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80 巻, 12 号
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林崎 勝武, 角南 滋子, 永田 博史, 金子 敏郎1987 年 80 巻 12 号 p. 1787-1797
発行日: 1987/12/01
公開日: 2011/11/04
ジャーナル フリーThe reliability of cytologic diagnosis of salivary gland tumors by ultrasonically guided fine needle aspiration biopsy was examined preoperatively in 61 cases of parotid gland tumors. To intensify the image of the needle on the electronic linear scan, thin transverse or longitudinal grooves were made at the tip of the needle. Biopsy ecimens were taken by an aspiration pistol with a 21-gauge intravenous needles and 20ml disporsable syringe. The specimens were stained with Papanicolaou, May-Grunwald-Giemsa and occasionally with hematoxylin-eosin. In some cases, electron microscopic studies were performed. In 42 cases of benign tumors there were two false positive diagnoses. In 13 cases of malignant tumors there was one false negative. In six cases of tumor-like lesions there were three poor materials. With regard to the risk to the patient from aspiration biopsy no complication was seen in this series. It is concluded that ultrasonically guided fine needle aspiration biopsyis a safe and reliable technique.抄録全体を表示PDF形式でダウンロード (8212K) -
兵行 和, 山本 史郎, 田中 治, 松永 喬, 大山 朝賢1987 年 80 巻 12 号 p. 1798-1799
発行日: 1987/12/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (1633K) -
―RR間隔とシェロンテスト―神田 憲一, 大橋 直樹, 将積 日出夫, 大井 秀哉, 浅井 正嗣, 中川 肇, 渡辺 行雄, 水越 鉄理1987 年 80 巻 12 号 p. 1801-1806
発行日: 1987/12/01
公開日: 2011/12/12
ジャーナル フリーWe performed the Schellong test and measured the RR intervals on the ECGs of patients with equilibrium disorders to determine whether or not the autonomic nervous system was effected. The RR intervals were analyzed by a microcomputer to obtain two parameters, “CV%” (the static function of the autonomic nervous system while standing) and “A-B” (the dynamic function of the autonomic nervou system when changing from the supine to the standing position). The blood pressure was measured with an automatic sphygmomanometer. Both parameters (CV% and A-B) were outside the normal range more definitly in patients with central nervous system disorders than in those with peripheral vestibular disorders. This tendency was more marked for A-B.
Furthermore, as the age of the patients increased, the incidence of abnormal A-B also increased in patients with peripheral vestibular disorders and in those with CNS disorders, especially the latter. The results of the Schellong test corresponded fairly well with the A-B findings. Therefore, it appears that disorders of the dynamic function of the autonomic nervous system cause an impairment of autoregulation originating in CNS disorders in elderly patients.抄録全体を表示PDF形式でダウンロード (594K) -
森中 節子1987 年 80 巻 12 号 p. 1807-1809
発行日: 1987/12/01
公開日: 2011/11/04
ジャーナル フリーIn order to detect vestibular function disorders in 71 tuberculosis patients treated with streptomycin sulfate (SM), questionnaires concerning vestibular dysfunction were asked and tests of vestibular function were performed.
1) The Jumbling phenomenon was not observed.
2) Bilateral loss of vestibular function was observed in two patients. The reading test during head-shaking, developed by Miyoshi, and the Romberg test were found to be very useful.抄録全体を表示PDF形式でダウンロード (357K) -
―その4:その後のTullio現象陽性例―馬塲 完仁, 坂田 英治, 大都 京子1987 年 80 巻 12 号 p. 1811-1818
発行日: 1987/12/01
公開日: 2011/11/04
ジャーナル フリーWe have previously reported the Tullio phenomenon in 7 ears of 6 patients. Since then we have found the same phenomenon in 11 ears of 9 cases. Since the fistula sign was also positive in all of these cases a similar pathophysiological mechanism appears to participate in both of these phenomena. Nystagmus seen in the Tullio phenomenon was either monophasic or biphasic. The biphasic type is further classified by the direction of the first phase which is directed either to the affected side or to the intact side. The monophasic type of nystagmus probably results from hyperexcitability of the inner ear or preparedness of nystagmus. The biphasic nystagmus appears to be caused by the contact between the stapes footplate and the membranous labyrinth. Thus it stimulates or inhibits the sensory cells by a hydrostatic mechanism.抄録全体を表示PDF形式でダウンロード (716K) -
―その原理と聴力評価法―有 友宏, 柳原 尚明, 山中 栄三1987 年 80 巻 12 号 p. 1819-1825
発行日: 1987/12/01
公開日: 2011/11/04
ジャーナル フリーThe function of the partially implantable hearing aid depends upon direct driving of the stapes by the piezoelectric ceramic bimorph element. Acoustic signals from a microphone are transmitted to the vibrator element by means of electromagnetic induction. Prior to utilizing the device, it was necessary to develop a method of assessing hearing induced by the device. During middle ear surgery, the element was attached to the stapes, and excited by the pure tone output signal of an audiometer. The threshold of hearing thus determined was termed vibratory hearing threshold. This value was converted into dB SPL at the ear drum. From this value we can obtain the expected hearing threshold afforded by the device. Instead of a microphone in the external unit, an appropriate resistance is incorporated in order to excite the internal unit by signals from the audiometer. With this system, the actual hearing threshold afforded by the device could be measured. Our data confirmed that the device was applicable and that the system was useful for the assessment of postimplant hearing.抄録全体を表示PDF形式でダウンロード (1902K) -
芦川 英通, 山根 仁1987 年 80 巻 12 号 p. 1827-1832
発行日: 1987/12/01
公開日: 2011/11/04
ジャーナル フリーA three-year retrospective study was performed in 359 infants with acute otitis media.
1) The incidence of bilateral acute otitis media was higher in winter than in summer, while unilateral cases were seen uniformly throughout the year.
2) The number of cases of acute otitis media increased with age.
3) The bacteria in the middle ear were most often hemophilus influenzae, followed by pneumococcus, and staphylococcus aureus.
4) Of the unilateral cases 75% healed within one month, but only half of the bilateral cases healed as quickly.
5) The interval between healing and recurrence was 4.1±3.5 (mean SD) months for unilateral and 2.5±2.8 months for bilateral cases.抄録全体を表示PDF形式でダウンロード (721K) -
榊原 淳二, 加納 直行, 野村 淳, 原 靖, 武内 重二1987 年 80 巻 12 号 p. 1833-1835
発行日: 1987/12/01
公開日: 2011/11/04
ジャーナル フリーA 58-year-old male was found to have acoustic neuroma associated with the bilateral otitis media with effusion. Acoustic neuroma is considered to be easier to detect in patients with sensorineural hearing loss. However, as shown in this case, if the patient has a middle ear disease in the same ear, the early diagnosis becomes more difficult.抄録全体を表示PDF形式でダウンロード (2961K) -
―チユーブ抜去時期の検討―小山 澄子, 大久 保仁, 石川 紀彦, 中村 弦, 渡 辺, 時田 信博1987 年 80 巻 12 号 p. 1837-1844
発行日: 1987/12/01
公開日: 2011/11/04
ジャーナル フリーThe present study investigated the eustachian tube function in children with otitis media with effusion (OME) and also evaluated the effectiveness of adenoidectomy in such patients. The subjects consisted of 32 children with OME, all of whom underwent tube insertion and adenoidectomy, resulting in an improved hearing level to a range of 0-10dB. Sonometric auditory function test was carried out on the patients whose tube was in place and the middle ear was well aerated. Normal transmission of sound was observed in 71.4% of these children. However, it was seen in only 2% of the children not surgically treated. Satisfactory tubal function was noted in patients whose ventilation tubes remained in place for a period of 250 days or longer. It is, therefor, suggested that the optimal timing of tube extraction should be approximately eight months post-operatively, at which time the eustachian tube appears to tart functioning well.
Our second study measured intranasal pressure in children with OME when they performed Toynbee's manuever. Some children were treated with adenoidectomy with tube insertion and the others were not surgically treated, and the results were 5.66±2.92mm H2O and 3.93±1.79mm H2O, respectively. A significantly high intranasal pressure seen in patients with OME who had undergone adenoidectomy seems to account for the effective nasopharyngeal closure that had occurred as a result of improved movement of the soft palate including the levator veli palatine muscle. From these findings, it was concluded that adenoidectomy facilitates opening the tubal lumen by the tensor veli palatine muscle.抄録全体を表示PDF形式でダウンロード (801K) -
飯野 ゆき子, 鳥中 稔, 石戸 谷淳一, 国崎 恵美子, 荒木 澄夫, 加藤 洋子, 小口 直彦, 浅野 伸一郎1987 年 80 巻 12 号 p. 1845-1850
発行日: 1987/12/01
公開日: 2011/11/04
ジャーナル フリーThe distribution of Latamoxef sodium (LMOX) to the temporal bone tissue after intravenous administration was studied in patients who underwent middle ear surgery.
1) The mean concentration of LMOX in the temporal bone 60-120min after an injection of 2g was 15.8μg/g, and the mean concentration in the tissue was 27.7% that in the blood.
2) P. aeruginosa and S. aureus were the most frequent bacteria recovered from the aural discharge before operation.
3) The concentration of LMOX distributed to the temporal bone tissue seemed to be greater than the minimal inhibitory concentration (MIC) value of LMOX against all the bacteria identified in each case.
4) LMOX administered postoperatively was judged to be clinically effective in 23 cases out of 25 (92%).
It is concluded that LMOX is an effective antibiotics which can be used after middle ear surgery.抄録全体を表示PDF形式でダウンロード (679K) -
麻生 伸, 浅井 正嗣, 今村 純一, 伊東 宗治, 安田 健二, 神田 憲一, 渡辺 行雄, 水越 鉄理1987 年 80 巻 12 号 p. 1851-1861
発行日: 1987/12/01
公開日: 2011/11/04
ジャーナル フリーBell's phenomenon was used to evaluate orbicularis oculis muscle function in patients with facial paralysis. Vertical eye movements associated with blinking were recorded by electronystagmography in 39 patients with acute unilateral Bell's paralysis and Hunt's syndrome and 21 normal subjects and analysed by PDP 11/34 computer. Simultaneously the eyelid motion of 2 patients and one normal subject were photographed by high-speed motion picture camera to investigate the reliability of our “blink test”.
1. The difference in velocity and amplitude between left and right eye movements during blinking, called the "blink index", decreased as lagophthalmos improved.
2. All 5 patients with more than 80% maximum blink index (MBI) had a poor prognosis. Eighteen of 19 patients with 40% or less MBI had a good prognosis.
3. Nine patients showed a 20% or lower response to ENoG, 10 showed 3.5mA or more in the NED and 12 showed a 60% or higher response to the MBI, indicating a poor prognosis in 66.7%, 80% and 75%, respectively.
4. The blink test does not require any needle electrodes, any electrical stimuli or any special equipment except an electronystagmography, and it can provide a quantitative analysis of a degeneration in patients with facial paralysis.抄録全体を表示PDF形式でダウンロード (3037K) -
渡辺 哲生, 渡辺 徳武, 鈴木 正志, 茂木 五郎1987 年 80 巻 12 号 p. 1863-1868
発行日: 1987/12/01
公開日: 2011/11/04
ジャーナル フリーThere are two types of external meatal cholesteatoma; keratosis obturans and external auditory canal cholesteatoma(EACC). They differ Pathologically and have different aspects. EACC was found in a 26-year-old female. Surgical removal of the cholesteatoma followed by meatal plasty using a pedicle temporal muscle cured the lesion. The pathogenesis and treatment of this entity are discussed.抄録全体を表示PDF形式でダウンロード (6511K) -
坂井 つや子, 松尾 浩一, 進武 幹, 渡部 俊, 富田 まり子, 前原 法文1987 年 80 巻 12 号 p. 1869-1875
発行日: 1987/12/01
公開日: 2011/11/04
ジャーナル フリーThirty-one patients with lesions in the oral cavity were treated with CO2 and the contact type Nd-YAG laser at our clinic from November 1982 to July 1986.
1) In all cases, the irradiated regions were covered with a white coating within three days following laser surgery, and this coating decreased following epithelialization.
2) In the benign group (23 cases), the irradiated area in most cases where the lesion was under 2cm in diameter was epithelialized within three weeks, while in all cases where the area of lesion was over 3cm in diameter, complete epithelialization occurred within 50 days.
3) In the malignant group (8 cases), epithelialization of the wound tended to be delayed, especially when more than 5000cGy was used.
4) Where lesions occurred over bone, such as the hard palate or gingiva, epitheli alization took even longer. In one case of carcinoma of the gingiva there was a sequestrum and excessive granulation after surgery.
5) Both bleeding during surgery, and inflammation after surgery were minimal.
6) Two cases of tongue lesions, one hemangioma and one squamous cell carcinoma, treated with contact type Nd-YAG laser are reported.抄録全体を表示PDF形式でダウンロード (4443K) -
北嶋 和智, 藤田 文香1987 年 80 巻 12 号 p. 1877-1882
発行日: 1987/12/01
公開日: 2011/11/04
ジャーナル フリーFor patients with unilateral vocal cord paralysis, surgical adduction of the arytenoid cartilage introduced by Isshiki has gained widespread acceptance. In this study phonatory function was tested, pre-operatively, 3-4 weeks post-operatively and over ten months post-operatively to evaluate its long-term post operative changes.
Phonatory function determined over ten months post-operatively was slightly worse than that observed 3-4 weeks post-operatively. The degree of this change, however, was not large enough to bring into question the effectiveness of this operation.抄録全体を表示PDF形式でダウンロード (519K) -
庄司 和彦1987 年 80 巻 12 号 p. 1883-1891
発行日: 1987/12/01
公開日: 2011/11/04
ジャーナル フリーIn order to establish simple and reliable diagnostic criteria for differential diagnosis of thyroid tumors, real-time data of 107 nodules, which consisted of 40 malignant nodules and 67 benign nodules, were analyzed by multivariant analysis. The following scoring system was established. 1 point for a regular shape, and 0 for an irregular shape;2 points when a cyst is present, and 0 for no cyst; -4 points for calcification, and 0 for no calcification, when the total score is 1 point or more, the lesion is judged as being benign and when 0 or less, it is judged as being malignant. The criteria were tested with 33 malignant nodules and 48 benign nodules. Good results(sensitivity of 81.8%, specificity of 77.1 %)were obtained with these external amples and the criteria were considered to be highly reliable.抄録全体を表示PDF形式でダウンロード (3352K) -
―第2報・三次元表示法によるpeplomycin作用機序の解析―和田 安弘, 岡 茂, 山下 敏夫, 熊沢 忠躬, 河本 圭司1987 年 80 巻 12 号 p. 1893-1904
発行日: 1987/12/01
公開日: 2011/11/04
ジャーナル フリーThe combined use of cisplatin and peplomycin has become popular in recent years, and in fact it has achieved favorable results in the treatment of patients with head and neck cancers. However, there have been only a few basic studies on the optimal combinations of chemotherapeutics, although we think it necessary to know more about the mode of action of individual anticancer drugs for ideal combination.In our first paper we reported the results of our three-dimensional of the mode of action of cisplatin. We used PI-FITC labelled BrdU and a double staining methodin our present study of the mode of action of peplomycin in addition to the method described in our first paper, and we also used flow cytometry with fluorescein diacetate. In the investigation of cellular viability.
After the administration, of peplomycin (5 g/ml), accumulation in an early G2M stage tended to last for 7 days, but partial cellular rotation was conceivably resumed from around day 5. The findings of the viability study showed that accumulation in the G2M stage was probably bactericidal from around day 3, instead of remainingstatic in the cells.抄録全体を表示PDF形式でダウンロード (3235K) -
―Polymyxin B Sulfate局所療法との併用を中心に―川井田 政弘, 福田 宏之, 泰地 秀信, 小川 郁, 凌 梅英, 川崎 順久, 斎藤 成司1987 年 80 巻 12 号 p. 1905-1910
発行日: 1987/12/01
公開日: 2011/11/04
ジャーナル フリーThe clinical usefulness of Cefoperazone for the treatment of post-operative infections or prophylaxis was studied in patients with head and neck tumors. In some cases in which local application of an antibiotic was considered to be useful, Polymyxin B Sulfate was used concomitantly. Cefoperazone administration was clinically useful in 17 of the 18 patients enrolled in this study (very useful in 10, useful in 7) and only one patient failed to respond to Cefoperazone therapy. Adverse reactions or laboratory abnormalities possibly related to the therapy were seen in three patients. However, in one case, the adverse reaction could be attributed to the concomitantly administered anticancer agent, and in the other two cases, reactions were mild and transient.抄録全体を表示PDF形式でダウンロード (693K) -
戸川 清1987 年 80 巻 12 号 p. 1912-1913
発行日: 1987/12/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (329K)
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