and subglottic pressure during the second stage of deglutition in felines, were recorded simultaneously. Strength of the glottic closure and intraluminal pressure of the cervical esophagus during deglutition were measured using a microtip transducer before and after tracheostomy. Activities of the respiratory neurons, contraction of the diaphragm and subglottic pressure change were highly constant in each deglutition. The decrease in strength of the glottic closure and disappearance of the falling of intraesophageal pressure were observed after tracheostomy. The results suggest that part of the respiratory neurons are driven by a preprogrammed command from the swallowing center and regulate respiratory muscles which elicite intrathoracic and subglottic pressure changes during the second stage of deglutition. Tracheostomy may disturb glottic closure and propelling of the bolus from the hypopharynx to the esophagus and is likely to cause aspiration.抄録全体を表示PDF形式でダウンロード (291K) -
嚥下運動と呼吸運動小宮山 荘太郎1989 年 40 巻 2 号 p. 88-89
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーIt is widely known that swallowing and respiration are highly correlated. This correlation is known as swallowing respiration.
The author observed aberrant rhythm of swallowing respiration in patients with tracheotomy or with surface anesthesia of the airway.抄録全体を表示PDF形式でダウンロード (180K) -
柳内 統1989 年 40 巻 2 号 p. 90-91
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーIn the case of bolus, which was hard to swallow, the hyoid moved further backward. In result, the hyoid and larynx moved further upward and backward. It was observed that it took some periods until the epiglottis set out tilting down after deglution movements started.抄録全体を表示PDF形式でダウンロード (286K) -
新美 成二1989 年 40 巻 2 号 p. 92-95
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーDeglutition as well as respiration is the one of the most basic behaviors. However, in the course of almost all kinds of the neuromuscular diseases, patients may suffer from dysphagia. There have been several ways being proposed to save such conditions. In this paper, nonsurgical treatment and management methods were discussed.
In general, severity of the neuromuscular disease is classified into three stages. In first stage, patients complain of slight misdeglutition and longer feeding time. For this stage, it is necessary to instruct them to swallow whatever they feel easy and also take enough time to finish eating. In second stage, it becomes marked that the coordination movement for swallowing is disturbed and patients suffer from severe dysphagia. For this stage, rehabilitation of the deglutition is indicated. The third stage of the neuromuscular disease is the end stadium of the disease. In this stage, patients should be taken care for life saving purpose.
Concerning the rehabilitation of deglutition, it can be said that there are some differences in rationale from physical rehabilitation. One of differences is to recruit the remaining reflex activity to perform swallowing. Actual method was discussed.抄録全体を表示PDF形式でダウンロード (544K) -
声門閉鎖障害に対する手術前山 忠嗣, 岩永 康成1989 年 40 巻 2 号 p. 96
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーPDF形式でダウンロード (167K) -
輪状咽頭筋切断術の考察吉田 義一, 斎藤 龍也, 田中 康政, 平野 実1989 年 40 巻 2 号 p. 97
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーPDF形式でダウンロード (145K) -
喉頭挙上固定術田中 英一1989 年 40 巻 2 号 p. 98
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーPDF形式でダウンロード (158K) -
喉頭を保存した舌広範切除術佐々木 良二1989 年 40 巻 2 号 p. 99
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーPDF形式でダウンロード (171K) -
Paul P. Knegt1989 年 40 巻 2 号 p. 100-102
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーEndoscopic diverticulotomy with the CO2-laser was performed in 75 patients between January 1981 and April 1987. Complete or nearly complete relief of complaints was achieved in all patients. The rate of complications is low. Endoscopic laser surgery proved to be a safe and reliable treatment of dysphagia caused by hypopharyngeal diverticulum.抄録全体を表示PDF形式でダウンロード (342K) -
加藤 治文1989 年 40 巻 2 号 p. 103-104
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーPDF形式でダウンロード (365K) -
昇 卓夫, 森山 一郎, 宮崎 康博, 広田 常治1989 年 40 巻 2 号 p. 105-108
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーWe have treated cancer with the CO2 laser since 1980 and have added the Nd-YAG laser treatment since 1983. Twenty hundred and fifty-seven patients with head and neck cancer were treated using the CO2 laser or the Nd-YAG laser. However, we have treated many cancer cases mainly with the contact Nd-YAG laser technique except for laryngeal cancers, because the contact Nd-YAG laser technique can be performed at a low power of 6 to 8 watts in a laser excision of soft tissue with less bleeding and tissue damage, in addition to its high controllability and harmlessness for surgeons or coworkers. Twenty-five cases with mesopharyngeal cancers and 17 cases with hypopharyngeal cancers were treated by this laser surgery.
Also, we have recently developed a new ceramic tip for localized laser hyperthermia (laserthermia). It is well known that hyperthermia combined with radio-chemotherapy can be useful in treating malignant tumors. This laserthermia was applied to 26 cases of head and neck malignancies including 4 cases of pharyngeal cancers. Using this treatment with radio-chemotherapy we got complete remission in 5 cases and partial remission in 14 cases.抄録全体を表示PDF形式でダウンロード (3491K) -
田部 哲也, 井上 鐵三, 小倉 雅実, 北原 哲, 田中 英一, 西沢 伸志, 坂田 淳一1989 年 40 巻 2 号 p. 109-112
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーCO2 laser was applied via laryngomicrosurgery to 36 laryngeal cancer (glottis) patients from April, 1982 to March, 1988. Seven cases were not cured by laser and underwent laryngectomy. The patients were followed up for 9 to 80 months (mean 38 months). Thirty-five cases (97%) are survived without an evidence of recurrence. From this follow-up study we concluded as follows: 1) T1a can be treated by laser alone. 2) T1b can be treated by laser alone or by a combination of laser and radiation, and 3) a careful selection of cases for laser use is required in T2.抄録全体を表示PDF形式でダウンロード (1814K) -
神津 照雄, 小野田 昌一, 今野 秀次, 佐久間 洋一, 奥山 和明, 磯野 可一, 藤沢 武彦, 馬場 雅行, 山口 豊1989 年 40 巻 2 号 p. 113-117
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーLaser therapy for esophageal cancer can be characterized as follows. For an endoscopic purpose, it can be used for the radical treatment in ep-mm cancer with an exact diagnosis on the depth of invasion, for the treatment of severe esophageal stenosis due to cancer, in which Ell-Hochberger probe is recommended for safety, and for the treatment of airway obstruction due to cancer invasion, especially for immediate improvement of lung atelectasis and dyspnea. For an intraoperative purpose the laser-scalpel is considered to be less important. PDT should be introduced in the near future to control cancer invasion to surrounding areas and other organs.抄録全体を表示PDF形式でダウンロード (3492K) -
奥島 憲彦, 井手 博子, 鈴木 茂, 羽生 富士夫1989 年 40 巻 2 号 p. 118-121
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーHematoporphyrin derivative (HpD) has an affinity to malignant tissue and shows cytocidal effects on malignant cells when it is excited by argon-dye laser (630nm). This method is called photodynamic therapy (PDT). Effects of PDT on esophageal cancer were discussed in this study. PDT has been performed on 9 cases of superficial esophageal cancer. All cases have been followed periodically by endoscopy from 1 year and 9 months to 5 years and 7 months and no cases have any local recurrence. But in 2 cases with a submucosal invasion of the cancer, lymphnode metastases were recognized. So we think that PDT is one of the most effective therapies in the treatment of mucosal cancer of the esophagus.抄録全体を表示PDF形式でダウンロード (3378K) -
和田 洋巳, 人見 滋樹1989 年 40 巻 2 号 p. 122-125
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーNowadays, Nd-YAG laser is used to resolve the obstruction from the endo-bronchial lung cancer. Seventy-three cases (47 male and 26 female) were treated by Nd-YAG laser in our institute in these 14 years. There were 47 primary lung cancers, 15 metastatic tumors and 11 benign lesions. The mean number of treatment of these 73 cases were 2.3 times and the maximun was 15 times.
The fetal complications were observed in 4 cases who died from the bleeding of the bronchio-pulmonary arterial fistula. Nd-YAG laser is so powerful that it can remove a huge mass in the endo-bronchial tree. But sometimes there occurs severe fetal complication such as bronchio-pulmonary arterial fistula.抄録全体を表示PDF形式でダウンロード (461K) -
小中 千守, 加藤 治文, 岩淵 裕, 河手 典彦, 木下 孔明, 奥仲 哲弥, 山本 秀樹, 三浦 弘之, 古川 欣也, 伊藤 哲思, 池 ...1989 年 40 巻 2 号 p. 126-129
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーPhotodynamic therapy (PDT) using hematoporphyrin derivative and argon-dye laser has been performed on 146 cases with lung cancer in the Department of Surgery, Tokyo Medical College Hospital since 1980.
The indication of this therapy was as follows: 1) early stage of central type lung cancer, 2) multiple lung cancer, and 3) preoperative therapy in combination with surgery.
Fifty-five cases were in stage I, 11 cases were in stage II and 8 cases were in stages III and IV. Histopathology showed squamous cell carcinoma in 115, adenocarcinoma in 15, large cell carcinoma in 6 and small cell carcinoma in 7. The efficiency and the limitation of this therapy in each indication were evaluated in this paper.
We also described the newly-developed excimer laser system for diagnosis and treatment of the cancer.抄録全体を表示PDF形式でダウンロード (3375K) -
小野 良祐, 池田 茂人1989 年 40 巻 2 号 p. 130-132
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーAn endoscopic laser irradiation was applied to 85 patients with lung cancer. A combined treatment of Nd-YAG laser irradiation and radiotherapy was performed on 47 patients with lung cancer, and a combined procedure of photodynamic therapy and radiotherapy was done in 38 lung cancers.抄録全体を表示PDF形式でダウンロード (277K) -
廣瀬 肇1989 年 40 巻 2 号 p. 133
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーPDF形式でダウンロード (155K) -
天津 睦郎1989 年 40 巻 2 号 p. 134
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーPDF形式でダウンロード (1315K) -
森満 保1989 年 40 巻 2 号 p. 135
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーPDF形式でダウンロード (167K) -
黄川田 徹1989 年 40 巻 2 号 p. 136
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーPDF形式でダウンロード (1216K) -
夜陣 紘治1989 年 40 巻 2 号 p. 137
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーPDF形式でダウンロード (168K) -
垣田 有紀1989 年 40 巻 2 号 p. 138
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーPDF形式でダウンロード (141K) -
1989 年 40 巻 2 号 p. 139-166
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーPDF形式でダウンロード (6896K) -
1989 年 40 巻 2 号 p. 167-189
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーPDF形式でダウンロード (5738K) -
1989 年 40 巻 2 号 p. 190-222
発行日: 1989/04/10
公開日: 2010/02/22
ジャーナル フリーPDF形式でダウンロード (8226K)
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