• 제목/요약/키워드: Unilateral nephrectomy

검색결과 18건 처리시간 0.02초

도인(挑仁)이 일측 신절제와 streptozotocin으로 유발된 당뇨병성 신증 Rat에 미치는 영향 (The Effects of Prunus on Diabetic Nephropathy Rats Induced by Unilateral Nephrectomy and Streptozotocin)

  • 김남규;오재선;전상윤
    • 대한한방내과학회지
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    • 제35권4호
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    • pp.519-531
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    • 2014
  • Objectives: Diabetic nephropathy is the most common cause of end stage renal disease. Transforming growth factor (TGF)-${\beta}1$, type IV collagen, advanced glycation end-products (AGEs), and angiotensin II type 1 receptor (AT1) are the main factors of diabetic nephropathy. We investigated the effects of Prunus on renal function and histopathological changes of diabetic nephropathy rat model induced by unilateral nephrectomy and streptozotocin. Methods: Diabetes was induced in male Sprague-Dawley rats ($290{\pm}10g$) by injecting streptozotocin (55 mg/kg) into the tail vein after unilateral nephrectomy. Rats were divided into 3 groups (n=6): normal, control, and Prunus. After 8 weeks of oral administration of Prunus extract on the Prunus group from 3 days after streptozotocin injection, we checked weight, 24 hrs urine, blood biochemistry and renal tissue to evaluate renal function and histopathological changes by examining parameters including albuminuria, BUN, creatinine, cholesterol, low density lipoprotein (LDL), triglyceride, TGF-${\beta}1$, type IV collagen, AGEs, and AT1. We also measured mRNA expression of TGF-${\beta}1$, type IV collagen, AGEs, and AT1 by Real Time polymerase chain reaction (RT-PCR). Results: Prunus decreased the amount of 24 hrs proteinuria, and inhibited histopathological changes of diabetic nephropathy including the expression and accumulation of TGF-${\beta}1$, type IV collagen and AGEs which could promote development of diabetic nephropathy. Prunus also inhibited mRNA expression of TGF-${\beta}1$, type IV collagen. Conclusions: These findings suggest that Prunus might protect the renal function and inhibit the development of renal injury by regulating factors including TGF-${\beta}1$, type IV collagen, AGEs, except AT1, so Prunus can be used for diabetic patients to prevent the progression of diabetic nephropathy.

개에서 편측성 난소낭종의 방사선학적 및 초음파학적 진단 2례 (Radiographic and Ultrasonographic Diagnosis of Unilateral Ovarian Cysts)

  • 이기창;최민철
    • 한국임상수의학회지
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    • 제19권3호
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    • pp.367-370
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    • 2002
  • A female, 14-year-old mixed dog weighing 4 kg and a female,8-year-old schnauzer dog weighing 6 kg showing vaginal discharges and vomiting for a few weeks were examined for the preoperative check of anterior cruciate ligament rupture and the recheck after the surgery of nephrectomy. There were no distinct abnormal signs except for the increased CBC at schnauzer dog on blood chemistry analysis. Radiographic and ultrasonographic findings were a large abdominal mass and a cyst-like hypoechogenic or anechogenic cavitary lesion on the ovary region. These findings were consistent with an ovarian cyst. Thereafter highly suspected ovarian cysts by diagnostic imaging were supported by high estrogen concentration on hormonal assay and the results of Pathologic examination as the unilateral ovarian cysts with secondary pyometra.

A Rare Case of Canine Huge Renal Cell Carcinoma with Ovarian Metastasis

  • Koo, Jiyoung;Song, Woo-Jin;Jo, Heesoo;Ahn, Hyerin;Choi, Solji;Jeong, Hyohoon;Cheong, Jongtae;Park, Hyun-Jung;Yun, Youngmin
    • 한국임상수의학회지
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    • 제39권4호
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    • pp.168-172
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    • 2022
  • A 10-year-old female Pomeranian weighing 2.25 kg with a history of gradual weight loss and an intraabdominal mass confirmed with ultrasonography at a local hospital was referred to the Veterinary Medical Teaching Hospital, Jeju National University. Physical examination revealed abdominal distention. Blood analysis revealed hypoglycemia (57 mg/dL; reference range, 60-110 mg/dL). On abdominal ultrasonography, a heterogeneously hyperechoic mass measuring 7.51 × 10.6 cm was found at the level of the left kidney. Computed tomographic findings showed a unilateral left kidney mass with a 10-cm diameter and vessel contrast enhancement in the corticomedullary phase. Unilateral nephrectomy and ovariohysterectomy were performed because left ovary enlargement was observed during surgery. The renal mass was adjacent to the aorta and vena cava and attached to a portion of the small intestine, greater omentum, and left ovary. The mass was huge (12.5 × 10 × 7 cm) and was 16.5% of the body weight. Histopathological examination revealed renal cell carcinoma (RCC) and ovarian metastasis. After surgery, clinical signs improved remarkably, and serum glucose level returned to normal. As RCC is resistant to radiation and chemotherapy, the owner decided not to proceed with postoperative adjunctive therapies. To the best of our knowledge, this is the first case report of ovarian metastasis with huge RCC in a dog.

당뇨병 환자에서 발생한 기종성 신우신염 1례 (Emphysematous Pyelonephritis: A Case Report and Review of the Literature)

  • 윤현대;원규장;이찬우;조인호;이형우;윤경우;이헌주;이현우;조철규;김영수
    • Journal of Yeungnam Medical Science
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    • 제10권2호
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    • pp.537-543
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    • 1993
  • 저자들은 당뇨병 환자에서 발생한 기종성 신우신염을 내과적 치료와 응급 신적출술로 성공적으로 치험하였기에 문헌고찰과 함께 보고하는 바이다.

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개에서의 편측성 신장 림프육종 1예 (A Case of Unilateral Renal Lymphosarcoma in a Dog)

  • 정종태;김재훈;윤영민;이주명;강태영;고규련;박현정
    • 한국임상수의학회지
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    • 제31권1호
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    • pp.73-76
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    • 2014
  • A 10-year-old, female spayed mixed-breed dog with a history of vomiting and anorexia was examined. Abnormal findings of comlete blood count and serum chemistry included polycythemia, thrombocytopenia, hyper-globulinemia and hypoalbuminemia. Abdominal radiographs revealed severe unilateral renomegaly, and ultrasonography showed a left-sided renal mass. During the operation, left kidney was resected. Cytologial and histopathological examinations revealed neoplastic lymphoid proliferation with high mitotic figures in renal mass. Immunohistochemistry revealed tumor cells were CD3-positive and CD79${\alpha}$-negative, consistent with T-cell lineage. The renal mass of this case was diagnosed as renal T cell lymphosarcoma.

Antioxidant Effects of Ascorbic Acid on Renal-Ischemia Reperfusion Injury in Rabbit Model

  • Kim, Jong-Man;Lee, Jae-Yeon;Kim, Duck-Hwan;Jeong, Seong-Mok;Park, Chang-Sik;Kim, Myung-Cheol
    • 한국임상수의학회지
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    • 제25권3호
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    • pp.165-169
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    • 2008
  • Renal ischemia-reperfusion (I/R) injury is great clinical important because viability of the organ depends on the tolerance to ischemia-reperfusion injury, an inevitable processing during surgery. The purpose of this study was to investigate the effects of premedicated ascorbic acid alone in I/R injury model induced by cross-clamping of renal vessels. In the rabbit models, 2-4 kg New Zealand white rabbits were subjected to 30 minutes of warm unilateral renal ischemia followed by removal of contralateral kidney and then divided into five groups, control (2) arid treatment groups (3). In control group 1, the rabbits only received right nephrectomy. In control group 2, the rabbits received I/R on left kidney after the right nephrectomy. In treatment group 1, the rabbits received ascorbic acid 50 mg/kg IV before the operation. In treatment group 2, the rabbits received ascorbic acid 100 mg/kg IV before the operation. In treatment group 3, the rabbits received ascorbic acid 200 mg/kg IV before the operation. Blood samples were collected from these rabbits for measurement of kidney function tests at the 0, 1 st, 3rd and 7th day and antioxidant enzyme( SOD, GSHPx, CAT) at 24 hours. Kidney function tests (serum creatinine and BUN) showed a significant difference between group 2 and group 4, 5. Activity of antioxidant enzymes in plasma were significant decrease in group 4, 5 compare to group 2. The result of this study suggested that the exogenous ascorbic acid had a role of attenuation of renal I/R injury in rabbit model.

한국흑염소에서의 실험적 신증의 임상병리학적 연구 (Clinicopathological Studies on the Experimentally Induced Nephrosis of Korea Black Goats)

  • 최희인;성재기;남치주;이창우;이경갑
    • 한국임상수의학회지
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    • 제6권2호
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    • pp.261-268
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    • 1989
  • In order to study the effects of administration of neomycin on the kidney of Korean black goats, 4.5(group A), 9(group B) or 14(group C) mg/kg, body weight of neomycin was injected intramuscularly turice a day for 84 days. On day 31, unilateral nephreotomy was performed in one animal of each group. The results were as follows: Serum neomycin concentrations were 8.7, 13.8, and 20.2 ${\mu}$g/ml 12 hours after injection. Serum BUN and creatinine concentration in nephreotomized goats, regardless of dosage, rapidly increased and came to peak on 3 days after, and then began to decrease to normal range, gradually, In non-nephrectomized goats, regardless of dosage, there was no notable change. In nephreotomized goats, PSP Tl/2 was delayed to the utmost 1 day after nephrectomy, regard-less of dosage, and then began to decrease to normal range, gradually in non-nephrectomized goats, there was not notable change in PSP T$\frac{1}{2}$. The intact kidney was markedly enlarged compared with the kidney of non-nephrectomized goats, but there was no microscopic change. It is concluded that administration of neomycin up to 14mg/kg body weight twice a day for 84 days was not nephrotoxic to the Korean black goats.

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식이 단백질 수준이 한쪽 신장을 절제한 흰쥐에서 혈청 지질 및 Eicosanoid 대사에 미치는 영향 (Effect of Dietary Protein Level on Renal Function : Lipid and Eicosanoids Metabolism in Uninephrectomized Aging Model in Rats)

  • 이현숙
    • Journal of Nutrition and Health
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    • 제29권10호
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    • pp.1072-1079
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    • 1996
  • This study was performed to elucidate the mechanism of dietary protein level on renal function through lipid and eicosanoids metabolism. Male rats of 337.8$\pm$5.7g body weight were undergone unilateral nephrectomy or sham-operation. The rats were divided into high protein(40% casein), normal protein(15% casein) and low protein(8% casein) diet groups and fed experimental diets ad libitum for 24 weeks. The results are summarized as follows. Serum total lipid, cholesterol and HDL-cholesterol of rats in 15% and 40% casein groups were higher than those of 8% casein group. But serum triglyceride was affected neither by uninephrectomy nor by dietary protein level. Serum thromboxane(TX) B2 and 6-keto prostaglandin F1$\alpha$ increased with increasing dietary protein level. Serum prostaglandin(PG) E2 was not affected by uninephrectomy nor by dietary protein level. Urinary PGE2 and TXB2 excretion tended to be lower in uninephrectomized groups. Renal tissue concentration of TXB2 was lower in uninephrectomized groups and in high protein group. These results suggest the possibility that the effects of dietary protein level on renal function could be due to changes in lipid and eicosanoids metabolism.

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개의 실험적 수신증에 실시한 신동맥 색전술 (Transarterial embolization of renal artery in dogs with experimental hydronephrosis)

  • 장동우
    • 대한수의학회지
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    • 제41권3호
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    • pp.437-445
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    • 2001
  • 개에서 실험적으로 편측성 신수종증을 유발한 후, 이오헥솔-에탄올 용액을 신장동맥내로 주입하여 신수종증이 유발된 신장으로의 혈류를 차단하는 신동맥 색전술을 확립하고자 본 실험을 실시하였다. 실험적 수신증은 12두의 개의 편측 근위 요관을 이중결찰하여 유발하였다. 편측의 수뇨관을 결찰한 후, 초음파상으로 동측 신장의 장축길이가 유발전에 비하여 9일째(p<0.05)와, 17일째(p<0.005)에 유의적으로 증가하였으며, 동측 신장의 피질길이가 17일째에 유의적으로 감소하며, 아울러 확장된 신우내에 액체가 저류하는 것을 관찰할 수 있었다. BUN, creatinine, ALT, calcium, phosphorus는 변화하지 않았다. 이를 통하여 12두의 개에서 요관 결찰 17일째에 편측성 수신증이 유발되었음을 확인할 수 있었다. 신장동맥 색전술은 7두의 신수종증이 유발된 신장측의 신장동맥에 대퇴동맥을 통하여 선택적으로 카테터를 삽입한 후 이오헥솔-에탄올 용액을 주입하였으며, 시술 중 심전도, 산소포화도, 체온, 맥박, 호흡수는 모두 정상범위에 있었다. 주입한 평균 에탄올 용량은 $1.94{\pm}1.24ml/kg$였다. 신장동맥 색전술 후 사망한 개체는 없었으며, 색전물질의 유출로 인한 부작용도 관찰할 수 없었다. 색전술 직후 그리고 14일째에 실시한 선택적 동맥촬영술을 통하여 색전술을 시행한 7두의 개의 신장동맥에서 재맥관화가 발생하지 않았음을 확인할 수 있었다. 초음파 검사를 통하여 신장동맥 색전술을 시행한 7두의 개의 색전된 신장은 평균 장축길이가 반대편 정상 신장에 비하여 2달째와 3달째에 유의적으로 감소하였음을 확인할 수 있었다. 이오헥솔-에탄올 용액을 이용하여 실시한 신장동맥색전술은 개의 수신증을 치료하는 안전하며, 비교적 비침습적인 치료법으로 기존의 신장절제술의 대안이 될 수 있을 것으로 사료된다.

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코커 스파니엘에서 신장세포암종 (Renal Tubular Carcinoma in a Cocker Spaniel Dog)

  • 계은영;윤성호;장환수;곽동미;구세광;장광호;권영삼
    • 한국임상수의학회지
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    • 제28권4호
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    • pp.431-434
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    • 2011
  • 7년령의 중성화된 수컷 코커 스파니엘이 왼쪽복부종괴, 식욕부진, 체중감소로 경북대학교 부속동물병원에 내원하였다. 혈액학적, 생화학적 검사로 중증의 백혈구증가증, 경도의 저알부민혈증, GGT의 급격한 증가를 나타내었다. 방사선학적 검사시 왼쪽신장의 거대한 종괴가 관찰되었으며, 폐전이는 관찰되지 않았다. 조직병리학적 소견에서 종괴는 신장세포암종으로 확진되었다. 편측성 신장요관절제술을 실시하였다. 추시 결과 수술 6개월 후 환축이 폐사되었음을 확인 할 수 있었다.