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关节镜下应用FasT-Fix缝合器修复半月板损伤的中期临床疗效观察 被引量:16
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作者 王小武 戴繁林 《中国内镜杂志》 北大核心 2017年第2期66-69,共4页
目的探讨关节镜下Fas T-Fix系统在半月板损伤修复中的临床疗效。方法 2013年1月-2016年1月,采用Fas T-Fix系统在关节镜下对32例半月板撕裂损伤患者进行了全关节内的半月板缝合手术。随访包括患者术后关节症状及体征,Lysholm评分等。结... 目的探讨关节镜下Fas T-Fix系统在半月板损伤修复中的临床疗效。方法 2013年1月-2016年1月,采用Fas T-Fix系统在关节镜下对32例半月板撕裂损伤患者进行了全关节内的半月板缝合手术。随访包括患者术后关节症状及体征,Lysholm评分等。结果随访时间6~12个月(平均9.7个月),根据Barrett临床愈合标准,28例临床愈合,临床愈合率为87.5%。Lysholm评分由术前32~74分提高到术后89~93分。其中3例进行了二次关节镜探查手术,显示缝合的半月板均已愈合。结论关节镜下应用Fas T-Fix系统进行半月板损伤的缝合修复具有很好的中期临床疗效。 展开更多
关键词 半月板 关节镜 FasT-Fix系统
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Ocular surface changes in type II diabetic patients with proliferative diabetic retinopathy 被引量:11
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作者 Yan Gao Yan Zhang +6 位作者 Yu-Sha Ru xiao-wu wang Ji-Zhong Yang Chun-Hui Li Hong-Xing wang Xiao-Rong Li Bing Li 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2015年第2期358-364,共7页
AIM: To detect and analyze the changes on ocular surface and tear function in type II diabetic patients with proliferative diabetic retinopathy(PDR), an advanced stage of diabetic retinopathy(DR), using conventional o... AIM: To detect and analyze the changes on ocular surface and tear function in type II diabetic patients with proliferative diabetic retinopathy(PDR), an advanced stage of diabetic retinopathy(DR), using conventional ophthalmic tests and the high-resolution laser scanning confocal microscopy.METHODS: Fifty-eight patients with type II diabetes were selected. Based on the diagnostic criteria and stage classification of DR, the patients were divided into the non-DR(NDR) group and the PDR group. Thirty-six patients with cataract but no other ocular and systemic disease were included as non-diabetic controls. All the patients were subjected to the conventional clinical tests of corneal sensitivity, Schirmer I test, and corneal fluorescein staining. The non-invasive tear film break-up time(NIBUT) and tear interferometry were conducted by a Tearscope Plus. The morphology of corneal epithelia and nerve fibers was examined using the high-resolution confocal microscopy.RESULTS: The NDR group exhibited significantly declined corneal sensitivity and Schirmer I test value, as compared to the non-diabetic controls(P <0.001). The PDR group showed significantly reduced corneal sensitivity, Schirmer I test value, and NIBUT in comparison to the non-diabetic controls(P <0.001).Corneal fluorescein staining revealed the progressively injured corneal epithelia in the PDR patients. Moreover,significant decrease in the corneal epithelial density andmorphological abnormalities in the corneal epithelia and nerve fibers were also observed in the PDR patients.CONCLUSION: Ocular surface changes, including blunted corneal sensitivity, reduced tear secretion, tear film dysfunction, progressive loss of corneal epithelia and degeneration of nerve fibers, are common in type II diabetic patients, particularly in the diabetic patients with PDR. The corneal sensitivity, fluorescein staining scores,and the density of corneal epithelial cells and nerve fibers in the diabetic patients correlate with the duration of diabetes. Therefore, ocular surface of the patients with PDR should be examined regularly by conventional approaches and confocal microscopy to facilitate early diagnosis and treatment of keratopathy. 展开更多
关键词 type II diabetes PROLIFERATIVE diabetic RETINOPATHY OCULAR surface corneal sensitivity CONFOCAL microscopy TEAR film BREAK-UP time
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Effect of Electromagnetic Pulse Exposure on Brain Micro Vascular Permeability in Rats 被引量:10
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作者 GUI-RONG DING KANG-CHU LI +5 位作者 xiao-wu wang YONG-CHUN ZHOU LIAN-BO QIU JUAN TAN SHENG-LONG XU AND GUO-ZHEN GUO 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2009年第3期265-268,共4页
To observe the effect of electromagnetic pulse(EMP) exposure on cerebral micro vascular permeability in rats.Methods The whole-body of male Sprague-Dawley rats were exposed or sham exposed to 200 pulses or 400 pulses(... To observe the effect of electromagnetic pulse(EMP) exposure on cerebral micro vascular permeability in rats.Methods The whole-body of male Sprague-Dawley rats were exposed or sham exposed to 200 pulses or 400 pulses(1 Hz) of EMP at 200 kV/m.At 0.5,1,3,6,and 12 h after EMP exposure,the permeability of cerebral micro vascular was detected by transmission electron microscopy and immunohistochemistry using lanthanum nitrate and endogenous albumin as vascular tracers,respectively.Results The lanthanum nitrate tracer was limited to the micro vascular lumen with no lanthanum nitrate or albumin tracer extravasation in control rat brain.After EMP exposure,the lanthanum nitrate ions reached the tight junction,basal lamina and pericapillary tissue.Similarly,the albumin immunopositive staining was identified in pericapillary tissue.The changes in brain micro vascular permeability were transient,the leakage of micro vascular vessels appeared at 1 h,and reached its peak at 3 h,and nearly recovered at 12 h,after EMP exposure.In addition,the leakage of micro vascular was more obvious after exposure of EMP at 400 pulses than after exposure of EMP at 200 pulses.Conclusion Exposure to 200 and 400 pulses(1 Hz) of EMP at 200 kV/m can increase cerebral micro vascular permeability in rats,which is recoverable. 展开更多
关键词 脑血管通透性 电磁脉冲 免疫组织化学 脑微血管通透性 透射电子显微镜 微型血管 硝酸镧 白蛋白
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Effect of Electromagnetic Pulse Exposure on Permeability of Blood-testicle Barrier in Mice 被引量:5
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作者 xiao-wu wang GUI-RONG DING +4 位作者 CHANG-HONG SHI TAO ZHAO JIE ZHANG LI-HUA ZENG Guo-ZHEN GUO 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2008年第3期218-221,共4页
Objective To study the effect of electromagnetic pulse (EMP) exposure on the permeability of blood-testicle barrier (BTB) in mice. Methods Adult male BALB/c mice were exposed to EMP at 200 kV/m for 200 pulses with 2 s... Objective To study the effect of electromagnetic pulse (EMP) exposure on the permeability of blood-testicle barrier (BTB) in mice. Methods Adult male BALB/c mice were exposed to EMP at 200 kV/m for 200 pulses with 2 seconds interval. The mice were injected with 2% Evans Blue solution through caudal vein at different time points after exposure, and the permeability of BTB was monitored using a fluorescence microscope. The testis sample for the transmission electron microscopy was prepared at 2 h after EMP exposure. The permeability of BTB in mice was observed by using Evans Blue tracer and lanthanum nitrate tracer. Results After exposure, cloudy Evans Blue was found in the testicle convoluted seminiferous tubule of mice. Lanthanum nitrate was observed not only between testicle spermatogonia near seminiferous tubule wall and sertoli cells, but also between sertoli cells and primary spermatocyte or secondary spermatocyte. In contrast, lanthanum nitrate in control group was only found in the testicle sertoli cells between seminiferous tubule and near seminiferous tubule wall. Conclusion EMP exposure could increase the permeability of BTB in the mice. 展开更多
关键词 电磁脉冲技术 睾酮 大鼠 生殖系统 医学实验
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关节镜下“四通道清理法”治疗人工膝关节置换术后关节粘连的临床疗效 被引量:3
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作者 王小武 李刚 +4 位作者 张鹏 黄晓华 戴繁林 段连鸿 李巍 《中国内镜杂志》 2018年第11期102-105,共4页
目的探讨关节镜下"四通道清理法"治疗人工膝关节置换术后关节粘连的适应证和临床疗效。方法 2014年3月-2017年3月该科采用关节镜下"四通道清理法"对13例人工膝关节置换术后关节粘连患者进行镜下清理松解手术。其中,... 目的探讨关节镜下"四通道清理法"治疗人工膝关节置换术后关节粘连的适应证和临床疗效。方法 2014年3月-2017年3月该科采用关节镜下"四通道清理法"对13例人工膝关节置换术后关节粘连患者进行镜下清理松解手术。其中,男4例,女9例;年龄58~73岁,平均66.7岁。采用Lysholm评分对膝关节术前及术后功能进行评价,记录术前及术后膝关节屈伸度数。结果随访时间6~24个月,平均13.6个月。术前平均屈曲度数为73.7°(45~90°),术后6个月随访时平均屈曲度为115.7°(97~127°)。Lysholm评分从术前平均54.0分(31~69分),提高到术后6个月时平均66.8分(51~83分)。结论关节镜下"四通道清理法"是治疗人工膝关节置换术后关节粘连安全、有效的方法,对膝关节功能的改善疗效显著。 展开更多
关键词 关节镜 关节成形术 粘连
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Effect of arthroscopic debridement combined with intra-articular sodium hyaluronate injection on the Wnt/β-catenin pathway in joint fluid of patients with knee osteoarthritis 被引量:1
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作者 Gang Li Chao Gao +3 位作者 Peng Zhang xiao-wu wang Da-Wei Tian Fan-Lin Dai 《Journal of Hainan Medical University》 2018年第4期91-94,共4页
Objective: To investigate the effect of arthroscopic debridement combined with intra-articular sodium hyaluronate injection on the Wnt/β-catenin pathway in joint fluid of patients with knee osteoarthritis. Methods: P... Objective: To investigate the effect of arthroscopic debridement combined with intra-articular sodium hyaluronate injection on the Wnt/β-catenin pathway in joint fluid of patients with knee osteoarthritis. Methods: Patients undergoing arthroscopic debridement for knee osteoarthritis in the hospital between June 2014 and April 2017 were selected as the research subjects and randomly divided into the observation group who accepted arthroscopic debridement combined with intra-articular sodium hyaluronate injection and the control group who accepted arthroscopic debridement alone. The Wnt/β-catenin pathway molecules as well as downstream collagen metabolism molecules and bone metabolism molecules in the joint fluid were measured before surgery and 7 d after surgery. Results: 7 d after surgery, Wnt1, Wnt5a, Wnt7b, β-catenin, MMP1, MMP13, CTX-I, CTX-II, ADAMTS4, ADAMTS5, RANK, RANKL and TRACP5b mRNA expression in joint fluid of both groups of patients were higher than those before surgery whereas OPG and OC contents were lower than those before surgery, and Wnt1, Wnt5a, Wnt7b, β-catenin, MMP1, MMP13, CTX-I, CTX-II, ADAMTS4, ADAMTS5, RANK, RANKL and TRACP5b mRNA expression in joint fluid of observation group were significantly lower than those of control group whereas OPG and OC contents were significantly higher than those of control group. Conclusion: Arthroscopic debridement combined with intra-articular sodium hyaluronate injection can inhibit the collagen metabolism and bone metabolism disorder mediated by Wnt/β-catenin after surgery. 展开更多
关键词 KNEE OSTEOARTHRITIS ARTHROSCOPY Sodium HYALURONATE WNT/Β-CATENIN pathway
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关节镜治疗肩关节滑膜囊肿合并多发游离体的疗效分析
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作者 冯坤 吴小宝 +3 位作者 刘珍琦 李刚 王小武 田大为 《中国内镜杂志》 2022年第10期83-88,共6页
目的 探讨关节镜治疗肩关节滑膜囊肿合并多发游离体的疗效。方法 回顾性分析2015年1月-2019年1月该院收治的3例肩关节滑膜囊肿合并多发性游离体患者的临床资料,观察患者伤口愈合、感染和肩关节功能等情况。结果 全部患者均获得随访。伤... 目的 探讨关节镜治疗肩关节滑膜囊肿合并多发游离体的疗效。方法 回顾性分析2015年1月-2019年1月该院收治的3例肩关节滑膜囊肿合并多发性游离体患者的临床资料,观察患者伤口愈合、感染和肩关节功能等情况。结果 全部患者均获得随访。伤口甲级愈合,术后6个月患侧美国肩肘外科协会(ASES)肩关节功能评分较高。无复发病例。结论 肩关节滑膜囊肿合并多发游离体具有典型影像学特征,肩关节镜治疗效果优异。 展开更多
关键词 关节镜手术 治疗 肩关节 滑膜囊肿 多发游离体 疗效分析
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Facile Synthesis of Polycarbonate Diol via Copolymerization of CO_(2) and Cyclohexene Oxide Catalysed by a Combination of One-Component Phosphonium Borane Lewis Pair and Water
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作者 xiao-wu wang Ji-Wen Hui +2 位作者 Yu-Tao Li Yan-Ru Gu Zhi-Bo Li 《Chinese Journal of Polymer Science》 SCIE EI CAS CSCD 2023年第5期735-744,I0009,共11页
Well-defined polycarbonate diol was successfully synthesized through a strategy using a combination of organocatalyst and water.Such strategy was less developed in organocatalyzed polymerization and frequently regarde... Well-defined polycarbonate diol was successfully synthesized through a strategy using a combination of organocatalyst and water.Such strategy was less developed in organocatalyzed polymerization and frequently regarded as side reactions.Herein,one-component phosphonium borane Lewis pairs PB1-PB8 were successfully applied in the copolymerization of CO_(2) and cyclohexene oxide(CHO)to generate poly(CHO-alt-CO_(2))carbonate(PCHC).Parameters of linker length and counter anion effects on the catalyst activity were investigated.It was found that Lewis pair PB3 served as a dual initiator and catalyst in the copolymerization of CHO and CO_(2) with or without the presence of water.In contrast,Lewis pair PB8 can serve as a true catalyst for the preparation of well-definedα,ω-hydroxyl PCHC diols.This was achieved by introducing a labile CF3COO group as counter anion through anion exchange reaction while water molecules acted as chain transfer agents.The function of trifluoroacetate group in the polymerization process was investigated in detail and possible mechanism was proposed.Upon changing the amount of water and catalyst loading,PCHC diols with varied molecular weight(1.5 kg/mol to 7.5 kg/mol),low dispersities(D<1.2)and carbonate content(>99%)could be easily obtained.The low molecular weight PCHC diol was used as a bifunctional macroinitiator for the ring-opening polymerization of L-lactide(LLA)to afford ABA triblock copolymer in one-pot synthesis. 展开更多
关键词 Polycarbonate Phosphonium borane Lewis pair CO_(2)utilization Organocatalysis Ring-opening polymerization
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