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Rare primary colonic T cell lymphoma with curative resection by endoscopic submucosal dissection:A case report
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作者 Yu-Hui sun Shuang-Shuang Lu +3 位作者 Ying Fang Zhe Xiong qiu-yue sun Jin Huang 《World Journal of Clinical Cases》 SCIE 2024年第22期5229-5235,共7页
BACKGROUND The gastrointestinal tract is a well-known extranodal site of lymphoma.B-cell lymph-oma is the most common type,while T-cell lymphoma is uncommon.Primary gastrointestinal lymphoma mainly occurs in the stoma... BACKGROUND The gastrointestinal tract is a well-known extranodal site of lymphoma.B-cell lymph-oma is the most common type,while T-cell lymphoma is uncommon.Primary gastrointestinal lymphoma mainly occurs in the stomach and small intestine,and the colon is less frequently involved,especially in females.CASE SUMMARY A 45-year-old woman was admitted to our hospital for physical examination.Gastroenteroscopy revealed a visible pedunculated polyp in the transverse colon,for which endoscopic submucosal dissection(ESD)was performed.Pathology suggested highly active proliferation of T lymphocytes with atypical hyperplasia.CONCLUSION A middle-aged female patient was found to have colonic T-cell lymphoma by endoscopy.The lesion was successfully removed by ESD,and the surgical margin was negative.It is essential to raise awareness of colonic T-cell lymphoma and choose the appropriate treatment. 展开更多
关键词 Primary colorectal lymphoma T-cell lymphoma Endoscopic submucosal dissection Pedunculated polyp Case report
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New rabbit model for benign biliary stricture formation with repeatable administration
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作者 qiu-yue sun Yi-Ming Cheng +1 位作者 Yu-Hui sun Jin Huang 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第11期3538-3545,共8页
BACKGROUND The treatment of benign biliary strictures(BBS)is a challenging clinical problem.At present,there is a lack of ideal models for the study of BBS treatment.AIM To develop a novel animal model of BBS to simul... BACKGROUND The treatment of benign biliary strictures(BBS)is a challenging clinical problem.At present,there is a lack of ideal models for the study of BBS treatment.AIM To develop a novel animal model of BBS to simulate studies on the processes and mechanisms in the human condition.METHODS A rabbit model of benign bile duct stricture was established by surgical injury of the bile duct.After removal of the gallbladder,a drainage tube was placed th-rough the cystic duct at the stump,and a BBS model was induced by surgical injury at the lower end of the common bile duct.RESULTS Compared with the control group,the model rabbits showed gross jaundice,increased serum bilirubin,and decreased liver function.Cholangiography showed segmental bile duct stenosis in the model rabbits.Pathological staining showed inflammatory cell infiltration and fibrosis in the biliary tract of rabbits in the model group.This was consistent with the clinical manifestations of BBS.This model provided serology,imaging,pathology,and other aspects of BBS.CONCLUSION We have successfully established an animal model of benign stricture of the lower bile duct with repeatable administration,which is consistent with the clinical manifestations of BBS. 展开更多
关键词 Benign biliary stricture Animal model CHOLANGIOGRAPHY SURGERY Histopathological analysis
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针对性营养干预对行直肠癌根治手术患者排便功能及术后并发症的影响 被引量:2
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作者 孙秋月 周建英 杜丽云 《世界华人消化杂志》 CAS 2018年第29期1729-1734,共6页
目的研究针对性营养干预对行直肠癌根治手术患者排便功能、营养指标及术后并发症的影响.方法选择2015-01/2016-12在浙江医院接受直肠癌根治术的患者130例.用随机数表法分为对照组和观察组,每组各65例,对照组行常规营养干预,观察组给予... 目的研究针对性营养干预对行直肠癌根治手术患者排便功能、营养指标及术后并发症的影响.方法选择2015-01/2016-12在浙江医院接受直肠癌根治术的患者130例.用随机数表法分为对照组和观察组,每组各65例,对照组行常规营养干预,观察组给予针对性营养干预.比较两组患者的排便功能、营养指标、术后恢复情况和术后并发症.结果观察组患者优23例(35.38%),良27例(41.54%),优良率为76.92%,高于对照组60.00%的优良率(P<0.05).观察组患者的术后排气时间为1.83 d±0.68 d,术后排便时间为2.81 d±1.06 d,半流质饮食恢复时间为9.84 d±1.26 d,术后住院时间为16.27 d±1.53 d,均小于对照组(P<0.05).观察组患者术后1 wk的总蛋白、白蛋白、前白蛋白、血红蛋白和转铁蛋白水平分别为68.35 g/L±13.63 g/L、36.17 g/L±5.62 g/L、0.29 g/L±0.08 g/L、124.75 g/L±28.14 g/L和1.97 g/L±0.51g/L,明显高于对照组(P <0.05).两组患者肺部感染、尿路感染、切口愈合不良和吻合口瘘的发生率相近(P>0.05),观察组患者总并发症的发生率为7.69%,低于对照组20.00%的总并发症发生率(P<0.05).结论针对性营养干预可以明显改善行根治性手术直肠癌患者的排便功能和营养指标,促进患者术后康复,降低并发症的发生率,值得在临床推广应用. 展开更多
关键词 针对性营养干预 直肠癌 排便功能 营养指标
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基于博弈论的城市道路变道切入行为模型 被引量:1
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作者 程国柱 孙秋月 +1 位作者 刘玥波 陈纪龙 《吉林大学学报(工学版)》 EI CAS CSCD 北大核心 2022年第12期2839-2844,共6页
为解决城市道路变道切入行为带来的交通安全和道路拥堵问题,研究了变道切入行为在城市道路中的决策模型。在考虑安全收益、速度收益和变道收益的基础上,量化博弈双方的收益,并结合驾驶人变道意图给出变道切入行为中变道车和目标车道后... 为解决城市道路变道切入行为带来的交通安全和道路拥堵问题,研究了变道切入行为在城市道路中的决策模型。在考虑安全收益、速度收益和变道收益的基础上,量化博弈双方的收益,并结合驾驶人变道意图给出变道切入行为中变道车和目标车道后车的收益函数,构建非合作博弈模型并求纳什均衡解;对模型中的收益参数进行标定,使用NGSIM数据进行模型校对。研究结果表明:模型对于城市道路变道车和邻后车的决策行为具有良好的拟合度,强制性变道切入行为中变道车和邻后车决策行为变量的RMSE分别为0.1385和0.4361,自由性变道切入行为中RMSE分别为0.2278和0.1748;在博弈行为中,安全收益比换道收益对变道车驾驶人的决策影响更大,其中自由性变道切入行为中更加明显;而速度收益始终比安全收益对邻后车驾驶人的决策影响更大,收益权重为0.9和0.1。 展开更多
关键词 交通运输系统工程 变道模型 混合策略博弈 变道切入行为
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