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№ 6 (2005)
- Год: 2005
- Статей: 19
- URL: https://journals.eco-vector.com/1728-2985/issue/view/6602
Статьи
Роль органосохраняющего лечения инвазивного рака мочевого пузыря
Аннотация
Cystectomy in the treatment of invasive cancer of the urinary bladder is not the only therapeutic modality in this pathology. In selected patients an alternative exists - transurethral resection of the urinary bladder followed by adjuvant concurrent chemotherapy and radiotherapy. The preserving therapy can be recommended to patients over 60 years of age in the presence of a low-grade solitary tumor of a mobile wall of the urinary bladder respectable with preservation of the organ capacity.
Урология. 2005;(6):3-6
3-6
Субтотальная трансуретральная простатэктомия в лечении больных раком предстательной железы
Аннотация
The results are given of subtotal transurethral resection (subtotal TUR) in 21 patients with prostatic cancer (PC) operated in 19982004. The patients had contraindications to radical treatment. The aim of the surgical intervention was maximal possible removal of the prostatic tissue to the prostatic capsule that improves results of adjuvant hormonal and radiotherapy. Postoperative follow-up lasted from 6 months to 6 years. The control groups consisted of 20 patients subjected to palliative prostatic TUR and 24 PC patients given only hormonal or radiotherapy. Subtotal transurethral prostatectomy and TUR of the prostate were successfully made in all the patients. The number of postoperative complications and reoperations was less in patients after subtotal transurethral prostatectomy than in those after palliative TUR. The treatment reduced blood PSA levels in all the groups but the progress of this reduction depended on the treatment method. The group after subtotal transurethral prostatectomy achieved maximal PSA lowering after 2 months after surgery. The follow-up registered distant metastases in 19.04% patients of the study group and 20 and 29.4% in the control groups. One-year survival was 80.95, 80, 83.3%, respectively; 3-year survival was 80, 45.5 and 77.8%, respectively. Thus, combined treatment of prostatic cancer (subtotal transurethral prostatectomy and maximal androgenic blockade) rapidly corrects urination without deterioration of survival parameters compared to hormonal therapy alone.
Урология. 2005;(6):6-10
6-10
Прогнозирование 5-летней выживаемости больных после радикальной простатэктомии
Урология. 2005;(6):11-12
11-12
Влияние ультразвуковой визуализации простаты одновременно в сагиттальной и поперечной проекциях при трансректальной биопсии на выявляемость рака предстательной железы
Аннотация
The results of 526 transrectal prostatic biopsies are available. Mean age of the patients was 64.6 years, mean level of PSA - 10.4 ng/ml, mean size of the prostate - 56 cm3. Biopsy was made in visualization of the prostate in the sagittal projection (ultrasound devices Bruel&Kjaer 1846 and Kretz Voluson 730). Application of Brael&Kjaer Medical 2102 Hawk provides visualization of the prostate during biopsy both in sagittal and cross projection. Double visualizafrcm sVgTiVnraTffiy improved detectabiiity of prostatic cancer in patients with PSA 4-10 ng/ml. In biopsy of the top and peripheral zone there was lengthening of prostatic tissue fragments, reduced fragmentation of the columns, less frequent blank shots of the biopsy gun. The data obtained supports the importance of isolated placement and marking of prostatic tissue fragments in biopsy and allow to recommend wide clinical use of ultrasonic facilities with biplanic sensors providing online sagittal and cross visualization of the prostate.
Урология. 2005;(6):13-15
13-15
Изменения кровотока в предстательной железе под влиянием лазеротерапии и магнитотерапии у больных с доброкачественной гиперплазией простаты
Аннотация
The results of preoperative preparation were analysed in 59 patients with prostatic benign hyperplasia (PBH) subjected to TUR. Treatment outcomes were assessed by transrectal ultrasound (color doppler mapping) in two groups of patients. Group 1 received combined therapy including transrectal laser radiation of the prostate, group 2 - transrectal magnetotherapy. The analysis showed that laser radiation reduced insignificantly the size of the prostate and adenomatous node, improved microcirculation and circulation in the prostate. This resulted in relief of inflammation and reduction of the number of postoperative inflammatory complications. Transrectal magnetotherapy has a positive effect on vascularization and hemodynamics of the prostate, local immunity, contamination of the tissues with pathogenic flora.
Урология. 2005;(6):16-18
16-18
Химическая деструкция предстательной железы растворами "Простализер-1" и "Простализер-2": экспериментальное исследование на собаках
Аннотация
The aim of the study was elaboration of a new minimally invasive but effective alternative method of BPH treatment. The experiments
were carried out on 46 male dogs divided into two equal groups. 10 ml of Prostalyser-1 solution (natrii chloridi 9.5 g, dimethylsulfoxidi 0.5 g, aquae destill. Ad 1000.0 g) was given in a single injection into the prostates of the first group of animals. The same volume of Prostalyser-2 solution (spiritus ethilicus 96% - 76.5 g, DMSO 0.5 g, aq.destill ad 100.0 g) - into the prostates of the other group, respectively. The temperature of the solutions was +80°C. Within the first 2 months, essential disorders were observed in the cellular Na-pump, membrane permeability system, there were lobular and diffusive necroses in prostatic alveolar epithelium and a decrease of the prostate weight by 68-66%. This condition of the prostate persisted for 4-6 months. Prostalyser-1 and Prostalyser-2 solutions can be recommended as very prospective substances for chemical destruction of the prostate in case of BPH.
Урология. 2005;(6):18-23
18-23
Оригинальная модификация клиновидной резекции почки при почечно-клеточном раке
Аннотация
Organ-preserving surgery was made in 133 patients with renal cell carcinoma. An original modification of renal resection with administration of the drug tachocomb was conducted in 22 patients. Shortand long-term surgical outcomes demonstrate advantages of the surgery supported by the results of postoperative monitoring including ultrasound angiography, computed and magnetic resonance imaging.
Урология. 2005;(6):23-26
23-26
Выбор метода корпоропластики при болезни Пейрони в зависимости от гемодинамического статуса полового члена
Аннотация
We studied 164 patients with Peyronie's disease, 34 of whom have clinical symptoms of erectile dysfunction. Dopplerography has detected alterations of penile hemodynamics in 71.8% cases. Vein occlusive dysfunction prevailed (54.8%). Dopplerographic signs of venoocclusive dysfunction were seen also in patients with minor erectile disorders (55.4%). The analysis of absolute values of the systolic velocity peak allowed us to consider values in the range > 25 but < 35 cm/s as borderline or suboptimal, corresponding to subclinical period of venoocclusive dysfunction. Dynamic cavernosometry results served the basis for criteria of subclinical venoocclusive dysfunction characterized by threshold intracavernous pressure 50 mm Hg, coefficient of 30-s reduction of intracavernous pressure from 1.75 ± 0.93 to 2.1 ±0.8 mm Hg and supporting perfusion velocities under 29.2 + 15 ml/min. Characteristics of hemodynamic status and penile geometry help an optimal choice of deviation correction in patients with Peyronie's disease.
Урология. 2005;(6):26-30
26-30
Роль оксида азота в нарушении фертильности у мужчин
Аннотация
The aim of the study was investigation of NO influence on fertility properties of ejaculate in the diseases of male sex organs. A total of 73 males aged 20-55 years with different sexual disorders were examined. Potentiometric assay for nitrates in ejaculate, size and shape of spermatosoa were studied. N03 was present in all sperma samples. In the control group nitrates levels were 0.662 ± 0.147 mmol/1. In men with sexual diseases nitrates levels in ejaculate ranged from 0.114 mmol/1 to 1.530 mmol/l). In normozoospermia nitrates occurred in "mean" levels (0.295 mmol/1 to 0.900 mmol/ l).]n pathospermia nitrates level was high. NO produces a protective action if it was in adequate quantity. Spermatozoid concentration and a relative number of progressive-mobile forms correlated negatively with nitrates of spermatic plasma (r = -0.40) while dead spermatozoa percentage correlated positively. Thus, low NO, content in ejaculate may result from microcirculatory disorders and endothelial dysfunction in testicular parenchyma and epididimus. NO hyperproduction occurs in inflammatory urogenital diseases. It probably induces pathospermia via direct toxic effects of NO and stimulation of lipid peroxidation.
Урология. 2005;(6):31-36
31-36
Допплеровские технологии в комплексной диагностике острого пиелонефрита
Аннотация
We studied diagnostic potentialities of conventional clinical, device, x-ray and ultrasonic methods including current Doppler technology in differentiation of serous and purulent stages of acute
pyelonephritis (AP) in 50 patients (mean age 25.5 ± 5.5 years). Energetic dopplerangiography (EDA) showed the highest diagnostic significance. EDA was highly informative in renal carbuncle and total purulent destruction of the kidney and low informative in serous and
apostematous AP, renal abscess. Conventional ultrasonic, x-ray, clinical and device investigations as well as impulse dopplerography and color Doppler mapping of blood flow are of secondary importance in AP.
Урология. 2005;(6):37-41
37-41
Диагностика эндогенной интоксикации у детей с острой и хронической почечной недостаточностью
Урология. 2005;(6):41-42
41-42
Применение бактериофагов для лечения гнойно-септических осложнений у больной с почечным аллотрансплантатом
Урология. 2005;(6):43-46
43-46
Истинная серозная внеорганная киста забрюшинного пространства
Урология. 2005;(6):46-48
46-48
Спонтанный разрыв почки у больного с гемангиомой почки и нефрогенной гипертонией
Урология. 2005;(6):48-49
48-49
Эндопротезирование мочеточника единственной почки при болезни Бурневилля-Принта, осложненной гидронефрозом
Урология. 2005;(6):49-51
49-51
Современные методы оперативного лечения мочекаменной болезни у детей
Урология. 2005;(6):51-57
51-57
Оперативное лечение аномалий урогенитального тракта у мужчин
Урология. 2005;(6):57-61
57-61
В. Н. Ткачук, Р. К Ягафарова, С. X. Аль-Шукри. Туберкулез мочеполовой системы. Руководство для врачей.- СПб.: Спецлит, 2004. Тираж 2500
Урология. 2005;(6):61-62
61-62
Игорь Михайлович Деревянко (к 80-летию со дня рождения)
Урология. 2005;(6):63-63
63-63