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内镜治疗吻合口静脉曲张诊治体会
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作者 何占娣 白璐 +4 位作者 钟立森 王娟 孙国辉 黄昂 刘迎娣 《中华胃肠内镜电子杂志》 2023年第2期109-114,共6页
目的评估内镜治疗吻合口静脉曲张(AV)的疗效和安全性,并探讨最佳治疗策略。方法回顾性分析2006年1月至2020年12月经解放军总医院第一医学中心消化内科医学部内镜检查明确诊断为AV患者共8例,分析其临床特征、内镜表现、治疗方法、不良事... 目的评估内镜治疗吻合口静脉曲张(AV)的疗效和安全性,并探讨最佳治疗策略。方法回顾性分析2006年1月至2020年12月经解放军总医院第一医学中心消化内科医学部内镜检查明确诊断为AV患者共8例,分析其临床特征、内镜表现、治疗方法、不良事件和随访结果等临床特点。结果8例患者中,4例患者伴门脉海绵样变、1例肝硬化,呕血、黑便为最主要首发症状。内镜检查中,2例见活动性出血、3例静脉曲张红色征阳性;5例患者接受了内镜下治疗中,3例行内镜下组织胶注射治疗、1例硬化剂治疗、1例曲张静脉套扎术。内镜总体即刻止血成功率100%,5 d治疗失败率为20%、6周内死亡率为0、不良事件仅1例出现发热。在随访期间,因再次出血保守治疗止血失败死亡1例。结论AV少见,出血量大、诊断困难、无标准治疗方法。内镜下治疗消化道AV破裂出血安全、可靠、易行。该病复发出血率较高,应强调内镜随访,必要时需重复内镜下治疗或行介入等其他治疗。 展开更多
关键词 少见部位静脉曲张 吻合口静脉曲张 内镜治疗
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Magnetic resonance imaging for non-invasive clinical evaluation of normal and regenerated cartilage 被引量:7
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作者 Xian Xu Jingming Gao +11 位作者 Shuyun Liu Liang Chen Min Chen Xiaoye Yu Ning Ma Jun Zhang Xiaobin Chen lisen zhong Lin Yu Liming Xu Quanyi Guo Jiandong Ding 《Regenerative Biomaterials》 SCIE 2021年第5期50-62,共13页
With the development of tissue engineering and regenerative medicine,it is much desired to establish bioimaging techniques to monitor the real-time regeneration efficacy in vivo in a non-invasive way.Herein,we tried m... With the development of tissue engineering and regenerative medicine,it is much desired to establish bioimaging techniques to monitor the real-time regeneration efficacy in vivo in a non-invasive way.Herein,we tried magnetic resonance imaging(MRI)to evaluate knee cartilage regeneration after implanting a biomaterial scaffold seeded with chondrocytes,namely,matrix-induced autologous chondrocyte implantation(MACI).After summary of the T2 mapping and the T1-related delayed gadolinium-enhanced MRI imaging of cartilage(dGEMRIC)in vitro and in vivo in the literature,these two MRI techniques were tried clinically.In this study,18 patients were followed up for 1 year.It was found that there was a significant difference between the regeneration site and the neighboring normal site(control),and the difference gradually diminished with regeneration time up to 1 year according to both the quantitative T1 and T2 MRI methods.We further established the correlation between the quantitative evaluation of MRI and the clinical Lysholm scores for the first time.Hence,the MRI technique was confirmed to be a feasible semiquantitative yet non-invasive way to evaluate the in vivo regeneration of knee articular cartilage. 展开更多
关键词 magnetic resonance imaging cartilage regeneration T2 mapping delayed gadolinium-enhanced MRI imaging tissue engineering
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