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1、The Entropy、Smoothness、Uniformity and Relation (base on co-occurrence)are significantly difference between the patients and volunteers(p.05).2、The Contrast (base on co-occurrence matrices) and Distance (based on autocovariance coefficients) tend to be higher volunteers, but not reaching statistical significance.3、Among all the thirty-nine features, the most significant difference was obtained using Relation with the pixel distance varied from 1 to 3 pixels.

本实验使用纹理分析的方法研究正常膀胱壁组织和膀胱赘生物组织的纹理特征,并筛选出四种存在显著统计学差异的纹理特征,为后续利用纹理特征研究膀胱肿瘤浸润肌层深度提供了依据。另外,如前所述,目前膀胱肿瘤的诊断主要依靠膀胱镜,但作为一种侵入性操作,膀胱镜并不适合人群疾病普查和患者的治疗后随访。

Result 35 cases all had been cured with different methods (bladder douche, cystoscope operation, patefaction operation, etc.) successfully.

结果:对35例膀胱内大量积血的患者,通过选择不同方式(膀胱冲洗、膀胱镜下手术、开放手术等)成功清除了膀胱内积血。

Seven patients aged 4 to 19 years, with myelomeningocele and high-pressure or poorly compliant bladders, were identified as candidates for cystoplasty. Each patient underwent bladder biopsy, and urothelial and muscle cells were grown in culture and seeded on a biodegradable bladder-shaped scaffold made of collagen, or on a composite of collagen and polyglycolic acid. About 7 weeks later, the autologous engineered bladder constructs were used for reconstruction, and implanted either with or without an omental wrap. After implantation, patients underwent serial urodynamics, cystograms, ultrasounds, bladder biopsies, and serum analyses.

年纪从4到19岁的7位脊髓脊膜膨出、罹有高压或者功能不良膀胱、被鉴定需进行膀胱成形术的病患,每一位病患接受膀胱切片,将上皮与肌肉细胞在膀胱形状的生物可分解的胶原支架或胶原聚羟基乙酸支架上加以培养;大约7周过后,形成一可自体移植的工程膀胱,移植时包覆或者未包覆网膜;移植后,病患进行一系列的尿路动力学、膀胱造影术、超音波、膀胱切片和血清分析。

Bladder artery comes from umbilical artery and along the bladder border to the bladder top and branchestoward bladder ventrally or dosally wall.

膀胱动脉主要起自脐动脉,沿膀胱侧缘行向膀胱顶,沿途发出1~4支基本对称的分支分布于膀胱前面,两侧膀胱动脉的分支在其表面有吻合现象。

Results CT displayed the lesions located in the bladder neck and triangle area in 7 cases, in the right anterior wall in 1 cases, involve the entire bladder wall in 2 cases. Eight cases showed the local thickening or nodular or flat dune-like shape thickening of the bladder wall, the size of the lesions were 1.0cm × 0.8cm ~ 4.3cm × 5.9cm, two cases showed the diffuse thickening of the bladder wall. Cystal low density were demonstrated in 2 lesions.The bladder exine were smooth in 9 cases.

结果 10例CG中CT表现为膀胱颈部和三角区7例,右前壁1例,累及整个膀胱壁2例。8例CT平扫表现为膀胱壁局限性增厚或呈结节状、扁丘状突向膀胱腔内的软组织密度影,大小1.0cm×0.8cm~4.3cm×5.9cm,2例膀胱壁弥漫性增厚,边缘光整。2例病灶内可见囊性低密度区。9例膀胱外壁光滑。

Result: Unstable bladder in 9 cases(45%), low compliance bladder in 5 cases (25%), obstruction in the bladder outlet in 11 cases (55%), dyssynergia in detrusor muscle and external urethral sphincter in 7 cases (35%), unstable bladder with obstruction in the bladder outlet in 6 cases, low compliance bladder with obstruction in the bladder outlet in 4 cases , unstable bladder with dyssynergia in detrusor muscle and external urethral sphincter in 2 cases .

结果:不稳定性膀胱9例(45%),低顺应性膀胱5例(25%),膀胱出口梗阻11例(55%),逼尿肌尿道括约肌协同失调7例(35%),其中不稳定膀胱合并膀胱出口梗阻6例,低顺应性膀胱合并膀胱出口梗阻4例,不稳定膀胱合并逼尿肌尿道外括约肌协同失调2例。结论:慢性前列腺炎患者的下尿路症状与不稳定性膀胱、低顺应性膀胱、膀胱出口梗阻及逼尿肌尿道外括约肌协同失调有关,了解这些相关因素对治疗有重要的指导意义。

Result: unstable bladder in 9 cases(45%), low compliance bladder in 5 cases (25%), obstruction in the bladder outlet in 11 cases (55%), dyssynergia in detrusor muscle and external urethral sphincter in 7 cases (35%), unstable bladder with obstruction in the bladder outlet in 6 cases, low compliance bladder with obstruction in the bladder outlet in 4 cases , unstable bladder with dyssynergia in detrusor muscle and external urethral sphincter in 2 cases .conclusion : the symptom of inferior urinary tract in patients with chronic prostatitis urodynamic was related to the unstable bladder, low compliance bladder , obstruction in the bladder outlet and dyssynergia in detrusor muscle and external urethral sphincter ,to know the correlation factors do significant benefit in guiding the clinical treatment.

结果:不稳定性膀胱9例(45%),低顺应性膀胱5例(25%),膀胱出口梗阻11例(55%),逼尿肌尿道括约肌协同失调7例(35%),其中不稳定膀胱合并膀胱出口梗阻6例,低顺应性膀胱合并膀胱出口梗阻4例,不稳定膀胱合并逼尿肌尿道外括约肌协同失调2例。结论:慢性前列腺炎患者的下尿路症状与不稳定性膀胱、低顺应性膀胱、膀胱出口梗阻及逼尿肌尿道外括约肌协同失调有关,了解这些相关因素对治疗有重要的指导意义。

Higter Piso than those with stable bladders, but the bladder capacity and the volume while feeling the first desire to void were decreased significantly in patients with detrusor instability than those with stable bladder.

再根据是否出现DI,把59例BPH病人分为不稳定膀胱组和稳定膀胱组,不稳定膀胱组的I-PSS、尿流加速度和Piso显著高于稳定膀胱组,初次尿液和膀胱最大容量显著低于稳定膀胱组。

Results Angiography showed that the bladder-like filling defect Botryodes7 cases, bladder trigone large lobulated filling defect in 1 cases of video, 5 cases of bladder wall. Four cases of bladder CT examination showed typical grape cluster-shaped cavity below the abdominal wall muscles and soft tissue density mass, partial bladder wall thickening, enhanced scan showed lesions with mild to moderate strengthening.

结果 造影显示膀胱内葡萄簇状充盈缺损7例,膀胱三角区大的分叶状充盈缺损影1例,5例膀胱壁毛糙。4例CT检查均显示膀胱腔内典型葡萄簇状低于腹壁肌肉密度软组织肿块,局部膀胱壁增厚,增强扫描病灶呈轻中度强化。

The purpose of this study was to examine the difference between using bladder scan and catheterization on 87 rehabilitation patients to evaluation the amount of residual urine. After voiding, each subject was scanned with a BladderScan BVI 3000, then catheterized for postvoid residual urine volume. Repeat measure ANOVA analysis showed that the factors of gender, diagnosis, posture, the thickness of abdominal fat, bladder shape, the amount of urine, and the interval of operation time have no difference in this study. It takes 45 ± 18 seconds (range: 17-119) to accomplish a bladder scan, and it takes 280 ±106 seconds (range: 136-664) for nursing staff to complete a catheterization for patient. However, the catheterization process takes nursing staff 3-8 times longer then operating a bladder scan. This would diminish unnecessary catheterization and save on medical staff resources.

本研究对87位需做余尿量评估的复健病人,在排尿后以膀胱超音波BVI 3000机型测量扫描余尿量,然后接著给予间歇导尿,以repeat measures ANOVA分析,结果发现膀胱超音波及导尿测量所得尿量是无差异(F=0.38 p=。68),再以性别、诊断、姿势、腹部脂肪厚度、膀胱形状、尿量、操作间隔时间等因素做分析,以repeat measures ANOVA检定亦无差异,同时测量两种测量方法所花费护理时数:膀胱超音波平均为45±18秒(range: 17-119秒),导尿为平均280±106秒(range: 136-664秒),结论是膀胱超音波与导尿方式对余尿量的测量一样好,膀胱超音波与导尿时间相差约3-8倍的护理时数,先以超音波来测量余尿量可以减少不必要的导尿次数及节省医疗人力成本。

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