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继发性肢体淋巴水肿的外科整合治疗
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作者 邓呈亮 陈君哲 章一新 《中华损伤与修复杂志(电子版)》 CAS 2024年第3期185-191,共7页
继发性肢体淋巴水肿为一种慢性进展性疾病,发病率逐年增加。外科治疗作为肢体淋巴水肿的主要治疗方式近年受到广泛关注。本文结合当前研究现状,阐述继发性肢体淋巴水肿各种外科治疗方式的特点及适应证,以期为外科整合治疗在继发性肢体... 继发性肢体淋巴水肿为一种慢性进展性疾病,发病率逐年增加。外科治疗作为肢体淋巴水肿的主要治疗方式近年受到广泛关注。本文结合当前研究现状,阐述继发性肢体淋巴水肿各种外科治疗方式的特点及适应证,以期为外科整合治疗在继发性肢体淋巴水肿中的应用提供参考。 展开更多
关键词 淋巴水肿 外科 治疗
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采用综合消肿疗法联合淋巴管-静脉吻合术治疗继发性淋巴水肿的临床效果
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作者 王季 王淑婷 +5 位作者 肖聪慧 廖鑫 严鹭慧 徐姗姗 邓呈亮 王玉龙 《中华损伤与修复杂志(电子版)》 CAS 2024年第3期198-203,共6页
目的比较综合消肿治疗(CDT)联合淋巴管-静脉吻合术(LVA)与单纯CDT对继发性淋巴水肿的临床疗效。方法选取2023年3月至7月深圳市大鹏新区南澳人民医院康复科收治的33例继发性下肢淋巴水肿患者。根据是否行LVA分为CDT联合LVA组及CDT组,其中... 目的比较综合消肿治疗(CDT)联合淋巴管-静脉吻合术(LVA)与单纯CDT对继发性淋巴水肿的临床疗效。方法选取2023年3月至7月深圳市大鹏新区南澳人民医院康复科收治的33例继发性下肢淋巴水肿患者。根据是否行LVA分为CDT联合LVA组及CDT组,其中CDT联合LVA组12例,CDT组21例。CDT组采用标准CDT治疗,CDT联合LVA组在CDT的基础上,采用LVA治疗。比较两组治疗前、治疗1个月及随访6个月患肢周径、视觉模拟量表(VAS)评分及生活质量核心问卷量表(QLQ-C30)评分。结果两组患者治疗1个月患肢周径、VAS评分及QLQ-C30评分均较治疗前显著改善,差异有统计学意义(P<0.05),两种治疗方式均可改善患肢肿胀、疼痛及生活质量。CDT联合LVA组与CDT组比较,患肢踝部[(3.00±1.49)cm vs(1.35±1.08)cm]、髌骨下缘下10 cm[(2.87±1.51)cm vs(1.64±1.25)cm]、膝中[(3.50±2.44)cm vs(1.34±1.27)cm]、髌骨上缘上10 cm[(3.87±1.94)cm vs(1.67±1.17)cm]周径,VAS评分[(4(3,5)分vs 3(2,4)分]及QLQ-C30评分[(11.50±4.40)分vs(7.43±2.42)分]治疗前后差值差异均有统计学意义(P<0.05),CDT联合LVA组较CDT组改善更明显。随访6个月,CDT联合LVA组患肢踝部、髌骨下缘下10 cm、膝中、髌骨上缘上10 cm处周径相较于治疗1个月差异无统计学意义(P>0.05),CDT组相较于治疗1个月差异有统计学意义(P<0.05)。结论CDT联合LVA能较大程度改善继发性淋巴水肿患者肢体肿胀程度,缓解疼痛,提高生活质量,其效果优于单纯CDT,且短中期疗效较佳。 展开更多
关键词 综合消肿治疗 淋巴管-静脉吻合术 继发性淋巴水肿 肢体周径
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Neural grafts containing exosomes derived from Schwann cell-like cells promote peripheral nerve regeneration in rats 被引量:4
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作者 Taotao Hu Shusen Chang +8 位作者 Fang Qi Zhonghui Zhang Jiayin Chen Lingli Jiang Dali Wang chengliang deng Kaiyu Nie Guangchao Xu Zairong Wei 《Burns & Trauma》 SCIE 2023年第1期375-392,共18页
Background:Schwann cell-like cells(SCLCs),differentiated from mesenchymal stem cells,have shown promising outcomes in the treatment of peripheral nerve injuries in preclinical studies.However,certain clinical obstacle... Background:Schwann cell-like cells(SCLCs),differentiated from mesenchymal stem cells,have shown promising outcomes in the treatment of peripheral nerve injuries in preclinical studies.However,certain clinical obstacles limit their application.Hence,the primary aim of this study was to investigate the role of exosomes derived from SCLCs(SCLCs-exo)in peripheral nerve regeneration.Methods:SCLCs were differentiated from human amniotic mesenchymal stem cells(hAMSCs)in vitro and validated by immunofluorescence,real-time quantitative PCR and western blot analysis.Exosomes derived from hAMSCs(hAMSCs-exo)and SCLCs were isolated by ultracentrifugation and validated by nanoparticle tracking analysis,WB analysis and electron microscopy.A prefab-ricated nerve graft was used to deliver hAMSCs-exo or SCLCs-exo in an injured sciatic nerve rat model.The effects of hAMSCs-exo or SCLCs-exo on rat peripheral nerve injury(PNI)regeneration were determined based on the recovery of neurological function and histomorphometric variation.The effects of hAMSCs-exo or SCLCs-exo on Schwann cells were also determined via cell prolifer-ation and migration assessment.Results:SCLCs significantly expressed the Schwann cell markers glial fibrillary acidic protein and S100.Compared to hAMSCs-exo,SCLCs-exo significantly enhanced motor function recov-ery,attenuated gastrocnemius muscle atrophy and facilitated axonal regrowth,myelin forma-tion and angiogenesis in the rat model.Furthermore,hAMSCs-exo and SCLCs-exo were effi-ciently absorbed by Schwann cells.However,compared to hAMSCs-exo,SCLCs-exo signifi-cantly promoted the proliferation and migration of Schwann cells.SCLCs-exo also significantly upregulated the expression of a glial cell-derived neurotrophic factor,myelin positive regulators(SRY-box transcription factor 10,early growth response protein 2 and organic cation/carnitine transporter 6)and myelin proteins(myelin basic protein and myelin protein zero)in Schwann cells.Conclusions:These findings suggest that SCLCs-exo can more efficiently promote PNI regeneration than hAMSCs-exo and are a potentially novel therapeutic approach for treating PNI. 展开更多
关键词 Schwann cell-like cells EXOSOMES Peripheral nerve injury Mesenchymal stem cells Nerve regeneration
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Adverse effects of triclosan on kidney in mice: Implication of lipid metabolism disorders
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作者 Wei Huang Guodong Cao +4 位作者 chengliang deng Yanyan Chen Tao Wang Da Chen Zongwei Cai 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2023年第2期481-490,共10页
Triclosan(TCS)is a ubiquitous antimicrobial used in daily consumer products.Previous reports have shown that TCS could induce hepatotoxicity,endocrine disruption,disturbance on immune function and impaired thyroid fun... Triclosan(TCS)is a ubiquitous antimicrobial used in daily consumer products.Previous reports have shown that TCS could induce hepatotoxicity,endocrine disruption,disturbance on immune function and impaired thyroid function.Kidney is critical in the elimination of toxins,while the effects of TCS on kidney have not yet been well-characterized.The aim of the present study was to investigate the effects of TCS exposure on kidney function and the possible underlying mechanisms in mice.Male C57BL/6 mice were orally exposed to TCS with the doses of 10 and 100 mg/(kg•day)for 13 weeks.TCS was dissolved in dimethyl sulfoxide(DMSO)and diluted by corn oil for exposure.Corn oil containing DMSO was used as vehicle control.Serum and kidney tissues were collected for study.Biomarkers associated with kidney function,oxidative stress,inflammation and fibrosis were assessed.Our results showed that TCS could cause renal injury as was revealed by increased levels of renal function markers including serum creatinine,urea nitrogen and uric acid,as well as increased oxidative stress,pro-inflammatory cytokines and fibroticmarkers in a dose dependent manner,whichweremore significantly in 100 mg/(kg•day)group.Mass spectrometry-based analysis of metabolites relatedwith lipid metabolism demonstrated the occurrence of lipid accumulation and defective fatty acid oxidation in 100 mg/(kg•day)TCS-exposed mouse kidney.These processes might lead to lipotoxicity and energy depletion,thus resulting in kidney fibrosis and functional decline.Taken together,the present study demonstrated that TCS could induce lipid accumulation and fatty acid metabolism disturbance in mouse kidney,whichmight contribute to renal function impairment.The present study further widens our insights into the adverse effects of TCS. 展开更多
关键词 TRICLOSAN Renal injury Lipid accumulation Fatty acid oxidation
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