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经鼻蝶显微手术治疗功能性垂体腺瘤的复发危险因素分析 被引量:9
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作者 张明 宋锦宁 +4 位作者 吴媛 黄廷钦 赵君杰 马旭东 高李贵 《中国现代医学杂志》 CAS 2019年第20期49-54,共6页
目的分析经鼻蝶显微手术治疗功能性垂体腺瘤(FPAs)术后复发的危险因素,并构建判断FPAs术后复发的风险模型。方法回顾性分析2010年10月-2017年10月西安交通大学第一附属医院及西安交通大学第二附属医院共112例经鼻蝶显微手术切除FPAs患... 目的分析经鼻蝶显微手术治疗功能性垂体腺瘤(FPAs)术后复发的危险因素,并构建判断FPAs术后复发的风险模型。方法回顾性分析2010年10月-2017年10月西安交通大学第一附属医院及西安交通大学第二附属医院共112例经鼻蝶显微手术切除FPAs患者的临床资料,应用医院门诊病历系统联合电话回访收集患者术后复诊情况,按患者随访结局分为复发组18例和未复发组94例。采用单因素分析和Cox回归分析判定FPAs患者术后复发的相关危险因素。结果两组患者性别、年龄、肿瘤病理分型及是否首次手术比较,差异无统计学意义(P>0.05);两组患者术后Knosp分级、肿瘤直径、术后肿瘤残留、Ki-67表达情况及辅助治疗比较,差异有统计学意义(P<0.05)。经Cox多元回归分析发现,肿瘤直径[=3.120(95%CI:1.248,7.798),P=0.015]、术后肿瘤残余[RR=3.246(95%CI:1.289,8.178),P=0.012]及Ki-67表达[RR=1.151(95%CI:0.826,4.871),P=0.034]是影响FPAs患者术后复发的独立危险因素。结论肿瘤直径较大、术后肿瘤残余及Ki-67≥3%是FPAs患者术后复发的高危因素。早期识别复发高风险患者,及早实施应对措施可改善患者预后。 展开更多
关键词 垂体疾病 内镜检查 随访研究 复发 危险因素
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Inhibiting endogenous tissue plasminogen activator enhanced neuronal apoptosis and axonal injury after traumatic brain injury 被引量:10
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作者 Jun-Jie Zhao Zun-Wei Liu +4 位作者 Bo Wang Ting-Qin Huang Dan Guo Yong-Lin Zhao jin-ning song 《Neural Regeneration Research》 SCIE CAS CSCD 2020年第4期667-675,共9页
Tissue plasminogen activator is usually used for the treatment of acute ischemic stroke,but the role of endogenous tissue plasminogen activator in traumatic brain injury has been rarely reported.A rat model of traumat... Tissue plasminogen activator is usually used for the treatment of acute ischemic stroke,but the role of endogenous tissue plasminogen activator in traumatic brain injury has been rarely reported.A rat model of traumatic brain injury was established by weight-drop method.The tissue plasminogen activator inhibitor neuroserpin(5μL,0.25 mg/mL)was injected into the lateral ventricle.Neurological function was assessed by neurological severity score.Neuronal and axonal injuries were assessed by hematoxylin-eosin staining and Bielschowsky silver staining.Protein level of endogenous tissue plasminogen activator was analyzed by western blot assay.Apoptotic marker cleaved caspase-3,neuronal marker neurofilament light chain,astrocyte marker glial fibrillary acidic protein and microglial marker Iba-1 were analyzed by immunohistochemical staining.Apoptotic cell types were detected by immunofluorescence double labeling.Apoptotic cells in the damaged cortex were detected by terminal deoxynucleotidyl transferase-mediated digoxigenin-dUTP-biotin nick-end labeling staining.Degenerating neurons in the damaged cortex were detected by Fluoro-Jade B staining.Expression of tissue plasminogen activator was increased at 6 hours,and peaked at 3 days after traumatic brain injury.Neuronal apoptosis and axonal injury were detected after traumatic brain injury.Moreover,neuroserpin enhanced neuronal apoptosis,neuronal injury and axonal injury,and activated microglia and astrocytes.Neuroserpin further deteriorated neurobehavioral function in rats with traumatic brain injury.Our findings confirm that inhibition of endogenous tissue plasminogen activator aggravates neuronal apoptosis and axonal injury after traumatic brain injury,and activates microglia and astrocytes.This study was approved by the Biomedical Ethics Committee of Animal Experiments of Shaanxi Province of China in June 2015. 展开更多
关键词 apoptosis ASTROCYTES AXONAL INJURY inflammation microglia nerve REGENERATION neural REGENERATION neuronal INJURY neurons NEUROSERPIN tissue PLASMINOGEN activator traumatic brain INJURY
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Dynamic expression of nerve growth factor and its receptor Trk A after subarachnoid hemorrhage in rat brain 被引量:9
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作者 jin-ning song Zun-wei Liu +4 位作者 Long Sui Bin-fei Zhang Yong-lin Zhao Xu-dong Ma Hua Gu 《Neural Regeneration Research》 SCIE CAS CSCD 2016年第8期1278-1284,共7页
Delayed ischemic neurologic deficit after subarachnoid hemorrhage results from loss of neural cells.Nerve growth factor and its receptor Trk A may promote regeneration of neural cells,but their expression after subara... Delayed ischemic neurologic deficit after subarachnoid hemorrhage results from loss of neural cells.Nerve growth factor and its receptor Trk A may promote regeneration of neural cells,but their expression after subarachnoid hemorrhage remains unclear.In the present study,a rat model of subarachnoid hemorrhage was established using two injections of autologous blood into the cistern magna.Immunohistochemical staining suggested that the expression of nerve growth factor and Trk A in the cerebral cortex and brainstem increased at 6 hours,peaked at 12 hours and decreased 1 day after induction of subarachnoid hemorrhage,whereas the expression in the hippocampus increased at 6 hours,peaked on day 1,and decreased 3 days later.Compared with those for the rats in the sham and saline groups,neurobehavioral scores decreased significantly 12 hours and 3 days after subarachnoid hemorrhage(P 〈 0.05).These results suggest that the expression of nerve growth factor and its receptor Trk A is dynamically changed in the rat brain and may thus participate in neuronal survival and nerve regeneration after subarachnoid hemorrhage. 展开更多
关键词 nerve regeneration subarachnoid hemorrhage nerve growth factor TRKA intrinsic dynamic expression cortex hippocampus BRAINSTEM acute phase neural regeneration
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Vascular endothelial growth factor A promotes platelet adhesion to collagen Ⅳ and causes early brain injury after subarachnoid hemorrhage 被引量:4
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作者 Zun-Wei Liu Jun-Jie Zhao +1 位作者 Hong-Gang Pang jin-ning song 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第10期1726-1733,共8页
The role of vascular endothelial growth factor A in platelet adhesion in cerebral microvessels in the early stage of subarachnoid hemorrhage remains unclear.In this study,the endovascular puncture method was used to p... The role of vascular endothelial growth factor A in platelet adhesion in cerebral microvessels in the early stage of subarachnoid hemorrhage remains unclear.In this study,the endovascular puncture method was used to produce a rat model of subarachnoid hemorrhage.Then,30 minutes later,vascular endothelial growth factor A antagonist anti-vascular endothelial growth factor receptor 2 antibody,10μg,was injected into the right ventricle.Immunohistochemistry and western blot assay were used to assess expression of vascular endothelial growth factor A,occludin and claudin-5.Immunohistochemical double labeling was conducted to examine co-expression of GP Ⅰa-Ⅱ integrin and type Ⅳ collagen.TUNEL was used to detect apoptosis in the hippocampus.Neurological score was used to assess behavioral performance.After subarachnoid hemorrhage,the expression of vascular endothelial growth factor A increased in the hippocampus,while occludin and claudin-5 expression levels decreased.Co-expression of GP Ⅰa-Ⅱ integrin and type Ⅳ collagen and the number of apoptotic cells increased,whereas behavioral performance was markedly impaired.After treatment with anti-vascular endothelial growth factor receptor 2 antibody,occludin and claudin-5 expression recovered,while co-expression of GP Ⅰa-Ⅱ integrin and type Ⅳ collagen and the number of apoptotic cells decreased.Furthermore,behavioral performance improved notably.Our findings suggest that increased vascular endothelial growth factor A levels promote platelet adhesion and contribute to early brain injury after subarachnoid hemorrhage.This study was approved by the Biomedical Ethics Committee,Medical College of Xi’an Jiaotong University,China in December 2015. 展开更多
关键词 nerve REGENERATION VASCULAR ENDOTHELIAL GROWTH FACTOR A VASCULAR ENDOTHELIAL GROWTH FACTOR receptor 2 subarachnoid hemorrhage brain injuries platelet adhesion COLLAGEN blood-brain barrier neural REGENERATION
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Rosiglitazone ameliorates diffuse axonal injury by reducing loss of tau and up-regulating caveolin-1 expression 被引量:2
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作者 Yong-lin Zhao jin-ning song +3 位作者 Xu-dong Ma Bin-fei Zhang Dan-dong Li Hong-gang Pang 《Neural Regeneration Research》 SCIE CAS CSCD 2016年第6期944-950,共7页
Rosiglitazone up-regulates caveolin-1 levels and has neuroprotective effects in both chronic and acute brain injury. Therefore, we postulated that rosiglitazone may ameliorate diffuse axonal injury via its ability to ... Rosiglitazone up-regulates caveolin-1 levels and has neuroprotective effects in both chronic and acute brain injury. Therefore, we postulated that rosiglitazone may ameliorate diffuse axonal injury via its ability to up-regulate caveolin-1, inhibit expression of amyloid-beta precursor protein, and reduce the loss and abnormal phosphorylation of tau. In the present study, intraperitoneal injection of rosiglitazone significantly reduced the levels of amyloid-beta precursor protein and hyperphosphorylated tau(phosphorylated at Ser^(404)(p-tau(S^(404))), and it increased the expression of total tau and caveolin-1 in the rat cortex. Our results show that rosiglitazone inhibits the expression of amyloid-beta precursor protein and lowers p-tau(S^(404)) levels, and it reduces the loss of total tau, possibly by up-regulating caveolin-1. These actions of rosiglitazone may underlie its neuroprotective effects in the treatment of diffuse axonal injury. 展开更多
关键词 axonal diffuse regulating amyloid cortex saline ameliorate minutes possibly inhibit
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