著者
宮田 哲郎 松峯 敬夫 石田 孝雄 福留 厚 袖山 元秀 小山 広人
出版者
Japan Surgical Association
雑誌
日本臨床外科医学会雑誌 (ISSN:03869776)
巻号頁・発行日
vol.44, no.8, pp.1087-1091, 1983-08-25 (Released:2009-02-10)
参考文献数
18

総胆管良性狭窄の治療は手術療法が中心となっているが,胆道系の手術と炎症をくり返している症例や,状態の悪い症例では手術的に狭窄を解除することはかなりの危険を伴なうことになる.我々は胆嚢摘出術後,総胆管狭窄をきたし化膿性胆管炎と総胆管結石とをくり返した症例に対し,減黄のためのPTCD瘻孔を拡張し胆道ファイバーで截石後,小児用挿管チューブでブジーを行ない狭窄部を拡張した.この方法は治療期間が長くなるという問題点があるが,手術療法に比較し侵襲が少なく安全であると思われる.
著者
吉永 圭吾 小山 広人 松尾 聡 福留 厚 松峯 敬夫
出版者
Japan Surgical Association
雑誌
日本臨床外科医学会雑誌 (ISSN:03869776)
巻号頁・発行日
vol.44, no.10, pp.1232-1236, 1983-10-25 (Released:2009-02-10)
参考文献数
18

脾嚢胞は比較的稀な疾患とされているが,著者らは最近,上腹部腫瘤を主訴とした68歳女性の巨大仮性脾嚢胞を経験した.重量は5,100gあり,その内容は黄色透明で,血清とほぼ同一の成分であった.従来本疾患は,特有な症状や検査所見に乏しい為,術前診断が困難とされてきたが,超音波検査及びCTスキャンにより容易に脾嚢胞と診断しえた.脾嚢胞は病理組織学的に真性,仮性に大別されるが,著者らが集計した自験例を含む236例では真性119例,仮性105例,分類不明12例となり,真性嚢胞がやや多かった.脾嚢胞は女性にやや多くみられ, 10歳台, 20歳台にピークがある.超音波, CTスキャン,血管造影などの検査により,以前ほど診断は困難でなくなってきている.治療は一般に脾摘出術が行われており,その手術成績,予後は共におおむね良好である.
著者
福留 厚
出版者
昭和大学学士会
雑誌
昭和医学会雑誌 (ISSN:00374342)
巻号頁・発行日
vol.37, no.5, pp.425-435, 1977

Fot the determination of lactose by galactose-oxidase peroxidase (GOP) method, it is necessary to measure the amount of galactose liberated after the hydrolysis of lactose.<BR>(1) Hydrolysis of lactose-Lactose was hydrolyzed with 0.2% H<SUB>2</SUB>SO<SUB>4</SUB>or with living cells of <I>Escherichia coli</I>3-MT (a mutbile-type variant which decomposes lactose but not galactose) . By H<SUB>2</SUB>SO<SUB>4</SUB>method, the calculated dose of galactose was liberated after 2 hours. By MT method, free galactose increased rapidly after 2 hours and reached maximum after 3 hours. The volume of lactose solution was diluted to 1: 4 in the procedures of acid hydrolysis and neutralization, but not in MT method.<BR>(2) Determination of galactose liberated from lactose after hydrolysis- (i) Free galactose in the H<SUB>2</SUB>SO<SUB>4</SUB>hydrolysate of standard solution of lactose was measured by GOP or a cup-plate method using M (galactose-sensitive mutant of enteric bacteria) as the test organism. The amount of galactose was measurable in the range of 25-200&gamma;/2 ml in the case of GOP method, and 1.25-10&gamma;/0.1 ml in the case of M-cup method. (ii) Galactose in the MT hydrolysate was measured by GOP or M-cup method. The amount of galactose could be estimated in the range of 25-100 &gamma;/2 ml by GOP method, but the volume of MT hydrolysate was diluted to 1: 8 because of the necessity of deproteinizing. On the contrary, the amount of 1.25-10&gamma;/0.1 ml could be estimated by M-cup method without the need of deproteinizing.<BR>(3) Determination of lactose in the biological material- (i) Free galactose in the H<SUB>2</SUB>SO<SUB>4</SUB> hydrolysate of milk was measured by GOP or M-cup method. Although deproteinizing of the hydrolysate was necessary, the determination of galactose in the range of 25-100&gamma;/2 ml was possible by GOP method. By M-cup method, 1.25-10&gamma;/0.1 ml of galactose could be determined without the need of deproteinizing. (ii) The amount of galactose in the MT hydrolysate of milk was measured by GOP or M-cup method. While the estimation of 25-100&gamma;/2 ml of galactose was possible by GOP method after deproteinizing, 1.25-10 &gamma;/0.1 ml of galactose could be estimated by M-cup method without deproteinizing.<BR>From these experimental results, the combination of MT hydrolysis and M-cup method proved to be most sensitive for the determination of lactose in the biological material.