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阴道超声在腹腔镜子宫肌瘤剔除术中对减少肌瘤残留及降低肌瘤复发的价值 被引量:38
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作者 冯蓓 吕红青 黄世林 《中国内镜杂志》 2018年第3期6-10,共5页
目的探究分析阴道超声应用于腹腔镜子宫肌瘤剔除术中对于减少肌瘤残留及降低肌瘤复发的运用价值。方法选择该院收治的120名进行了腹腔镜子宫肌瘤剔除术的患者,根据患者的入院时间随机分为观察组和对照组,两组患者都在腹腔镜下进行手术,... 目的探究分析阴道超声应用于腹腔镜子宫肌瘤剔除术中对于减少肌瘤残留及降低肌瘤复发的运用价值。方法选择该院收治的120名进行了腹腔镜子宫肌瘤剔除术的患者,根据患者的入院时间随机分为观察组和对照组,两组患者都在腹腔镜下进行手术,观察组在手术时配合使用阴道超声,继续剔除残存的子宫肌瘤,术后对两组患者进行12个月的随访。记录两组患者在手术中的各项指标、术后肌瘤残存的情况以及术后12个月肌瘤的复发情况等数据。结果观察组的治疗时间、术中出血量、术后排气时间和住院时间与对照组相比,差异无统计学意义(P>0.05)。观察组共出现1例血肿、1例输尿管损伤、2例膀胱损伤和1例直肠损伤;对照组共出现1例血肿、1例膀胱损伤、2例切口感染和2例直肠损伤。比较两组的术中并发症发生率,差异无统计学意义(P>0.05)。观察组的肌瘤平均直径明显小于对照组,差异有统计学意义(P<0.05)。观察组仅4例患者出现肌瘤残存明显小于对照组患者出现的21例,差异有统计学意义(P<0.05)。观察组患者在术后9和12个月的时候各出现了1例复发情况,而对照组在术后3、6、9和12个月分别出现了1、2、5和7例复发,观察组患者出现病情复发的情况明显少于对照组,差异有统计学意义(P<0.05)。结论使用阴道超声对接受腹腔镜子宫肌瘤剔除术的患者中引导剔除残存的肌瘤,能明显减少肌瘤的残留,值得在临床上推广。 展开更多
关键词 阴道超声 腹腔镜 子宫肌瘤剔除术 肌瘤复发
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HPV-CCDC106 integration alters local chromosome architecture and hijacks an enhancer by three-dimensional genome structure remodeling in cervical cancer 被引量:1
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作者 Canhui Cao Ping Hong +24 位作者 Xingyu Huang Da Lin Gang Cao Liming Wang bei feng Ping Wu Hui Shen Qian Xu Ci Ren Yifan Meng Wenhua Zhi Ruidi Yu Juncheng Wei Wencheng Ding Xun Tian Qinghua Zhang Wei Li Qinglei Gao Gang Chen Kezhen Li Wing-Kin Sung Zheng Hu Hui Wang Guoliang Li Peng Wu 《Journal of Genetics and Genomics》 SCIE CAS CSCD 2020年第8期435-448,共14页
Integration of human papillomavirus(HPV)DNA into the human genome is a reputed key driver of cervical cancer.However,the effects of HPV integration on chromatin structural organization and gene expression are largely ... Integration of human papillomavirus(HPV)DNA into the human genome is a reputed key driver of cervical cancer.However,the effects of HPV integration on chromatin structural organization and gene expression are largely unknown.We studied a cohort of 61 samples and identified an integration hot spot in the CCDC106 gene on chromosome 19.We then selected fresh cancer tissue that contained the unique integration loci at CCDC106 with no HPV episomal DNA and performed whole-genome,RNA,chromatin immunoprecipitation and high-throughput chromosome conformation capture(Hi-C)sequencing to identify the mechanisms of HPV integration in cervical carcinogenesis.Molecular analyses indicated that chromosome 19 exhibited significant genomic variation and differential expression densities,with correlation found between three-dimensional(3D)structural change and gene expression.Importantly,HPV integration divided one topologically associated domain(TAD)into two smaller TADs and hijacked an enhancer from PEG3 to CCDC106,with a decrease in PEG3 expression and an increase in CCDC106 expression.This expression dysregulation was further confirmed using 10 samples from our cohort,which exhibited the same HPV-CCDC106 integration.In summary,we found that HPV-CCDC106 integration altered local chromosome architecture and hijacked an enhancer via 3D genome structure remodeling.Thus,this study provides insight into the 3D structural mechanism underlying HPV integration in cervical carcinogenesis. 展开更多
关键词 Cervical cancer HPV integration Fusion gene Hi-C ENHANCER TAD
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Genome editing for the treatment of tumorigenic viral infectionsand virus-related carcinomas
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作者 Lan Yu Xun Tian +7 位作者 Chun Gao Ping Wu Liming Wang bei feng Xiaomin Li Hui Wang Ding Ma Zheng Hu 《Frontiers of Medicine》 SCIE CAS CSCD 2018年第5期497-508,共12页
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