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Efficacy of 1/3-Dose Verteporfin Photodynamic Therapy for Subacute Central Serous Chorioretinopathy
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作者 Li Xu Qiushi liu +1 位作者 Xiaotong Zhuang dongning liu 《Open Journal of Ophthalmology》 2017年第4期310-318,共9页
Purpose: To study the safety and efficacy of 1/3-dose verteporfin photodynamic therapy (PDT) for subacute central serous chorioretinopathy (CSC). Methods: In this case series, 59 eyes (59 patients) diagnosed with suba... Purpose: To study the safety and efficacy of 1/3-dose verteporfin photodynamic therapy (PDT) for subacute central serous chorioretinopathy (CSC). Methods: In this case series, 59 eyes (59 patients) diagnosed with subacute CSC in Shenyang the 4th hospital from January 2014 to December 2015 were treated with 1/3-dose verteporfin PDT and followed up for at least 1 year. The symptoms and the diagnosed history were more than 3 months but shorter than 6 months. The central foveal thickness (CFT), neuroretinal thickness (NRT), height of subfoveal retinal fluid (SRF), and subfoveal choroidal thickness (SCT) were observed at baseline and after treated at 1, 2, 3, 6 and 12 months with EDI-OCT, Best-corrected visual acuity ( BCVA) was also studied at the same time. Results: After 1, 2, 3 and 6 months of 1/3-dose verteporfin PDT treatment, the BCVA improved significantly (P 0.05). The height of SRF changed significantly. There was no retinal pigment epithelium atrophy and choroidal neovascularization (CNV) in all cases after more than 12 months follow-up. Conclusion: Treatment of 1/3 dose verteporfin PDT could safely and effectively reduce expansion of choroidal vessel and choroidal choriocapillary, promoting absorbance of subretinal fluid for subacute CSC. 1/3-dose verteporfin PDT may be an alternative method to treat the subacute CSC. 展开更多
关键词 SUBACUTE CENTRAL Serous CHORIORETINOPATHY (CSC) 1/3-Dose VERTEPORFIN Photodynamic Therapy (PDT) Subfoveal Choroidal Thickness (SCT) Neuroretinal Thickness (NRT) CENTRAL Foveal Thickness (CFT)
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Efficacy of Anti-VEGF and Subtenon Injection of Triamcinolone Acetonide for Choroidal Neovascularization Associated with Multifocal Choroiditis
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作者 dongning liu Cong Zhang Li Xu 《Open Journal of Ophthalmology》 2017年第2期117-123,共7页
Purpose: To evaluate the short-term efficacy of intravitreal anti-VEGF (Lucentis) and sub-tenon injection of triamcinolone acetonide for choroidal neovascularization (CNV) associated with multifocal choroiditis (MC). ... Purpose: To evaluate the short-term efficacy of intravitreal anti-VEGF (Lucentis) and sub-tenon injection of triamcinolone acetonide for choroidal neovascularization (CNV) associated with multifocal choroiditis (MC). Methods: Eight eyes of 8 patients treated with intravitreal anti-VEGF and posterior sub-tenon injection of Triamcinolone Acetonide (TA) for subfoveal or juxtafoveal CNV associated with MC were retrospectively reviewed. Best corrected visual acuity (BCVA), results of fundus fluorescein angiography (FFA)/indocyanine green angiography (ICGA), optical coherence tomography (OCT) at baseline and 3, 6 months after treatment were compared. Results: All of the 8 patients showed significant improvement in BCVA at 3 and 6 months after treatment (P < 0.05). FFA/ICGA showed decrease or cessation of inflammation in 8 patients (100%). 7 patients (87.5%) had no significant active leakage while 1 patient (12.5%) had persistent leakage from the neovascular lesion at 3-month follow up. 6 months after treatment, no recurrence of inflammation occurred and no active leakage in all 8 patients. OCT showed reduced CNV area and alleviated edema. There are no severe treatment-related side effects expect slight eye pain during infusion in one patient. Intraocular pressure was all normal in follow up. Conclusion: Although the follow-up time and the number of patients in this study were limited, the use of intravitreal anti-VEGF combined with sub-tenon injection of TA was associated with improvement of visual acuity in patients with CNV secondary to MC. Further studies including a greater number of patients with longer follow up time are needed. 展开更多
关键词 ANTI-VEGF TENON INJECTION of TA MULTIFOCAL CHOROIDITIS CNV
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机器人直肠癌经自然腔道取标本对机体应激反应及细胞免疫功能影响的前瞻性研究
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作者 唐和春 叶善平 +3 位作者 刘东宁 朱伟权 黄智翔 李太原 《中华结直肠疾病电子杂志》 2023年第4期272-281,共10页
目的:比较经自然腔道取标本(NOSES)机器人直肠癌根治术与常规机器人辅助直肠癌根治术的术后机体应激反应及免疫功能变化。方法:本研究前瞻性纳入2020年5月至2021年3月期间在南昌大学第一附属医院胃肠外科拟行机器人直肠癌根治术的66例... 目的:比较经自然腔道取标本(NOSES)机器人直肠癌根治术与常规机器人辅助直肠癌根治术的术后机体应激反应及免疫功能变化。方法:本研究前瞻性纳入2020年5月至2021年3月期间在南昌大学第一附属医院胃肠外科拟行机器人直肠癌根治术的66例直肠腺癌患者。所有入组患者按照随机数字法随机分为机器人NOSES组(33例)和常规机器人组(33例),分别接受NOSES机器人手术和常规机器人手术,2例机器人NOSES组患者术中发现不宜行NOSES手术被剔除,1例常规机器人组术后病理结果显示为直肠腺瘤,按病例退出标准被剔除;最后入组机器人NOSES组31例,常规机器人组32例。收集所有患者临床及辅助检查资料比较两组患者应激反应(白细胞、中性粒细胞、CRP、IL-6和IL-8)及免疫功能(CD3+T细胞百分比、CD4/CD8,Hb及ALB)变化。结果:两组患者基线资料比较,差异均无统计学意义(均P>0.05)。两组患者术前一天白细胞、中性粒细胞、CRP、IL-6和IL-8水平差异均无统计学意义(t=-0.654、-1.046、-0.390,U=458.0、480.0;P均>0.05),手术后第一天和第三天白细胞、中性粒细胞、CRP、IL-6和IL-8水平均高于术前一天,且机器人NOSES组术后第一天白细胞、中性粒细胞、CRP、IL-6及IL-8均低于常规机器人手术组,差异有统计学意义(t=-2.124、-3.758、-2.325,U=318.0、343.0;P均<0.05);术后第三天机器人NOSES组CRP、IL-6及IL-8水平低于常规机器人组,差异有统计学意义(t=-2.159,U=340.0、338.0;P均<0.05);术后第七天,两组间白细胞、中性粒细胞、IL-6及IL-8水平差异无统计学意义(t=-0.556、-1.058,U=403.5、446.5,P均>0.05),机器人NOSES组CRP水平低于常规机器人组,差异有统计学意义(t=-2.778,P<0.05)。机器人NOSES组术前一天CD3+T细胞百分比及CD4/CD8与常规机器人组差异无统计学意义(t=-0.599、-0.497,P>0.05);两组患者术后第一天、第三天、第七天CD3+T细胞百分比及CD4/CD8均低于术前一天,且机器人NOSES组术后第一天、第三天及第七天CD3+T细胞百分比及CD4/CD8均高于常规机器人手术组,差异有统计学意义(t=2.514、2.158,t=4.154、2.289,t=6.790、2.587;P<0.05)。两组患者术后第一天、第三天血清白蛋白及血红蛋白均低于术前一天;其中术前一天及术后第一天机器人NOSES组血清白蛋白及血红蛋白水平与常规机器人组差异无统计学意义(t=-0.756、-0.629,t=0.620、-0.441;P>0.05)。术后第三天及术后第七天机器人NOSES组血清白蛋白及血红蛋白高于常规机器人组,差异有统计学意义(t=3.712、2.125,t=2.913、2.090,P<0.05)。结论:NOSES机器人直肠癌根治术创伤更小,机体应激反应更轻,且恢复更快,加速患者康复。 展开更多
关键词 结直肠肿瘤 达芬奇机器人系统 经自然腔道取标本手术(NOSES) 免疫功能 前瞻性研究
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机器人辅助直肠癌NOSES术后细菌学及肿瘤学结果的前瞻性研究
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作者 朱伟权 叶善平 +5 位作者 唐和春 刘东宁 鞠后琼 仲崇晗 黄智翔 李太原 《中华结直肠疾病电子杂志》 2023年第4期282-287,共6页
目的:探讨机器人辅助经自然腔道取标本直肠癌根治术(R-NOSES)无菌、无瘤效果,并分析其术后短期临床疗效。方法:前瞻性纳入2020年5月~2021年3月于南昌大学第一附属医院普外科就诊的66例直肠癌患者的临床资料,经过排除及退出标准后,共有6... 目的:探讨机器人辅助经自然腔道取标本直肠癌根治术(R-NOSES)无菌、无瘤效果,并分析其术后短期临床疗效。方法:前瞻性纳入2020年5月~2021年3月于南昌大学第一附属医院普外科就诊的66例直肠癌患者的临床资料,经过排除及退出标准后,共有63例患者成功入组,其中32例行机器人辅助直肠癌根治术(R-S),31例行R-NOSES手术。通过对两组患者的围手术期临床病理资料、细菌学和肿瘤学结果进行比较,分析机器人辅助经自然腔道取标本直肠癌根治术后的无菌无瘤效果及短期临床疗效。结果:在术后细菌学方面,R-NOSES组与R-S组的腹腔冲洗液细菌培养阳性率差异无统计学意义(12.90%vs.6.25%,χ^(2)=0.131,P>0.05),两组患者术后腹腔冲洗液肿瘤学检测均为阴性。与R-S组相比,R-NOSES组的术中出血量更少(43.67±20.08 vs.62.36±29.01,t=-4.237,P<0.05),术后第一天VAS疼痛评分更低(3.83±0.75 vs.4.97±0.73,t=-7.342,P<0.001);术后第三天VAS疼痛评分更低(1.90±0.85 vs.2.93±0.96,t=-5.352,P<0.001)。而在手术时间、术后排气时间、术后首次进流质时间、术后拔除尿管时间、术后拔除引流管时间、术后住院时间及术后并发症发生率上,两组差异无统计学意义(P>0.05)。结论:R-NOSES组与R-S组肿瘤学及细菌学结果相似,且R-NOSES手术术中出血更少,疼痛更轻,微创优势更为明显。 展开更多
关键词 直肠肿瘤 经自然腔道取标本手术 达芬奇机器人手术系统 细菌学 肿瘤学
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Click chemistry and drug delivery:A bird's-eye view 被引量:1
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作者 Shameer M.Kondengadan Shubham Bansal +3 位作者 Ce Yang dongning liu Zach Fultz Binghe Wang 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2023年第5期1990-2016,共27页
Click chemistry has been proven to be very useful in drug delivery.Due to the availability of a large number of click reactions with a various characteristics,selection of appropriate chemistry for a given application... Click chemistry has been proven to be very useful in drug delivery.Due to the availability of a large number of click reactions with a various characteristics,selection of appropriate chemistry for a given application is often not a trivial task.This review is written for pharmaceutical researchers who are interested in click chemistry applications and yet may not be click chemistry experts.For this,the review gives an overview of available click reactions organized by application types.Further,the general understanding of click reactions being fast and high yielding sometimes overshadows the need to analyze reaction kinetics in assessing suitability of a given reaction for certain applications.For this,we highlight the need to analyze the relationship among reaction kinetics,concentration effects,and reaction time scales,knowing that lack of such analysis could easily lead to failures.Further,possible issues such as chemical stability with various click reagents are also discussed to aid experimental designs.Recent examples and extensive references are also provided to aid in-depth understanding of technical details.We hope this review will help those interested in using click chemistry in drug delivery to select the appropriate reactions/reagents and minimize the number of pitfalls. 展开更多
关键词 Bioorthogonal chemistry Bond-breaking reaction PROTAC Antibody—drug conjugates Gasotransmitters
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Photonic-reconfigurable entanglement distribution network based on silicon quantum photonics
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作者 dongning liu JINGYUAN liu +5 位作者 XIAOSONG REN XUE FENG FANG liu KAIYU CUI YIDONG HUANG WEI ZHANG 《Photonics Research》 SCIE EI CAS CSCD 2023年第7期1314-1325,共12页
The entanglement distribution network connects remote users by sharing entanglement resources,which is essential for realizing quantum internet.We propose a photonic-reconfigurable entanglement distribution network(PR... The entanglement distribution network connects remote users by sharing entanglement resources,which is essential for realizing quantum internet.We propose a photonic-reconfigurable entanglement distribution network(PR-EDN)based on a silicon quantum photonic chip.The entanglement resources are generated by a quantum light source array based on spontaneous four-wave mixing in silicon waveguides and distributed to different users through time-reversed Hong–Ou–Mandel interference by on-chip Mach–Zehnder interferometers with thermo-optic phase shifters(TOPSs).A chip sample is designed and fabricated,supporting a PR-EDN with3 subnets and 24 users.The network topology of the PR-EDN could be reconfigured in three network states by controlling the quantum interference through the TOPSs,which is demonstrated experimentally.Furthermore,a reconfigurable entanglement-based quantum key distribution network is realized as an application of the PR-EDN.The reconfigurable network topology makes the PR-EDN suitable for future quantum networks requiring complicated network control and management.Moreover,it is also shown that silicon quantum photonic chips have great potential for large-scale PR-EDN,thanks to their capacities for generating and manipulating plenty of entanglement resources. 展开更多
关键词 QUANTUM distribution topology
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“机器人”结直肠肿瘤经自然腔道取标本手术回顾性分析:一项全国多中心研究
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作者 刘东宁 何国栋 +26 位作者 姚宏亮 王锡山 王贵玉 熊德海 佘军军 胡军红 袁维堂 杨春康 蔡建春 韩方海 曾祥福 何鹏辉 叶善平 牛正川 刘奎杰 关旭 汤庆超 黄睿 时飞宇 连玉贵 官申 简锦亮 王振发 周声宁 赵书锋 韦烨 李太原 《中华结直肠疾病电子杂志》 2022年第6期474-481,共8页
目的探讨“机器人”结直肠肿瘤经自然腔道取标本手术(R-CRC-NOSES)的可行性和安全性。方法采用描述性病例系列研究方法。纳入2013年3月至2022年3月期间全国12家医院的R-CRC-NOSES病例。回顾性收集患者一般资料、肿瘤根治性资料(淋巴结... 目的探讨“机器人”结直肠肿瘤经自然腔道取标本手术(R-CRC-NOSES)的可行性和安全性。方法采用描述性病例系列研究方法。纳入2013年3月至2022年3月期间全国12家医院的R-CRC-NOSES病例。回顾性收集患者一般资料、肿瘤根治性资料(淋巴结检出数、转移阳性淋巴结数以及阳性切缘情况等)和手术安全性资料(手术时间、术中出血量以及术后并发症情况等)。结果本研究共纳入有效病例983例。平均年龄(61.5±9.6)岁,平均BMI(22.8±6.7)kg/m^(2),4.8%的病例接受术前新辅助治疗,77.1%的病例采用经直肠取标本。肿瘤根治性资料显示:最大环周直径3 cm~5 cm比例占病例总数的64.1%,管状腺癌比例占病例总数的85.6%,T3和T4期比例占总病例数的76.2%,68.2%的病例检出淋巴结数目≥12枚,28.9%的病例有淋巴结转移;Ⅰ~Ⅲ期病例分别占5.6%,29.7%和64.7%,无环周切缘阳性。手术安全性资料显示:无中转开腹病例,平均手术时间为(172.9±55.2)min,平均术中出血量为(46.3±20.3)mL,平均术后首次排气时间(47.5±12.0)h,平均术后进食时间为(73.5±12.8)h,平均术后住院时间为(8.2±2.5)d,术后并发症总发生率为14.1%,非计划再手术比例为1.7%,围手术期无死亡病例,术后肛门功能障碍者占总数的1.3%,未发现阴道功能障碍者。结论R-CRC-NOSES具有良好的可行性和安全性,值得临床广泛推广应用。 展开更多
关键词 结直肠肿瘤 经自然腔道取标本手术(NOSES) 机器人手术 回顾性分析
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