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COMPARATIVE RESULTS OF RAPD-PCR GENETIC POLYMORPHISM OF SCHISTOSOMA HAEMATOBIUM 血血吸虫rapd-pcr基因多态性比较结果
Pub Date : 2022-09-01 DOI: 10.21608/smj.2022.156011.1341
Shaimaa Mukhtar Abdelwahed, N. Nadi, E. Omran, Amal A. ABD ELMAWGOOD
Schistosomiasis is one of the public health threats in Egypt. S. hematobium infection significantly increases the risk of urinary bladder metaplasia and cancer. The study of the genetic diversity of S. hematobioum might help predict the severity of the disease and the resistance to treatment. In the present study, the DNA of the S. hematobium was amplified using RAPD-PCR from 27 urine samples and in addition, a positive control sample was used. We used RAPD-PCR primers (A01, A02, A12, A13, and Y20). DNA electrophoresis was done on a 1.2% agarose gel and samples were run with high molecular weight and a low-molecular weight100pb ladder. The samples generated a total of 182 bands with 5 primers. The average band numbers were 3 with primer A01, 2 with primer A02, 1 with primer A12, 3 with primer 3, and 2 with primer Y20. The average molecular weight for the generated bands with each primer was 938pb, 738pb, 1425pb, 1006pb, and 866pb respectively. Our results show genetic polymorphism in the samples specifically in primers A02, A13, and Y20. This genetic polymorphism was evident by the differences in the band numbers and weights (allelic composition). Further research is required to assess the relationship between genetic polymorphism and pathology caused by S. hematobium infection and finally the response to treatment.
血吸虫病是埃及公共卫生威胁之一。血链球菌感染显著增加膀胱化生和癌症的风险。研究S. hematbioum的遗传多样性可能有助于预测疾病的严重程度和对治疗的耐药性。本研究采用RAPD-PCR扩增了27份尿样中的血链球菌DNA,并采用阳性对照。我们使用RAPD-PCR引物(A01、A02、A12、A13和Y20)。在1.2%琼脂糖凝胶上进行DNA电泳,样品在高分子量和低分子量100pb阶梯上运行。5条引物共生成182条条带。引物A01的平均条带数为3个,引物A02的平均条带数为2个,引物A12的平均条带数为1个,引物3的平均条带数为3个,引物Y20的平均条带数为2个。每个引物生成的条带平均分子量分别为938pb、738pb、1425pb、1006pb和866pb。我们的结果显示,样品中存在遗传多态性,特别是在引物A02、A13和Y20上。这种遗传多态性表现在条带数和重量(等位基因组成)的差异上。需要进一步的研究来评估遗传多态性与血链球菌感染引起的病理以及最终对治疗的反应之间的关系。
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引用次数: 0
Early intervention for challenging behaviour in intellectual disability 智力残疾患者挑战性行为的早期干预
Pub Date : 2022-09-01 DOI: 10.21608/smj.2022.159565.1342
O. Mahmoud, H. Azab, Yasser Mohammed, T. Sayed
: Background: A complex but frequent issue, challenging conduct among people with intellectual disabilities can be difficult for healthcare providers to diagnose and manage. A behaviour must have been perceived as problematic by another person for it to be classified as challenging behaviour. This means that challenging behaviour is a socially created, dynamic term. As a result, different cultures and environments may have different ideas of what constitutes a challenge. Challenging behaviour can appear as a side effect of mental illness (e.g., self-harm and aggression can be symptoms of depression), it can appear as an out-of-the-ordinary manifestation of a core symptom of a specific disorder (e.g., repetitive skin picking can be a symptom of an underlying obsessive-compulsive disorder), and it can be exacerbated by the symptoms of a mental illness. Some people's problematic behaviour may be caused by a variety of mechanisms. Conclusion: Psychosocial therapies and medication are two methods for controlling difficult behaviour. In cases where there is no documented psychiatric disorder, non-pharmacological therapies are the first line of treatment for aggression, according to a poll of psychiatrists . Interventions reduced problematic behaviour by at least 80% from baseline levels.
背景:智力残疾者的行为是一个复杂但常见的问题,对医疗保健提供者来说,诊断和管理智力残疾者的行为具有挑战性。一种行为必须被另一个人认为是有问题的,才能被归类为具有挑战性的行为。这意味着挑战行为是一种社会创造的动态术语。因此,不同的文化和环境可能对什么是挑战有不同的看法。具有挑战性的行为可能表现为精神疾病的副作用(例如,自残和攻击可能是抑郁症的症状),也可能表现为特定疾病核心症状的异常表现(例如,反复抠皮肤可能是潜在强迫症的症状),还可能因精神疾病的症状而加剧。有些人的问题行为可能是由多种机制引起的。结论:心理治疗和药物治疗是控制困难行为的两种方法。根据一项精神病学家的民意调查,在没有精神疾病记录的情况下,非药物治疗是治疗攻击性的第一线方法。干预措施使问题行为从基线水平至少减少了80%。
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引用次数: 0
Mesenchymal stem cells and Cryopreservation, a new concept 间充质干细胞和低温保存,一个新概念
Pub Date : 2022-09-01 DOI: 10.21608/smj.2022.151992.1334
Lamees Hegab, Mustafa Younis, H. Abo-Elwafa
Recently, there has been an increasing interest in the study of mesenchymal stem cells (MSCs), which are considered as subtype of adult stem cells with the ability of differentiation into ectoderm (into neural cells), endoderm (into hepatocytes, insulin B producing cells) or mesoderm (into adipocytes, osteocytes, chondrocytes), this was associated with increased clinical application of such cells in the management of autoimmune diseases such as (Type 1 diabetes and Rheumatoid arthritis), degenerative diseases as (Parkinson‟s disease, Amylotrophic lateral sclerosis, and Alzheimer) and inflammatory diseases, and consequently increased the need for and effective and safe way of preservation of these cells for a long time without affecting the viability of the MSCs after the long-term preservation. This review discusses criteria of mesenchymal stem cells (MSCs), their markers, sources, methods of isolation and culturing, and their clinical applications, and then it discusses types of cryopreservation of MSCs and factors that may have an influence on viability of MSCs following the process of cryopreservation.
最近,人们对间充质干细胞(MSCs)的研究越来越感兴趣,MSCs被认为是成体干细胞的一种亚型,具有向外胚层(神经细胞)、内胚层(肝细胞、胰岛素B产生细胞)或中胚层(脂肪细胞、骨细胞、软骨细胞)分化的能力,这与此类细胞在自身免疫性疾病(如1型糖尿病和类风湿性关节炎)管理中的临床应用增加有关。对于退行性疾病(如帕金森氏病、肌萎缩性侧索硬化症和阿尔茨海默病)和炎症性疾病,因此增加了对这些细胞长期保存且不影响长期保存后MSCs活力的有效和安全方法的需求。本文综述了间充质干细胞(MSCs)的鉴定标准、标记物、来源、分离培养方法及临床应用,并对MSCs冷冻保存的类型及影响MSCs冷冻保存后存活率的因素进行了综述。
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引用次数: 0
Chemotherapy Induced Peripheral Neuropathy in breast cancer Patients Gharib Fawi, Hazem K Elhewag, Mohamed Nasreldin Thabit, Manar Hamza Sayed 化疗诱导乳腺癌患者周围神经病变Gharib Fawi, Hazem K Elhewag, Mohamed Nasreldin Thabit, Manar Hamza Sayed
Pub Date : 2022-09-01 DOI: 10.21608/smj.2022.151381.1333
Manar Sayed, Gharib Mohamed, H. Ibrahim
Peripheral neuropathy induced by chemotherapy is considered the most common neurological disorder associated with chemotherapy. Different sites are involved in the mechanism of chemotherapy induced peripheral neuropathy and considered multifactorial. 68% of cases develop CIPN during the first month following the start of chemotherapy, 60% of cases develop CIPN within 3 months after chemotherapy and only 30% after 6 months. CIPN is caused by chemotherapeutic agents which include taxanes, platinum analogs, and vinca alkaloids. The clinical presentation of CIPN includes multiple symptoms that may cause functioning impairment and may require reduction of the dose of chemotherapy. CIPN considered a common sequel of different agents of chemotherapy and may last from months to years after chemotherapy completion. CIPN can be diagnosed by a detailed history and clinical examination. Clinical examination of a patient with CIPN can be done by the use of nerve conduction studies. Antidepressant includes tricyclic antidepressants and serotonin-noradrenaline reuptake inhibitors are common drugs used for CIPN. Patients may require reductions, substitutions, or stopping of chemotherapeutic agents according to the severity of symptoms.
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引用次数: 0
Predictors of postnatal surgical intervention for Antenatally detected Ureteropelvic Junction Obstruction 产前发现输尿管盂连接处梗阻后手术干预的预测因素
Pub Date : 2022-09-01 DOI: 10.21608/smj.2022.164261.1345
Tarek Mahmoud Siefin, essam sallem, Hany Morsy, A. Abouzeid
Antenatal hydronephrosis is prenatal ultrasonography's most often detected urologic anomaly. Its etiology is quite variable ranging from mild abnormalities of the urinary system such as transient hydronephrosis to more significant ones such as ureteropelvic junction obstruction (UPJO) or high-grade vesicoureteral reflux (VUR). UPJO comprises the most encountered etiology of antenatal hydronephrosis with variable postnatal clinical scenarios ranging from complete resolution to the need for surgical intervention. The therapeutic approach for antenatal hydronephrosis caused by UPJO has undergone a dramatic shift from primary surgical intervention to initial conservation and elective surgery when indicated. Although there is a consensus that sustained increase in the grade of hydronephrosis, significant loss in differential renal function, and the existence of symptoms (such as recurrent UTI, nausea, vomiting, and cyclic flank pain) are reasonable indications of surgical need, precise cutoffs for the previous factors are still debated. This review aims to argue this debate and offer an overview of the antenatal and postnatal evaluation of antenatally detected ureteropelvic junction obstruction.
产前肾积水是产前超声检查中最常发现的泌尿系统异常。其病因多种多样,从轻微的泌尿系统异常(如短暂性肾积水)到更严重的异常(如肾盂输尿管连接处阻塞(UPJO)或高度膀胱输尿管反流(VUR))。UPJO包括最常见的产前肾积水病因,产后临床情况从完全解决到需要手术干预不等。由UPJO引起的产前肾积水的治疗方法经历了从初级手术干预到初始保留和择期手术的巨大转变。尽管人们一致认为,持续加重的肾积水等级、明显的差性肾功能丧失以及出现症状(如复发性尿路感染、恶心、呕吐和周期性侧腹疼痛)是需要手术治疗的合理指征,但对于上述因素的精确分界仍存在争议。这篇综述旨在争论这一争论,并提供产前和产后评估产前检测输尿管肾盂连接处阻塞的概述。
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引用次数: 0
the role of autophagy in systemic lupus erthymatosus 自噬在系统性红斑狼疮中的作用
Pub Date : 2022-09-01 DOI: 10.21608/smj.2022.163420.1346
D. Mohamed, ekram abdel rhaman, Esam M. Abu AlFadl, A. Mohamed
The aetiology of Systemic Lupus Erythematosus (SLE), a chronic autoimmune disease that can affect every organ and tissue in the body, is unknown. However, complex interactions among genetic, environmental (such as infectious agents, ultraviolet light, drugs), and hormonal factors are likely to play a role. Human leukocyte antigen regulation, T- and B-cell signalling, Toll-like receptor/interferon signalling, nuclear factor-kB signalling, and immune complex clearance are a few immune system-related pathways that are primarily dysregulated in SLE pathogenesis. A lysosome-mediated catabolic process called autophagy allows cells to recycle nutrients and break down undesirable cytoplasmic components. Along with being involved in both innate and adaptive immune responses, autophagy is crucial for contacts with microorganisms, processing of antigens for MHC presentation, and the growth, survival, and proliferation of lymphocytes. Macroautophagy, chaperone-mediated autophagy (CMA), and microautophagy are the three primary kinds of autophagy. The most often researched of them, known as autophagy in general, is macroautophagy. More than 100 loci related with SLE susceptibility have been found by hypothesis-free genome-wide association studies (GWAS). Five autophagy-related genes were found to be linked to SLE susceptibility using this method. These include ATG5, CLEC16A (C-type lectin domain containing 16A), DRAM1, CDKN1B (cyclin dependent kinase inhibitor 1B), and ATG16L2. These findings resoundingly confirmed the idea that autophagy is crucial to the genetic aetiology of SLE. Combining with additional follow-up investigations, it was shown that a number of variations in other autophagy-related genes, including ATG7, IRGM, LRRK2, MAP1LC3B, MTMR3, and APOL1, were linked to SLE susceptibility.
系统性红斑狼疮(SLE)是一种慢性自身免疫性疾病,可影响身体的每个器官和组织,其病因尚不清楚。然而,遗传、环境(如感染因子、紫外线、药物)和激素因素之间复杂的相互作用可能起作用。人白细胞抗原调节、T细胞和b细胞信号传导、toll样受体/干扰素信号传导、核因子- kb信号传导和免疫复合物清除是在SLE发病中主要失调的几种免疫系统相关途径。溶酶体介导的分解代谢过程称为自噬,允许细胞回收营养物质并分解不需要的细胞质成分。自噬不仅参与先天免疫反应和适应性免疫反应,在与微生物接触、MHC呈递抗原的加工以及淋巴细胞的生长、存活和增殖等方面都是至关重要的。巨噬、伴侣介导的自噬(CMA)和微自噬是三种主要的自噬类型。其中最常被研究的是巨噬,一般称为自噬。通过无假设全基因组关联研究(GWAS)发现了100多个与SLE易感性相关的位点。使用这种方法发现了5个与自噬相关的基因与SLE易感性相关。这些包括ATG5, CLEC16A(含16A的c型凝集素结构域),DRAM1, CDKN1B(细胞周期蛋白依赖性激酶抑制剂1B)和ATG16L2。这些发现有力地证实了自噬对SLE遗传病因至关重要的观点。结合进一步的随访研究,研究表明,其他自噬相关基因的许多变异,包括ATG7、IRGM、LRRK2、MAP1LC3B、MTMR3和APOL1,与SLE易感性有关。
{"title":"the role of autophagy in systemic lupus erthymatosus","authors":"D. Mohamed, ekram abdel rhaman, Esam M. Abu AlFadl, A. Mohamed","doi":"10.21608/smj.2022.163420.1346","DOIUrl":"https://doi.org/10.21608/smj.2022.163420.1346","url":null,"abstract":"The aetiology of Systemic Lupus Erythematosus (SLE), a chronic autoimmune disease that can affect every organ and tissue in the body, is unknown. However, complex interactions among genetic, environmental (such as infectious agents, ultraviolet light, drugs), and hormonal factors are likely to play a role. Human leukocyte antigen regulation, T- and B-cell signalling, Toll-like receptor/interferon signalling, nuclear factor-kB signalling, and immune complex clearance are a few immune system-related pathways that are primarily dysregulated in SLE pathogenesis. A lysosome-mediated catabolic process called autophagy allows cells to recycle nutrients and break down undesirable cytoplasmic components. Along with being involved in both innate and adaptive immune responses, autophagy is crucial for contacts with microorganisms, processing of antigens for MHC presentation, and the growth, survival, and proliferation of lymphocytes. Macroautophagy, chaperone-mediated autophagy (CMA), and microautophagy are the three primary kinds of autophagy. The most often researched of them, known as autophagy in general, is macroautophagy. More than 100 loci related with SLE susceptibility have been found by hypothesis-free genome-wide association studies (GWAS). Five autophagy-related genes were found to be linked to SLE susceptibility using this method. These include ATG5, CLEC16A (C-type lectin domain containing 16A), DRAM1, CDKN1B (cyclin dependent kinase inhibitor 1B), and ATG16L2. These findings resoundingly confirmed the idea that autophagy is crucial to the genetic aetiology of SLE. Combining with additional follow-up investigations, it was shown that a number of variations in other autophagy-related genes, including ATG7, IRGM, LRRK2, MAP1LC3B, MTMR3, and APOL1, were linked to SLE susceptibility.","PeriodicalId":254383,"journal":{"name":"Sohag Medical Journal","volume":"212 11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116113465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Phenotypic Identification and Molecular Detection of bla (NDM-1) Gene in Multidrug Resistant Gram Negative Bacilli in Sohag University Hospital Sohag大学医院多重耐药革兰氏阴性杆菌bla (NDM-1)基因表型鉴定及分子检测
Pub Date : 2022-05-01 DOI: 10.21608/smj.2022.123002.1320
Rasha R. Eid, G. Ismail, L. Yousef, Hesham M Hefny
Background: Carbapenemase-producing Enterobacteriaceae (CPE) represents a worldwide public health problem. One of the most important emerging resistance traits corresponds to the production of the carbapenem-hydrolysing β-lactamases, which confer resistance to almost all β-lactams Objectives : to determine the occurance of bla (NDM-1) gene among clinical isolates of multidrug resistant gram negative bacilli in Sohag University Hospital. Methodology: This study was prospectively conducted over a period of 24 months between Februray 2017 and January 2019, at Sohag university hospital. This study included 150 isolates obtained from various clinical specimens from patients admitted to different department in Sohag University Hospital with age ranged from 1 to 81 years old. Results : This study included 150 patients were infected by multi drug resistant gram negative bacilli, 100 of patients were resistant to carbapenem group (66.6%) and 50 patients were sensitive to carbapenem group (33.3%). There was no significant difference between the two groups regarding age (p value=0.782 ). Similarly, there was no significant difference between the two groups regarding sex distribution (p value=0.636). Most of cases was surgical site infection (34%) followed by respiratory tract infection (33.6) with no significant difference between groups regarding diagnosis (p value=0.25). In most of cases type of organism is klebsiella pneumonia (33 cases) 26 of them was positive NDM-1 gene followed by Escherichia coli (24 cases) 14 of them was positive NDM-1 gene. There is significant difference between groups regarding organism (p value=0.03). Conclusion : resistant enterobacteriacae are spreading in our locality and Egypt.
背景:产碳青霉烯酶肠杆菌科(CPE)是一个全球性的公共卫生问题。其中一个最重要的耐药特征与碳青霉烯水解β-内酰胺酶的产生有关,该酶赋予了几乎所有β-内酰胺的耐药能力。目的:确定索哈格大学医院临床分离的多重耐药革兰氏阴性杆菌中bla (NDM-1)基因的发生情况。方法:本研究于2017年2月至2019年1月在Sohag大学医院进行前瞻性研究,为期24个月。本研究从索哈格大学医院不同科室收治的患者的各种临床标本中分离出150株菌株,年龄从1岁到81岁不等。结果:本研究共纳入150例多重耐药革兰氏阴性杆菌感染患者,其中碳青霉烯类耐药100例(66.6%),敏感50例(33.3%)。两组患者年龄差异无统计学意义(p值=0.782)。同样,两组在性别分布上也没有显著差异(p值=0.636)。以手术部位感染最多(34%),其次为呼吸道感染(33.6%),两组间诊断差异无统计学意义(p值=0.25)。以肺炎克雷伯菌(33例)26例NDM-1基因阳性为主,其次为大肠杆菌(24例)14例。两组间有机物含量差异有统计学意义(p值=0.03)。结论:耐药肠杆菌在我国和埃及均有传播。
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引用次数: 0
Recommendations and effect of COVID-19 vaccines COVID-19疫苗的建议和效果
Pub Date : 2022-05-01 DOI: 10.21608/smj.2022.118976.1302
Reem Abd El Hamed, A. Abdel Aziz, Moustafa Ali
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引用次数: 0
Effect of green tea on pancreas of streptozocin induced diabetes mellitus in adult albino rats (Electron microscopic study) 绿茶对链脲佐菌素致糖尿病成年白化大鼠胰腺的影响(电镜观察)
Pub Date : 2022-05-01 DOI: 10.21608/smj.2022.154165.1336
Walaa Elsamman, D. Gaber, Ahlam Mohamed
Background :green tea is one of the most famous beverages in the world. Green tea is a non-fermented tea that has a big amount of non oxidized polyphenols, named catechins which has been found to be effective in preventing many diseases. Many studies have been done to detect the effects of green tea extracts on various body systems. Aim of work: Our research aimed to study the possible effect of green tea in treatment of streptozotocin induced diabetes mellitus by studing its effect on rat pancreatic cells. Material an methods :A number of 15 adult male albino rats ( group I) then subdivided in to three groups group I control, group II STZ induced diabetics, group III STZ induced diabetics then treated with green tea.Then animals were sacrificed after six weeks and samples of pancreas were taken and prepared for Electron microscopic examination. Results :various histopathological changes are seen on streptozotocin induced diabetes pancreatic cells and these changes become less or near normal on group III treated with green tea after streptozotocin . Conclusion: green tea has protective and therapeutic effects on STZ induced diabetes in rats.So, further investigations on the effect of green tea are recommended.
背景:绿茶是世界上最著名的饮料之一。绿茶是一种非发酵茶,含有大量的非氧化多酚,被称为儿茶素,已被发现对预防许多疾病有效。许多研究都是为了检测绿茶提取物对不同身体系统的影响。工作目的:通过研究绿茶对大鼠胰腺细胞的影响,探讨绿茶对链脲佐菌素诱导的糖尿病的治疗作用。材料与方法:将15只成年雄性白化大鼠(ⅰ组)再分为3组,ⅰ组为对照组,ⅱ组为STZ诱导糖尿病组,ⅲ组为STZ诱导糖尿病组,然后用绿茶治疗。6周后处死动物,取胰腺标本进行电镜检查。结果:链脲佐菌素诱导的糖尿病胰腺细胞出现各种组织病理变化,经绿茶处理后,这些变化较少或接近正常。结论:绿茶对STZ诱导的大鼠糖尿病有保护和治疗作用。因此,建议对绿茶的效果进行进一步的研究。
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引用次数: 0
Outcomes of trans-nasal trans-sphenoid endoscopic approach in isolated sphenoid sinus and sellar lesions 经鼻经蝶窦内镜入路治疗孤立性蝶窦及蝶鞍病变的疗效
Pub Date : 2022-05-01 DOI: 10.21608/smj.2022.147182.1325
Sara Sleem, U. Rashad, I. Mohamed, A. Kasim, A. Ismail
: Introduction: Isolated sphenoid sinus lesions cause symptoms such as headache and visual abnormalities. Endoscopic examination and imaging modalities are mandatory to reach a diagnosis. Objectives : To validate the importance of a direct trans-nasal trans-sphenoid endoscopic approach as a minimally invasive surgical strategy in isolated sphenoid sinus and sellar lesions. Patients & Methods . There are 21 patients in our study, collected over 2 years period. we recorded all patients with isolated sphenoid sinus and sellar lesions. These patients were scheduled for a direct trans-nasal trans-sphenoid endoscopic approach for surgical management. Pituitary adenomas affect ten of them, and isolated sphenoid sinus lesions affect eleven. Complete medical history was taken, as well as general examination and local examination including full ENT examination including endoscopic examination, neurological examination, and ophthalmological examination. Routine laboratory investigations, hormonal assay (in patients with pituitary tumors), and radiological evaluation were done. Results : We faced 21 patients 10 of them had pituitary adenomas and 11 of them had isolated sphenoid sinus lesions. 7 patients had non-secretory pituitary adenomas, 3 patients had secretory adenomas, 4 patients had sphenoid sinus mucoceles, 2 patients had spheno-choanal polyps, 2 patients had isolated sphenoid sinus fungal sinusitis, one patient had a granulomatous lesion, one patient had a neoplastic lesion (squamous cell carcinoma), and one patient had unilateral isolated sphenoiditis. Conclusion: Direct trans-nasal trans-sphenoid endoscopic approach is the preferred option for optimal surgical management of patients with isolated sphenoid sinus and sellar lesions.
孤立性蝶窦病变可引起头痛、视觉异常等症状。内窥镜检查和成像方式是强制性的,以达到诊断。目的:验证直接经鼻经蝶窦内镜入路作为孤立蝶窦和蝶鞍病变的微创手术策略的重要性。患者和方法。我们的研究中有21名患者,收集时间超过2年。我们记录了所有孤立蝶窦和蝶鞍病变的患者。这些患者被安排直接经鼻经蝶窦内镜入路进行手术治疗。其中10例为垂体腺瘤,11例为孤立性蝶窦病变。记录完整的病史,进行全身检查和局部检查,包括全耳鼻喉科检查,包括内窥镜检查、神经学检查和眼科检查。常规实验室检查、激素测定(垂体肿瘤患者)和放射学评价。结果:本组共收治21例患者,其中垂体腺瘤10例,蝶窦孤立病变11例。垂体非分泌性腺瘤7例,分泌性腺瘤3例,蝶窦粘液囊肿4例,蝶窦-后肛门息肉2例,孤立性蝶窦真菌性鼻窦炎2例,肉芽肿病变1例,肿瘤病变(鳞状细胞癌)1例,单侧孤立性蝶窦炎1例。结论:直接经鼻经蝶窦内镜入路是孤立性蝶窦及蝶鞍病变患者手术治疗的最佳选择。
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引用次数: 0
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Sohag Medical Journal
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