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注水黏膜切开刀推进式内镜黏膜下剥离术切除早癌及癌前病变的应用研究 被引量:1
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作者 熊英 韩静 +6 位作者 朱亚男 于晓欢 陈玉杰 侯丛然 于占江 高雪梅 张金卓 《中国内镜杂志》 2021年第11期42-48,共7页
目的探讨应用注水型电刀行推进式内镜黏膜下剥离术(PESD)切除大面积贲门早癌及癌前病变的价值,并分析总结相关技术要点。方法选取2017年1月-2020年12月在保定市第一中心医院内镜诊疗中心通过胃镜活检及放大染色内镜检查考虑贲门早癌或... 目的探讨应用注水型电刀行推进式内镜黏膜下剥离术(PESD)切除大面积贲门早癌及癌前病变的价值,并分析总结相关技术要点。方法选取2017年1月-2020年12月在保定市第一中心医院内镜诊疗中心通过胃镜活检及放大染色内镜检查考虑贲门早癌或高级别上皮内瘤变且病变最大径>2.0 cm的病例,术中用注水型电刀行PESD治疗,并选取该中心同期该医生以普通黏膜切开刀行贲门常规内镜黏膜下剥离术(ESD)治疗的病例,对比分析两组病例的单位面积剥离速度、病变完整切除率、并发症发生率(术后迟发性出血和穿孔)等。结果PESD组(n=32)病变直径2.0~8.0 cm,平均(5.1±2.9)cm;其中1处病变位于前壁,16处位于后壁,3处位于大弯侧,12处位于小弯侧;30处病变为一次性切除,2处病变(贲门大弯侧)为分块切除;剥离时间19~112 min,平均(65.5±48.3)min;术中出血8例(25.0%),无迟发性出血及穿孔发生,术后住院3~5 d;ESD组(n=17)病变直径2.0~6.5 cm,平均(4.2±2.2)cm;2处病变位于前壁,10处位于后壁,5处位于小弯侧;所有病变均为一次性切除;剥离时间26~157 min,平均(91.5±26.5)min;术中出血8例(47.1%),术中穿孔2例(11.8%),均给予金属夹夹闭并内科保守治疗取得成功,无迟发性出血和迟发性穿孔发生,术后住院3~6 d。结论应用注水型电刀行PESD是一种基于贲门解剖结构的创新术式,与常规ESD相比,可有效提高剥离速度,降低并发症发生率,使内镜手术更安全和快捷。 展开更多
关键词 内镜黏膜下剥离术 贲门早癌 贲门癌前病变 推进式内镜黏膜下剥离术 注水黏膜切开刀
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Omentin expression level in neonatal umbilical cord of patients with severe preeclampsia and its and clinical significance
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作者 Ping Zhou xue-mei gao +1 位作者 Han Wang Hong-Juan Meng 《Journal of Hainan Medical University》 2018年第13期54-57,共4页
Objective:To study the omentin expression level in neonatal umbilical cord of patients with severe preeclampsia and its correlation with maternal endothelial injury and placental trophoblast invasion.Methods: The subj... Objective:To study the omentin expression level in neonatal umbilical cord of patients with severe preeclampsia and its correlation with maternal endothelial injury and placental trophoblast invasion.Methods: The subjects who were diagnosed with severe preeclampsia and gave birth in Wuhan No.1 Hospital between November 2015 and October 2017 were selected as the PE group, while healthy subjects who gave birth in Wuhan No.1 Hospital during the same period were selected as control group. The omentin expression in neonatal umbilical cord, endothelial injury index contents in maternal blood and invasion gene expression in placenta were determined.Results: The omentin expression in neonatal umbilical cord, VEGF and PLGF contents in maternal blood as well as OPN, MMP2 and MMP9 mRNA expressions in placenta of PE group were significantly lower than those of control group whereas IFI16, ET-1, sEng and sFlt-1 contents in maternal blood as well as Gadd45 and E-cadherin mRNA expressions in placenta were significantly higher than those of control group;IFI16, ET-1, sEng and sFlt-1 contents in maternal blood as well as Gadd45 and E-cadherin mRNA expressions in placenta of patients with high omentin expression were significantly lower than those of patients with low omentin expression whereas VEGF and PLGF contents in maternal blood as well as OPN, MMP2 and MMP9 mRNA expressions in placenta were significantly higher than those of patients with low omentin expression.Conclusion: The low expression of omentin in neonatal umbilical cord of patients with severe preeclampsia is closely related to the maternal endothelial injury and insufficient placental trophoblast invasion. 展开更多
关键词 PREECLAMPSIA Omentin ENDOTHELIAL INJURY TROPHOBLAST INVASION
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Correlation of AP-2α with trophoblast apoptosis and invasion in placental tissues of preeclampsia
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作者 Ping Zhou xue-mei gao +1 位作者 Han Wang Hong-Juan Meng 《Journal of Hainan Medical University》 2018年第12期33-36,共4页
Objective: To investigate the correlation of AP-2 with trophoblast apoptosis and invasion in placental tissues of preeclampsia. Methods: A total of 68 puerperae with preeclampsia who gave birth in our hospital between... Objective: To investigate the correlation of AP-2 with trophoblast apoptosis and invasion in placental tissues of preeclampsia. Methods: A total of 68 puerperae with preeclampsia who gave birth in our hospital between November 2015 and October 2017 were selected as preeclampsia group, and 60 healthy puerperae who gave birth in our hospital during the same period were selected as normal control group. The differences in expression of AP-2 gene, apoptosis-related genes and invasion-related genes in placenta tissue were compared between the two groups, and the inner link of AP-2 gene expression with trophoblast apoptosis and invasion activity in placental tissues of preeclampsia was further analyzed. Results: AP-2 mRNA expression in placental tissue of preeclampsia group was higher than that of control group;apoptosis-related genes Bcl and Cx43 mRNA expression were lower than those of control group whereas Bax, Caspase7 and metastin mRNA expression were higher than those of control group;invasion-related genes HIF-1α, GPR30, MEST and Snail mRNA expression were lower than those of control group whereas PEDF and RECK mRNA expression were higher than those of control group. Pearson test showed that the AP-2 gene expression in the placental tissues of preeclampsia was directly correlated with the expression of trophoblast apoptosis-related genes and invasion-related genes. Conclusion: AP-2 gene expression significantly increases in the placental tissue of puerperae with preeclampsia, and it can positively regulate the trophoblast apoptosis activity and negatively regulate its invasion activity. 展开更多
关键词 PREECLAMPSIA AP-2Α Apoptosis INVASION ARTICLE History
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Study on the Management Effect of Pharmaceutical Care on Adverse Reactions of Traditional Chinese Medicines in Joint Surgery and Neurology
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作者 Kun Qian Juan Wang +3 位作者 xue-mei gao Li-Li Liu Jie Zhong Wen-Ming Cao 《Food Therapy and Health Care》 2021年第1期1-5,共5页
Objective:In general hospitals,pharmaceutical care was carried out to reduce the incidence of adverse drug reactions(ADR),and this effect was significant.It can significantly reduce the incidence of adverse drug react... Objective:In general hospitals,pharmaceutical care was carried out to reduce the incidence of adverse drug reactions(ADR),and this effect was significant.It can significantly reduce the incidence of adverse drug reactions and improve the safety of drug therapy.The Joint Surgery Department and the Department of Neurology of Changle County People's Hospital in Shandong province were investigated for the effect of pharmaceutical care on reducing adverse drug reactions.Methods:120 patients were selected from the Department of Joint Surgery and Neurology,Changle County People's Hospital,Shandong Province from May 2015 to May 2020.According to the random table method,the patients were divided into experimental group(60 cases)and control group(60 cases).Control group:routine drug therapy.Experimental group:pharmaceutical care treatment was carried out jointly,and the incidence of adverse reactions was compared between the two groups.Results:The incidence of adverse reactions in experimental group was lower than that in control group.Conclusion:In general hospitals,pharmaceutical care is effective in reducing adverse drug reactions,which can significantly reduce the incidence of adverse drug reactions.At the same time,this improves the safety of drug treatment,which is worthy of clinical promotion. 展开更多
关键词 Pharmaceutical care Adverse reactions Management effect
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