幕下小脑上入路松果体区神经内镜解剖学研究

目的:明确松果体区及其毗邻结构的神经内镜下解剖特点,探讨内镜下经幕下小脑上入路的解剖通路及手术操作技巧.方法:随机选取10%福尔马林固定的国人成年尸体头颅标本15例,在神经内镜下模拟幕下小脑上入路,观察松果体区解剖结构暴露范围与可调整程度,测量其手术入路相关解剖结构数据.结果:幕下小脑上入路中,内镜视野呆板固定,可调整性差.松果体区解剖结构显露不良,从而影响手术操作.结论:内镜下单纯利用幕下小脑上入路进入松果体区不可取,适当切除小脑上蚓时,幕下小脑上入路中进入第Ⅳ间隙后松果体区各解剖结构暴露良好,但内镜调整难度大,此手术入路可作为辅助手术间隙.     

桥小脑角区脑膜瘤显微外科手术17例分析

目的:探讨桥小脑角脑膜瘤的临床表现及相应的手术治疗方案,提高显微外科手术治疗效果.方法:回顾分析我院近5年来收治的17例桥小脑角脑膜瘤患者,均采用枕下乙状窦后手术入路.结果:本组肿瘤全切率为88.3%面神经和位听神经功能大部分保留,无死亡病例.结论:术前详细的检查和完善的手术方案制订对桥小脑角区脑膜瘤的手术治疗至关重要,显微外科手术是治疗桥小脑角区脑膜瘤安全有效的方法     

显微镜下锁孔手术的临床应用研究

目的：探讨显微镜下锁孔手术的临床应用。方法：回顾性分析近10年来收治的锁孔手术459例的手术经验,总结锁孔手术临床应用。经眉弓锁孔入路治疗颅内病变的手术270例。经翼点锁孔入路治疗颅内病变的手术52例。经后颅窝锁孔入路的手术137例。结果：外伤及高血压引起脑内血肿23例,经翼点锁孔入路治疗效果良好。颅内肿瘤全切除266例（74．7％）,次全切除90例（25．3％）。术后并发症发生率为3．8％,无与手术入路相关并发症。结论：显微镜下锁孔手术是一种安全、有效的微创手术,值得进行深入研究和广泛应用。     

枕下远外侧入路研究进展

下斜坡、枕大孔前缘、颈静脉孔区及脑干腹侧的病变,一直以来这些区域的手术难度高,风险极大。由于周围毗邻解剖关系复杂,对于神经外科医生是一个巨大的挑战,枕下远外侧入路是到达上述区域比较理想的入路之一,它包括:1)沿颅颈交界区后外侧面分离肌肉,充分暴露C1横突和枕下三角;2)今早在寰椎后弓上方和或寰椎和枢椎动脉;3)行枕下颅骨切除术或枕下开颅术,并切除至少半个寰椎后弓。这一入路提供了以下三个入路的通道:经髁入路的方向经过枕髁或寰枕关节和邻近的髁部;髁上入路的方向经过枕髁上方的区域;髁旁入路的方向经过枕髁外侧区域。它的路径短,适合于颅颈交界区域的多种病变,可以较早地辨认与保护椎动脉,并可以根据手术的具体要求选择磨除枕髁的多少以及周围的骨性结构,以期达到良好的术野。     

经鼻蝶入路显微侵袭切除垂体腺瘤的临床疗效

目的:对比观察经鼻蝶显微技术下入路与经鼻蝶神经内窥镜下入路手术切除垂体腺瘤的疗效,探讨切除垂体瘤的良好辅助方法。方法:78例患者分别采用经鼻蝶显微技术下入路和经鼻蝶神经内窥镜下入路手术切除垂体腺瘤。结果:与经鼻蝶显微技术下入路比较,经鼻蝶神经内窥镜下入路手术者住院时间短、肿瘤全切除率高、鼻出血率低、术后并发症发生率低(P<0.05),但是经鼻蝶神经内窥镜下手术切除肿瘤时术中出血需显微镜下止血。结论:经鼻蝶神经内窥镜下手术入路是垂体腺瘤切除的良好手术切除垂体瘤的入路,如有条件也可将二者联合应用取长补短。     

一例桥小脑角占位围手术期患者护理病例讨论

目的:通过对一例1例桥小脑角肿瘤患者的护理病例讨论,探讨围手术期护理措施。方法:对我科收治的1例桥小脑角肿瘤患者进行护理经验总结。结果:通过精心的护理和治疗,病人恢复良好。结论:加强桥小脑角占位围手术期的护理,是患者康复的关键。     

内镜辅助经口咽前路减压后路融合一期手术治疗寰枢椎脱位

目的:探讨显微内窥镜下经口咽入路前路减压同时一期后路融合治疗寰枢椎脱位的手术方法,评价该手术方法的临床效果。方法:2005年2月至2006年6月对11例有手术指征的寰枢关节脱位患者,其中外伤齿状突骨折畸形愈合4例、先天性寰枕融合畸形1例、齿突发育不良并不连6例。全组均有不同程度的颈脊髓压迫引起的不同程度的肢体运动、感觉障碍;ASIA分级C级3例、D级8例。行显微内窥镜辅助下经口咽入路前路减压,术中颅骨牵引复位后一期后路融合。结果:11例均获得脊髓充分减压,9例获解剖复位、2例部分复位,无术中和术后并发症;所有患者的临床症状均有明显改善,四肢运动功能不同程度的恢复,A- SIA分级1例C级恢复至D级,2例C级恢复至正常,8例D级恢复至正常。内固定无松脱、无断裂及再脱位,植骨融合良好均获得骨性融合。术后随访6月-18个月,平均12个月,效果良好。结论:显微内镜下经口咽入路前路减压,具有视野清晰、操作精确、损伤小的优点;充分前路减压可以术中即刻复位、一期后路融合,避免了二次手术。     

经翼点入路显微手术治疗后交通动脉瘤

目的：探讨显微手术治疗后交通动脉瘤的手术时机,避免术后脑积水的手段及双侧后交通动脉瘤的处理方法。方法：采用翼点入路,早期显微手术夹闭后交通动脉瘤41例,两例双侧后交通动脉瘤患者成功采用一侧翼点入路夹闭双侧动脉瘤。结果：本组41例动脉瘤均顺利夹闭,28例患者术前存在动眼神经麻痹,27例术后症状消失或者缓解,1例未有明显改善。41例患者均行终板造瘘,术后出现脑积水患者1例。无死亡病例。随访1～10月无动脉瘤残留及复发。结论：早期手术夹闭后交通动脉瘤有利于动眼神经麻痹的恢复,术中行终板造瘘可降低术后脑积水的发生,对侧后交通动脉瘤的指向、位置及后交通动脉与颈内动脉的解剖关系是影响一侧入路夹闭双侧后交通动脉瘤的关键因素。     

MRI对桥小脑角区占位病变的诊断价值分析

目的探讨桥小脑角区占位病变MRI诊断价值。方法回顾性分析98例具完整资料的桥小脑角区占位MRI主要表现及特征表现。结果 98例患者中,听神经鞘瘤47例,脑膜瘤27例,三叉神经瘤9例,表皮样囊肿7例,蛛网膜囊肿5例,血管母细胞瘤1例,淋巴瘤1例,皮样囊肿1例,诊断正确率99%。结论 MRI影像能够清晰显示桥小脑角区占位的起源、形态、信号以及与周围组织结构的关系,是桥小脑角区占位病变最佳影像检查方法,具有重要的诊断及鉴别诊断价值。     

听神经瘤的显微外科现状

听神经瘤是主要起源于前庭神经的良性肿瘤,手术切除是其主要治疗方法之一,听神经瘤常用手术入路包括枕下乙状窦后入路(RSC)、经颅中窝入路(MFC)、经迷路入路(TLC)三种手术入路.非手术治疗包括放射治疗以及动态影像学观察.术中面神经监测应用为解决听神经瘤手术中面神经功能保留问题提供了一种很好的途径,使听神经瘤的并发症发生率已大大降低.本文就听神经瘤外科治疗做一综述.     

Larval diapause of Monochamus urussovi and photoperiodic effects on larval development in tree bolts

To determine the larval diapause and the effect of photoperiod on development in Monochamus urussovi (Coleoptera: Cerambycidae), larvae were reared on Abies sachalinensis and Picea jezoensis logs and bolts. Larvae stopped developing in the final instar at 25°C and 16L : 8D (16 h light and 8 h dark) whereas an exposure to 5°C in the dark (134 days) following acclimation at 12°C under natural daylength led to adult emergence. When larvae were reared under 8L : 16D or 16L : 8D at 25°C with an intervening period of chilling at 5°C in the dark (112 days), a photoperiod of 8L : 16D induced a shorter time required for adult emergence after being returned to 25°C, and smaller adult body size than 16L : 8D.     

Induction of testicular growth and sexual activity in rams by a 'skeleton' short-day photoperiod

Eight adult rams were housed in 16L:8D for 16 weeks and then exposed to short days (8L:16D) or 'skeleton' short days (11L:1D:5L:7D) for 16 weeks before being returned to long days. The 'skeleton' treatment promoted testicular development and regression in a way similar to that occurring in 8L:16D, indicating that a change in the total quantity of light is not a prerequisite for the photoperiodic response in the ram.     

Effects of photoperiod,temperature and melatonin on nymphal development,polyphenism and reproduction in Halyomorpha halys (Heteroptera: Pentatomidae)

Influences of photoperiod, temperature and melatonin were examined on development and color patterns of nymphs, and sternum color and reproductive fate of adults in Halyomorpha halys (brevis). Short-day accelerated nymphal development, whereas long-day accelerated reproductive maturation. The two types of photoperiodic responses at different stages may help maintain the univoltinism of this species in the field, assuring the right timing for diapause and reproduction. The pronotum of fifth instar nymphs reared under LD 11:13 shows a brown-marbled color pattern darker, with less creamy-yellowish speckles, than that of nymphs reared under LD 16:8. Short-day-reared fifth instar nymphs, which are destined to diapause in adults, had shorter white stripes on the pronotum, smaller body size, less frequent feeding and more lipid accumulation than the long-day-reared. The longer the exposure to LD 13:11 at 20 degrees C during the nymphal stage, the greater the expression of short-day associated characteristics observed in the fifth nymphal instar and adult stage. Melatonin orally administered (500 microg/ml) to insects under LD 16:8 produced slightly reduced body size, suppressed feeding, extended nymphal period and increased accumulation of lipid compared to the untreated bugs, but did not affect the incidence of diapause in females. In males, melatonin retarded gonadal development under LD16:8. These results may suggest a possible role of melatonin for the control of seasonal polyphenism and development.     

Mobilization of the pACYC184 plasmid by hybrid pAS8-121 delta plasmids in Escherichia coli cells

The plasmid pACYC184 is shown to be mobilized for conjugal transfer in Escherichia coli cells by the deleted (Tn7-TcR) derivatives of the hybrid conjugative plasmid pAS8-121 (RP4-Co1E1). Both the mobilized and mobilizing plasmids are autonomously inherited by the recipient cells when the mobilizing plasmid carries single copy of IS8 (the plasmid pAS8-121 delta 16). Cointegrates pAS8-121 delta 16D:: ::pACYC184 are found in the recipient cells with pACYC184 being inserted between two repeats of IS8 if the derivate plasmid pAS8-121 delta 16D having the duplication of IS8 is used to mobilize pACYC184 for conjugal transfer. The insertion of pACYC184 between IS8 repeats in the plasmid pAS8-121 delta 16D eliminates the plasmid ability to be inserted with high frequency into the chromosome of the phototrophic bacterium R. sphaeroides 2R. The cointegrate pAS8-121 delta 16D:: pACYC184 is stable but can be resolved during the transformation deriving the plasmid pACYC184:: IS8. The latter may be used as a probe for isolation and analysis of IS8 DNA sequences and for constructing the vectors on the basis of pACYC184.     

Lack of immunological responsiveness to photoperiod in a tropical rodent,Peromyscus aztecus hylocetes

Non-tropical rodents undergo seasonal changes in immune function and disease. It has been hypothesized that seasonal fluctuations in immunity of non-tropical rodents are due to suppressed immune function during harsh winter conditions. A logical extension of this hypothesis is that seasonal changes in immunity should be reduced or absent in tropical rodents that do not experience marked seasonal fluctuations in environmental conditions; however this hypothesis remains to be tested. The present study tested the effects of photoperiod on humoral and cell-mediated immune function of male Aztec mice ( Peromyscus aztecus hylocetes). P. a. hylocetes were housed in long (L:D 16:8) or short days (L:D 8:16) for 10 weeks. Animals were then immunized with the antigen keyhole limpet hemocyanin (KLH). Serum anti-KLH immunoglobulin G (IgG) concentrations and splenocyte proliferation in response to the T-cell mitogen Concanavalin A were assessed. Short-day P. a. hylocetes did not display differences in reproductive or immune measures compared with long-day mice. Collectively, these results suggest that P. a. hylocetes are reproductively and immunologically non-responsive to photoperiod. This lack of immunological responsiveness is likely due to the relative seasonal stability of their environment compared with temperate zone species.     

Quantification of lysophosphatidylcholines and phosphatidylcholines using liquid chromatography-tandem mass spectrometry in neonatal serum

We established an improved method for quantification of phosphatidylcholine (PC) and lysophosphatidylcholine (LPC) molecular species in neonatal serum using high-performance liquid chromatography coupled tandem mass spectrometry (LC-MS/MS). A multiple reaction monitoring (MRM) mode of positive ionization for MS/MS was used. The method involved purification of phospholipids by solid phase extraction (SPE) from a 20-microl minimum specimen of serum. The assayed values of authentic 16:0-LPC and 18:0-LPC showed a linear response, and our quantitative results showed high precision for the all species of PC and LPC. Then, we quantified PC and LPC in adult and neonatal serum and compared them. Day 0-1 neonatal serum 16:0-, 18:0-, 18:1-, 18:2-LPC levels were significantly lower than adult ones. All species LPC levels in the day 0-1 neonates were significantly lower than day 4-8 neonates. Day 0-1 neonatal serum 16:0/18:2-, 18:0/18:2-PC levels were significantly lower than adult ones. Our method is advantageous for precise assessments of the relationships between PCs/LPCs levels and neonatal infectious diseases.     

Photoperiodic responses of pupa and adult determining maternal influence on progeny diapause in two species of the genus Trichogramma (Hymenoptera, Trichogrammatidae)

The adult photoperiodic responses of two Trichogramma species were investigated by exposing adults during 3 days to one of the seven light: dark regimes: L: D = 4: 20, 8: 16, 12: 12, 14: 10, 16: 8, 18: 6, and 20: 4. The preimaginal stages of these individuals developed under short (L: D = 12: 12), long (L: D = 20: 4) or intermediate photoperiods (L: D = 14: 10 and L: D = 16: 8 for Trichogramma principium and T. embryophagum, respectively). The progeny of these females developed under short day L: D = 12: 12 and at two moderately diapause-inducing temperatures (13 and 14°C for T. principium, 14 and 15°C for T. embryophagum). In both Trichogramma species which developed at both temperatures, the percentage of diapausing prepupae was significantly dependent both on the photoperiodic conditions of the preimaginal development of the maternal generation and on the photoperiod which influenced the adult females. The adults showed a typical long-day photoperiodic response with a threshold day length of ca 13 h in T. principium and ca 16 h in T. embryophagum, which practically coincided with the thresholds of the pupal photoperiodic responses of these species revealed in our previous studies. However, the ultra-short photoperiods (L: D = 4: 20 and 8:16) caused a relatively stronger diapause-inducing effect on the progeny when applied to the adult females than when it was applied to the pupae. Thus, in both the Trichogramma species studied, the patterns of photoperiodic responses of pupa and adult were somewhat different although they almost coincided in the “ecologically significant” part of the photoperiodic scale.     

Maternal transfer of photoperiodic information in Siberian hamsters. V. Effects of melatonin implants are dependent on photoperiod.

Photoperiodic information is transferred from female Siberian hamsters to their fetuses during gestation. Although maternal melatonin is known to be essential for the transfer of prenatal photoperiodic information, its specific role is not well defined. The duration of the daily melatonin signal, expressed as an elevation of serum melatonin levels in the maternal circulation, has been hypothesized to convey day length information to the fetus. If this hypothesis is valid, it predicts that identical maternal melatonin signals should affect the fetuses identically, regardless of the prenatal photoperiod. To test this hypothesis, adult females received melatonin in beeswax or beeswax alone. They were paired with males and housed in photoperiods of 12L:12D or 16L:8D. On the day of parturition, mother and young were transferred to constant light (LL). Young males were killed on Day 28 of life, and weights of testes were determined. Prenatal treatment with beeswax alone did not affect the nature of the signal transferred from mother to fetus; young gestated in 12L:12D and reared in LL developed small testes, while those gestated in 16L:8D had large testes. On the other hand, the effect of the prenatal melatonin treatment on postnatal testicular development in LL was inversely dependent on the prenatal photoperiod: testicular growth was stimulated in young gestated in 12L:12D, but inhibited in young gestated in 16L:8D. To verify that the melatonin pellets produced equivalent serum melatonin levels in adult females in 12L:12D and 16L:8D, unmated adult females were killed 6-10 wk after receiving melatonin pellets. Serum levels were elevated in both groups throughout the day and night.(ABSTRACT TRUNCATED AT 250 WORDS)     

Seasonal effects on sexual maturation of male bank voles (Clethrionomys glareolus)

The weights of the testes and accessory glands, and the degree of morphological and functional development of the seminiferous tubules, were used as indicators of sexual maturation in male bank voles. Males reared under constant laboratory conditions showed a significant relationship between the seasons and sexual maturation. Young males reached maturity most rapidly in the reproduction season (mid-April to mid-October), while adult males matured earlier, in the spring season (mid-January to mid-April). The influence of season on animals reared in outdoor cages was much more pronounced. One of the important factors was the photoperiod: animals reared from 3 to 12 weeks of age in a short photoperiod (8L:16D) matured less rapidly than did those reared in 16L:8D.     

Effect of variation in photoperiodic response on diapause induction and developmental time in the willow leaf beetle, Plagiodera versicolora

The willow leaf beetle, Plagiodera versicolora (Coleoptera: Chrysomelidae) overwinters in adult diapause. In this study, the photoperiodic responses for diapause induction and developmental time were examined in the Ishikari (Hokkaido, Japan) population of P. versicolora. All females entered reproductive diapause under short daylength (L10:D14), but 31.7% of females did not enter diapause under long daylength (L16:D8). The developmental time from oviposition to adult emergence was significantly longer at L10:D14 than that at L16:D8. Norm of reaction curves illustrated variation among families in the photoperiodic responses for diapause induction and for developmental time. ANOVA indicated significant family × photoperiod interactions in the developmental time. At L16:D8, developmental time was positively correlated with the incidence of diapause in females. This means that a female having a longer developmental time tends to have a longer critical photoperiod. Such variation may be maintained by differences in selection pressures on the growth rate and the critical photoperiod for diapause induction between univoltine and bivoltine genotypes because Ishikari is located in a transitional area between populations with univoltine and bivoltine life cycles.