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腹腔镜下卵巢囊肿剔除术中电凝和缝合止血对卵巢储备功能的影响 被引量:28
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作者 靳冬梅 伍东月 +1 位作者 杜瑞亭 祁存秀 《中国现代医学杂志》 CAS 北大核心 2022年第6期18-23,共6页
目的探讨腹腔镜下卵巢囊肿剔除术中电凝和缝合止血对卵巢储备功能的影响。方法选取2018年1月—2020年11月青海省人民医院收治的卵巢囊肿患者200例作为研究对象,随机分为电凝组和缝合组,每组100例。比较两组患者手术前后抗缪勒管激素(AMH... 目的探讨腹腔镜下卵巢囊肿剔除术中电凝和缝合止血对卵巢储备功能的影响。方法选取2018年1月—2020年11月青海省人民医院收治的卵巢囊肿患者200例作为研究对象,随机分为电凝组和缝合组,每组100例。比较两组患者手术前后抗缪勒管激素(AMH)、雌二醇(E2)、促卵泡激素(FSH)、黄体生成素(LH)水平,并分析其相关性。结果电凝组与缝合组手术时间、术中出血量比较,差异无统计学意义(P>0.05)。术后1个月,两组窦卵泡数、卵巢动脉收缩期峰值血流速度少或慢低于术前(P<0.05);且缝合组多或快于电凝组(P<0.05)。两组血清AMH、E2水平均低于术前(P<0.05),且缝合组高于电凝组(P<0.05)。两组血清FSH、LH水平均高于术前(P<0.05);且缝合组低于电凝组(P<0.05)。Pearson相关性分析结果显示,术后血清AMH与E2水平呈正相关(r=0.553,P<0.05),与FSH、FSH/LH呈负相关(r=-0.614和-0.482,均P<0.05),与LH无相关性(r=0.115,P>0.05)。结论相较电凝止血,腹腔镜下卵巢囊肿剔除术中应用缝合止血更有利于保护卵巢储备功能。患者术后血清AMH水平与E2、FSH、FSH/LH相关,AMH检测可作为辅助手段评价患者术后卵巢储备功能。 展开更多
关键词 卵巢囊肿剔除术 腹腔镜 电凝止血 缝合止血 卵巢储备功能 抗缪勒管激素
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Genome size evolution of the extant lycophytes and ferns 被引量:3
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作者 Fa-Guo Wang Ai-Hua Wang +14 位作者 Cheng-Ke Bai dong-mei jin Li-Yun Nie AJ Harris Le Che Juan-JuanWang Shi-Yu Li Lei Xu Hui Shen Yu-Feng Gu Hui Shang Lei Duan Xian-Chun Zhang Hong-Feng Chen Yue-Hong Yan 《Plant Diversity》 SCIE CAS CSCD 2022年第2期141-152,共12页
Ferns and lycophytes have remarkably large genomes.However,little is known about how their genome size evolved in fern lineages.To explore the origins and evolution of chromosome numbers and genome size in ferns,we us... Ferns and lycophytes have remarkably large genomes.However,little is known about how their genome size evolved in fern lineages.To explore the origins and evolution of chromosome numbers and genome size in ferns,we used flow cytometry to measure the genomes of 240 species(255 samples)of extant ferns and lycophytes comprising 27 families and 72 genera,of which 228 species(242 samples)represent new reports.We analyzed correlations among genome size,spore size,chromosomal features,phylogeny,and habitat type preference within a phylogenetic framework.We also applied ANOVA and multinomial logistic regression analysis to preference of habitat type and genome size.Using the phylogeny,we conducted ancestral character reconstruction for habitat types and tested whether genome size changes simultaneously with shifts in habitat preference.We found that 2 C values had weak phylogenetic signal,whereas the base number of chromosomes(x)had a strong phylogenetic signal.Furthermore,our analyses revealed a positive correlation between genome size and chromosome traits,indicating that the base number of chromosomes(x),chromosome size,and polyploidization may be primary contributors to genome expansion in ferns and lycophytes.Genome sizes in different habitat types varied significantly and were significantly correlated with habitat types;specifically,multinomial logistic regression indicated that species with larger 2 C values were more likely to be epiphytes.Terrestrial habitat is inferred to be ancestral for both extant ferns and lycophytes,whereas transitions to other habitat types occurred as the major clades emerged.Shifts in habitat types appear be followed by periods of genomic stability.Based on these results,we inferred that habitat type changes and multiple whole-genome duplications have contributed to the formation of large genomes of ferns and their allies during their evolutionary history. 展开更多
关键词 Genome size FERNS Chromosome numbers Habitat type Whole-genome duplications EVOLUTION
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