巻号一覧
20 巻, 3 号
選択された号の論文の16件中1～16を表示しています
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広戸 幾一郎1974 年 20 巻 3 号 p. 365-370
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーThe removal of the sternal manuburium gives the excellent exposure in the thoracic inlet and makes the dissection of paratracheal lymphnodes easier and more radical. This surgical procedure is particularly emphasized in the following cases; when the tumor extends lower than the level of the seventh cervical vertebra in the pharyngoesophageal carcinoma, when the carcinoma of the thyroid gland invades the trachea or the metastatic tumor is firmly adhesive to the jugular vein or the carotid artery at the site of the thoracic aperture, and when the subglottic carcinoma is extensive to the trachea and the paratracheal lymphnode is remarkably enlarged.抄録全体を表示PDF形式でダウンロード (9525K) -
松村 祐二郎, 栗田 幸男, 高山 一雄, 赤崎 郁郎, 広戸 幾一郎, 武井 修, 南立 昌幸, 山田 篤伸1974 年 20 巻 3 号 p. 371-377
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーThis study is based on 81 cases of cancer of the maxillary sinus in which adequate histologic sections were available before and following total maxillectomy and salvage operation from 1961 to 1972 at Kyushu University Hospital. The radiosensitivity of the tumor depends on a number of various factors. One of them is the histological type. The histological effectiveness of radiation therapy of the patients having anaplastic carcinoma and well differentiated squamous cell carcinoma was higher than that of the patients having moderate and poorly differentiated squamous cell carcinoma, and generally it was related to the prognosis. According to the histological appearances, reasonable tumor dose of radiation in the combined treatment with anti-tumor agent might be 4,000-5,000 rads for the present. However, quantitative dose of irradiation and surgical procedure should vary with staging of the tumor, condition of the patient, sort of the anti-tumor agent and the other factors.抄録全体を表示PDF形式でダウンロード (1386K) -
西豪州における自験例森園 哲夫1974 年 20 巻 3 号 p. 378-383
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーBased on the author's own limited clinical cases experienced in Western Australia, the report of these cases as well as detailed technical aspects of stapedectomy with special reference to precausions against possible mishap have been described.抄録全体を表示PDF形式でダウンロード (844K) -
平島 直子, 森満 保1974 年 20 巻 3 号 p. 384-389
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーOtoneurogic examination was performed in three cases of acromegaly. Hearing test in the initial case showed a slight hearing loss in the lower frequencies with a further deterioration in the 8000 Hz tones. The Bekesy audiometry showed no recruitment. Calorigram revealed a slight DP to the right. The laboratory examination found an increase in the level of 17-OHCS in urine. The level of Ca ion in serum was normal, but Alkphosphotase was higher than normal.
Hearing test in the second case showed a slight hearing loss in the lower tones. SISI test in 2000 Hz on the left showed 100%, but the Bekesy audiometry showed no recruitment. Calorigram revealed normal.
The level of Ca ion in serum was normal, but Alk-phosphotase was higher than normal. Hearing test in the third case showed a slight bilateral conductive deafness. Calorigram revealed normal. The level of Ca ion in serum was normal, but Alk-phosphotase was higher than normal.
The further investigation is necessary to find whether the cochlear impairment occurrs in acromegaly and to find the etiology of the hearing loss in the lower tones.抄録全体を表示PDF形式でダウンロード (1046K) -
平島 直子, 森満 保, 徳永 修1974 年 20 巻 3 号 p. 390-398
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーA 31-year-old man developed bilateral hearing loss and tinnitus in January, 1973. In February, he found polydipsia. In March, he found polyuria and ataxia. In July, he was admitted to the hospital and diagnosed idiopathic diabetes insipidus. He complained of further deafness. His audiogram revealed bilateral sensory neural deafness. The vestibular examination of the patient revealed the canal paresis in his right ear.
The retention of sodium in the endolymph and the decrease in the volume and pressure of the inner ear fluids which was caused by the deficiency of ADH (pitressin) seemed to be responsible for the inner ear disturbances of the patient. His hearing loss recovered moderately with the administration of dichloride, amotril and low salt diet followed by bilateral stellate blockade by 1% xylocaine.抄録全体を表示PDF形式でダウンロード (1191K) -
水谷 淳子, 飯沼 寿孝, 蜂屋 順一1974 年 20 巻 3 号 p. 399-403
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーSixteen cases of the postoperative cysts of the maxilla were studied. In addition to the four routine sinus films, multidirectional tomographies were done for each cases. The results of findings of these films were compared to the findings of surgeries. The location, number and bony destruction of the cysts were checked. The percentages of the matched X-Ray findings were as follows; 45% for the conventional sinus films and 80% for the multidirectional tomography.
The findings obtained by the multidirectional tomography contribute more for the diagnosis of the cysts in the following situations
1) Multicystic lesions.
2) Complex postoperative anatomy of the maxilla.
Marginal sclerosis of the cyst wall was seen in the majority of the cases. Histo- pathological studies of the bony cyst walls revealed reactive new bone formation and sclerotic fibrosis in 7 of the specimens obtained. It was suggested that these reactive bone changes at the bony cyst walls give rise to the characteristic marginal sclerosis of the cysts.抄録全体を表示PDF形式でダウンロード (3788K) -
大野 政一1974 年 20 巻 3 号 p. 404-407
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーAnhand der Röntgenogramme der 32 Fallie mit einseitiger Sinusitis und der vom Verfasser erfahrenen 2 klinischen Falle, bei denen die gekreurte Sinusitis der Kiefer- hahle und der Siebbeinzellen festgestellt wurden, möchte der Verfasser die folgenden Schlüisse ziehen:
1. Die Durchgängigkeit der Nasenhöhle beeinflusst die Entstehung der Sinusitis.
2. Der Zustand der Nasenscheidewand in der Nähe der natiirlichen Mündung der Kieferhöhle bezient sich auf die Entstehung der Sinusitis derselben Hohle. Dagegen konnen sich die Zustande des mittleren Nasenganges an der Entztindung der Siebbein- zellen beteiligen.
3. Auf Grund dieser Vermutungen kann die Entstehung der gekreurten Sinusitis (z. B. Sinusitis der Kieferhohle und die der Siebainzellen kontralareraler Seite) erklärt werden.抄録全体を表示PDF形式でダウンロード (3373K) -
宮原 裕, 佐藤 武男, 内藤 儁1974 年 20 巻 3 号 p. 408-415
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーA case of squamous cell carcinoma occurring simultaneously in the epipharynx (T1N0M0) and hypopharynx (T1N0M0) is reported. 56-year-old man complained of swallowing pain, pooling of saliva and headache. He is a heavy smoker (20 cigarets a day) and also heavy drinker (half bottle of whisky a day) since youth. By otolaryngological examination, tumors of the epipharynx (left side) and hypopharynx (right side) were seen. The histopathological examination revealed that both tumors were squamous cell carcinoma and hypopharyngeal cancer was slightly much differentiated than epipharyngeal cancer.
The patient was treated by radiation (6450 rads Lineac) for 1.5 months. Both tumors were cured completely, and chief complaints were lost. This case showed good course and no signs of reccurrence. In this case, great deal of whisky may be one of the inductive causes of hypopharyngeal cancer.
The importance of careful examination and long-term following up were emphasized in the case of rare tumor in the oro-respiratory system. An idea of “field carcinogenesis” will be substantiated in the epipharynx and hypopharynx.抄録全体を表示PDF形式でダウンロード (1586K) -
木下 勉, 渡辺 桂吉, 岩崎 英俊, 矢野 敬信1974 年 20 巻 3 号 p. 416-420
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーA carcinoid tumor at the base of the tongue, a rare situation which had not been reported in the literature heretofore, is reported.
A woman, aged 69, complained of a foreign body sensation in the throat at attempting to swallow since about one year previously.
The examination showed a growth at the base of the tongue. The growth was the size of hen's egg, relatively smooth on the surface and was surgically removed through oral cavity.
Microscopic study showed that this tumor consisted of nests and islands composed of compactly arranged cells of uniform appearance. A trabecular pattern was observed in parts of this growth. These compact cellular masses were surrounded by a stroma that was scanty, delicate and vascular, elswhere coarserand collagenous in growth.
Tumor cells within the nests were mostly polygonal, round or oval. Mitoses were rare. Argyrophilic granules were observed in the ample cytoplasm with silver-stein. Therefore, the diagnosis of carcinoid tumor was made.抄録全体を表示PDF形式でダウンロード (1208K) -
古川 満, 小林 詢弥1974 年 20 巻 3 号 p. 421-423
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーPDF形式でダウンロード (4308K) -
川端 五十鈴, 金子 裕1974 年 20 巻 3 号 p. 424-427
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーThe authors reported a case of a large nasopharyngeal tumor which connected with the posterior part of nasal septum by a narrow pedicle. The patient was a female, 45-year-old, who had had no complain without snoring and slight rhinolalia. The large tumor was removed by transnasal approach under the direct observation with fiberscope. The histopathological examination revealed fibroma consisted of connective tissue and vascular elements.
A brief review of the literature on the pedicled tumor of the nasopharynx is presented and the nasopharyngeal fibroma is discussed concerning so-called juvenile nasopharyngeal angiofibroma.抄録全体を表示PDF形式でダウンロード (6098K) -
福田 昭生1974 年 20 巻 3 号 p. 428-445
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーIn order to research for the role of γ-globulin, the experiment was attemped. After the last of series of Bovine γ-globulin (BGG) injected into the experimental aseptic abscess, the amount of 125I labeled BGG in organs of the sensitized rabbit was counted. The amount of 125I-extracted γ-globulin from the experimental abscess injected with streptococcus was mesuremented as the method of the sensitized rabbit with BGG. The research of the sensitized rabbit with BGG revealed that the amount of 125I-BGG taken up was the highest in the lung, followed by the spleen, the liver, the tonsil, the renal and the heart, in that order. This result showed that the spleen, the liver, the tonsil and the lung had the higher ability of antibody formation or antibody possession. The antibody lever in the above organs was lower following intravenous injection with extracted γ-globulin from the experimental abscess than BGG injection. However, from this observation, the close relationship between BGG and the extracted γ-globulin had the antigenic ability. By means of autoradiography, it was revealed that antigen in tonsil adhered to the surface of the lymphoid cell in the subepithelial area and in the circumference of lymphnodules. In lung, antigen was involved in the fibrinoid degeneration of the thrombosis. In renal, antigen was seen in the basement membrane and the epithelial cell of the renal tubules. In spleen, antigen adhered to the surface of the small lymphoid cells in the outerzone of the lymphnodules and in the red pulp. This autoradiographic studies showed the part of antibody existence and found the Place of the antigen antibody reaction in the tissue or the cell, specially in tonsil characteristic sight. These findings suggested that the role of γ-globulin had the most important significance for the focal infection.抄録全体を表示PDF形式でダウンロード (5018K) -
三辺 武右衛門, 村上 温子, 粟田口 省吾, 斉藤 久樹, 鎌田 重輝, 河本 和友, 堀 克孝, 河村 正三, 市川 銀一郎, 杉田 麟 ...1974 年 20 巻 3 号 p. 446-455
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリー3, 4-dideoxykanamycin B is a new semisynthetic aminoglycosidic antibiotic derivated from Kanamycin B. Results of the fundamental studies on this drug reported that antimicrobial activity against Pseudomonas aeruginosa is more excellent than the other aminoglycosidic antibiotics. This paper describes the clinical results of comparative double-blind test on 3, 4-dideoxykanamycin B (DKB) and Gentamicin sulfate (GM) in the treatment of acute supprative otitis media and acute tonsillitis.
Satisfactory results were obtained in 48 patients of 65 in the DKB group (73.9%) and in 41 patients of 63 in the GM group (65.1%). Statistical analysis of the obtained results revealed that there was no significant difference between the two groups. Generally, the most noteworthy side effect of aminoglycosidic antibiotics is ototoxity. Therefore, the patients in this study were observed with special attention to this point. But no disturbance of inner ear was noted in the DKB group. From the above results, 3, 4-dideoxykanamycin B (DKB) can be an effective antibiotic comparative to Gentamicin.抄録全体を表示PDF形式でダウンロード (1234K) -
渡辺 宏, 広戸 幾一郎, 小宮山 荘太郎, 武馬 成人1974 年 20 巻 3 号 p. 456-460
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーPDF形式でダウンロード (573K) -
平野 実1974 年 20 巻 3 号 p. 461-462
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーPDF形式でダウンロード (235K) -
広戸 幾一郎1974 年 20 巻 3 号 p. 462
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーPDF形式でダウンロード (119K)
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