著者

市村 恵一

出版者

The Oto-Rhino-Laryngological Society of Japan, Inc.

雑誌

日本耳鼻咽喉科学会会報 (ISSN:00306622)

巻号頁・発行日

vol.94, no.4, pp.622-625, 1991

被引用文献数

2

著者

市村 恵一

出版者

一般社団法人 日本耳鼻咽喉科学会

雑誌

日本耳鼻咽喉科学会会報 (ISSN:00306622)

巻号頁・発行日

vol.94, no.4, pp.622-625, 1991-04-20 (Released:2008-03-19)

被引用文献数

2

著者

菊地 茂

出版者

一般社団法人 日本耳鼻咽喉科学会

雑誌

日本耳鼻咽喉科学会会報 (ISSN:00306622)

巻号頁・発行日

vol.109, no.6, pp.548-551, 2006-06-20 (Released:2008-12-25)

参考文献数

4

著者

有方 雅彦 瀬野 悟史 鈴木 幹男 櫻井 弘徳 戸嶋 一郎 清水 猛史

出版者

一般社団法人 日本耳鼻咽喉科学会

雑誌

日本耳鼻咽喉科学会会報 (ISSN:00306622)

巻号頁・発行日

vol.109, no.8, pp.649-654, 2006-08-20 (Released:2008-12-25)

参考文献数

13

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2003年3月から2005年2月の間に鼻出血を主訴に外来受診した202例中,入院加療を必要とした17例を対象とし,性別,年齢,入院期間,治療方法,基礎疾患,手術療法(内視鏡下血管クリッピング)について検討を行った.入院加療を行った17例は,男性12例,女性5例,平均年齢62歳で,全17例の平均入院期間は7.9日であった.治療方法は,鼻内タンポンの挿入による保存的治療が8例,手術6例,粘膜焼灼2例,血漿交換1例であった.基礎疾患では,保存的治療8例中,高血圧が6例,抗凝固剤内服が1例,手術6例中,高血圧が4例,抗凝固剤内服が2例であった.血漿交換を行った1例はマクログロブリン血症の患者であった.手術を行った6例は鼻内視鏡下顎動脈•蝶口蓋動脈クリッピングを行い,現在まで全例再出血は認めていない.鼻内視鏡下血管クリッピングの利点は,従来のLucの術式に準じた顎動脈結紮法より侵襲が少なく,また動脈塞栓術で合併する可能性がある脳塞栓などを起こさないことなどが挙げられる.鼻内視鏡下血管クリッピングの合併症には,鼻内痂皮,急性副鼻腔炎,流涙減少,歯•口蓋•上唇のしびれ,鼻中隔穿孔,下鼻甲介壊死などが報告されているが,今回施行した6症例ではこうした合併症は認められなかった.

著者

池上 彰博

出版者

The Oto-Rhino-Laryngological Society of Japan, Inc.

雑誌

日本耳鼻咽喉科学会会報 (ISSN:00306622)

巻号頁・発行日

vol.86, no.8, pp.886-898, 1983

被引用文献数

4

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The aim of this study is to investigate characters of body sway in normal subjects of different ages and in ataxic patients, who were standing for one minute in Romberg's posture. Both mean values and standard deviations of each amplitude and each velocity of movement of the center of gravity (CG movement) were calculated by using a signal processor (7T08-Sanei). The frequency distributions were also displayed by the same way in each test subject.<br>Frequency distribution curves of the amplitude or the velocity of CG movemcnt were usuallyclose to the normal distribution. Peak values of the frequency distributions were usually highand their standard deviations were small in normal subjects, whose standing posture lookedstable. However, peak values were low and their standard deviations were large in normalolder subjects or in ataxic patients, whose standing showed more unstable. That is the reasonwhy the standard deviations of both the amplitude and the velocity of CG movement are important variants to evaluate standing ability in test subjects.<br>Eighty eight normal subjects (60 males and 28 females, 20 to 73 years old) and twenty three abnormal ataxic patients were examined in this study. The pathological cases were classified into three groups, such as the group of the peripheral vestibuar disease in the acute stage, the group of Meniere's disease in the chronic stage and the group of the central nervous system disturbance.<br>The standard deviations of the velocity of CG movement in the anteroposterior direction were smaller in the younger normal subjects than in the elder ones. Therefore, this variant may be considered to be one of those which are influenced by aging.<br>A discreminant analysis was carried out to differenciate the above mentioned three groups and the normal group. The group of the peripheral vestibular disease in the acute stage was discreminated from the normal except two cases (P<0.05). The group of the central nervous system disturbance was satisfactory discreminated from the other three groups (P<0.01). However, it was failed to discreminate the group of Meniere's disease in the chronic stage from the normal.