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Large numbers of experiments internal and external had confirmed both direct current and square pulse of distal end cathodal could improve peripheral nerve regeneration, because it could speed up transmigration, creeper, growth and development of cell Schwann, derivate growth of nerve fiber; it also increased blood capillary of epineurium, brood blood vessel, amendment ischemic of impaired nerve, it still could accelerate Wallerian

国内外大量的基础实验及临床研究都证实远端负极电流的直流电场及脉冲电场等均有促进周围神经再生的作用,认为其可加速Schwann细胞的游走、爬行及生长发育,诱导神经纤维的生长;电刺激还能促使神经外膜毛细血管数量增多,扩张血管,改善神经损伤段缺血状态,并加速Wallerian变性及崩解组织的清除,为Schwann细胞发育和髓鞘化过程提供充足的能量与物质,同时为神经轴突的再生提供良好的内环境;在神经断端出现瘢痕或神经瘤时,电刺激可增加神经纤维穿越瘢痕的能力。

objective:to explore the clinical value of digital mammography on diagnosis of small breast cancer.methods:we retrospectively analyzed the representation of molybdenum target x-ray in 40 patients with small breast cancer diagnosed by biopsy.result:the molybdenum target x-ray showed nodosity tumor in 17 cases,calcification in 13 cases,density in 8 cases,focal grand architectural distortion in 6 case,single dilated in 3 cases and blood vessel line thickening in 6 case.conclusions:digital mammography is the most important means in the diagnosis of small breast cancer,which can distinguish between different kinds of breast density of different tissues and find small breast lump.the mammography has a high sensitivity in the diagnosis of small breast cancer.

目的:提高对小乳癌影像学的认识。方法:回顾性分析40例经病理证实的小乳癌患者的x线片。结果:x线表现为肿块17例,钙化13例,致密影8例,局部结构紊乱6例,单支导管扩张3例,血管影增多、增粗6例。结论:影像学是小乳癌诊断的最主要手段,能区别乳房各种不同组织的不同密度,能发现较小的乳腺肿块,对于乳腺癌的诊断,乳腺x线钼靶摄片具有较高的灵敏度。

Histologically, the seminiferous tubules contained numerous Sertoli cells and more Sertoli-spermatozoa complexes, accompanied by the depletion of Leydig cells with deeply stained nuclei. Mature spermatozoa were stored up in the epididymis, but only a few in the efferent ducts. In the second place was testicular atrophy(32/120; 26.7%). The seminiferous tubules showed moderate to severe inactivity of spermiogenesis with evidence of only spermatogonia, spermatocytes and Sertoli cells. The Leydig cells were obviously decreased in numbers associated with decrease of lipid droplets in their cytoplasms. Testicular hypoplasia was the third disorders(22/120; 18.3%). Only a few spermatogonia and Sertoli cells appeared without any spermiogenesis. The associated changes was decreased in Leydig cells and fibrous hyperplasia in the interstitium.Epididymal stones were sometimes found(12/120; 10%). Grossly, yellowish-white nodules with various sizes and firm in consistency were observed in the epididymis and the front efferent ducts. Microscopically, the epididymal ducts were dilated with voluminous spermatozoa storage, even showed calcification in severe cases. The deposited calcium salts were stained positively by Von Kossa and Alizarin red methods.Amyloidosis was also detected in 10 roosters(8.3%). Eosinophilic, homogeneous, amyloid-like substances were deposited mainly in the testicular interstitium and the periphery of blood vessels. These substances showed positive reaction by Congo red staining. Five roosters(4.2%)had Marek's lesions in the testis, epididymis and peripheral nerves with infiltration of pleomorphic lymphocytes. Only one case showed epithelial necrosis of seminiferous tubules accompanied by fibrous proliferation in the interstitium.

结果发现,在总共搜集的120个病例中,其中因年老所导致的产精力不佳为最多,占38例(31.7%),於镜下可见大量精虫黏附於Sertoli cell的表面,并可见Sertoli cell数量明显增多而Leydig cell明显减少,且其细胞核呈现浓染的现象,而在其副睪中仍可见到成熟精虫蓄留於管腔中,但在其输精管内却只有少量精虫存在;其次为睪丸萎缩,占32例(26.7%),镜下可见中度至重度无造精作用,其生精小管中只见到精母细胞、精原细胞及Sertoli cell存在,但Leydig cell数量明显减少且其细胞质内的脂质也明显减少;睪丸发育不全,占22例(18.3%),於生精小管内只见到精母细胞及少量Sertoli cell存在,不见造精细胞分化,於生精小管间质可见Leydig cell减少并伴随结缔组织增生;副睪结石,占12例(10%),肉眼下可在副睪及输精管前段见到黄白色大小不一的结节,触感坚硬,於镜下可见副睪管扩张并有大量成熟精虫蓄积,严重时可见钙化现象,以Von Kossa及茜素红染色均呈阳性反应;类淀粉沉著症,占10例(8.3%),镜下在睪丸间质及血管周围可见粉红均质样的物质沉积,以刚果红染色成阳性反应;马立克病,占5例(4.2%),镜下可在睪丸、副睪实质及周边神经内均可见到嗜碱性大小不一的淋巴样细胞浸润;睪丸坏死,占1例(0.8%),镜下可见生精小管上皮细胞坏死脱落及间质结缔组织增生。

The metabolism of plasma ANP in lung increases in patients with left to right shunt C.H.

①左向右分流的先心病患者血浆ANP在肺部的代谢量增加,可能用于发挥其扩张血管、支气管等作用,但在不同程度肺高压时,其代谢量有差异,提示ANP在肺部的代谢可能与肺高压的形成有一定的关系。

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