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Gardner综合征1例报告
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作者 张梦璇 刘洪娜 +3 位作者 郑吉敏 申安东 徐燕燕 苏少慧 《世界华人消化杂志》 CAS 2023年第10期426-430,共5页
背景Gardner综合征(gardner syndrome,GS)是一种罕见的常染色体显性遗传性疾病,累及多个系统,临床表现多样,容易漏诊误诊.本文总结了该例患者的临床特点、诊疗经验,以期加强临床医师对GS的认识.病例简介本文报道1例38岁的女性GS患者,因... 背景Gardner综合征(gardner syndrome,GS)是一种罕见的常染色体显性遗传性疾病,累及多个系统,临床表现多样,容易漏诊误诊.本文总结了该例患者的临床特点、诊疗经验,以期加强临床医师对GS的认识.病例简介本文报道1例38岁的女性GS患者,因间断腹胀、恶心、呕吐15 mo,加重1 wk来院,相关检查示肠道腺瘤、腹壁及腹腔多发硬纤维瘤,基因测序证实该疾病诊断.对其行内镜下肠息肉切除及对症治疗,患者上述症状缓解.后患者上述症状复发,并较前加重,至外院行胃肠吻合术,术后恢复良好,目前无恶心、呕吐等症状.结论GS临床变现多样,肠外表现多早于肠息肉出现,对于患者的早期识别至关重要,从而尽早治疗,提高预后. 展开更多
关键词 GARDNER综合征 硬纤维瘤 家族性遗传性腺瘤病 软组织肿瘤 结肠息肉
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内镜序贯治疗肝硬化食管胃底静脉曲张的疗效分析 被引量:23
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作者 刘素丽 王鼎鑫 +1 位作者 郑吉敏 白云 《中国内镜杂志》 2018年第12期99-103,共5页
目的评价内镜序贯治疗肝硬化食管胃底静脉曲张的临床效果。方法回顾性分析经内镜序贯治疗的193例肝硬化食管胃底静脉曲张患者,采取规范的一级、二级预防,依据静脉曲张分型、分级采用不同内镜治疗方法,按时间节点定期随访序贯治疗,总结... 目的评价内镜序贯治疗肝硬化食管胃底静脉曲张的临床效果。方法回顾性分析经内镜序贯治疗的193例肝硬化食管胃底静脉曲张患者,采取规范的一级、二级预防,依据静脉曲张分型、分级采用不同内镜治疗方法,按时间节点定期随访序贯治疗,总结评估内镜治疗时机、方法合理性及短期、长期疗效。结果 193例患者胃镜下见食管静脉曲张186例,合并胃底静脉曲张103例,近贲门部胃底静脉曲张4例,IGV1型3例。行食管静脉曲张套扎(EVL)178例,贲门部套扎5例,胃底密集套扎(DEVL)9例,胃底组织胶注射96例,食管套扎点平均7.12环;胃底套扎7~14环,组织胶注射1.0~5.0 ml;平均治疗食管2.68次、胃底1.07次。第1次内镜治疗后静脉曲张消除51例(26.42%)、缓解140例(72.54%)、无效2例(1.04%),治疗有效率为98.96%;1个月后再行治疗,静脉曲张消除113例(58.55%),缓解28例(14.51%),无效1例(0.52%);3个月后再次内镜治疗,静脉曲张完全消除23例(11.92%),缓解6例(3.11%)。近期再出血8例,其中1例死亡。静脉曲张近期治疗总有效率96.89%,远期总有效率99.48%。结论肝硬化食管胃底静脉曲张内镜序贯治疗效果明显,减少出血和再出血风险,提高患者生活质量。 展开更多
关键词 食管胃静脉曲张 序贯治疗 食管静脉曲张套扎术 密集多点套扎术 组织胶
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盐酸小檗碱对肝星状细胞自噬和凋亡的影响 被引量:4
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作者 张建 赵红伟 +4 位作者 胡义亭 张大雷 高俊茶 郑吉敏 王玉珍 《中国现代医学杂志》 CAS 2020年第5期19-26,共8页
目的研究盐酸小檗碱对肝星状细胞(HSCs)自噬和凋亡的影响。方法取指数生长期HSCLX2细胞,实验分组:溶剂对照组(1‰DMSO)、盐酸小檗碱5μg/ml组、盐酸小檗碱10μg/ml组和盐酸小檗碱20μg/ml组。盐酸小檗碱干预24 h。流式细胞术检测细胞凋... 目的研究盐酸小檗碱对肝星状细胞(HSCs)自噬和凋亡的影响。方法取指数生长期HSCLX2细胞,实验分组:溶剂对照组(1‰DMSO)、盐酸小檗碱5μg/ml组、盐酸小檗碱10μg/ml组和盐酸小檗碱20μg/ml组。盐酸小檗碱干预24 h。流式细胞术检测细胞凋亡、半胱天冬氨酸蛋白酶-3(Caspase-3)阳性细胞荧光强度。通过实时荧光定量聚合酶链反应(qRT-PCR)检测Caspase-3、与Bcl-2相互作用的肌球蛋白样卷曲螺旋蛋白1(Beclin1)、自噬相关基因5(Atg5)、丝氨酸/苏氨酸蛋白激酶(Akt)和c-Jun氨基末端激酶(JNK)mRNA的表达,Western blotting检测Beclin1、Atg5、Akt、p-Akt、JNK及p-JNK蛋白的表达。结果与溶剂对照组比较,不同盐酸小檗碱浓度干预组HSC-LX2凋亡增加(P<0.05),Caspase-3mRNA表达增加(P<0.05),Caspase-3阳性细胞荧光强度及蛋白活性升高(P<0.05);Beclin1、Atg5 mRNA及蛋白水平下降(P<0.05);Akt、JNK mRNA水平下降(P<0.05),Akt、p-Akt、JNK、p-JNK蛋白水平下降(P<0.05)。结论盐酸小檗碱可能通过抑制Akt信号通路促进凋亡,通过抑制JNK信号传导途径抑制自噬。 展开更多
关键词 肝纤维化 盐酸小檗碱 肝星状细胞 自噬 凋亡
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Effect of toll-like receptor 3 agonist poly I:C on intestinal mucosa and epithelial barrier function in mouse models of acute colitis 被引量:5
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作者 Hong-Wei Zhao Yue-Hong Yue +8 位作者 Hua Han Xiu-Li Chen Yong-Gang Lu ji-min zheng Hong-Tao Hou Xiao-Meng Lang Li-Li He Qi-Lu Hu Zi-Qian Dun 《World Journal of Gastroenterology》 SCIE CAS 2017年第6期999-1009,共11页
AIM To investigate potential effects of poly I:C on mucosal injury and epithelial barrier disruption in dextran sulfate sodium(DSS)-induced acute colitis.METHODS Thirty C57BL/6 mice were given either regular drinking ... AIM To investigate potential effects of poly I:C on mucosal injury and epithelial barrier disruption in dextran sulfate sodium(DSS)-induced acute colitis.METHODS Thirty C57BL/6 mice were given either regular drinking water(control group) or 2%(w/v) DSS drinking water(model and poly I:C groups) ad libitum for 7 d. Poly I:C was administrated subcutaneously (20 μg/mouse) 2 h prior to DSS induction in mice of the poly I:C group. Severity of colitis was evaluated by disease activity index, body weight, colon length, histology and myeloperoxidase (MPO) activity, as well as the production of proinflammatory cytokines, including tumor necrosis factor-α(TNF-α), interleukin 17(IL-17) and interferon-γ (IFN-γ). Intestinal permeability was analyzed by the fluorescein isothiocyanate labeleddextran (FITC-D) method. Ultrastructural features of the colon tissue were observed under electron microscopy. Expressions of tight junction(TJ) proteins, including zo-1, occludin and claudin-1, were measured by immunohistochemistry/immunofluorescence, Western blot and real-time quantitative polymerase chain reaction(RT-qPCR).RESULTS DSS caused significant damage to the colon tissue in the model group. Administration of poly I:C dramatically protected against DSS-induced colitis, as demonstrated by less body weight loss, lower disease activity index score, longer colon length, colonic MPO activity, and improved macroscopic and histological scores. It also ameliorated DSS-induced ultrastructural changes of the colon epithelium, as observed under scanning electron microscopy, as well as FITC-D permeability. The m RNA and protein expressions of TJ protein, zo-1, occludin and claudin-1 were also found to be significantly enhanced in the poly I:C group, as determined by immunohistochemistry/immunofluorescence, Western blot and RT-q PCR. By contrast, poly I:C pretreatment markedly reversed the DSS-induced up-regulated expressions of the inflammatory cytokines TNF-α, IL-17 and IFN-γ.CONCLUSION Our study suggested that poly I:C may protect against DSS-induced colitis through maintaining integrity of the epithelial barrier and regulating innate immune responses, which may shed light on the therapeutic potential of poly I:C in human colitis. 展开更多
关键词 葡聚糖硫酸盐导致钠的尖锐大肠炎 Mucosal 损害 上皮的障碍混乱 紧密的连接 Poly 我: C
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