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单钳道内镜下荷包缝合术在结直肠内镜黏膜下剥离术后的临床应用 被引量:3
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作者 廖素环 邓惠钊 +5 位作者 许群花 江堤 廖秀敏 左海军 乐有林 李苑华 《中国内镜杂志》 2021年第10期12-17,共6页
目的探讨采用单钳道内镜下荷包缝合术夹闭结直肠内镜黏膜下剥离术(ESD)后创面的疗效及安全性。方法回顾性分析2019年10月-2020年10月在东莞东华医院消化内科住院并诊断为结直肠病变行ESD术的220例患者的临床资料,共224处病变。根据ESD... 目的探讨采用单钳道内镜下荷包缝合术夹闭结直肠内镜黏膜下剥离术(ESD)后创面的疗效及安全性。方法回顾性分析2019年10月-2020年10月在东莞东华医院消化内科住院并诊断为结直肠病变行ESD术的220例患者的临床资料,共224处病变。根据ESD术后创面是否行荷包缝合术分为研究组(ESD术后行荷包缝合术夹闭创面,n=121)和对照组(ESD术后创面不夹闭,n=103),总结两组患者治疗完成情况、并发症发生情况及随访结果。结果病灶位于直肠114处(50.89%),左半结肠56处(25.00%),右半结肠36处(16.07%),回盲部18处(8.04%)。研究组手术时间(73.12±12.23)min较对照组的(69.24±11.54)min长,但差异无统计学意义(P>0.05);研究组术后平均住院时间(3.85±0.98)d,较对照组的(5.04±1.24)d短,差异有统计学意义(P<0.05);研究组术后总体并发症发生率、术后出血发生率明显低于对照组,两组比较,差异均有统计学意义(P<0.05);研究组住院费用为(23728.85±3916.89)元,较对照组的(22820.84±5051.80)元多,但两组比较,差异无统计学意义(P>0.05);两组术后穿孔、发热和腹痛腹胀发生率比较,差异均无统计学意义(P>0.05)。结论单钳道内镜下荷包缝合术能有效夹闭结直肠ESD术后创面,缩短术后住院时间,减少术后出血,降低总体并发症发生率,安全性高,不增加总体住院费用,值得临床推广应用。 展开更多
关键词 结直肠 内镜黏膜下剥离术 荷包缝合 并发症
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经粘膜下隧道内镜肿瘤切除术治疗来源于固有肌层食管贲门粘膜下肿瘤临床效果观察 被引量:2
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作者 左海军 江堤 +4 位作者 廖素环 苏剑东 乐有林 刘美红 张卡 《世界华人消化杂志》 CAS 2020年第14期643-649,共7页
背景经粘膜下隧道内镜肿瘤切除术(submucosal tunneling endoscopic resection,STER)是近年出现治疗粘膜下肿瘤的新方法,该方法微创,并发症少,患者恢复快.本研究通过对我院实施该手术患者的病例资料统计分析,探讨该手术治疗粘膜下肿瘤... 背景经粘膜下隧道内镜肿瘤切除术(submucosal tunneling endoscopic resection,STER)是近年出现治疗粘膜下肿瘤的新方法,该方法微创,并发症少,患者恢复快.本研究通过对我院实施该手术患者的病例资料统计分析,探讨该手术治疗粘膜下肿瘤的可行性、有效性及安全性.目的探讨STER治疗食管贲门粘膜下肿瘤的有效性、安全性及临床应用价值.方法收集我院消化科2018-03/2019-03间行STER的食管贲门粘膜下肿瘤病例60例.观察患者超声内镜诊断,手术成功率,术后并发症发生率,术后病理诊断,并进行统计学分析.结果所有患者均完成STER,手术成功率100%.粘膜下肿瘤直径1.0-5.0 cm,平均直径1.83 cm±1.37 cm.手术耗时31-123 min,平均耗时81.73 min±23.23 min.粘膜下隧道长度为4-8 cm,平均隧道长度为5.88 cm±1.17 cm.术前超声内镜:平滑肌瘤45例,间质瘤15例.术后病理:平滑肌瘤为42例,间质瘤18例.术后并发症发生率:2例出现皮下气肿,经内科保守治疗痊愈出院.患者住院时间为7-11 d,平均住院天数9.96 d±2.24 d.结论STER治疗来源于固有肌层的食管贲门粘膜下肿瘤疗效确切有效,并发症少,安全性高,值得临床推广应用. 展开更多
关键词 粘膜下肿瘤 经内镜粘膜下隧道肿瘤切除术 固有肌层
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Expression and significance of cyclooxygenase-2 mRNA in benign and malignant ascites 被引量:12
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作者 Jing Lu Xiao-Feng Li +3 位作者 Li-Xia Kong Lin Ma su-huan liao Chang-You Jiang 《World Journal of Gastroenterology》 SCIE CAS 2013年第40期6883-6887,共5页
AIM:To investigate the mRNA expression of cyclooxygensae-2(COX-2)in benign and malignant ascites,and to explore the difference in COX-2 mRNA expression among different diseases.METHODS:A total of 36 samples were colle... AIM:To investigate the mRNA expression of cyclooxygensae-2(COX-2)in benign and malignant ascites,and to explore the difference in COX-2 mRNA expression among different diseases.METHODS:A total of 36 samples were collected from the Fifth Affiliated Hospital of Sun Yat-Sen University and divided into two experimental groups:benign ascites(n=21)and malignant ascites(n=15).Benign ascites included cirrhotic ascites(n=10)and tuberculous ascites(n=5).Malignant ascites included oophoroma(n=7),cancer of colon(n=5),cancer of the liver(n=6),gastric cancer(n=2),and bladder carcinoma(n=1).The mRNA expression of COX-2 in ascites was examined with reverse transcriptase polymerase chain reaction(RT-PCR)technology,and the positive rate of COX-2 mRNA was compared between different diseases.RESULTS:The positive rate of COX-2 mRNA in malignant ascites was 42.9%(9/21),which was significantly higher than in benign ascites,6.7%(1/15),difference being significant between these two groups(χ2=4.051,P=0.044).The proportion of the positive rate in the malignant ascites was as follows:ovarian cancers57.1%(4/7),colon cancer 40.0%(2/5),liver cancer33.3%(2/6),gastric cancer 50.0%(1/2),and bladder cancer 0.00%(0/1).However,there was no significant difference in COX-2 mRNA expression among various tumors with malignant ascites(χ2=1.614,P=0.806).Among the benign ascites,COX-2 mRNA levels were different between the tuberculous ascites(0/5)and cirrhotic ascites(1/10),but there was no significant difference(P=1.000).CONCLUSION:COX-2 mRNA,detected by RT-PCR,is useful in the differential diagnosis of benign and malignant ascites,which also has potential value in the clinical diagnosis of tumors. 展开更多
关键词 ASCITES Cyclooxygensae-2 MRNA Reverse transcriptase POLYMERASE chain reaction MALIGNANT tumor
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Effect of ionizing radiation on transcription of colorectal cancer MDR1 gene of HCT-8 cells 被引量:2
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作者 Xiao-Feng Li Lin Ma +4 位作者 Jing Lu Li-Xia Kong Xiao-Hua Long su-huan liao Bao-Rong Chi 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2013年第5期407-409,共3页
Objective:To discuss effect of ionizing radiation on transcription of colorectal cancer multidrug resistance(MDR) 1 gene of HCT-8 cells.Methods:Total RNA was extracted by guanidine thiocyanate one-step method.Northern... Objective:To discuss effect of ionizing radiation on transcription of colorectal cancer multidrug resistance(MDR) 1 gene of HCT-8 cells.Methods:Total RNA was extracted by guanidine thiocyanate one-step method.Northern blot was applied to detect transcription level of MDR1 gene.The expression of P-gp protein was detected by flow cytometry.Results:The expression of MDRl of normal colorectal cancer HCT-8 cells was low.It was increased by 8.35 times under stimulus with 2 Gy.When treated with low doses in advance,high expressed MDR was decreased significantly under 0.05,0.1 Gy,which was 69.00%,62.89%in 2 Cy group and 5.77 times,5.25 times in sham irradiation group.No obvious difference was detected between(0.2+2) Gy group and 2 Gy group.Compared with sham irradiation group,the percentage of P-gp positive cells after radiation of a high 2 Gy dose was increased significantly(P【0.01).When treated with high radiation dose following low radiation dose(0.05 Gy,0.1 Gy) in advance,the percentage of P-gp positive cells were also increased significantly.The percentage of P-gp positive cells were increased obviously in 0.2 Gy and 2 Gy groups.Compared with simple high radiation 2 Gy group,the percentage of P-gp positive cells was decreased significantly(P【0.05).Conclusions: Low radiation dose can reverse multidrug resistance of colorectal cancer cells caused by high radiation dose. 展开更多
关键词 Ionizing RADIATION COLORECTAL cancer MULTIDRUG resistance
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