| 匡调元,Vance RP,Marshall RB.从睾丸病理探讨其与“急病及肾”、“久病及肾”的关系[J].中国中西医结合杂志,1989,(1):10-13,3,4 |
| 从睾丸病理探讨其与“急病及肾”、“久病及肾”的关系 |
| Approaching the Relationships between the Lesions of Testis and the"Shen"(肾)Attached by Acute Injury and Chronic Disease |
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| DOI： |
| 中文关键词: 急性损伤 睾丸病理 精子细胞 病变 精曲小管 精母细胞 细胞变性 理论问题 生殖上皮 基底膜 |
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| 中文摘要: |
| 本文对90例死于急性损伤及慢性消耗性疾病患者的睾丸病理组织切片进行了观察,发现其精子成熟过程受阻及间质细胞变性,自急性发病后第2天即开始,病程越长,病变越重。从而提出每丸病变可能是一个重要病机环节的观点。以此为据,论证了中医肾本质的某些理论问题,为治疗提供了理论依据。 |
| 英文摘要: |
| In this paper,the testioular routine sections of ninety autopsy cases of males between 20 and 29 years old were studied,The autopsies were performed in the department of pathology at the Bowman Gray School of Medicine of Wake Forest University in the United States.Primary pathological diagnoses were divided into acute injury(63 cases)and chronic disease(27 cases)groups. Using the following criteria,the authors divided the testicular changes into three stages:(1)The early stage(about 4th day):There was slight sloughing and disorganization of the germinal epithelium. Acute group occured 43 cases,chronic 6 cases.(2)The middle stage(about 15th day):The basement membrane of the tubules was slightly thickened.Sloughing,disorganization and degenerative changes of various germinal cells were obvious.Giant cell formation was present.Acute group occured t7 cases,chronic 8 cases.(3)The late stage(longer than 25 days):The diameter of the testicular tubules was obviously reduced,the basement membrane was very thickenedy various germinal cells disappeared.Only Sertoli cells or just htalinized fibrous tissues were seen.Interstitial fibrosis and Leydig cells were atrophied.These results indicated that the longer the duration,the serious the lesions.Based on the results of the above observation,the authors emphasize that the lesions of the reproductive glands play an important role in the pathogenesis of disease.It is reasonable in believing that we should use drugs or herbs which might help and protect the"Shen" and Semen for the treatment of the patients as early as possible,no matter whether or not they have sexuality impaired. |
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