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解剖程序化六步法后腹腔镜肾上腺切除术的临床应用 被引量:4
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作者 朱陈辉 黄长青 +3 位作者 黄海文 高绍青 许健斌 蔡智仁 《中国内镜杂志》 2020年第4期72-77,共6页
目的探讨解剖程序化六步法在后腹腔镜肾上腺切除术中的临床应用价值。方法选择2018年7月-2019年9月在该院治疗的50例肾上腺肿瘤患者作为研究对象,按照随机数字表法将患者分为A组(25例)和B组(25例),手术方式分别采用经腹腹腔镜肾上腺切... 目的探讨解剖程序化六步法在后腹腔镜肾上腺切除术中的临床应用价值。方法选择2018年7月-2019年9月在该院治疗的50例肾上腺肿瘤患者作为研究对象,按照随机数字表法将患者分为A组(25例)和B组(25例),手术方式分别采用经腹腹腔镜肾上腺切除术和解剖程序化六步法后腹腔镜肾上腺切除术。比较两组患者手术时间、术中出血量、术后下床活动时间、术后肠道功能恢复时间、疼痛视觉模拟评分(VAS)、术后引流管拔除时间、术后住院时间、术中切除肾上腺时最高收缩压(SBP)和舒张压(DBP)、术中并发症(肠管损伤、胰腺损伤、高血压危象)和术后并发症(切口感染、肺部感染、肠梗阻、高血压危象、下肢深静脉血栓)发生率的差异。结果两组患者术中出血量、术后引流管拔除时间比较,差异均无统计学意义(P>0.05);B组患者手术时间、术后下床活动时间、术后肠道功能恢复时间、术后住院时间均短于A组(P<0.05),疼痛VAS评分低于A组(P<0.05),术中切除肾上腺时最高SBP和DBP波动的幅度均小于A组(P<0.05);两组患者术后并发症发生率比较,差异无统计学意义(P>0.05);B组术中并发症发生率低于A组(P<0.05)。结论解剖程序化六步法后腹腔镜肾上腺切除术治疗直径<6.00 cm肾上腺肿瘤是安全有效的,术中利用解剖标志和无血管平面,依序手术操作,解剖结构清楚,先早期处理肾上腺中央静脉,后处理肾上腺,有利于保持术中血流动力学的稳定,降低后腹腔镜手术操作难度和围术期的手术风险,从而改善患者的临床疗效。 展开更多
关键词 肾上腺肿瘤 解剖程序化 六步法 后腹腔镜手术 经腹腹腔镜手术
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Role of epithelial-to-mesenchymal transition in the pulmonary fi brosis induced by paraquat in rats 被引量:3
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作者 Jian-hua Yi Zhao-cai Zhang +5 位作者 Mei-bian Zhang Xin He Hao-ran Lin hai-wen huang Hai-bin Dai Yu-wen huang 《World Journal of Emergency Medicine》 SCIE CAS CSCD 2021年第3期214-220,共7页
BACKGROUND:This study aims to explore the characteristics of the epithelial-to-mesenchymal transition(EMT)process and its underlying molecular mechanisms in the period of paraquat(PQ)-induced pulmonary fi brosis(PF).M... BACKGROUND:This study aims to explore the characteristics of the epithelial-to-mesenchymal transition(EMT)process and its underlying molecular mechanisms in the period of paraquat(PQ)-induced pulmonary fi brosis(PF).METHODS:Picrosirius red staining and collagen volume fraction were utilized to evaluate the pathological changes of PQ-induced PF in rats.Immunohistochemistry,Western blot,and real-time reverse transcriptase-polymerase chain reaction(RT-PCR)were used to measure the protein and gene expression of EMT markers,EMT-associated transcription factors,and regulators of EMT-related pathways,respectively.RESULTS:The collagen deposition in the alveolar septum and increased PF markers were characteristics of pathological changes in PQ-induced PF,reached a peak on day 14 after PQ poisoning,and then decreased on day 21.The protein and gene expression of the fibrosis marker,EMT markers,transcription factors,and regulators of EMT-related signaling pathways signifi cantly increased at diff erent time points after PQ poisoning compared with corresponding controls(P<0.05),and most of them reached a peak on day 14,followed by a decrease on day 21.The gene expression of EMT markers was significantly correlated with PF markers,transcription factors,and regulators of EMT-related signaling pathways(P<0.05).The mRNA expression of transcription factors was signifi cantly correlated with that of TGF-β1 and Smad2(P<0.05 or P<0.01),instead of Wnt2 andβ-catenin(P>0.05).CONCLUSIONS:EMT process plays a role in the PQ-induced PF,in which most PF and EMT markers have a peak phenomenon,and its underlying molecular mechanisms might be determined by further studies. 展开更多
关键词 Pulmonary fibrosis PARAQUAT Epithelial-to-mesenchymal transition RATS
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Anomalous plasmon coupling and Fano resonance under structured light
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作者 DA-JIE YANG SONG-JIN IM +5 位作者 hai-wen huang CHOL-SONG RI KUM-DONG KIM KIL-SONG SONG JI-CAI LIU QU-QUAN WANG 《Photonics Research》 SCIE EI CAS CSCD 2023年第8期1423-1430,共8页
Structured light carrying orbital angular momentum(OAM)opens up a new physical dimension for studying light–matter interactions.Despite this,the complex fields created by OAM beams still remain largely unexplored in ... Structured light carrying orbital angular momentum(OAM)opens up a new physical dimension for studying light–matter interactions.Despite this,the complex fields created by OAM beams still remain largely unexplored in terms of their effects on surface plasmons.This paper presents a revelation of anomalous plasmon excitations in single particles and plasmon couplings of neighboring nanorods under OAM beams,which are forbidden using non-OAM sources.The plasmon excitation of single nanoparticles is determined both by photon spin angular momentum(SAM)and OAM and influenced by the locations of the nanoparticles.Specifically,when SAM and OAM are equal in magnitude and opposite in direction,a pure plasmon excitation along light propagation direction is achieved.Two plasmon dipoles show end-to-end antibonding coupling and side-by-side bounding coupling,which are the opposite of the typical couplings.Furthermore,we observe Fano resonance with a nanorod dimer:one aligned along light propagation direction acting as the bright mode and the other aligned along the global polarization direction of light acting as the dark mode,which is the opposite of the usual plasmonic Fano resonance.By taking advantage of the unique property of the OAM source,this investigation presents a novel way to control and study surface plasmons,and the research of plasmon behavior with OAM would open new avenues for controlling electromagnetic waves and enriching the spectroscopies with more degrees of freedom. 展开更多
关键词 POLARIZATION COUPLING PLASMON
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