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经胸经口联合入路腔镜甲状腺癌V区淋巴结清扫的探索 被引量:4
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作者 王源源 罗晔哲 +2 位作者 吴国洋 严朝龙 李宏 《中华内分泌外科杂志》 CAS 2022年第5期565-567,共3页
目的探讨腔镜甲状腺癌手术颈部V区淋巴结清扫的安全性及可行性。方法回顾性分析2021年5月至9月在宁夏医科大学总医院肿瘤外科和厦门大学附属中山医院普外科收治的2例行经胸经口联合入路腔镜甲状腺切除和中央区及颈侧区淋巴结清扫的甲状... 目的探讨腔镜甲状腺癌手术颈部V区淋巴结清扫的安全性及可行性。方法回顾性分析2021年5月至9月在宁夏医科大学总医院肿瘤外科和厦门大学附属中山医院普外科收治的2例行经胸经口联合入路腔镜甲状腺切除和中央区及颈侧区淋巴结清扫的甲状腺乳头状癌患者的资料。两例均为女性患者。术前甲状腺原发灶及转移淋巴结均经细针穿刺病理确诊,术前完善彩超、CT及喉镜等检查。结果两例手术均在腔镜下顺利完成,例1颈部V区检出1枚淋巴结,未见转移淋巴结。例2颈部V区检出7枚淋巴结,两例术后均未出现肩部功能障碍。结论两例腔镜甲状腺癌手术颈部V区淋巴结清扫是安全并可行的,后续需增加病例数量后进一步分析,并逐渐推广此术式。 展开更多
关键词 甲状腺癌 腔镜 颈侧区淋巴结清扫
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An Efficient Multi-area Networks-Merging Model for Power System Online Dynamic Modeling 被引量:2
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作者 Chuan Qin Ping Ju +3 位作者 Feng wu Yongkang Liu Xiaohui Ye guoyang wu 《CSEE Journal of Power and Energy Systems》 SCIE 2015年第4期22-28,共7页
To improve accuracy and efficiency in power systems dynamic modeling,the distributed online modeling approach is a good option.In this approach,the power system is divided into sub-grids,and the dynamic models of the ... To improve accuracy and efficiency in power systems dynamic modeling,the distributed online modeling approach is a good option.In this approach,the power system is divided into sub-grids,and the dynamic models of the sub-grids are built independently within the distributed modeling system.The subgrid models are subsequently merged,after which the dynamic model of the whole power system is finally constructed online.The merging of the networks plays an important role in the distributed online dynamic modeling of power systems.An efficient multi-area networks-merging model that can rapidly match the boundary power flow is proposed in this paper.The iterations of the boundary matching during network merging are eliminated due to the introduction of the merging model,and the dynamic models of the sub-grid can be directly“plugged in”with each other.The results of the calculations performed in a real power system demonstrate the accuracy of the integrated model under both steady and transient states. 展开更多
关键词 Boundary matching distributed online modeling dynamic modeling multi-area networks merging model power system
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Metformin targets liver tumor-initiating cells through the PI3K/Akt/mTOR survival pathway 被引量:1
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作者 Fen Lin Wei Yan +3 位作者 Gang Song Wen Ting Tianhui Hu guoyang wu 《Chinese Science Bulletin》 SCIE EI CAS 2014年第28期3585-3594,共10页
Liver tumor-initiating cells(T-ICs) are thought to be inherently resistant to the cytotoxic effects of chemotherapy, and can self-renewal and maintain tumor-initiating potential. Therefore, effective anticancer resear... Liver tumor-initiating cells(T-ICs) are thought to be inherently resistant to the cytotoxic effects of chemotherapy, and can self-renewal and maintain tumor-initiating potential. Therefore, effective anticancer research strategies should target the unique properties of T-ICs. In this study, we found that metformin, a first-line drug of choice for the treatment of type 2 diabetes, inhibited liver T-ICs both in vivo and in vitro. Metformin inhibited the formation of hepatospheres and epithelial-specific antigen-positive(ESA,CD133?) cell colonies by hepatocellular carcinoma(HCC)cell lines. Metformin also downregulated the expression of several T-IC-related genes which are involved in the signaling pathways, governing the self-renewal, proliferation and differentiation of T-ICs. Furthermore, the targeting of liver T-ICs by metformin was PI-3-kinase-Akt-mTOR(PI3K/Akt/mTOR)-pathway dependent. The PI3K/Akt/mTOR inhibitor LY294002 and rapamycin abolished the inhibitory effect of metformin on CD133?cells, and the PI3K/Akt/mTOR stimulator EGF promoted the inhibitory effect of metformin on CD133?cells. Metformin also dramatically decreased the tumor volume and number of CD133 expressing tumor cells in a xenograft mouse model. Metformin exerted a synergistic effect with cisplatin to target both T-ICs and non-T-ICs, and resulted in the smallest tumor volume and lowest number of CD133 expressing tumor cells. This study indicates that the antidiabetic drug metformin could potentially be used in combination therapy with chemotherapeutic agents to improve the treatment of liver cancer. 展开更多
关键词 二甲双胍 信号通路 mTOR 细胞系 肝肿瘤 AKT 抗糖尿病药物 自我更新
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