Insight into the history and trends of liver transplantation for echinococcosis:A bibliometric analysis

BACKGROUND Liver transplantation(LT)has demonstrated favorable efficacy in managing endstage alveolar echinococcosis.Nevertheless,the current research focal points and advancement trends remain ambiguous.AIM To map the research landscape to underscore critical areas of focus,influential studies,and future directions of LT for echinococcosis treatment.METHODS Publications on LT for echinococcosis treatment published between 1900 and 2023 were searched in the Web of Science database and analyzed using bibliometrics.RESULTS A total of 14 countries/regions,75 institutions,and 499 authors have published research articles,with China,Turkey,and France being the three most productive countries.The four institutions with the most contributions were Sichuan University,Xinjiang Medical University,the University de Franche Comte,and Inonu University.The three authors who contributed the most were Wen Hao,Wang Wentao,and Bresson Hadni Solange.The four most common keywords were alveolar echinococcosis,LT,ex-vivo liver resection and autotransplantation,and echinococcosis multilocularies.CONCLUSION Our study found that the treatment of complications after LT for echinococcosis treatment and the preoperative surgical plan based on the anatomical relationship between the lesion and the blood vessel are early research hotspots.Recent research focuses on the treatment of complications after ex-vivo liver resection and autotransplantation,especially vascular complications.

超声、超声造影和X线钼靶联合诊断在早期乳腺癌中的应用

目的:探讨超声、超声造影、X线钼靶及三者联合应用对早期乳腺癌的诊断价值。方法:收集行超声、超声造影、X线钼靶及三者联合诊断的156例乳腺癌和260例乳腺良性病变患者的病例资料,统计分析超声、超声造影、X线钼靶3种检查方法单独及联合使用对早期乳腺癌诊断率的差异。结果:超声单独诊断早期乳腺癌敏感度、特异度、假阳性率、假阴性率、符合率分别为86.55%、58.25%、41.75%、13.45%、68.62%;超声造影单独诊断早期乳腺癌,敏感度、特异度、假阳性率、假阴性率、符合率分别为93.10%、70.73%、29.27%、6.89%、77.90%;X线钼靶单独诊断早期乳腺癌敏感度、特异度、假阳性率、假阴性率、符合率分别为64.00%、66.32%、33.67%、36.00%、65.32%;三者联合使用诊断早期乳腺癌敏感度、特异度、假阳性率、假阴性率、符合率分别为92.30%、98.40%、1.58%、7.69%、96.62%。单独应用超声造影诊断准确度高于单独应用超声及X线钼靶,差异有统计学意义(P<0.05);三者联合应用的诊断准确度均高于单独应用超声、超声造影、X线钼靶,差异有统计学意义(P<0.05)。结论:单独应用超声造影诊断早期乳腺癌诊断符合率高于单独应用超声及X线钼靶。三者联合应用可以提高诊断早期乳腺癌的准确度,对于早期乳腺癌的早诊断、早治疗有重要临床意义。