Transrectal Doppler ultrasound

  • 文章类型: Journal Article
    这项研究的目的是详细的多普勒超声扫描,埃及水牛中与子宫内膜炎易感性相关的标志物的遗传抗性和血清谱。所登记的动物被设计为:25头明显健康的水牛被认为是对照组,25头感染子宫内膜炎的水牛被认为是对照组。宫颈直径显著增加(p<0.05),子宫内膜厚度,子宫角直径,Tamean,水牛子宫内膜炎的TAMAX和通过子宫中动脉的血流与PI和RI值显着降低。受子宫内膜炎影响的水牛的基因表达水平明显高于A2M基因的抗性水牛,ADAMTS20,KCNT2,MAP3K4,MAPK14,FKBP5,FCAMR,TLR2、IRAK3、CCl2、EPHA4和iNOS。RXFP1,NDUFS5,TGF-β,SOD3,CAT,在受子宫内膜炎影响的水牛中,GPX基因的表达水平大大降低。健康和受影响的水牛的PCR-DNA序列判决揭示了所研究基因与子宫内膜炎相关的扩增DNA碱基中的SNP差异。然而,MAP3K4引发了单态模式。红细胞(RBC)计数显着下降,Hb和填充细胞体积(PCV)与中性粒细胞增多症,子宫内膜炎组的淋巴细胞和单核细胞增多症与健康者相比。血清Hp水平,SAA,Cp,IL-6,IL-10,TNF-α,NO和MDA显著升高(P<0.05),随着CAT的减少,GPx,子宫内膜炎水牛与健康牛的SOD和TAC比较。多普勒超声扫描和研究基因的变异性以及所研究标记物血清谱的变化,可以作为通过选择性育种自然抗性动物来限制水牛子宫内膜炎的参考指南。
    The objective of this study was to elaborate Doppler ultrasonographic scan, genetic resistance and serum profile of markers associated with endometritis susceptibility in Egyptian buffalo-cows. The enrolled animals were designed as; twenty five apparently healthy buffalo-cows considered as a control group and twenty five infected buffalo with endometritis. There were significant (p < 0.05) increased of cervical diameter, endometrium thickness, uterine horn diameter, TAMEAN, TAMAX and blood flow through middle uterine artery with significant decrease of PI and RI values in endometritis buffalo-cows. Gene expression levels were considerably higher in endometritis-affected buffaloes than in resistant ones for the genes A2M, ADAMTS20, KCNT2, MAP3K4, MAPK14, FKBP5, FCAMR, TLR2, IRAK3, CCl2, EPHA4, and iNOS. The RXFP1, NDUFS5, TGF-β, SOD3, CAT, and GPX genes were expressed at substantially lower levels in endometritis-affected buffaloes. The PCR-DNA sequence verdicts of healthy and affected buffaloes revealed differences in the SNPs in the amplified DNA bases related to endometritis for the investigated genes. However, MAP3K4 elicited a monomorphic pattern. There was a significant decrease of red blood cells (RBCs) count, Hb and packed cell volume (PCV) with neutrophilia, lymphocytosis and monocytosis in endometritis group compared with healthy ones. The serum levels of Hp, SAA, Cp, IL-6, IL-10, TNF-α, NO and MDA were significantly (P˂0.05) increased, along with reduction of CAT, GPx, SOD and TAC in buffalo-cows with endometritis compared to healthy ones. The variability of Doppler ultrasonographic scan and studied genes alongside alterations in the serum profile of investigated markers could be a reference guide for limiting buffalo endometritis through selective breeding of natural resistant animals.
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  • 文章类型: Journal Article
    良性前列腺增大(BPE)和2型糖尿病(T2DM)在老年男性中很常见。这项研究旨在将前列腺动脉的多普勒电阻指数与合并BPE和T2DM的男性下尿路症状(LUTS)的严重程度和前列腺体积相关联。
    50名T2DM和BPE(BPE-DM)男性为病例,50名年龄匹配的BPE但无T2DM(BPE-ND)男性为对照。两组均进行前列腺的B型和能量多普勒超声检查。
    BPE-DM的平均总前列腺体积为79.18±8.9ml,BPE-ND为60.73±10.6ml(p<0.0001)。BPE-DM的平均前列腺阻力指数(PRI)明显高于BPE-ND(右囊动脉为0.74±0.02vs0.68±0.09;左囊动脉为0.77±0.04vs0.71±0.02;尿道动脉为0.76±0.04vs0.70±0.02)。糖化血红蛋白较高的BPE-DM,空腹血糖,2型糖尿病病程越长,下尿路症状越严重,PRI越高.
    总而言之,BPE-DM组表现出更大的前列腺和更麻烦的LUTS,这与较高的PRI相关。在患有BPE和T2DM的男性中,严格的血糖控制是必要的。
    UNASSIGNED: Benign prostatic enlargement (BPE) and type 2 diabetes mellitus (T2DM) are common in elderly men. This study aimed to correlate the Doppler resistive indices of prostatic arteries with the severity of lower urinary tract symptoms (LUTS) and prostate volume in men with concomitant BPE and T2DM.
    UNASSIGNED: Fifty men with T2DM and BPE (BPE-DM) as cases and 50 age-matched men with BPE but no T2DM (BPE-ND) as controls were enrolled. B-mode and power Doppler ultrasonography of the prostate gland were done for both groups.
    UNASSIGNED: The mean total prostatic volume of the BPE-DM was 79.18 ±8.9 ml, while that of BPE-ND was 60.73 ±10.6 ml (p <0.0001). The mean prostatic resistive index (PRI) was significantly higher among BPE-DM than BPE-ND (0.74 ±0.02 vs 0.68 ±0.09 for right capsular artery; 0.77 ±0.04 vs 0.71 ±0.02 for left capsular artery; and 0.76 ±0.04 vs 0.70 ±0.02 for the urethral artery). BPE-DM with higher glycated haemoglobin, fasting plasma glucose, and longer duration of T2DM experienced more severe lower urinary tract symptoms and had higher PRI.
    UNASSIGNED: In conclusion, the BPE-DM group presented larger prostate glands and more bothersome LUTS, which correlated with higher PRI. Strict glycaemic control is necessary in men with co-existing BPE and T2DM.
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  • 文章类型: Journal Article
    UNASSIGNED: Transrectal ultrasonography (TRUS) is the best route for examining the prostate gland because of transducer proximity, elaboration of zonal anatomical details, and Doppler assessment of prostatic arteries\' hemodynamics.
    UNASSIGNED: This was a cross-sectional study of 300 men with benign prostatic enlargement (BPE) and 300 healthy age-matched controls. The resistive index (RI) of the left capsular, right capsular and urethral arteries were assessed by TRUS and correlated with these parameters: maximum urine flow rate (Q max), total prostatic volume (TPV), transitional zone volume (TZV), transitional zone index (TZI), presumed circle area ratio, and the International Prostatic Symptoms Score (IPSS).
    UNASSIGNED: The RI of capsular and urethral arteries correlated significantly with Q max, TPV, TZV, TZI, and IPSS. Of the three different RIs evaluated, the RI of UA showed the strongest correlation with Q max (r =- 0.51; P < 0.0001). The RIs were significantly higher in obstructive BOO than the non-obstructive group (Q max of <15 ml/sec and ≥15 ml/sec, respectively). The mean RI values were 0.73 ± 0.05 vs. 0.63 ± 0.04 for the RCA; 0.73 ± 0.05 vs. 0.62 ± 0.04 for the LCA; and 0.73 ± 0.06 vs. 0.62 ± 0.05 for the UA in the BPE and controls, respectively (P < 0.001). The TPV values were 52.36 ± 28.67 and 18.28 ± 4.26 in BPE and controls, respectively (P < 0.001).
    UNASSIGNED: Prostatic artery RIs are elevated in BPE. Increase in RI correlated with increase in TPV, TZV and TZI, urinary symptoms\' severity, poor QOL, and the severity of BOO.
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