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Anatoly Pavlovich Frumkin (1897-1962): сhief urologist of the Soviet Army and outstanding scientist 阿纳托利·帕夫洛维奇·弗鲁姆金(1897-1962):苏联军队首席泌尿科医生和杰出的科学家
Pub Date : 2019-04-25 DOI: 10.21886/2308-6424-2019-7-1-67-73
T. Morgoshiia
В статье отмечены основные годы жизни и творчества профессора А.П. Фрумкина. Показано, что с 1926 года в течение 36 лет работал в больнице им. С.П. Боткина (вначале ординатором, а затем зав. урологическим отделением). В 1939 году защитил докторскую диссертацию на тему «Внутривенная пиелография». С 1946 по 1962 года заведовал кафедрой урологии ЦИУ врачей. В годы Великой Отечественной войны был главным урологом Советской Армии. А.П. Фрумкин — автор свыше 150 научных работ, в т. ч. 4 монографий, посвящённых различным вопросам урологии. Анализируется тот факт, что А.П. Фрумкин занимался разработкой методов уретрографии, кишечной пластики мочеточника и мочевого пузыря (интестинальная пластика), хирургического лечения мочеполовых свищей, лечения гнойных процессов в почках. Отмечено, что им внедрён в практику ряд оригинальных урологических операций: резекция шейки мочевого пузыря при раке, верхняя пиелолитотомия, субкапсулярная пиелотомия, операция создания мочевого пузыря при экстрофии и др. А.П. Фрумкин был редактором редотдела «Урология» 2-го изд. Большой медицинской энциклопедии, зам. редактора журнала «Урология», редактором отдела «Урология» «Энциклопедического словаря военной медицины» (1946), редактором 13-го тома «Опыта советской медицины в Великой Отечественной войне 1941—1945 гг.». Отмечено, что с 1949 года А.П. Фрумкин был бессменным председателем Всесоюзного и Московского урологических обществ, почётным членом Шведского королевского медицинского общества, Общества урологов ГДР и Польши. Подчёркнуто, что прогрессивное развитие школы, созданной А.П. Фрумкиным, и диалектическое продолжение его идей в работах его учеников, являются лучшим памятником творческой деятельности учёного.
这篇文章描述了a.p. frumkin教授的一生和创造力。1926年,他在医院工作了36年。博茨金(先是住院医生,然后是扎夫)。泌尿系统分部)。1939年,他获得了“静脉皮肤学”博士学位。1946年至1962年,他担任泌尿科主任。在第二次世界大战期间,他是苏联军队的首席泌尿科医生。ap fromkin是150多篇科学论文的作者,他写了4篇专著,专门研究泌尿学的不同问题。研究的事实是,a.p.p. fromkin致力于简化、肠成形术和膀胱成形术、膀胱成形术、膀胱成形术、肾脏脓肿成形术。报告指出,他实施了许多不同的泌尿外科手术:癌症切除膀胱颈、上腹部切开术、亚膜切开术、外推性膀胱造影手术、a.p. fromkin博士是《泌尿学》第二版的编辑。医学百科全书,副院长。1946年,《泌尿学》杂志编辑,《军事医学百科全书词典》编辑,第13卷,苏联在第二次世界大战期间的经验。自1949年以来,弗鲁姆金一直是全苏和莫斯科泌尿科学会的永久主席,是瑞典皇家医学会、德国泌尿科学会和波兰泌尿科学会的荣誉会员。强调,阿普·p·弗鲁姆金所建立的学校的进步,以及他的学生作品中辩证思想的延续,是科学家创造力的最佳纪念碑。
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引用次数: 0
Prof. S.P. Fedorov — founder of urology in Russia (150th anniversary of the birthday) 俄罗斯泌尿外科奠基人费多罗夫教授(150周年诞辰)
Pub Date : 2019-04-25 DOI: 10.21886/2308-6424-2019-7-1-59-66
T. Morgoshiia
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引用次数: 0
Juxtamedullary blood flow pathway 髓旁血流通路
Pub Date : 2019-04-25 DOI: 10.21886/2308-6424-2019-7-1-46-52
O. Kaplunova
Голубев В.З. создал научную основу для изучения микроангиоархитектоники почек. Принципы, изложенные в его диссертации, предвосхитили появление работ, изучающих юкстамедуллярный кровоток и почечную гемомикроциркуляцию в норме и при патологии При острых сердечно-сосудистых заболеваниях возрастает значение юкстамедуллярного пути кровотока, наблюдается юкстамедуллярное шунтирование. При хронических сердечно-сосудистых заболеваниях вначале усиливается юкстамедуллярное шунтирование, а на поздних стадиях заболевания склероз мозгового вещества почек вызывает редукцию и блок юкстамедуллярного пути кровотока, ухудшается как юкстамедуллярный, так и кортикальный путь кровотока, что приводит к срыву адаптации интраорганного артериального русла почек. Современные сведения о путях почечной гемоциркуляции, подготовленные исследованиями В.З. Голубева, позволяют объяснить механизм развития различных патологических состояний: острой кровопотери, гидронефроза, вазоренальной гипертензии, гломерулонефрита, пиелонефрита, нефроурологических заболеваниях, кардиогенного шока, мочекаменной болезни, кардиоренального синдрома при острой ишемической болезни сердца, артериальной гипертензии, внезапной коронарной смерти и др.
golobev v . h .为研究肾脏微血管造影建立了一个科学基础。他论文中阐述的原则预测了研究黄道和肾脏血流正常的工作,在急性心血管疾病的病理中,黄道心血管通路的重要性上升,出现黄道旁路。慢性心血管疾病一开始会加重心血管旁路,在肾病晚期会导致脑硬化和脑硬化,导致脑血管阻塞和皮质通路恶化,导致对肾内动脉内动脉的适应中断。由v . h .哥卢别夫研究编导的有关肾血循环的最新资料可以解释各种病理的发展机制:急性出血、水解、血管高压、血管炎、肾盂肾炎、肾盂肾炎、肾盂肾炎、心脏病、利尿病、心血管疾病、动脉高压、冠状动脉突然死亡等。
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引用次数: 1
Robot-assisted laparoscopic radical prostatectomy 机器人辅助腹腔镜根治性前列腺切除术
Pub Date : 2019-02-22 DOI: 10.21886/2308-6424-2018-6-4-67-76
V. Medvedev
This lecture describes the preoperative preparation, the course of the operation and the management of patients in the early postoperative period when performing a radical robot-assisted prostatectomy. The material was developed for the purpose of methodological assistance to surgeons in the development of this operational method.
本讲座介绍了机器人辅助前列腺根治术的术前准备、手术过程和术后早期患者的处理。该材料是为了帮助外科医生开发这种手术方法而开发的。
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引用次数: 0
KIDNEY OPEN RESECTION IN RENAL CELL CARCINOMA 肾细胞癌的肾切开切除术
Pub Date : 2018-07-15 DOI: 10.21886/2308-6424-2017-6-2-54-61
S. Shkodkin, Y. Idashkin, S. A. Fironov, V. V. Fentisov, A. Udovenko
Introduction.Generally recognized critical moments in kidney resection are the time of ischemia and the adequacy of hemostasis. Until now, one of the main contraindications to nephron-sparing treatment is the inability to provide hemostasis in middle-segment tumors, especially when they are intrarenal.Purpose of research.To evaluate the effectiveness of open resection of the kidney.Materials and methods.For the period 2005 to 2018 us made 152 open partial nephrectomy (OPN) for renal cell carcinoma. The algorithm OPN included extra peritoneal lumbotome access in the IX intercostal space with resection of the X rib resection under conditions of warm ischemia for compression of the blood vessel, in 92.8% of cases completed the clamping of segmental or aberrant arteries. Resection was performed, retreating from the tumor 0.5-1 cm within the unchanged renal parenchyma.Results.The mean age of patients was 55.4±16.2 years; male/female ratio was 52.6/47.4%; right-sided/ left-sided tumor localization was 42.1/57.9%, respectively. The duration of the operation was 109.6±56.7 min, the time of partial ischemia was 15.1±8.3 min, the volume of blood loss was 258±93 ml the Discharge along the drains lasted for 4-12 hours after the operation and averaged 35.7±22.1 ml. Patients were activated after 24 hours, when the urethral catheter was removed, in 59 (38.8%) cases, bladder drainage was not performed. Average postoperative hospital stay was 10.1±4.2 per day.Conclusion.The technique of open resection of the kidney with a margin from the border of the visible tumor and visual control of the surgical edge provides good oncological results, does not require the «Express» histology and is an alternative to nephrectomy in patients with high risk of complications, calculated on morphometric scales.Disclosure: The study did not have sponsorship. The authors declare no conflict of interest.
介绍。一般认为肾切除术的关键时刻是缺血和止血充分的时间。到目前为止,保留肾单元治疗的主要禁忌症之一是不能提供中间节段肿瘤的止血,特别是当它们是肾内的。研究目的。目的:评价开腹肾切除术的疗效。材料和方法。2005年至2018年,我们为肾细胞癌进行了152例开放式部分肾切除术(OPN)。OPN算法在热缺血条件下,采用腹膜外第IX肋间隙腰腹入路并切除X肋切除压迫血管,92.8%的病例完成了节段性或异常动脉的夹持。手术切除肿瘤,在未改变的肾实质内退0.5-1 cm。结果患者平均年龄55.4±16.2岁;男女比例为52.6/47.4%;右侧/左侧肿瘤定位分别为42.1/57.9%。手术时间109.6±56.7 min,局部缺血时间15.1±8.3 min,失血量258±93 ml,术后4 ~ 12 h,平均为35.7±22.1 ml, 24 h后激活,拔除导尿管,59例(38.8%)患者未行膀胱引流。术后平均住院时间为10.1±4.2天/天。结论:从可见肿瘤的边缘处开窗切除肾脏,并对手术边缘进行视觉控制,可提供良好的肿瘤学效果,不需要“快速”组织学,在形态学尺度上计算,是并发症高风险患者肾切除术的一种替代方法。披露:该研究没有赞助。作者声明无利益冲突。
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引用次数: 5
MARKERS OF INFLAMMATION IN DIFFERENT FORMS OF CHRONIC ABACTERIAL PROSTATITIS 不同形式慢性非细菌性前列腺炎的炎症标志物
Pub Date : 2018-07-15 DOI: 10.21886/2308-6424-2017-6-2-44-53
E. Chernogubova
Introduction.Chronic prostatitis is the most common and difficult to diagnose androurologic disease. However, the etiology, pathogenesis and pathophysiology of chronic abacterial prostatitis are not well understood.Objective.Analysis of the role of the body’s proteolytic systems in inflammatory processes in the prostate, detection of markers of inflammation in the blood, prostate secretion in various forms of chronic abacterial prostatitis / chronic pelvic pain syndrome (CAP/CPPS).Materials and methods.The study included 52 patients with inflammatory (CAP/CPPS IIIA) and 46 patients with non - inflammatory (CAP/CPPS IIIB) forms of chronic abacterial prostatitis. We determined the activity of kallikrein, level of prekallikrein, inhibitory activity α1-proteinase inhibitor and α2- macroglobulin, total arginine-esterase activity, activity of leukocyte elastase and elastase-like activity in the blood serum and the prostate secret.Results.Disturbance of metabolic processes of inflammation development in chronic abacterial prostatitis occurs against the background of imbalance of the proteinase inhibitors system, uncontrolled enhancement of proteolytic processes in the prostate in conditions of weakening of natural resistance of the organism is the most significant factor in the development of CAP/CPPS.Conclusions.The analysis of the activity of proteolytic processes in the blood and prostate secretion can serve as an additional diagnostic criterion for chronic abacterial prostatitis/chronic pelvic pain syndrome.Disclosure: TInformation about sponsorship. The publication was prepared within the framework of the implementation of the State Task of the SSC RAS for 2018. The state registration of the project № 01201363192. The author declares no conflict of interest.
介绍。慢性前列腺炎是最常见和最难诊断的泌尿系统疾病。目的:分析机体蛋白水解系统在前列腺炎症过程中的作用,检测各种形式慢性非细菌性前列腺炎/慢性盆腔疼痛综合征(CAP/CPPS)患者血液中炎症标志物、前列腺分泌物的变化。材料和方法。该研究包括52例炎症性(CAP/CPPS IIIA)和46例非炎症性(CAP/CPPS IIIB)慢性非细菌性前列腺炎患者。结果:慢性非细菌性前列腺炎炎症发展的代谢紊乱是在蛋白酶抑制剂系统失调的背景下发生的。结果:慢性非细菌性前列腺炎炎症发展的代谢过程紊乱是由蛋白酶抑制剂系统失调引起的。在机体自然抵抗力减弱的情况下,前列腺蛋白水解过程不受控制的增强是CAP/ cpps发生的最重要因素。分析血液和前列腺分泌物中蛋白水解过程的活性可以作为慢性非细菌性前列腺炎/慢性盆腔疼痛综合征的附加诊断标准。披露:关于赞助的信息。该出版物是在实施2018年南南合作委员会国家任务的框架内编写的。项目编号01201363192的国家登记。作者声明不存在利益冲突。
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引用次数: 2
MEMORIES OF PROFESSORS OF D. IZRAEL (1848–1926) AND M. NITTS (1848–1906) (TO THE 170 ANNIVERSARY SINCE BIRTH) 以色列博士(1848-1926)和尼茨教授(1848-1906)的回忆(纪念诞辰170周年)
Pub Date : 2018-07-15 DOI: 10.21886/2308-6424-2018-6-2-62-68
T. Morgoshiia
The article notes that James Israel and Max Nitze have successfully developed European medicine for more than 30 years of their scientific and practical activities, enriching it with both experimental and large clinical experience. Their scientific achievements greatly contributed to the development of modern clinical urology throughout the world. Based on an analysis of the results of more than 1000 nephrectomy operations for tuberculosis, Izrael made a conclusion about the effectiveness of surgical treatment of this disease. In addition to kidney surgery, J. Israel developed questions of rhinoplasty. He participated in the International Congress of Physicians in Moscow (1897), where he reported on 191 kidney operations. He was an honorary member of the German Society of Surgeons, the Berlin Society of Urology, President of the International Congress of Urology (Paris, 1908). The main merit of M. Nitze is the invention of a cystoscope, in which for the first time an electric light source for illuminating the bladder was located at the end of a tool inserted into the bladder. The invention of the cystoscope contributed to the development of urology as an independent clinical discipline and marked the beginning of endoscopic studies of various organs and body cavities. It is analyzed the fact that the history of medicine gives rich material not only to understanding evolution, but also to the possibility to foresee its further development. The current state of clinical urology is determined by the progress of basic research in biology, physics, biochemistry, bacteriology, immunology, pharmacology. At the same time, it was noted that the personality of the scientist-physician, his observation, the non-standard view, the ability to see the opening perspectives, to bring up worthy students, to create a scientific and clinical school of urologists, is of utmost importance, at the same time, to the full compliance of the great German urologists J Israel and M. Nitze.Disclosure: The study did not have sponsorship. The author declares no conflict of interest.
文章指出,詹姆斯·伊斯雷尔和马克斯·尼采在30多年的科学和实践活动中成功地发展了欧洲医学,丰富了实验和大量临床经验。他们的科学成就为世界现代泌尿外科的发展做出了巨大贡献。根据对1000多例结核病肾切除手术结果的分析,以色列对手术治疗该病的有效性作出了结论。除了肾脏手术,以色列还提出了鼻整形的问题。他参加了在莫斯科举行的国际医师大会(1897年),在那里他报告了191例肾脏手术。他是德国外科医师协会、柏林泌尿外科学会的荣誉会员,国际泌尿外科大会主席(巴黎,1908年)。尼采的主要功绩是发明了膀胱镜,其中第一次将用于照亮膀胱的电光源放置在插入膀胱的工具的末端。膀胱镜的发明促进了泌尿外科作为一门独立的临床学科的发展,标志着各种器官和体腔的内窥镜研究的开始。分析了医学史不仅为理解医学史的演变提供了丰富的资料,而且为预见医学史的进一步发展提供了可能性。泌尿外科临床发展的现状是由生物学、物理学、生物化学、细菌学、免疫学、药理学等基础研究的进展决定的。同时,人们注意到科学家医生的个性,他的观察,非标准的观点,看到开放观点的能力,培养有价值的学生,创造一个科学和临床的泌尿科医生学派,是至关重要的,同时,对伟大的德国泌尿科医生J Israel和M. Nitze的完全遵从。披露:该研究没有赞助。作者声明不存在利益冲突。
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引用次数: 0
THE CORRECTION OF ENDOTHELIAL DYSFUNCTION WITH THE HELP OF DISTANT ISCHEMIC AND PHARMACOLOGICAL PRECONDITIONING WITH THERMAL LOCAL ASPHYXIA OF KIDNEY 远端缺血及肾热性局部窒息药物预处理对内皮功能障碍的纠正
Pub Date : 2018-07-15 DOI: 10.21886/2308-6424-2018-6-2-5-12
O. Bratchikov, M. Pokrovskiy, V. Elagin, D. A. Kostina
This article contains the results of research of the endothelial dysfunction arising during the modeling of thermal local asphyxia of kidney and possibilities of their correction by distant ischemic and pharmacological preconditioning. The modeling of thermal local asphyxia of kidney is characterized by the disturbance of microcirculation and expression of eNOS in the kidney tissue. The usage of distant ischemic preconditioning and phosphodiesterase inhibitors type 5 sildenafil and tadalafil leads to pronounced correction of microcirculation dysfunction and activity of eNOS. During the modeling of thermal local asphyxia of kidney against endothelium dysfunction caused by ADMA-like L-NAME induced deficiency of nitric oxide more pronounced dysfunction of microcirculation and activity of eNOS are observed. The usage of distant ischemic and pharmacological preconditioning with the help of phosphodiesterase inhibitors type 5 in this type of pathology led to pronounced correction of microcirculation dysfunction and activity of eNOS. The injection of glibenclamide blocker of ATP – dependent K+ channels during the correction of the disturbance caused by the modeling of thermal local asphyxia of kidney with the help of distant ischemic and pharmacological preconditioning leads to the decrease of its efficiency.Disclosure: The study did not have sponsorship. The authors have declared no conflicts of interest.
本文包含了在模拟肾脏热性局部窒息过程中产生的内皮功能障碍的研究结果,以及通过远端缺血和药物预处理来纠正这些功能障碍的可能性。肾脏热性局部窒息模型的特点是微循环紊乱和肾组织中eNOS的表达。使用远端缺血预处理和磷酸二酯酶抑制剂5型西地那非和他他拉非可显著纠正微循环功能障碍和eNOS活性。在adma样L-NAME诱导的一氧化氮缺乏引起的肾热性局部窒息模型中,观察到更明显的微循环功能障碍和eNOS活性障碍。在5型磷酸二酯酶抑制剂的帮助下,在这种类型的病理中使用远端缺血和药理学预处理导致微循环功能障碍和eNOS活性的明显纠正。格列本脲受体阻滞剂在利用远端缺血和药理学预处理对肾热性局部窒息模型造成的干扰进行校正时,会导致其效率下降。披露:该研究没有赞助。作者已声明没有利益冲突。
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引用次数: 1
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Herald Urology
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