顶盖前区前核痛觉调制作用的形态学探讨──HRP束路追踪和免疫细胞化学研究

应用ＨＲＰ束路追踪和免疫细胞化学技术研究了顶盖前区前核（ＡＰｔＮ）和中脑深部网状核（ＤｐＭｅ）之间的纤维联系以及ＡＰｔＮ内几种神经活性物质的分布。将ＨＲＰ注入ＤｐＭｅ后，发现在ＡＰｔＮ内有ＨＲＰ标记的神经元胞体和纤维终末，表明ＡＰｔＶ和ＤｐＭｅ之间存在着双向纤维联系。ＡＰｔＮ内的ＨＲＰ标记细胞呈背、腹两群的极性分布模式。背侧群标记细胞偏向ＡＰｔＮ吻段分布，其中有相当一部分ＨＲＰ标记细胞也是谷氨酸（Ｇｌｕ）阳性细胞，提示ＡＰｔＮ内的这群细胞向ＤｐＭｅ的投射纤维终末以释放Ｇｌｕ为主。ＡＰｔＮ内的ＨＲＰ标记纤维主要位于ＡＰｔＮ尾段的背外侧和腹侧，提示由ＤｐＭｅ到ＡＰｔＮ的传入纤维可能通过ＡＰｔＮ的背外侧和腹侧两条通路进入ＡＰｔＮ。免疫细胞化学染色显示，ＡＰｔＮ含有Ｇｌｕ、亮－脑啡肽（Ｌ－ＥＮＫ）、Ｐ物质（ＳＰ）、酪氨酸羟化酶（ＴＨ）和５－羟色胺（５－ＨＴ）免疫反应阳性胞体和／或纤维，但没有发现加压素（ＶＰ）和β－内啡肽（β－ＥＮＤ）阳性反应结构。上述阳性反应物质在ＡＰｔＮ内各有自己的分布模式，但并不以哪种活性物质为主，提示ＡＰｔＮ功能的多样性和复杂性。     

FOLLICULO-STELLATE CELLS OFTHE RAT ANTERIOR PITUITARY RESPONDED TO ANGIOTENSIN Ⅱ BY INCREASING INTRACELLULAR CONCENTRATION

Objective The main purpose of this study was to investigate whether the folliculo-stellate cells (FSC) respond to angiotensin(Ang) Ⅱ by increasing intracellular free concentration ([]i) ,and where the o-rigin of mobilization is if that has occurred. Methods Pituitary cells in primary culture were prepared from male Wister rats(250g) by a conventional method and cultured in MEM supplemented with 4％ normal rat serum. Af-ter 2 days in culutre,cells were loaded with 1 μmol/L fura-PE3/AM for 1 h and subjected to a ment with Quanti Cell 700 system. Excitation wavelengths of 340 and 380 nm were selected by means of a computer-controlled filterwheel. Results The of FSC in the rat anterior pituitary was elevated by Ang Ⅱ. The eleva-tion of of FSC induced by 0. 1,1.0,10 and 100 nmol/L Ang Ⅱ was (56.33±6.18), (117.07± 36.07), (175.59 ± 40.01 ) and (216.02 ±11.52) nmol/L, respectively. The increase of of FSC induced by 100nmol/L Ang Ⅱ was not influenced by the medium without (0Ca),but significantly suppressed by thapsigargin (TG),an inhibitor of ATPase. The rate of responsive FSC to Ang Ⅱ (100 nmol/L) was 61.84％ which was obviously higher than that of pituitary endocrine cells (43.49％). Conclusion The present experiment demonstrates that the FSC in the rat anterior pituitary responds to Ang Ⅱ by increasing [which raises the possibility that Ang Ⅱ re-leased from either lactotrophs or gonadotrophs affects FSC through paracrine mechanism. The elevation of [induced by Ang Ⅱ presents a dosage-dependent relation, and is possibly because of the release of from an intra-cellular pool (s). Fashions of release are relative to the concentration of Ang Ⅱ. The results indicate that Ang Ⅱ functions as a paracrine factor among pituitary cells including FSC.     

骶前冲洗对直肠前切除术后局部复发影响的Meta分析

目的探讨骶前冲洗对直肠前切除术后局部复发的影响。方法采用Meta分析软件对1980年1月～2011年1月间发表的骶前冲洗对直肠癌前切除术局部复发影响的文献进行分析。结果共筛选出6篇文献(其中1篇文献有77名患者未确定分组,10名局部复发,67名无复发);直肠癌术后局部复发率为7.7%(367/4776),冲洗组局部复发率为6.4%(240/3732),低于未冲洗组的12.2%(127/1044),合并OR值为0.51(95%CI:0.41～0.69),差异有统计学意义(P<0.01);未确定人数并入冲洗组或未冲洗组,总局部复发率为7.8%(377/4852),冲洗组局部复发率6.6%(250/3 808)或6.4%(240/3 732),低于未冲洗组的12.2%(127/1 044)或12.3%(137/1 111),合并OR值为0.51(95%CI:0.40～0.65)或0.49(95%CI:0.39～0.62),差异有统计学意义(P<0.01)。结论骶前冲洗可降低直肠癌的局部复发率。     

大鼠前牙扭转移动后保持期动物模型的建立

目的 建立大鼠实验性正畸前牙扭转移动后保持期的动物模型并分析保持时间与复发距离的关系.方法 采用36只雌性SD大鼠,在上颌两个中切牙间施加20 g的力量,建立牙根扭转的动物模型.10d后进行固定保持,分为1、4、7、14、21d保持组(实验组),并设不予保持的对照组.测量加力结束后、保持结束时和拆除保持器后7d两中切牙...     

稳定土拌和机转鼓刀具的安装方式探讨

对铣削拌和两用拌和机转鼓铣刀的工作及受力状态进行了分析，提出了铣刀切削前角、后角及安装角的设置原则，同时根据三种理论解释，论述了侧向倾斜角的安装要求及计算方法。     

脊髓型颈椎病手术方法的选择和临床疗效观察

目的探讨脊髓型颈椎病(CSM)手术治疗的方法、手术方式的选择、影响手术疗效的因素和手术的并发症情况。方法收集40例近几年在我院进行手术治疗的CSM患者的临床资料,应用JOA评分法对手术前、后的脊髓功能进行评分并计算其改善率和优良率;分析病程、患者年龄、病情程度及不同术式与改善率的关系。结果77.5%(31/40)的患者进行了前路手术,手术的改善率为(67.21±14.08)%,优良率为90.3%;17.5%(7/40)的患者进行了后路手术,手术的改善率为(64.03±7.07)%,优良率为100%,前路和后路手术的改善率无显著差别;仅有5%(2/40)的患者进行了前后路联合手术,改善率为66.7%,优良率为100%。不同年龄与病程的患者的改善率无显著性差异;随着病情的加重,改善率和优良率均下降,其中病情中度组与重度组的改善率有显著性差别(P<0.05)。结论合理选择手术方法可以提高CSM患者的JOA评分,获得较高的改善率与优良率,减少并发症的发生;病情是影响手术预后的主要因素。     

非体外循环下冠状动脉搭桥的临床探讨

目的　总结非体外循环下冠状动脉搭桥的临床经验。方法　在非体外循环下行冠状动脉搭桥术 1 0例 ,2例左前外侧小切口 ,1例胸骨下段正中小切口 ,7例胸骨正中切口。搭桥支数 1～ 4支 ,平均 ( 2 3± 1 3)支 ,均应用左侧乳内动脉搭于左前降支。结果　 1 0例患者术后均恢复良好 ,痊愈出院 ;平均住院费用下降。 2例出现并发症 ,经治疗痊愈。结论　非体外循环冠状动脉搭桥术创伤小、安全 ,但对手术操作技术要求高 ,需要特殊设备 ,且应具有一定的手术适应症。     

40%尿素溶液在犬胰右叶缺血中的作用

目的　探讨晚期胰腺癌的药物缺血方法。方法　解剖犬胰腺、胰十二指肠前动脉 ,结扎近心端后 ,远心端插入化疗泵 ,术中、术后注射尿素注射液 (2 0 0mg/kg体重 ,浓度为 40 % ) ,分别于术后观察WBC计数、血淀粉酶、胰岛素、血糖和胰十二指肠的病理变化。结果　术后早期WBC计数、血清淀粉酶升高 (P <0 0 1 ) ,远期血糖及胰岛素波动范围不大 ,无统计学差别 (P >0 0 5) ;胰腺病理变化表现为严重纤维化改变 ,十二指肠则表现为腺体轻度萎缩 ,扫描电镜粘膜有轻度萎缩。结论　经胰十二指肠前动脉注射尿素可引起胰腺缺血 ,病理改变以纤维化为主 ,是一种安全可靠的手术方法     

下肢血管医学影像学的应用解剖

为适应医学影像学的发展,结合临床超声诊断,本文对福尔马林固定的成尸50具(男41,女9)的下肢血管内、外径值及动脉壁厚度进行了观测,其中股动脉、胭动脉、胫后动脉、胫前动脉及足背动脉壁的厚度分别为:0.64±0.14mm,0.58±0.10mm,0.49±0.10mm,0.48±0.11mm,0.43±0.10mm;它们的内径值分别为;7.2±1.41mm,5.4±1.01mm,1.8±0.33mm,2.9±0.38mm,1.9±0.56mm。用美国产Acuson 128型彩色电脑声像仪检测了20例正常成人下肢动脉相应点的内径值。二者比较,经t检验(P>0.05),无显著性差异。     

Therapeutic efficiency of short anterior urethral stricture treated with endourethral surgery combined with iridium 192 radiotherapy

Objective To assess the therapeutic efficiency of short anterior urethral stricture treated with endourethral surgery combined with iridium 192 radiation therapy in order to decrease the recurrence rate after endourethral surgery. Methods A total of 286 patients with anterior urethral stricture (stricture length ranging from 0.5 to 2.5cm, averaging at 1.6cm) were divided randomly into two groups after internal urethrotomy and cicatrix electrotomy. The radiation group of 173 patients was treated as soon as possible with iridium 192 radiation therapy on the stricture sections while the control group of 113 patients was not. The recurrence rate was compared between the two groups during one year's follow-up. Results Among all the 286 successful operations, stricture recurred in 19 patients of the radiation group (recurrence rate of 10.98%) and in 62 ones of the control group (recurrence rate of 54.86%), with a significant difference (P=0.003). Conclusion It is an effective way to prevent recurrence by treating patients as early as possible with iridium 192 radiation on the stricture sections after endourethral operation on anterior urethral stricture.