超声引导下股动脉假性动脉瘤内凝血酶注射加加压治疗的应用价值

目的：评价超声引导下股动脉假性动脉瘤瘤腔内注射凝血酶加加压治疗在治疗医源性股动脉假性动脉瘤中的应用价值。方法：在彩色多普勒超声引导下,采用20 G穿刺针经皮穿刺,对30例经股动脉介入治疗术后形成的股动脉假性动脉瘤患者行瘤腔内注射凝血酶封闭治疗同时行加压压迫治疗,凝血酶浓度为200 U/ml,总量均≤500 U,压迫治疗力量以病人能耐受,足背动脉搏动可触及为标准,加压时间为24小时。结果：30例患者均1次治疗成功,术中及术后无并发症发生,术后随访3个月无复发。结论：超声引导下股动脉假性动脉瘤瘤腔内注射凝血酶加加压治疗在治疗医源性股动脉假性动脉瘤中具有创伤小,操作简便,疗效确切的优点,可作为经股动脉介入治疗术后形成的假性动脉瘤的首选治疗方法。     

超声引导下股动脉假性动脉瘤内凝血酶注射加加压治疗的应用价值

目的:评价超声引导下股动脉假性动脉瘤瘤腔内注射凝血酶加加压治疗在治疗医源性股动脉假性动脉瘤中的应用价值。方法:在彩色多普勒超声引导下,采用20 G穿刺针经皮穿刺,对30例经股动脉介入治疗术后形成的股动脉假性动脉瘤患者行瘤腔内注射凝血酶封闭治疗同时行加压压迫治疗,凝血酶浓度为200 U/ml,总量均≤500 U,压迫治疗力量以病人能耐受,足背动脉搏动可触及为标准,加压时间为24小时。结果:30例患者均1次治疗成功,术中及术后无并发症发生,术后随访3个月无复发。结论:超声引导下股动脉假性动脉瘤瘤腔内注射凝血酶加加压治疗在治疗医源性股动脉假性动脉瘤中具有创伤小,操作简便,疗效确切的优点,可作为经股动脉介入治疗术后形成的假性动脉瘤的首选治疗方法。     

彩色多普勒超声在血管性勃起功能障碍中的诊断价值

目的:研究彩色多普勒超声(CDDS)在血管性勃起功能障碍(ED)中的诊断价值,从而为患者临床诊断方式的选择提供参考。方法:选择本院内2012年4月至2015年3月期间因ED入院接受治疗的男性患者248例,在患者接受检查前,需将酚妥拉明、罂粟碱以及前列腺素-E1等药物混合液0.2 m L注入阴茎海绵体内,使得诱导阴茎勃起,随后使用彩色多普勒超声系统进行诊断,对阴茎海绵体动脉的收缩期最大血流率(PSV)、舒张末期血流率(EDV)、阻力指数(RI)等指标进行记录,对各指标诊断ED的应用价值进行评估。结果:在248例患者中,存在血流动力学异常病例172例,其中96例患者为动脉性ED,72例患者为静脉性ED;72例血流动力学正常病例,为非血管性ED。合并糖尿病25例,占10.08%;高血压17例,占6.85%;高血脂116例,占46.77%;阴茎硬结症7例,占2.82%;阴茎海绵体纤维化8例,占3.23;经腹前列腺切除术后者9例,占3.2%,经尿道切除前列腺术后者8例,占3.23;吸烟者196例,占79.03%。血管性ED患者的FPSV、PSV、EDV明显低于非血管性ED患者的,差异均有统计学意义(P0.05);且在血管性ED患者中,动脉性FPSV、ED、EDV患者的PSV明显低于非血管性ED患者的,差异均有统计学意义(P0.05)。在指标对比中,血管性ED患者的RI与非血管性ED患者的RI无明显差异(P0.05),但静脉性ED患者的RI明显低于非血管性ED患者的,差异均有统计学意义(P0.05)。在96例动脉性ED患者中,行选择性阴部内动脉造影术有11例,动脉性病变8例,彩色超声多普勒检查与选择性阴部内动脉造影术符合率为72.73%。结论:在诱导阴茎勃起后,对患者进行彩色多普勒超声系统诊断,能够有效排除阴茎在疲软状态下存在的可变性因素,能够准确反映阴茎血流动力学状态,从而能够准确筛查血管性ED疾病,其检测结果的准确性优于动脉造影,临床应用价值较高,值得进一步推广使用。     

甲状腺结节良恶性的彩色多普勒超声特征及其诊断价值分析

目的:研究甲状腺结节良恶性的彩色多普勒超声特征及其诊断价值。方法:选取从2016年3月~2019年2月于我院接受手术治疗的甲状腺疾病患者300例作为研究对象,均予以彩超检查,比较甲状腺良恶性结节的超声特征(主要包括直径、钙化情况、边界、回声、血流状况)。以病理活检结果为金标准,分析彩超诊断甲状腺结节良恶性的敏感性、特异性以及准确度。对比甲状腺良恶性结节的血流分型情况以及各项血流动力学参数。结果:恶性结节超声特征直径≥2 cm、有钙化、边界模糊、无回声/低回声、血流丰富人数占比均高于良性结节(均P<0.05)。以手术病理组织活检结果作为金标准,彩色多普勒超声诊断甲状腺结节的敏感性、特异性以及准确度分别为97.73%、86.11%、96.33%。甲状腺良性结节血流分型为Ⅰ型、Ⅱ型人数占比高于恶性结节,而Ⅲ型、Ⅳ型人数占比低于恶性结节(均P<0.05)。甲状腺良性结节的收缩期峰值血流速度(PSV)、阻力指数(RI)均低于恶性结节,而舒张末期血流速度(EDV)高于恶性结节(均P<0.05)。结论:彩色多普勒超声对甲状腺结节良恶性的鉴别价值较高,且具有较高的敏感性、特异性以及准确度,可为甲状腺良恶性结节的早期诊断、临床治疗提供重要的参考依据。     

甲状腺癌中彩色多普勒超声诊断价值探析

目的探讨甲状腺癌中彩色多普勒超声的诊断价值。方法选择2015年8月~2016年8月我院收治的甲状腺癌患者50例为观察组,并选择同期收治的甲状腺良性疾病患者50例为对照组,分析两组患者彩色多普勒超声检查图像特征,并比较其血流动力学参数。结果观察组的影像学特征多为边缘不清晰,形态不规整,呈低回声,内部微小钙化,血流分布杂乱,血流阻力指数高于0.7;对照组的影像学特征多为边缘清晰,形态规整,呈低回声和中等偏高回声,血流分布规则,血流阻力指数低于0.7。相较于对照组,观察组患者的血流速度和血流阻力指数均明显升高(均P0.05)。结论彩色多普勒超声在甲状腺癌诊断中能显示较为典型的声像图特征和血流动力学成像特点,可为临床早期诊断和治疗提供可靠的依据和指导,具有较高临床应用价值。     

超声在糖尿病肾病诊断中的应用价值

由于快速变化的生活方式,我国糖尿病的患病率呈逐年上升趋势。糖尿病肾病(diabetic nephropathy,DN)是糖尿病最常见、最严重的微血管病变并发症之一,并且已经成为全球终末期肾病的最常见病因。因此,早期诊断、早期治疗是延缓DN进展的重点。超声是临床评价肾脏形态、功能常用的检查方法,与血、尿实验室检查相比,具有方便、快捷、无创、经济的优势。随着科学技术的发展,越来越多的超声新技术应用于临床,极大的丰富了诊断信息。本文就各项超声检查技术在检测DN患者肾脏体积、实质回声、血流动力学改变中的应用价值作一综述。得出结论:在DN早期血、尿实验室检查正常时超声已经可以发现肾脏体积、血流动力学发生了变化。因此,超声在DN的早期诊断、动态监测病程进展方面所发挥的作用是其他检查方法所不可替代的。三维超声技术和超声弹性成像在DN患者肾脏功能评价方面有着广泛研究空间及临床应用前景。     

彩色高频超声多普勒在男性乳腺增生症中的诊断价值

目的:探讨彩色高频超声多普勒在男性乳腺增生症中的应用价值.方法:收集我院2010年8月至2012年9月门诊及住院疑似男性乳腺增生症患者63例,应用彩色高频超声对63例(77只)男性乳腺增生症患者检查,分析其声像图特点并采用自身前后对照的方法与临床走访或病理诊断相比较.结果:超声诊断男性乳腺增生60例(74只),疑为男性乳腺癌2例,疑为增生伴炎性改变1例.临床或病理证实男性乳腺增生63例(77只).彩色高频超声多普勒在诊断男性乳腺增生上与临床金标准相比,符合率为96.1％.结论:彩色高频超声诊断男性乳腺增生症是一种准确、无创、简便的方法,有较高的应用价值.     

超声检查在乳腺癌诊断中价值的探讨

目的:探讨二维及彩色多普勒超声在乳腺癌诊断方面的临床应用价值。方法:对60例经手术病理证实的乳腺肿块病例的二维及彩色多普勒超声检查与病理结果进行回顾性分析。结果:乳腺癌诊断中,大多数恶性肿块表现为形态不规则、边缘粗糙、边界不清、内部回声不均匀、后方回声衰减。恶性肿块的血流显示率明显高,血流分布以Ⅱ、Ⅲ级为主。结论:二维声像图及彩色多普勒在乳腺癌诊断方面有较高的临床应用价值。由于良恶性肿物的影像互有交叉,其诊断符合率并非是100%。须两者联合应用,综合分析,方可提高超声对乳腺良恶性肿块的诊断符合率。     

超声检查在乳腺癌诊断中价值的探讨

目的：探讨二维及彩色多普勒超声在乳腺癌诊断方面的临床应用价值。方法：对60例经手术病理证实的乳腺肿块病例的二维及彩色多普勒超声检查与病理结果进行回顾性分析。结果：乳腺癌诊断中,大多数恶性肿块表现为形态不规则、边缘粗糙、边界不清、内部回声不均匀、后方回声衰减。恶性肿块的血流显示率明显高,血流分布以Ⅱ、Ⅲ级为主。结论：二维声像图及彩色多普勒在乳腺癌诊断方面有较高的临床应用价值。由于良恶性肿物的影像互有交叉,其诊断符合率并非是100%。须两者联合应用,综合分析,方可提高超声对乳腺良恶性肿块的诊断符合率。     

经阴道彩色多普勒超声诊断异位妊娠的临床价值分析

目的:探讨经阴道彩色多普勒超声诊断用于诊断异位妊娠的检出率与准确率,为其临床应用提供参考。方法:选取2016年1月-2017年12月我院收治的疑似异位妊娠患者174例,依据随机数字表方法将其分为观察组和参考组,每组87例。参考组应用经腹部彩色多普勒超声予以诊断,观察组采用经阴道彩色多普勒超声进行诊断,比较两组的检出率与准确率。结果:观察组检出率为96.5%,明显高于参考组(86.2%,P0.05);观察组的准确率达97.6%,明显高于参考组(85.7%,P0.05)。在对大病灶的诊断中,两组的诊断准确率比较差异无统计学意义(P0.05);在小病灶诊断中,观察组的诊断准确率为97.6%,明显高于参考组(76.9%,P0.05)。观察组在胎囊型和飘浮型中的诊断率均明显的高于参考组(P0.05);在包块型的诊断中,两组诊断准确率比较差异无统计学意义(P0.05)。结论:与经腹部彩色多普勒超声相比,经阴道彩色多普勒超声诊断应用于异位妊娠中具有较高的检出率与准确率,尤其针对一些较小的病灶诊断有优势。     

一头罕见伪虎鲸的测量

2005 年10 月山东省荣成市远洋渔船的渔民偶然误捕了一头海豚,经鉴定,系伪虎鲸,且为畸形。主要鉴别特征:全身呈暗黑色,体细长,背鳍狭长而呈镰刀形,胸鳍前缘有一特有的隆起,即所谓的“肘部”,牙齿大,呈圆锥形,上颌齿数为14,下颌齿数为16。同时,还对其进行了较详细的观察和测量。畸形表现在:左右口角的形状不一;左鳍肢前缘有一明显的二分叉;雌性,乳沟内无乳头,但经解剖发现腹内却有一胎儿,系雄性,体长1.8 m,体重40 kg。
     

A bee’s eye view of remarkable floral colour patterns in the south-west Australian biodiversity hotspot revealed by false colour photography

Background and AimsColour pattern is a key cue of bee attraction selectively driving the appeal of pollinators. It comprises the main colour of the flower with extra fine patterns, indicating a reward focal point such as nectar, nectaries, pollen, stamens and floral guides. Such advertising of floral traits guides visitation by the insects, ensuring precision in pollen gathering and deposition. The study, focused in the Southwest Australian Floristic Region, aimed to spot bee colour patterns that are usual and unusual, missing, accomplished by mimicry of pollen and anthers, and overlapping between mimic-model species in floral mimicry cases.MethodsFloral colour patterns were examined by false colour photography in 55 flower species of multiple highly diverse natural plant communities in south-west Australia. False colour photography is a method to transform a UV photograph and a colour photograph into a false colour photograph based on the trichromatic vision of bees. This method is particularly effective for rapid screening of large numbers of flowers for the presence of fine-scale bee-sensitive structures and surface roughness that are not detectable using standard spectrophotometry.Key ResultsBee- and bird-pollinated flowers showed the expected but also some remarkable and unusual previously undetected floral colour pattern syndromes. Typical colour patterns include cases of pollen and flower mimicry and UV-absorbing targets. Among the atypical floral colour patterns are unusual white and UV-reflecting flowers of bee-pollinated plants, bicoloured floral guides, consistently occurring in Fabaceae spp., and flowers displaying a selective attractiveness to birds only. In the orchid genera (Diuris and Thelymitra) that employ floral mimicry of model species, we revealed a surprising mimicry phenomenon of anthers mimicked in turn by model species.ConclusionThe study demonstrates the applicability of ‘bee view’ colour imaging for deciphering pollinator cues in a biodiverse flora with potential to be applied to other eco regions. The technique provides an exciting opportunity for indexing floral traits on a biome scale to establish pollination drivers of ecological and evolutionary relevance.     

Behavior of rat hypothalamic and extrahypothalamic immuno-reactive TRF in thin-layer chromatography (TLC) and high pressure liquid chromatography (HPLC)

[³H] quinuclidinyl benzilate (QNB), a specific muscarinic antagonist, was utilized to identify muscarinic cholinergic receptors on dispersed anterior pituitary cells. Scatchard analysis of [³H] QNB binding to receptors departs from linearity with upward concavity. A high affinity binding site having a dissociation constant (K_d) of 1.5 nM was observed when the [³H] QNB concentration was varied from 0.15 to 20 nM. A low affinity binding site (K_d 20 nM) was observed when [³H] QNB concentration was above 20 nM. Using 10 nM [³H] QNB for binding, the second order association rate constant (k₁) of 0.064 nM^?1 min^?1 and first order dissociation rate constant (k₂) of 0.078 min^?1$\text{(}\text{T}\text{1}\text{2}\text{8}\text{min}\text{)}$ were observed. k₂/k₁ = K_d of 1.22 nM is in good agreement with K_d = 1.5 nM from equilibrium data. Muscarinic cholinergic receptor antagonists, atropine and scopolamine, and agonist oxtoremorine potently competed with [³H] QNB binding. A nicotinic cholinergic receptor agonist was 50 times less potent as a competitor of [³H] QNB binding than the muscarinic agonist.     

亚麻荠对小菜蛾幼虫取食和成虫行为反应的影响

亚麻荠是一种很少有害虫危害的油料作物。用室内生测和Y 型嗅觉仪研究了亚麻荠对小菜蛾Plutella xylostella幼虫取食和成虫行 为反应的影响。以甘蓝作对照,用亚麻荠叶片喂养的小菜蛾初孵幼虫3天后校正死亡率为79 .2%,显示了较强的致死作用;喂养小菜蛾3龄幼虫至化蛹,其存活率、化蛹率、蛹重及成 虫寿命都显著降低,表明亚麻荠对小菜蛾幼虫的生长发育有不利影响。在幼虫的取食选择实 验中,有甘蓝叶供选择时,小菜蛾幼虫不取食亚麻荠;在无可选择的情况下,小菜蛾幼虫也 取 食亚麻荠叶片,但取食量很小,与取食甘蓝叶的量相比,差异极显著。行为反应测试表明, 小菜蛾成虫对甘蓝和亚麻荠植株的挥发物都有明显的趋性反应,与对照（净化空气）相比, 差异极显著,而在甘蓝和亚麻荠之间无选择性。说明小菜蛾成虫对亚麻荠植株的挥发物具有 较强的定向反应。     

Doppler sonography of the uterine and ovarian arteries during a superovulatory program in horses

The aim of the present study was to investigate the effects of a gonadotropin treatment to induce superovulation on ovarian and uterine blood flow and its relationship with steroid hormone levels and ovarian response in mares, using color Doppler sonography. Each of six mares were examined sonographically in five cycles for 3 d (t1 to t3) during the follicular development phase (FDP) beginning at a follicle size of ≥ 22 mm, and for 4 d (D-4 to D-1; D0 = Ovulation) in the preovulatory phase (POP). After each examination, total estrogens (E_tot) and progesterone (P₄) levels were determined in peripheral plasma. Cycles 1, 3, and 5 (c₁, c3, c5) were unstimulated cycles (USC); in c2 and c4, the mares were stimulated (SC) with eFSH and inseminated when in estrus at 12 and 24 h after hCG administration. Embryo recovery was performed 6.5 d post ovulation. Cycle 5 c5 was an unstimulated cycle with hCG treatment, insemination, and embryo recovery. Ovarian and uterine blood flow was quantified by the blood flow volume (BFV) and the pulsatility index (PI) in ovarian and uterine arteries. The mean number of ovulations and developing CL was 1.3 ± 0.4 in USC and 4.4 ± 3.1 in stimulated cycles (SC) with no difference (P ≥ 0.05) between the ovaries within mares. No difference (P > 0.05) was observed in utBFV and utPI during FDP between USC and SC, but during POP, utPI was lower (P < 0.05) and utBFV higher (P < 0.001) in SC than USC. The ovBFV was higher (P < 0.01) and ovPI lower (P < 0.05) in SC compared to USC. All uterine and ovarian blood flow parameters were related to the number of developing follicles in SC. Parameters utPI (r = −0.67; P < 0.001) and ovPI (r = −0.53; P < 0.001) were negatively correlated with the number of ovulations on t3, and with the number of collected embryos on t3 (utPI: r = −0.81; P < 0.001), D-4 (utPI: r = −0.64; P < 0.0001), and D-1 (ovPI: r = −0.41; P < 0.01). P₄ levels were not positively correlated with utBFV (P > 0.05), but E_tot concentrations (D-4: r = 0.790; D3: r = 0.639; P < 0.001; D-1: r = 0.48; P < 0.001) and ovBFV from D-4 to D-1 (r = 0.64; P < 0.001) in SC were. The results of the present study show that in mares treatment with gonadotropins to induce superovulation is associated with a marked increase in uterine and ovarian perfusion, concurrent with the development of multiple follicles and an increase in E_tot levels. The increased blood flow seems to be related to the effectiveness of ovarian response to stimulation.     

Role of the anterior hypothalamus-preoptic area in the regulation of courtship behavior in the male Canadian red-sided garter snake (Thamnophis sirtalis parietalis): intracranial implantation experiments

Testosterone (T) was administered intracranially to intact adult male Canadian red-sided garter snakes (Thamnophis sirtalis parietalis) in the fall and in the summer. Implants in the anterior hypothalamus-preoptic area (AH-POA) as well as other regions of the brain, including the medial and basal hypothalamus, thalamus, medial cortex, and third ventricle, failed to elicit courtship behavior. The spermatogenic stage was more advanced, and the circulating level of androgens was significantly higher, in animals that received implants of T in the AH-POA. These findings suggest the sex steroid-concentrating sites in the AH-POA of the garter snake are involved in feedback regulation of pituitary gonadotropin secretion and not in the control of courtship behavior. Hematocrit was found to be higher in animals that received implants of T, regardless of location, a response that may be related to changes in blood chemistry prior to hibernation. These findings support previous research indicating that in the adult male red-sided garter snake, a species exhibiting a dissociated reproductive tactic, courtship behavior is independent of testicular androgens.     

Evidence for two variants of poly(adenosine diphosphate ribose) glycohydrolase in rat testis.

The specific activity of rat poly(adenosine diphosphate ribose) glycohydrolase was higher in the testis than in the liver, brain, spleen or kidney. The enzyme was found primarily in the soluble fraction of the testis. When the soluble enzyme was chromatographed on phosphocellulose, the activity eluted in two peaks, at 0.22 and 0.34 m KCl, respectively, referred to in the present study as enzyme A and B. Enzyme A has an optimal pH of 7.25 and was stimulated by 150 mm KCl. The optimal pH of enyzme B was 6.5, but it was not stimulated by KCl. For maximal activity both enzymes required 10 mm 2-mercaptoethanol, and they were strongly inhibited by 100 μmp-chloromercuribenzoate. The K_m values of enzyme A and B for poly(adenosine diphosphate ribose) were 1.52 and 0.70 μm, respectively. Ribose 5′-phosphate, guanosine 3′,5′-monophosphate, adenosine 3′,5′-monophosphate and adenosine diphosphate ribose inhibited both enzymes. The two latter nucleotides behave as noncompetitive inhibitors. Denatured DNA and the homopolypurines poly(G), poly(I) and poly(A) were very potent inhibitors of both glycohydrolases. The mode of hydrolysis of poly(adenosine diphosphate ribose) by glycohydrolases A and B was exoglycosidic, yielding adenosine diphosphate ribose as the final product.     

Activation of calcium and phospholipid-dependent protein kinase by epidermal growth factor (EGF) in A431 cells: attenuation by 12-0-tetradecanoylphorbol-13-acetate (TPA)

A calcium and phospholipid-dependent protein kinase (protein kinase C) was detected in the crude soluble extracts of A431 human epidermoid carcinoma cells. The enzyme required calcium, phosphatidylserine or phosphatidylinositol, and diacylglycerol (DG) for maximal activation. Protein kinase C phosphorylated both endogenous cytosolic proteins and various histones. Addition of epidermal growth factor (EGF) to A431 cultures resulted in a 2 to 3-fold stimulation of protein kinase activity. 12-0-tetradecanoylphorbol-13-acetate (TPA) in concert with EGF attenuated the EGF-induced enhanced phosphorylation of endogenous proteins. It is conceivable that DG, derived from phosphatidylinositol turnover, acts as a natural activator of protein kinase C activity.     

A comparison of alternative measures of mutagenic potency in the Salmonella (Ames) test

Both the spontaneous and the induced mutation rates in Salmonella tester strains vary among different laboratories, and also within the same laboratory over time. If there is an association between spontaneous and induced mutagenesis, a measure of mutagenic potency that incorporates the background may be more consistent than the simple measure of the induced slope. We have used the statistical procedures recently described by Bernstein et al. (1982), and a large data-base of Salmonella test results to examine the association between spontaneous and induced mutation and to compare several alternative measures of mutagenic potency. A correlation analysis indicated an association between spontaneous and induced mutation for TA98, TA1537 and TA1535; TA1538 was close to being significant. This was observed over a wide range of chemicals. In addition, for TA98, for which we observed the strongest association, we obtained a rough estimate of the relationship between slope and intercept by using least squares to fit K and p in the power curve beta = k alpha p. We then chose 3 simple potency measures: the slope, the ratio of slope to spontaneous background, and the ratio of slope to the square-root of spontaneous background. These corresponded to the range of p's estimated from the least-squares fit procedure. The reproducibility of these measures was compared and no significant differences were found. Though there were some differences in the relative potency ranking of chemicals using the different measures, they were highly correlated.