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特定健診:学会抄録


昨日はまず、センター南の消化器クリニックへ。一昨年昨年に引き続き、健診を受けるため。

予約も何もしていないので、昨日は身長・体重・腹囲・尿検査・心電図・胸部レントゲン・腹部超音波。

胃内視鏡の予約をして帰宅。

11時から嶮山へ。3連休の中日のせいでしょうか、コートは空いていて、続けて2セットやってから、アルバトロスでランチ。

昼食後にも1セットやって、帰宅。

2時半から4時半まで、鶴見川サイクリングロードを常盤橋まで往復。

木曜日に録画しておいた「七瀬ふたたび」を見ました。

せっかくの2連休。静岡に行こうかとも思ったのですが、娘は京都の学会に行っているらしく、遠出はしないことになりました。

来年の国際超音波医学会の抄録のたたき台が完成。

The role of ultrasonography in selecting chronic prostatitis patients for Keishibukuryogan(Kampo medicines)

Background
Chronic prostatitis is associated with pelvic pain upon urination and/or ejaculation. In severe cases, patients have pain from such mundane acts as sitting. Keishibukuryogan is one of the effective Kampo medicines to treat patients with static blood. I prescribed Keishibukuryogan, when chronic non-bacterial prostatitis patients were supposed to have static blood.

Patients and Methods
During April 2005 to March 2008, 1** patients with chronic pelvic pain lasting more than six months visited my clinic. By the bacteriological examination of prostatic secretion, 1** cases were chronic non-bacterial prostatitis. Patients underwent transabdominal ultrasonography. In 6* cases, enlarged and twisted periprositatic vein were visualized. They were diagnosed as having static blood, and Keishibukuryogan was prescribed, except * cases who had already prescribed Kampo medicines. Among *6 cases without enlarged periprositatic vein, 3* cases with pain reinforced by sitting were diagnosed as having static blood, and Keishibukuryogan was prescribed. Patients who improved and required no farther prescription were classified as success. No reccurence occurred during following six months. Patients who claimed to feel better but ceased seeing me regularly before complete pain relief were classified as improvement. Patients who continued to have the same symptoms were classified as failure.

Results
Among 6* patients with enlarged periprositatic vein, *2 were classified as success, 2* as improvement, and *9 as failure. Among *5 patients without enlarged periprositatic vein, * were classified as success, 1* as improvement, and *1 as failure.

Conclusion
By detecting enlarged periprositatic vein, ultrasonography was useful to choose patients to prescribe Keishibukuryogan.

「完治前に通院をやめた人」を

Patients who claimed to feel better but ceased seeing me regularly before complete pain relief

と表現しましたが、もっといい表現ないでしょうか?

演題として採用されるかどうか分かるのは、来年2月。

その結果で来年の8月30日から9月3日までシドニーに行くかどうかが決まります。
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