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内镜黏膜下剥离术衍生技术内镜黏膜下挖除术在消化道神经内分泌肿瘤中的应用 被引量:12
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作者 周震宇 王小云 +4 位作者 龚镭 唐学军 彭晓斌 吴高珏 胡臻 《中国内镜杂志》 2018年第4期85-89,共5页
目的探讨内镜黏膜下剥离术(ESD)衍生技术内镜黏膜下挖除术(ESE)治疗消化道神经内分泌肿瘤(NET)的安全性及其疗效。方法采用ESE方法对23例消化道NET进行治疗,术后标本送病理检查,记录不良反应发生情况及疗效,随访肿瘤复发及转移情况。结... 目的探讨内镜黏膜下剥离术(ESD)衍生技术内镜黏膜下挖除术(ESE)治疗消化道神经内分泌肿瘤(NET)的安全性及其疗效。方法采用ESE方法对23例消化道NET进行治疗,术后标本送病理检查,记录不良反应发生情况及疗效,随访肿瘤复发及转移情况。结果肿瘤直径0.4~3.0 cm,中位大小1.0 cm,均一次性完整剥离切除,ESE手术时间(自黏膜下注射至完整剥离病变)20~75 min,中位手术时间30 min,1例出现迟发性出血,1例因肿瘤侵犯固有肌层主动穿孔全层切除。术后23例病理诊断为NET,其中G1级21例、G2级2例,3例胃NET中,1型2例,2型1例,基底和切缘均未见病变累及。中位随访28个月,无1例出现肿瘤复发和转移。结论 ESE治疗消化道NET具有较好的安全性和疗效,值得在临床上推广应用。 展开更多
关键词 消化道 神经内分泌肿瘤 内镜黏膜下挖除术
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Effect of bifidobacterium triple viable powder adjuvant therapy on the inflammatory factors and t lymphocytes subsets in patients with ulcerative colitis
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作者 Xue-Jun Tang Xiao-Yun Wang gao-jue wu 《Journal of Hainan Medical University》 2017年第12期31-34,共4页
Objective:To investigate effect of bifidobacterium triple viable powder on inflammatory factors and T lymphocyte subsets in patients with ulcerative colitis.Method:80 patients with ulcerative colitis were selected and... Objective:To investigate effect of bifidobacterium triple viable powder on inflammatory factors and T lymphocyte subsets in patients with ulcerative colitis.Method:80 patients with ulcerative colitis were selected and divided into observation group and control group, 40 cases in each group. The control group was given dietary guide, mesalazine, vitamin C and other comprehensive treatment;The observation group was given bifidobacterium triple viable powder adjuvant therapy on the basis of conventional treatment. The level of IL-6, CRP, TNF-α and T lymphocyte subsets in the two groups was compared before treatment (T0), after treatment for 1 month (T1), after treatment for 3 months (T2).Results: (1) The levels of IL-6, CRP and TNF-α at T1 serum were lower than those in T0 in both groups, the levels of serum IL-6, CRP and TNF-α at T2 were lower than those of T0 and T1, these three levels in different time points were statistical significant difference;The levels of serum IL-6, CRP and TNF-α in observation group at T1 and T2 were significantly lower than those in control group, there was significant difference in both groups;(2)The levels of CD3+, CD4+, CD4+/CD8+ at T1 were higher than T0 in two groups, The levels of CD3+, CD4+, CD4+/CD8+ at T2 were superior than at T0 and T1. The level of CD8+ at T1 was below at T0, The level of CD8+ at T2 was inferior than those in T0 and T1, The levels of CD3+,CD4+,CD8+ and CD4+/CD8+ at different time points were significant difference. The levels of CD3+, CD4+, CD4+ /CD8+ in the observation group were significantly higher than those in the control group T1 and T2, CD8+ level was significantly lower than that in the control group at T1 and T2, difference between the two groups was statistically significant.Conclusion:Bifidobacterium triple viable powder adjuvant treatment ulcerative colitis was good for inhibiting body inflammatory response and improve immune function. 展开更多
关键词 BIFIDOBACTERIUM triple viable POWDER ULCERATIVE colitis Inflammatory factors TLYMPHOCYTES
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