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3种经自然腔道取标本手术方式治疗直肠癌的安全性与肿瘤学预后对比研究 被引量:12
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作者 关旭 卢召 +11 位作者 王松 刘恩瑞 赵志勋 陈海鹏 张明光 胡茜玥 马晓龙 黄海洋 姜争 刘正 王贵玉 王锡山 《中国肿瘤临床》 CAS CSCD 北大核心 2021年第3期140-146,共7页
目的:探讨经自然腔道取标本手术(natural orifice specimen extraction surgery,NOSES)的安全性,并比较3种取标术式在直肠癌治疗中的近期疗效和远期预后。方法:回顾性分析接受腹腔镜NOSES的Ⅰ~Ⅲ期直肠癌患者的临床资料。直肠NOSES手术... 目的:探讨经自然腔道取标本手术(natural orifice specimen extraction surgery,NOSES)的安全性,并比较3种取标术式在直肠癌治疗中的近期疗效和远期预后。方法:回顾性分析接受腹腔镜NOSES的Ⅰ~Ⅲ期直肠癌患者的临床资料。直肠NOSES手术包括外翻切除式、拉出切除式和切除拖出式3种。比较3种取标本方式的术后并发症、5年无病生存期(disease-free survival,DFS)、5年局部复发率(local recurrence rate,LRR)和5年远处转移率(distant metastasis rate,DMR)等指标。结果:本研究共有268例直肠癌患者符合入组标准,包括83例外翻切除式,75例拉出切除式,110例切除拖出式。肿瘤位置与手术方式的选择具有显著相关性,术后全部患者的并发症发生率为12.3%,其中外翻切除组为18.1%,高于拉出切除组(13.3%)和切除拖出组(7.3%),P=0.073。全部患者5年DFS、LRR及DMR分别是85.0%、4.2%和11.0%。切除拖出组患者5年DFS高于其他两组,外翻切除组患者5年LRR要高于其他两组,而5年DMR在外翻切除组中最低,差异均无统计学意义。结论:直肠癌NOSES 3种术式具有良好安全性和肿瘤学预后,肿瘤位置是选择手术方式的决定因素。 展开更多
关键词 经自然腔道取标本手术 直肠癌 微创手术 腹腔镜手术
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Safety and survival outcomes of transanal natural orifice specimen extraction using prolapsing technique for patients with middle-to low-rectal cancer 被引量:8
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作者 Zhao Lu haipeng chen +6 位作者 Mingguang Zhang Xu Guan Zhixun Zhao Zheng Jiang Zheng Liu Zhaoxu Zheng Xishan Wang 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2020年第5期654-664,共11页
Objective:The transanal approach to specimen collection,combined with the prolapsing technique,is a wellestablished and minimally invasive surgery for treating rectal cancer.However,reports on outcomes for this approa... Objective:The transanal approach to specimen collection,combined with the prolapsing technique,is a wellestablished and minimally invasive surgery for treating rectal cancer.However,reports on outcomes for this approach are sparse.We compared short-and long-term outcomes of conventional laparoscopic surgery(CLS)vs.transanal natural orifice specimen extraction(NOSE)using the prolapsing technique for patients with middle-to low-rectal cancer.Methods:From January 2013 to December 2017,we enrolled consecutive patients with middle-to low-rectal cancer undergoing laparoscopic anterior resection.Totally,50 patients who underwent transanal NOSE using the prolapsing technique were matched with 50 patients who received CLS.Clinical parameters and survival outcomes between the two groups were compared.Results:Estimated blood loss(29.70±29.28 vs.52.80±45.09 mL,P=0.003),time to first flatus(2.50±0.79 vs.2.86±0.76,P=0.022),time to liquid diet(3.62±0.64 vs.4.20±0.76 d,P<0.001),and the need for analgesics(22%vs.48%,P=0.006)were significantly lower for the NOSE group compared to the CLS group.The incidences of overall complications and fecal incontinence were comparable in both groups.After a median follow-up of 44.52 months,the overall local recurrence rate(6%vs.5%,P=0.670),3-year disease-free survival(86.7%vs.88.0%,P=0.945)and 3-year overall survival(95.6%vs.96.0%,P=0.708),were not significantly different.Conclusions:For total laparoscopic rectal resection,transanal NOSE using the prolapsing technique is effective and safe,and associated with less trauma and pain,a faster recovery,and similar survival outcomes compared to CLS. 展开更多
关键词 Natural orifice specimen extraction transanal specimen extraction rectal cancer prolapsing technique SURVIVAL
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Bionic Mosaic Method of Panoramic Image Based on Compound Eye of Fly 被引量:8
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作者 haipeng chen Xuanjing Shen +1 位作者 Xiaofei Li Yushan Jin 《Journal of Bionic Engineering》 SCIE EI CSCD 2011年第4期440-448,共9页
To satisfy the requirements of real-time and high quality mosaics, a bionic compound eye visual system was designed by simulating the visual mechanism of a fly compound eye. Several CCD cameras were used in this syste... To satisfy the requirements of real-time and high quality mosaics, a bionic compound eye visual system was designed by simulating the visual mechanism of a fly compound eye. Several CCD cameras were used in this system to imitate the small eyes of a compound eye. Based on the optical analysis of this system, a direct panoramic image mosaic algorithm was proposed. Several sub-images were collected by the bionic compound eye visual system, and then the system obtained the overlapping proportions of these sub-images and cut the overlap sections of the neighboring images. Thus, a panoramic image with a large field of view was directly mosaicked, which expanded the field and guaranteed the high resolution. The experimental results show that the time consumed by the direct mosaic algorithm is only 2.2% of that by the traditional image mosaic algorithm while guaranteeing mosaic quality. Furthermore, the proposed method effectively solved the problem of misalignment of the mosaic image and eliminated mosaic cracks as a result of the illumination factor and other factors. This method has better real-time properties compared to other methods. 展开更多
关键词 bionic compound eye panoramic image image mosaic direct mosaic algorithm
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A Novel Time-aware Frame Adjustment Strategy for RFID Anti-collision 被引量:3
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作者 haipeng chen Kexiong Liu +2 位作者 Chunyang Ma Yu Han Jian Su 《Computers, Materials & Continua》 SCIE EI 2018年第11期195-204,共10页
Recently,object identification with radio frequency identification(RFID)technology is becoming increasingly popular.Identification time is a key performance metric to evaluate the RFID system.The present paper analyze... Recently,object identification with radio frequency identification(RFID)technology is becoming increasingly popular.Identification time is a key performance metric to evaluate the RFID system.The present paper analyzes the deficiencies of the state-of-the-arts algorithms and proposes a novel sub-frame-based algorithm with adaptive frame breaking policy to lower the tag identification time for EPC global C1 Gen2 UHF RFID standard.Through the observation of slot statistics in a sub-frame,the reader estimates the tag quantity and efficiently calculates an optimal frame size to fit the unread tags.Only when the expected average identification time in the calculated frame size is less than that in the previous frame size,the reader starts the new frame.Moreover,the estimation of the proposed algorithm is implemented by the look-up tables,which allows dramatically reduction in the computational complexity.Simulation results show noticeable throughput and time efficiency improvements of the proposed solution over the existing approaches. 展开更多
关键词 Radio frequency identification ANTI-COLLISION ALPHA time efficiency
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Reactive ball-milling synthesis of Co-Fe bimetallic catalyst for efficient hydrogenation of carbon dioxide to value-added hydrocarbons
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作者 haipeng chen chenwei Wang +5 位作者 Mengyang Zheng chenlei Liu Wenqiang Li Qingfeng Yang Shixue Zhou Xun Feng 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2023年第9期210-218,共9页
Catalytic hydrogenation of CO_(2) using renewable hydrogen not only reduces greenhouse gas emissions,but also provides industrial chemicals.Herein,a Co-Fe bimetallic catalyst was developed by a facile reactive ball-mi... Catalytic hydrogenation of CO_(2) using renewable hydrogen not only reduces greenhouse gas emissions,but also provides industrial chemicals.Herein,a Co-Fe bimetallic catalyst was developed by a facile reactive ball-milling method for highly active and selective hydrogenation of CO_(2) to value-added hydrocarbons.When reacted at 320℃,1.0 MPa and 9600 mL h^(-1) g_(cat)^(-1),the selectivity to light olefin(C_(2)^(=)-C_(4)^(=)) and C_(5)+ species achieves 57.3% and 22.3%,respectively,at a CO_(2) co nversion of 31.4%,which is superior to previous Fe-based catalysts.The CO_(2) activation can be promoted by the CoFe phase formed by reactive ball milling of the Fe-Co_(3)O_(4) mixture,and the in-situ Co_(2)C and Fe_(5)C_(2) formed during hydrogenation are beneficial for the C-C coupling reaction.The initial C-C coupling is related to the combination of CO species with the surface carbon of Fe/Co carbides,and the sustained C-C coupling is maintained by self-recovery of defective carbides.This new strategy contributes to the development of efficient catalysts for the hydrogenation of CO_(2) to value-added hydrocarbons. 展开更多
关键词 Reactive ball milling Co-Fe bimetallic catalyst Carbon dioxide Value-added hydrocarbon C–C coupling reaction
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重组改构人肿瘤坏死因子用于进展期结肠癌患者术中腹腔灌注治疗的近期安全性及可行性分析
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作者 陈亚军 姜玉娟 +14 位作者 周思成 陈海鹏 王征 周海涛 毕建军 冯强 郑朝旭 姜争 刘正 梁建伟 裴炜 张海增 汤坚强 刘骞 王锡山 《中华结直肠疾病电子杂志》 2024年第2期94-100,共7页
目的评估重组改构人肿瘤坏死因子(rmhTNF)用于进展期结肠癌患者术中腹腔灌注治疗的近期安全性及可行性。方法前瞻性纳入2022年1月至2023年4月期间就诊于国家癌症中心/中国医学科学院肿瘤医院结直肠外科并进行手术治疗的进展期结肠癌患者... 目的评估重组改构人肿瘤坏死因子(rmhTNF)用于进展期结肠癌患者术中腹腔灌注治疗的近期安全性及可行性。方法前瞻性纳入2022年1月至2023年4月期间就诊于国家癌症中心/中国医学科学院肿瘤医院结直肠外科并进行手术治疗的进展期结肠癌患者的50例病例资料,按照腹腔是否灌注rmhTNF分为研究组和对照组,每组各入组25例,研究组在关腹后经腹腔引流管行rmhTNF腹腔灌注治疗,对照组应用蒸馏水冲洗腹腔。分析两组患者术后临床指标的差异。结果两组患者在术后胃肠道功能恢复情况、并发症发生率、血液学毒性、肝肾功能、凝血功能、炎症指标方面比较差异均无统计学意义(均P>0.05)。结论rmhTNF用于进展期结肠癌患者术中腹腔灌注治疗具有良好的安全性及耐受性,不影响术后胃肠功能恢复,未增加近期术后并发症的发生率,无血液学毒性,对肝肾功能、凝血功能、炎症指标无影响。 展开更多
关键词 结肠肿瘤 重组改构人肿瘤坏死因子 腹腔灌注治疗 安全性
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Fault Location Detection of Transmission Lines in Noise Environments Based on Random Matrix Theory 被引量:1
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作者 Jun An Zihan Deng +1 位作者 haipeng chen Gang Mu 《CSEE Journal of Power and Energy Systems》 SCIE EI CSCD 2022年第4期1233-1241,共9页
Fault detection and location are critically significant applications of a supervisory control system in a smart grid.The methods,based on random matrix theory(RMT),have been practiced using measurements to detect shor... Fault detection and location are critically significant applications of a supervisory control system in a smart grid.The methods,based on random matrix theory(RMT),have been practiced using measurements to detect short circuit faults occurring on transmission lines.However,the diagnostic accuracy is infuenced by the noise signal in the measurements.The relationship between mean eigenvalue of a random matrix and noise is detected in this paper,and the defects of the Mean Spectral Radius(MSR),as an indicator to detect faults,are theoretically determined,along with a novel indicator of the shifting degree of maximum eigenvalue and its threshold.By comparing the indicator and the threshold,the occurrence of a fault can be assessed.Finally,an augmented matrix is constructed to locate the fault area.The proposed method can effectively achieve fault detection via the RMT without any influence of noise,and also does not depend on system models.The experiment results are based on the IEEE 39-bus system.Also,actual provincial grid data is applied to validate the effectiveness of the proposed method. 展开更多
关键词 Fault detection maximum eigenvalue noise random matrix theory smart grid
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腹部无辅助切口经直肠切口取标本的腹腔镜右半结肠癌根治术(CRC-NOSES-Ⅷ式B法)近期疗效分析 被引量:1
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作者 闫顺笠 孙慧敏 +8 位作者 郑朝旭 刘正 陈海鹏 关旭 周思成 周海涛 梁建伟 裴炜 王锡山 《中华结直肠疾病电子杂志》 2022年第3期212-219,共8页
目的探讨经直肠取标本的腹腔镜右半结肠癌根治术(CRC-NOSES-Ⅷ式B法)的安全性、可行性和近期疗效。方法收集2018年1月至2021年4月在中国医学科学院肿瘤医院行腹部无辅助切口经直肠取标本的腹腔镜右半结肠癌根治术和腹腔镜辅助下右半结... 目的探讨经直肠取标本的腹腔镜右半结肠癌根治术(CRC-NOSES-Ⅷ式B法)的安全性、可行性和近期疗效。方法收集2018年1月至2021年4月在中国医学科学院肿瘤医院行腹部无辅助切口经直肠取标本的腹腔镜右半结肠癌根治术和腹腔镜辅助下右半结肠癌根治术患者的临床资料,回顾性分析两种术式对患者术后恢复情况、并发症及病理结果的影响。结果共有15例患者行腹部无辅助切口经直肠取标本的腹腔镜右半结肠癌根治手术(研究组),随机抽取同期符合入组条件的腹腔镜辅助下右半结肠癌根治术男性患者45例设为对照组。研究组和对照组性别、年龄、ASA分级、实验室检查、术前肿瘤大小、部位及TNM分期等差异无统计学意义(P>0.05),BMI指数研究组和对照组之间差异有统计学意义(t=-2.401,P=0.022)。研究组和对照组患者均顺利完成手术,无中转开腹病例,手术时间、术中出血量、肠道功能恢复时间、术后住院天数、术后病理肿瘤最大径、淋巴结检出及阳性个数、肿瘤病理类型、分化程度和肿瘤的术后TNM分期等差异均无统计学意义(P>0.05),术后第一天疼痛评分、第三天疼痛评分研究组与对照组差异有统计学意义(t=-6.477,10.160;P<0.05)。研究组术后均未出现肠梗阻、腹腔出血、腹腔感染、吻合口漏、吻合口出血、吻合口狭窄、直肠切口出血、直肠切口漏等并发症,全组患者控粪功能未受明显影响。结论BMI指数在CRC-NOSES-Ⅷ式B法与腹腔镜辅助右半结肠癌根治术术式选择方面有重要价值和参考意义。在经选择适合入组的右半结肠癌患者行CRC-NOSES-Ⅷ式B法与传统腹腔镜辅助右半结肠癌根治术的近期疗效类似,手术技术安全可行,患者的疼痛感明显减轻。 展开更多
关键词 结肠肿瘤 腹腔镜 右半结肠癌 右半结肠癌根治术 经自然腔道取标本手术 经直肠切口
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An Improved Pigeon-Inspired Optimization for Multi-focus Noisy Image Fusion
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作者 Yingda Lyu Yunqi Zhang haipeng chen 《Journal of Bionic Engineering》 SCIE EI CSCD 2021年第6期1452-1462,共11页
Image fusion technology is the basis of computer vision task,but information is easily affected by noise during transmission.In this paper,an Improved Pigeon-Inspired Optimization(IPIO)is proposed,and used for multi-f... Image fusion technology is the basis of computer vision task,but information is easily affected by noise during transmission.In this paper,an Improved Pigeon-Inspired Optimization(IPIO)is proposed,and used for multi-focus noisy image fusion by combining with the boundary handling of the convolutional sparse representation.By two-scale image decomposition,the input image is decomposed into base layer and detail layer.For the base layer,IPIO algorithm is used to obtain the optimized weights for fusion,whose value range is gained by fusing the edge information.Besides,the global information entropy is used as the fitness index of the IPIO,which has high efficiency especially for discrete optimization problems.For the detail layer,the fusion of its coefficients is completed by performing boundary processing when solving the convolution sparse representation in the frequency domain.The sum of the above base and detail layers is as the final fused image.Experimental results show that the proposed algorithm has a better fusion effect compared with the recent algorithms. 展开更多
关键词 Improved pigeon-inspired optimization Convolutional sparse representation Noisy image fusion Bionic algorithm
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Short-term efficacy analysis and comprehensive evaluation of laparoscopy for patients with rectal cancer-a prospective multi-center study
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作者 Zhixun Zhao Xu Guan +20 位作者 Guanyu Yu Yi Feng Qingchao Tang Qian Liu Zhaoxu Zheng Haitao Zhou Jianwei Liang Zheng Jiang Zheng Liu Zheng Lou haipeng chen Jiagang Han Yiping Lu Ang Li Xiaohui Du Zhanlong Shen Guole Lin Guiyu Wang Bo Jiang Wei Zhang Xishan Wang 《Holistic Integrative Oncology》 2023年第1期124-133,共10页
Objective To compare the short-term efficacy indicators of laparoscopic technique and open surgery in patients with rectal cancer surgery,and to further evaluate the safety and efficacy of laparoscopic rectal cancer s... Objective To compare the short-term efficacy indicators of laparoscopic technique and open surgery in patients with rectal cancer surgery,and to further evaluate the safety and efficacy of laparoscopic rectal cancer surgery.Methods This study adopted a prospective multicenter,open-label,non-randomized concurrent control method to analyze patients who received rectal cancer surgery from 10 colorectal tumor centers across the country from January 2017 to December 2018.The two groups of patients received laparoscopic-assisted surgery and conventional open surgery respectively.All surgeons were selected according to relevant standards and participated in the two groups of operations at the same time.Comprehensive evaluation and analysis of the operation and postoperative recovery,postoperative pathological results,survival information,postoperative related functional scores and other indicators.Results In the open surgery group,the proportion of tumors with a maximum diameter of more than 5 cm was higher(χ^(2)=0.089,P=0.018),and the proportion of T4 was higher(χ^(2)=0.478,P<0.001).In the laparoscopic group,the proportion of more than 12 harvested lymph nodes was higher(χ^(2)=0.248,P<0.001).There were no significant differences in the length of postoperative hospital stay,intraoperative blood loss,time to first flatus after operation,time to first out of bed,time to first liquid diet,and preservation rate of anal sphincter between the two groups,but in the laparoscopic surgery group the operation time was shorter(t=6.750,P<0.001)and postoperative pain was less(t=0.896,0.63,0.964,and 0.989 on postoperative days 1,2,and 3,respectively,all P<0.001).The incidence of grade 2–4 adverse complication in the two groups was 12.5%and 14.6%,respectively,with no statistical difference(χ2=0.061,P=0.105),but the incidence of incision infection was lower in the laparoscopy group(χ^(2)=0.19,P<0.001).There was no significant difference in 3-year disease-free survival between the two groups(HR=1.089,95%CI=0.962–1.232,P=0.170).Multivariate analysis suggested that intraoperative blood loss,T stage,N stage,nerve invasion,and postoperative sepsis were independent prognostic factors for disease-free survival.Wexner score,IPSS score and LARS score were not statistically different between the two groups.Conclusion The pathological results and short-term outcomes of laparoscopic surgery for rectal cancer are comparable to those of conventional open surgery,and laparoscopic surgery is safe and feasible for rectal cancer patients. 展开更多
关键词 Rectal cancer Laparoscopic surgery Prospective study Minimally invasive surgery Clinical trial
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伺机性筛查新模式在结直肠肿瘤患者配偶的探索性研究
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作者 黄海洋 关旭 +8 位作者 聂红霞 云红 胡文娟 赵志勋 陈海鹏 刘正 姜争 陈瑛罡 王锡山 《中华结直肠疾病电子杂志》 2022年第3期232-240,共9页
目的探究结直肠病房筛查新模式在结直肠肿瘤患者配偶筛查的有效性。方法采用结直肠肿瘤风险问卷调查、粪便潜血免疫化学检测(FIT)以及粪便多靶点FIT-DNA检测对2019年10月至2021年7月在中国医学科学院肿瘤医院结直肠外科就诊的结直肠癌... 目的探究结直肠病房筛查新模式在结直肠肿瘤患者配偶筛查的有效性。方法采用结直肠肿瘤风险问卷调查、粪便潜血免疫化学检测(FIT)以及粪便多靶点FIT-DNA检测对2019年10月至2021年7月在中国医学科学院肿瘤医院结直肠外科就诊的结直肠癌及进展期腺瘤患者的配偶进行检测,根据检测结果将配偶的筛查风险以及肠镜检查推荐分为A、B、C、D四类,分析不同分类后配偶肠镜依从率与病变检出率。结果共206名受试者被纳入本研究。总体配偶人群肠镜依从率为29.6%(61/206),肠镜病变检出率为9.8%(6/61);A类至D类推荐人群肠镜依从率分别为90.9%(10/11)、53.5%(23/43)、20.5%(23/112)和12.5%(5/40),肠镜病变检出率分别为30.0%(3/10)、8.7%(2/23)、4.3%(1/23)和0(0/5)。结论三种筛查方法联合使用可以高效精准地区分配偶的筛查风险,此方案是一个可以在病房开展的有效可行的结直肠肿瘤患者配偶人群的伺机性筛查新模式。 展开更多
关键词 结直肠肿瘤 配偶 粪便多靶点FIT-DNA检测 伺机性筛查 肠镜检查
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A systematic review of phytochemicals from Chinese herbal medicines for non-coding RNAs-mediated cancer prevention and treatment:From molecular mechanisms to potential clinical applications
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作者 Wenjuan Zhai Yu Hu +7 位作者 Ying Zhang Guiyu Zhang haipeng chen Xuanjing Tan Yuting Zheng Wenhui Gao Yijie Wei Jinjun Wu 《Medicine in Novel Technology and Devices》 2022年第4期364-379,共16页
Worldwide,cancer is a growing epidemic that results in large social and economic burdens.Despite advances in current diagnosis and treatment,most of the prognosis in cancer patients remains poor.It is urgent to find a... Worldwide,cancer is a growing epidemic that results in large social and economic burdens.Despite advances in current diagnosis and treatment,most of the prognosis in cancer patients remains poor.It is urgent to find alternative therapies with effective cancer prevention and treatment.Chinese herbal medicines(CHMs)have been increasingly used worldwide for cancer prevention and treatment due to their privileged properties.CHMs are useful in the suppression of various types of cancers through different mechanisms of action.Non-coding RNAs(ncRNAs),including microRNAs,long non-coding RNAs and circular RNAs,are closely involved in the cancer progression and development.Regulation of ncRNAs in tumor cells may be a useful pharmacological strategy for the cancer prevention and treatment.Substantial evidence exists that various phytochemicals from CHMs exert potent anticarcinogenic effects by regulating ncRNAs-related targets and signaling pathways.Herein,the purpose of this paper is to conclude the current understanding of phytochemicals from CHMs in ncRNAs-mediated cancer suppression and the molecular mechanisms.This review will help to provide beneficial clues related to the clinical use of CHMs in the cancer prevention and treatment and further promote new drug discovery against cancer. 展开更多
关键词 Chinese herbal medicines PHYTOCHEMICALS Non-coding RNAs Cancer prevention and treatment
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