胃底腺型胃癌临床病理特点的文献回顾分析

背景胃底腺型胃癌(gastric adenocarcinoma of the fundic gland type,GA-FG)是近年来新发现的一种胃癌类型,不同于传统的肠癌和弥漫性胃癌,是一种分化良好的肿瘤.预计GA-FG在所有胃癌中的比例将越来越高,但目前内镜医师及临床病理学家对该病认识不足容易导致误诊.目的本文通过对该病的内镜、临床及病理特点进行系统回顾,旨在增加该疾病的诊断率并减少漏诊及误诊.方法在Pubmed及中国知网收集2007-01/2022-03期间公开发表的中英文文献中报道的胃底腺型胃癌患者临床、病理及内镜资料,并进行回顾分析.结果共收集67篇文献中320例胃底腺型胃癌患者共322处病变相关资料.病变多位于胃上1/3(81.6%),病变平均大小9.66 mm(1 mm-85 mm),约76.88%病变大体形态为隆起型.窄带成像观察病变表面可见微血管扩张及微腺体结构紊乱或增粗.所有病变中主细胞分化型约占74.84%,显著表达MUC6及胃蛋白酶原,预后良好.结论胃底腺型胃癌发病率低,内镜下完整切除及外科手术可到达治愈性切除的目的,预后较好,但易误诊,诊断时应结合其临床病理学特点,从而减少误诊及漏诊率.

Effect of kinesio taping on shoulder pain after stroke

Objective:To discuss the clinical effect of kinesio taping on shoulder pain after stroke. Methods: A total of 60 patients with shoulder pain after stroke in our hospital between July 2016 and March 2018 were divided into the treatment group and the control group according to the SPSS random method, 30 in each group. The treatment group was treated with kinesio taping and combined comprehensive rehabilitation therapy, while the control group received simple comprehensive rehabilitation therapy for 4 weeks. The visual analogue scale (VAS), simplified Fugl-Meyer motor function score (FMA) and range of motion (ROM) were used to evaluate the pain degree, upper limb function and shoulder joint activity of the patients before and 2 and 4 weeks after treatment.Results: There was no difference in VAS score between the two groups before treatment (P>0.05),and the VAS score of the treatment group were significantly lower than those of the control group after 2 weeks and 4 weeks (P<0.05).There was no difference in FMA score between the two groups before treatment (P>0.05), and the FMA scores of the treatment group were significantly higher than that of the control group after 2 weeks and 4 weeks (P<0.05).There was no difference in the shoulder flexion, extension, abduction, internal rotation and external rotation of the two groups before treatment (P>0.05), and the shoulder flexion, extension, abduction, internal rotation and external rotation of the patients in the treatment group were significantly greater than those in the control group after 2 and 4 weeks of treatment (P<0.05).Conclusion:Kinesio taping combined with rehabilitation therapy can alleviate the pain and improve the upper limb function and shoulder motion function after stoke. It worth of clinical use.