日本泌尿器科學會雑誌
Online ISSN : 1884-7110
Print ISSN : 0021-5287
66 巻, 4 号
選択された号の論文の4件中1~4を表示しています
  • 第VIII報 99mTc使用によるRadioisotope Penogram の研究
    白井 将文, 中村 護
    1975 年 66 巻 4 号 p. 183-187
    発行日: 1975年
    公開日: 2010/07/23
    ジャーナル フリー
    To help establish a reliable procedure for diagnostic discrimination between organic and functional impotence, attempts were made to find an acceptable formula for radioisotope penogram and to determine the best isotope for observation of changes in intrapenial blood flow.
    131I-human serum albumin which we used as a qualified variety in the initial practice disclosed a flaw, because 131I required a relatively long period of 8 days to attain its half-life, eventually making mass dosing unavailable. Replacing this, 113mIn-microcolloid was used with better results, since its half-life is as short as 1.7 hours. This 113mIn, however, was reported still defective because of its indispensably strong acidity at pH 4.0, which caused vasalgia in rare instances at its intravenous injection. Then in continued pursuit of a satisfactory variety, we finally selected 99mTc.
    In preparing 99mTc, a 99mMo-99mTc generator was used to eluate 99mTcO-4 with sterile nonpyrogenic isotonic saline. This 99mTcO-4 was intravenously injected in 11 impotence cases seen at the Department of Urology, Tohoku University Hospital, with one-time dose ranging 150-700μCi.
    The results of our present experiments with 99mTcO-4, though the number of cases is limited, may well support that this isotope, with its simple procedure safty and acceptably favorable penogram curves, is worth being used as a clinical routine.
  • 土田 正義, 山口 脩, 三浦 邦夫, 宮川 征男, 熊谷 郁太郎
    1975 年 66 巻 4 号 p. 188-192
    発行日: 1975年
    公開日: 2010/07/23
    ジャーナル フリー
    Hypertension resulting from chronic pyelonephritis has been shown in clinical as well as experimental cases, although some authors deny a pathogenic relationship between the two. To throw light on this problem the present authors conducted a series of experiments with mongrel dogs, in which chronic pyelonephritis was induced and postoperative changes in blood pressure and plasma renin activity were observed over a period of 3 months.
    The pyelonephritis infection was brought about by a method involving vesicoureteral reflux and ureteral dysfunction, as described in a previous paper. Pre and postoperative levels of systolic pressure were compared, but no definite trends were found for the first 3 weeks after operation. At 30, 60 and 90 days the pressures were found to have risen to plus 21.2±11.2mmHg, 21.7±14.6mmHg and 17.1±16.7mmHg, respectively. Thus there was a significant elevation (p<0.01). pNo appreciable change in the plasma renin activity was found, however, at any stage.
    From these results it was concluded that experimentally induced chronic pyelonephritis in dogs caused a rise in blood pressure. No connection between the pyelonephritis and the renin angiotensin system was found.
  • 有馬 正明, 清原 久和, 栗田 孝, 木下 勝博, 水谷 修太郎, 竹内 正文, 高井 新一郎, 園田 孝夫
    1975 年 66 巻 4 号 p. 193-199
    発行日: 1975年
    公開日: 2010/07/23
    ジャーナル フリー
    Two cases of Sipple's syndrome associated with functioning parathyroid tumor are presented in this paper. These two are the 11th and 12th reported cases of Sipple's syndrome in Japan.
    Statiscal analysis of the 33 cases with Sipple's syndrome accompanied with parathyroid tumor reported in the world was done and the possible mechanism of development of the parathyroid tumor in Sipple's syndrome is discussed.
  • 鍬塚 寿, 金武 洋, 高原 耕, 田口 貢, 菅典 義, 松尾 喜文
    1975 年 66 巻 4 号 p. 200-204
    発行日: 1975年
    公開日: 2010/07/23
    ジャーナル フリー
    1. Two cases of primary epididymal tumor was experienced. Case 1 was 36 years old. A mass measuring 1.1×0.8×0.6cm was noted at the tail of the left epididymis and extirpated. The histological diagnosis was angioleiomyoma. This patient was the first case of angioleiomyoma in and out of Japan. Case 2 was 46 years old. A mass measuring 1.8×1.2×1.0cm was found at the tail of the left epididymis. This mass was diagnosed histologically as leiomyoma. This patient was the 25th case of leiomyoma in Japan.
    2. A total of 107 cases of primary epididymal tumor have been reported in Japan. The tumor was benign in 74 cases (69.2%) and malignant in 33 cases (30.8%). These 107 cases were classified and compared with the 265 cases of primary epididymal tumor reported by Broth (1968) and the 525 cases reported by Czvalinga (1972).
    3. The histogenesis of epididymal tumor and angioleiomyomagenesis was reviewed.
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