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全层病变组织切除加皮肤回植在重度淋巴水肿治疗中的应用 被引量:3
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作者 常永庆 宋建星 +1 位作者 商慧娟 陶然 《临床军医杂志》 CAS 2009年第3期429-431,共3页
目的探讨一种重度四肢淋巴水肿的手术治疗方法。方法对20例难治性、巨型象皮肿病人,采用病变组织切除联合创面皮肤回植方式治疗。结果畸形、巨大的患肢明显缩小,肢体功能改善,效果显著。随访6~36个月,疗效稳定。结论切除病变组织加皮... 目的探讨一种重度四肢淋巴水肿的手术治疗方法。方法对20例难治性、巨型象皮肿病人,采用病变组织切除联合创面皮肤回植方式治疗。结果畸形、巨大的患肢明显缩小,肢体功能改善,效果显著。随访6~36个月,疗效稳定。结论切除病变组织加皮肤回植治疗重型四肢淋巴水肿,疗效确切。 展开更多
关键词 病变组织切除 皮肤回植 淋巴水肿
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全角膜移植术治疗严重全角膜病变的探讨
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作者 高建华 杨丽霞 郑金树 《眼外伤职业眼病杂志》 北大核心 2003年第2期113-114,共2页
目的 评价带环形板层巩膜瓣的全角膜移植术治疗严重全角膜病变的临床疗效。方法 我们对用药无法控制的严重全角膜病变 9例进行回顾性研究 ,其中化脓性角膜溃疡 8例 ,大泡性角膜病变伴全角膜白斑 1例。观察术后视力、植片及并发症。结... 目的 评价带环形板层巩膜瓣的全角膜移植术治疗严重全角膜病变的临床疗效。方法 我们对用药无法控制的严重全角膜病变 9例进行回顾性研究 ,其中化脓性角膜溃疡 8例 ,大泡性角膜病变伴全角膜白斑 1例。观察术后视力、植片及并发症。结果 随访 1~ 2 3月 ,9例视力均有提高 ,8例植片透明 ,1例植片半透明。 5例术后 3~ 4月出现角膜新生血管。结论 全角膜移植术是治疗严重角膜病变的有效方法 ,不但能挽救眼球而且能恢复一定的视力。 展开更多
关键词 角膜移植术 治疗 严重角膜病变 角膜移植 角膜病变
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基于CCTA的血管周围脂肪衰减指数对冠状动脉慢性全闭塞病变再通的预测价值
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作者 杨宝珠 黄书苑 +4 位作者 于鑫鑫 邓艳 韩鹏熙 刘晓龙 王锡明 《山东大学学报(医学版)》 CAS 北大核心 2024年第10期98-105,共8页
目的探究基于冠状动脉CT血管成像(coronary computed tomography angiography,CCTA)的冠状动脉周围脂肪衰减指数(fat attenuation index,FAI)对冠状动脉慢性全闭塞病变(chronic total occlusion,CTO)再通的预测价值。方法回顾性分析2012... 目的探究基于冠状动脉CT血管成像(coronary computed tomography angiography,CCTA)的冠状动脉周围脂肪衰减指数(fat attenuation index,FAI)对冠状动脉慢性全闭塞病变(chronic total occlusion,CTO)再通的预测价值。方法回顾性分析2012年11月至2023年6月期间行CCTA检查并接受经皮冠状动脉介入(percutaneous coronary intervention,PCI)治疗的冠状动脉完全闭塞患者(n=204)的临床资料,根据手术结果分为成功组(n=144)与失败组(n=60)。记录并分析两组患者的临床资料,闭塞段血管FAI,CTO病变的CCTA形态特征,包括病变部位[右冠状动脉(right coronary artery,RCA)、左前降支(left anterior descending artery,LAD)、左回旋支(left circumflex artery,LCX)]、病变长度、病变CT值、病变钙化斑块的体积、病变入口处的残端形态、病变弯曲角度是否>45°、病变是否为负性重构,并进行两组间比较。通过多因素Logistic回归分析筛选影响CTO病变再通的独立因素,并分别建立传统形态学特征模型及联合形态学特征和FAI的联合模型。通过受试者工作特征(receiver operating characteristic,ROC)曲线评价各模型的预测性能。结果两组间闭塞段FAI[(-82.33±10.61)HU vs.(-71.70±10.91)HU,P<0.001]、闭塞段CT值[69.85(55.95,86.25)HU vs.58.25(47.00,72.83)HU,P<0.001]、闭塞段血管的钙化体积[20.92(2.25,52.80)mm^(3)vs.5.69(0.00,25.75)mm^(3),P<0.001]、闭塞段长度[23.60(13.90,34.50)mm vs.14.65(9.43,19.60)mm,P<0.001]等差异均有统计学意义;其中,闭塞段长度>23.05 mm、闭塞段FAI<-77.50 HU、闭塞段CT值>58.15 HU及闭塞血管负性重构是CTO病变再通失败的独立预测因素,将以上三种形态学特征因素建立传统形态学特征模型,传统形态学特征模型联合闭塞段FAI建立联合模型。联合模型的预测价值优于传统形态学特征模型的预测价值,AUC分别为0.857、0.787,P<0.001。结论FAI可以作为预测冠状动脉慢性全闭塞病变PCI手术结果的一个新的预测指标;在传统的影像学特征基础上,FAI能为CTO患者手术结果的预测提供新的增量价值。 展开更多
关键词 冠状动脉CT血管成像 冠状动脉周围脂肪 脂肪衰减指数 慢性闭塞病变 经皮冠状动脉介入
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甲状腺相关性眼病影像学研究进展
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作者 侯杰 孙硕辉 王娴 《医学理论与实践》 2024年第6期939-942,共4页
甲状腺相关性眼病(TAO)又称格雷夫斯眼病(GO),是格雷夫斯病最常见的甲状腺外表现,发病率为25%~50%,分为活动期和纤维化期,影像学检查方法主要包括:超声、计算机断层扫描技术(CT)、核磁共振成像(MRI)、放射性核素显像(Radionuclide imagi... 甲状腺相关性眼病(TAO)又称格雷夫斯眼病(GO),是格雷夫斯病最常见的甲状腺外表现,发病率为25%~50%,分为活动期和纤维化期,影像学检查方法主要包括:超声、计算机断层扫描技术(CT)、核磁共振成像(MRI)、放射性核素显像(Radionuclide imaging)等,对于TAO疾病分期及预测疗效具有重要价值。本文对影像学诊断TAO分期研究进展及其并发症甲状腺功能不全视神经病变(DON)进行综述。 展开更多
关键词 格雷夫斯眼病 超声检查 X线计算机 磁共振成像 放射性核素显像 甲状腺功能不视神经病变
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Retrospective Studies on Clinical Features of Melanosis of the Colon and Its Correlation with the Polypus and Carcinoma of Large Intestine 被引量:2
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作者 Qiong Nan Lei Zhang +3 位作者 Jian Shen Xiaoyan Li Yumei Yang Haiyan Jiang 《Chinese Journal of Clinical Oncology》 CSCD 2009年第2期138-141,共4页
OBJECTIVE To investigate the clinical characteristics of melanosis of the colon (MC) and its correlation with polypus and carcinoma of the large intestine. METHODS Clinical feature and colonoscopic findings of 156 M... OBJECTIVE To investigate the clinical characteristics of melanosis of the colon (MC) and its correlation with polypus and carcinoma of the large intestine. METHODS Clinical feature and colonoscopic findings of 156 MC patients were retrospectively analyzed. Final diagnosis of MC case was made after colonoscopic and pathological examination, and data of the case history was recorded. RESULTS The overall detection rate of MC was 1.12%, with 0.46% in males, 0.66% in females. An 82.69% of the patients suffered various constipations and had a history of taking cathartics. The clinical manifestation of total-colon melanosis occurred in 83.97% of the patients. There was no significant difference between the rate of concomitant polypus (27.56%) in the MC patients and the detection rate of polypus in the patients who underwent a synchronous colonoscopy (χ^2 = 1.205, P = 0.298). Also there was no significant difference between the detection rate of carcinoma of the large intestine (8.97%) in MC patients and the detection rate of the same disease in the patients who underwent synchronous colonoscopy (χ^2 = 0.268, P = 0.604). A logistic regression analysis has shown that the older the age of MC patients is, the more opportunities of MC and the concomitant polypus would occur. CONCLUSION MC may be related to constipations and a long-term administration of cathartics, among which total-colon melanosis ranks first in the cases. There is an earlier age of onset in the females, with a higher detection rate. The older the age of the patients is, the higher the detection rate of MC is, and the more possibility the onset of the concomitant polypus. 展开更多
关键词 melanosis of the colon large intestine intestinal polypus carcinoma of bowels retrospective study.
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Plant Diseases in Globally Changing Russian Climate
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作者 Mark Levitin 《Journal of Life Sciences》 2015年第10期476-480,共5页
Across all Russia global climate change is observed. Consequences of climatic changes, undoubtedly, will be reflected in distribution of harmful organisms, their injuriousness and will demand development of new approa... Across all Russia global climate change is observed. Consequences of climatic changes, undoubtedly, will be reflected in distribution of harmful organisms, their injuriousness and will demand development of new approaches in plant protection. Over the last 10 years, the spread of cereal crop diseases in the Northwest Russia has been monitored. The purpose of researches is to find new diseases in the Northwest region of Russia. Disease progression was mainly monitored 3 or 4 times during the growing season, from germination to crop maturity. As a result in this region the new diseases were found. In 2005-2007 the causal agent of yellow leaf spot Pyrenophora tritici-repentis was found on wheat. Fusarium graminearum historically has two areas in Russia: the North Caucasus and the Far East. However, since 2003 F. graminearum appeared on the territory of the North-West of Russia. Septoria tritici became the main pathogen of wheat in the North-Western Region.. In 2013 Ramularia collo-cygni was found in Arkhangelsk region. These observations suggest that global warming of climate leads to an expansion south species pathogen to the north regions of Russia. 展开更多
关键词 Climate change phytopathogenic fungi plant diseases.
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Safety and Efficacy of Frameless Stereotactic Brain Biopsy Techniques 被引量:3
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作者 Qiu-jian Zhang Wen-hao Wang +1 位作者 Xiang-pin Wei Yi-gang Yu 《Chinese Medical Sciences Journal》 CAS CSCD 2013年第2期113-116,共4页
Objective To explore the safety and efficacy of frameless stereotactic brain biopsy.Methods Diagnostic accuracy was calculated by comparing biopsy diagnosis with definitive pathology in 62 patients who underwent frame... Objective To explore the safety and efficacy of frameless stereotactic brain biopsy.Methods Diagnostic accuracy was calculated by comparing biopsy diagnosis with definitive pathology in 62 patients who underwent frameless stereotactic brain biopsy between January 2008 and December 2010 in Xiamen University Southeast Hospital.Preoperative characteristics and histological diagnosis were reviewed and then information was analysed to identify factors associated with the biopsy not yielding a diagnosis and complications.Results Diagnostic yield was 93.5%.No differences were found between pathological diagnosis and frozen pathological diagnosis.The most common lesions were astrocytic lesions,included 16 cases of low-grade glioma and 12 cases of malignant glioma.Remote hemorrhage,metastasis,and lymphoma were following in incidence.Multiple brain lesions were found in 17 cases (27.4%).Eleven cases were frontal lesions (17.7%),8 were frontotemporal (12.9%),6 were frontoparietal (9.7%),and 5 each were temporal,parietal,and parietotemporal lesions (8.1%).Postoperative complications occurred in 21.0% of the patients after biopsies,including 10 haemorrhages (16.1%) and 3 temporary neurological deficits (1 epilepsy,1 headache,and 1 partial hemiparesis).No patient required operation for hematoma evacuation.Conclusion Frameless stereotactic biopsy is an effective and safe technique for histologic diagnosis of brain lesions,particularly for multifocal and frontal lesions. 展开更多
关键词 STEREOTAXIS FRAMELESS BIOPSY HISTOLOGY
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The Development of a Seed Stock Industry Using Indigenous Livestock from Rural Keepers for Sustainable Production
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作者 Michiel Matthys Scholtz 《Journal of Life Sciences》 2012年第11期1270-1276,共7页
The majority of livestock in the rural areas of Africa are indigenous types that are not well defined as breeds as perceived by the developed world. The animals in this important sector have remained largely uncharact... The majority of livestock in the rural areas of Africa are indigenous types that are not well defined as breeds as perceived by the developed world. The animals in this important sector have remained largely uncharacterised and face the risk of genetic dilution due to indiscriminate crossbreeding, breed replacement and neglect. This article uses two examples to describe a system that has been implemented in South Africa that allows indigenous livestock from rural keepers to enter the seed stock industry as recognized breeds. The first example is the indigenous Nguni breed of cattle that has been successfully developed into a seed stock breed, with a society celebrating its 25th anniversary in November 2011. The second example involves the challenges of developing a seed stock industry for some of the unimproved indigenous goat breeds of South Africa. Climate change is expected to have a more extreme effect on southern hemisphere continents than on other continents. Such negative effects will include high ambient temperatures, nutritional stress and altered patterns of animal diseases. With the likelihood of global warming, these adapted genotypes can play a very important role in sustainable livestock production. 展开更多
关键词 Breed societies goats indigenous breeds Nguni cattle.
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Analysis of Oseltamivir Resistance Substitutions in Influenza Virus Glycoprotein Neuraminidase using a Lentivirus-Based Surrogate Assay System
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作者 Jennifer Tisoncik-Go Katie S Cordero Lijun Rong 《Virologica Sinica》 SCIE CAS CSCD 2013年第2期81-91,共11页
Influenza A virus poses a great threat to global health, and oseltamivir (trade marked as Tamiflu), which targets influenza surface glycoprotein neuraminidase (NA), is used clinically as a major anti-influenza treatme... Influenza A virus poses a great threat to global health, and oseltamivir (trade marked as Tamiflu), which targets influenza surface glycoprotein neuraminidase (NA), is used clinically as a major anti-influenza treatment. However, certain substitutions in NA can render an influenza virus resistant to this drug. In this study, using a lentiviral pseudotyping system, which alleviates the safety concerns of studying highly pathogenic influenza viruses such as avian influenza H5N1, that utilizes influenza surface glycoproteins (hemagglutinin or HA, and NA) and an HIV-core combined with a luciferase reporter gene as a surrogate assay, we first assessed the functionality of NA by measuring pseudovirion release in the absence or presence of oseltamivir. We demonstrated that oseltamivir displays a dose-dependent inhibition on NA activity. In contrast, a mutant NA (H274Y) is more resistant to oseltamivir treatment. In addition, the effects of several previously reported substitution NA mutants were examined as well. Our results demonstrate that this lentivirus-based pseudotyping system provides a quick, safe, and effective way to assess resistance to neuraminidase inhibitors. And we believe that as new mutations appear in influenza isolates, their impact on the effectiveness of current and future anti-NA can be quickly and reliably evaluated by this assay. 展开更多
关键词 Influenza virus Neuraminidase (NA) OSELTAMIVIR Drug resistance
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85例颅外转移性乳腺癌放疗疗效观察及预后分析 被引量:1
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作者 宋玉春 房辉 +15 位作者 王淑莲 肖建平 唐玉 刘跃平 宋永文 陈波 亓姝楠 李宁 唐源 景灏 杨勇 任骅 赵瑞芝 卢宁宁 金晶 李晔雄 《中华放射肿瘤学杂志》 CSCD 北大核心 2021年第6期569-574,共6页
目的观察颅外转移性乳腺癌的放疗疗效,探讨全病变放疗意义及预后相关因素。方法回顾性分析2014—2019年间接受放疗的85例颅外转移性乳腺癌患者的临床资料,其中全病变放疗36例,非全病变放疗49例。采用Kaplan-Meier法计算生存率并log-ran... 目的观察颅外转移性乳腺癌的放疗疗效,探讨全病变放疗意义及预后相关因素。方法回顾性分析2014—2019年间接受放疗的85例颅外转移性乳腺癌患者的临床资料,其中全病变放疗36例,非全病变放疗49例。采用Kaplan-Meier法计算生存率并log-rank检验和单因素预后分析,Cox模型多因素预后分析。结果全组中位随访时间26.7个月,2年局控(LC)、无进展生存(PFS)、总生存(OS)率分别为77%、26%、77%。全病变放疗预后显著优于非全病变放疗,2年LC率分别为91%和67%(P=0.001),2年PFS率分别为47%和8%(P<0.001),2年OS率分别为84%和71%(P=0.010)。多因素分析显示全病变放疗是LC、PFS、OS的独立预后因素。此外,接受放疗时是否仅有骨转移是LC的影响因素,激素受体状态是OS的影响因素。结论全病变放疗可以延长颅外转移性乳腺癌患者的生存。仅有骨转移的患者接受放疗后LC更佳,激素受体阴性的患者长期生存较差。 展开更多
关键词 颅外转移 乳腺肿瘤/放射疗法 全病变 预后
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Efficacy and safety of puerarin injection in treatment of diabetic peripheral neuropathy: a systematic review and Meta-analysis of randomized controlled trials 被引量:24
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作者 Jiarui Wu Xiaomeng Zhang Bing Zhang 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2014年第4期401-410,共10页
OBJECTIVE: To systematically evaluate the clinical efficacy and safety of puerarin injection in the treatment of diabeticperi pheral neuropathy(DPN).METHODS: Randomized controlled trials investigating the efficacy of ... OBJECTIVE: To systematically evaluate the clinical efficacy and safety of puerarin injection in the treatment of diabeticperi pheral neuropathy(DPN).METHODS: Randomized controlled trials investigating the efficacy of puerarin injection on DPN were searched for in China National Knowledge Infrastructure Database, Chinese Scientific Journals Database, Wanfang Database, Chinese Biomedical Literature Database, PubMed, and Cochrane Library from establishment to April 30.Two reviewers independently retrieved and extracted the information.The included studies were assessed by the Cochrane risk of bias and analyzed by Review Manager 5.2 software.RESULTS: Twenty-two studies involving 1664 participants were included. The quality of the studies was found to be relatively low. Meta-analysis showed that puerarin injection combined with western medication was more effective than conventional therapy for rate, nerve conduction velocity(NCV), and hemorheology index. Six adverse drug reactions(ADRs) from puerarin injection were reported in two studies. Reactions included facial flushing, palpitations, and pain at infusion locations. However,noserious ADRs were reported.CONCLUSION: Puerarin injection was effective for the treatment of DPN. Puerarin can improve the total effective rate, correct NCV that was decreased by diabetes, and improve the hemorheology index.Puerarin was also relatively safe clinically. However,since the articles included in the study were not high-quality, more studies should be conducted to strengthen their findings. 展开更多
关键词 Puerarin Diabetic neuropathies Treatment outcome Meta-analysis Randomized controlledtrials
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Impact of global change on transmission of human infectious diseases 被引量:8
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作者 WU XiaoXu TIAN HuaiYu +2 位作者 ZHOU Sen CHEN LiFan XU Bing 《Science China Earth Sciences》 SCIE EI CAS 2014年第2期189-203,共15页
Global change,which refers to large-scale changes in the earth system and human society,has been changing the outbreak and transmission mode of many infectious diseases.Climate change affects infectious diseases direc... Global change,which refers to large-scale changes in the earth system and human society,has been changing the outbreak and transmission mode of many infectious diseases.Climate change affects infectious diseases directly and indirectly.Meteorological factors including temperature,precipitation,humidity and radiation influence infectious disease by modulating pathogen,host and transmission pathways.Meteorological disasters such as droughts and floods directly impact the outbreak and transmission of infectious diseases.Climate change indirectly impacts infectious diseases by altering the ecological system,including its underlying surface and vegetation distribution.In addition,anthropogenic activities are a driving force for climate change and an indirect forcing of infectious disease transmission.International travel and rural-urban migration are a root cause of infectious disease transmission.Rapid urbanization along with poor infrastructure and high disease risk in the rural-urban fringe has been changing the pattern of disease outbreaks and mortality.Land use changes,such as agricultural expansion and deforestation,have already changed the transmission of infectious disease.Accelerated air,road and rail transportation development may not only increase the transmission speed of outbreaks,but also enlarge the scope of transmission area.In addition,more frequent trade and other economic activities will also increase the potential risks of disease outbreaks and facilitate the spread of infectious diseases. 展开更多
关键词 global change infectious disease natural factors human activities
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