http://hdl.handle.net/10564/1574 2006-02 2026-04-10T15:42:04Z http://hdl.handle.net/10564/160 タイトル: CTにて術前診断しえた魚骨による胃穿孔の1例 著者: 童, 仁; 明石, 諭; 今西, 正巳; 星田, 徹 抄録: We report a case of perforation of the stomach by a fish bone. A 63-years-old woman was admitted to our hospital complaining of severe abdominal pain. On physical examination, tenderness and rebound tenderness were noted in the upper abdomen. Abdominal X-ray showed free air, and abdominal CT showed a 3.0cm linear foreign body. The problem was diagnosed preoperatively as perforation of the stomach due to a fish bone and the patient underwent emergency surgery. We found a fish bone penetrating the wall of the stomach. The fish bone was removed, and the perforation was directly sutured. Perforation of the digestive tract, especially the stomach, by ingested fish bones is relatively rare. When we suspected digestive tract perforation, we took this possibility into consideration, and it seemed that it was important to take enough medical history hearing and carry out through image inspection. 2006-02-27T15:00:00Z http://hdl.handle.net/10564/159 タイトル: 腹腔鏡補助下手術を施行したS状結腸子宮内膜症の2例 著者: 吉川, 周作; 稲次, 直樹; 増田, 勉; 榎本, 泰三; 内田, 秀樹; 中尾, 武; 大野, 隆; 山岡, 健太郎; 山口, 貴也; 庄, 雅之; 中島, 祥介 抄録: We report two cases of sigmoid endometriosis that were successfully treated by laparoscopy-assisted surgery. The patients were 44- and 28-year-old females, both complaining of abdominal pain. Preoperative examinations suggested endometriosis of the sigmoid colon. However, a definitive diagnosis could not be rendered. Both patients were treated with laparoscopy-assisted resection of the partial sigmoid colon. The postoperative course was uneventful and they were discharged home on day 20 and 21. No symptoms or diseases have recurred in 7-8 years after surgery. Laparoscopy can be beneficial in both the diagnosis and treatment of patients with intestinal endometriosis and laparoscopic surgery may remain the most effective treatment for symptomatic intestinal endometriosis. 2006-02-27T15:00:00Z http://hdl.handle.net/10564/158 タイトル: 奈良県僻地検診における眼疾患と受診状況について 著者: 湯川, 英一; 吉井, 稔章; 竹谷, 太; 原, 嘉昭; 葛城, 良昌 抄録: We investigated ocular diseases observed at ophthalmological checkups in 5 villages in Nara Prefecture between October 2005 and November 2005, and reviewed the status of consultations at local ophthalmological clinics. A total of 74 persons underwent these checkups (26 males, 48 females), with a mean age of 66.9 years. Twenty-four of the 74 persons had ocular disease. Of seven patients with ocular fundus disorders such as branch retinal vein occlusion, age-related macular degeneration, and macular hole, six had periodically consulted local ophthalmological clinics. Glaucoma was noted in five patients including those in whom glaucoma was suspected. Only one patient was being treated at a local clinic. As glaucoma, which shows a chronic course, initially causes visual field defect prior to reduced visual acuity, it is asymptomatic in the initial phase in most patients. Currently, this disorder is an important etiological factor for blindness. Therefore, in the future, glaucoma should be considered at ophthalmological checkups in remote places. 2006-02-27T15:00:00Z http://hdl.handle.net/10564/157 タイトル: 教室における食道癌の手術成績 著者: 松本, 壮平; 山田, 行重; 成清, 道博; 上野, 正闘; 玉置, 英俊; 三木, 克彦; 若月, 幸平; 榎本, 浩士; 中島, 祥介; 渡辺, 明彦; 中谷, 勝紀 抄録: During the last 11 years, from 1992 to 2002, 142 cases were operated on for esophageal cancer in our department. Operative procedures, clinicopathological findings and prognosis were investigated. The results were compared with those of other reports of treatment results of esophageal cancer in Japan. Age, sex, localization, macroscopic classification, histologic type, and histologic stage were almost the same as in those reports. Esophagectomy via posterior mediastinal route was often performed in our department. The five-year survival rate was 42% overall. The five-year survival rate was 100% in stage 0, 84% in stage I, 63% in stage IIA, 40% in stage IIB, 24% in stage III, 22.7% in stage IVA, and 0% in stage IVB. The survival rate was better than those of other reports. 2006-02-27T15:00:00Z