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胆宁片预防内镜保胆取石术后胆囊结石复发的研究 被引量:5
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作者 朱星屹 刘京山 +9 位作者 张晓彤 赵期康 黄坤全 周东海 李晋忠 杜文 张海林 侯郑生 吴建华 赵鸿宇 《中国内镜杂志》 2022年第5期33-39,共7页
目的探讨中成药胆宁片在内镜保胆取石术(CGPC)后预防胆囊结石复发的作用,及其与牛磺熊去氧胆酸(TUDCA)的差异。方法纳入2016年11月-2020年1月在北京大学首钢医院符合条件的CGPC后患者1868例,按取出结石的类型分为两个队列,A队列为取出... 目的探讨中成药胆宁片在内镜保胆取石术(CGPC)后预防胆囊结石复发的作用,及其与牛磺熊去氧胆酸(TUDCA)的差异。方法纳入2016年11月-2020年1月在北京大学首钢医院符合条件的CGPC后患者1868例,按取出结石的类型分为两个队列,A队列为取出胆固醇为主的结石,B队列为取出胆色素为主的结石,将每个队列中的患者随机分为两组,DN组口服胆宁片(1.8 g/次,3次/d),TU组口服TUDCA(500 mg/次,1次/d),疗程为180 d,随访时间为36个月,记录胆囊结石复发及胆囊壁厚度的变化情况。结果两种药物相互比较,在A队列,A-DN组与A-TU组的胆囊结石复发率无明显差异;在B队列,B-DN组的胆囊结石复发率明显低于B-TU组。在两个队列中,DN组术后半年的平均胆囊壁厚度均明显薄于TU组。结论CGPC后应用胆宁片有助于缓解术后胆囊炎症,能够有效地降低胆囊结石复发率,在预防胆色素为主的胆囊结石复发方面优于TUDCA。 展开更多
关键词 胆囊结石 保胆 胆宁片 牛磺熊去氧胆酸 胆道镜
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2419例17530颗胆囊息肉内镜微创保胆手术后病理结果分析 被引量:2
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作者 刘京山 王云帆 +3 位作者 赵期康 徐凯 张晓彤 黄坤全 《中国内镜杂志》 2021年第10期82-86,共5页
目的通过对胆囊息肉保胆手术后病理结果分析,评估内镜微创保胆手术对胆囊息肉的治疗价值。方法收集2007年1月-2020年12月行内镜微创保胆手术的2419例17530颗胆囊息肉患者的病理资料,纳入回顾性研究,以内镜微创保胆手术的手术适应证作为... 目的通过对胆囊息肉保胆手术后病理结果分析,评估内镜微创保胆手术对胆囊息肉的治疗价值。方法收集2007年1月-2020年12月行内镜微创保胆手术的2419例17530颗胆囊息肉患者的病理资料,纳入回顾性研究,以内镜微创保胆手术的手术适应证作为入组标准,分析其术后病理结果。结果胆囊良性息肉占99.68%,均行保胆取息肉手术,0.20%的患者息肉为恶性,且为早期,均行胆囊癌根治术,0.12%的患者为腺瘤高级别上皮内瘤变,行胆囊切除术。结论胆囊息肉中恶性肿瘤占比较低,内镜微创保胆手术是治疗胆囊息肉的首选手术方法,既可以去除胆囊良性病变,又能保留胆囊功能,还可以早期发现胆囊癌。因此,胆囊息肉应早期行微创保胆手术以明确诊断,防止恶变。 展开更多
关键词 胆囊息肉 内镜微创保胆手术 病理结果
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Misdiagnosis of ligamentoid fibromatosis of the small mesenteric:A case report 被引量:1
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作者 Kai Xu Qi-Kang Zhao +7 位作者 jing-shan liu Dong-Hai Zhou Yong-Liang Chen Xing-Yi Zhu Ming Su Kun-Quan Huang Wen Du Hong-Yu Zhao 《World Journal of Clinical Cases》 SCIE 2020年第22期5758-5764,共7页
BACKGROUND Ligamentoid fibromatosis is a rare borderline tumor that occurs in the muscles,fascia,and aponeurosis.It is a kind of soft tissue tumor of fibrous origin,also known as invasive fibromatosis,desmoid fibroma,... BACKGROUND Ligamentoid fibromatosis is a rare borderline tumor that occurs in the muscles,fascia,and aponeurosis.It is a kind of soft tissue tumor of fibrous origin,also known as invasive fibromatosis,desmoid fibroma,neurofibromatosis,etc.The tumor is between benign and malignant tumors and rarely has distant metastasis.Its characteristics are mainly local invasion,destruction and growth and easy recurrence.The World Health Organization defines it as a fibroblast cloning value-added lesion originating from deep soft tissue,which causes local invasion and growth leading to tissue reconstruction,extrusion and destruction of important structures and organs.The incidence rate accounts for 0.03%of all tumors and less than 3%of all soft tissue tumors.Definite diagnosis mainly depends on postoperative pathology.Surgical resection is still the main way to treat the disease,and a variety of nonsurgical treatment methods are auxiliary.Combined treatment can effectively reduce the risk of postoperative recurrence.CASE SUMMARY The patient is a 57-year-old female.One week ago,she accidentally found a mass in the left upper abdomen while lying flat.There was no abdominal pain and abdominal distention,no fever,no black stool and blood in the stool and no nausea and vomiting.She had a 10-year history of glaucoma on the left side,underwent hysterectomy for uterine fibroids 5 years ago,had no hypertension,heart disease,diabetes,hepatitis or tuberculosis,had no history of smoking and had been drinking for 20 years.CONCLUSION Accurate preoperative diagnosis is difficult,surgical resection is the main treatment,and a variety of nonsurgical treatment methods are auxiliary.Combined treatment can effectively reduce the risk of postoperative recurrence.The prognosis is still good,and the risk of recurrence of secondary surgery is greatly increased. 展开更多
关键词 Ligamentoid fibromatosis Borderline tumor Pathology Surgery Combined treatment Small mesenteric Case report
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Genetic polymorphisms of N-acetyltransferase 2 and colorectal cancer risk 被引量:1
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作者 Lu-Jun He Yue-Ming Yu +3 位作者 Fang Qiao jing-shan liu Xiao-Feng Sun Ling-Ling Jiang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第27期4268-4271,共4页
AIM: To identify the distribution of N-acetyltrasferase 2 (NAT2) polymorphism in Hebei Han Chinese and the effects of the polymorphism on the development of colorectal cancer.METHODS: We performed a hospital-based... AIM: To identify the distribution of N-acetyltrasferase 2 (NAT2) polymorphism in Hebei Han Chinese and the effects of the polymorphism on the development of colorectal cancer.METHODS: We performed a hospital-based case-control study of 237 healthy individuals and 83 colorectal cancer patients of Hebei Han Chinese. DNA was extracted from peripheral blood and cancer tissues. The genotypes of the polymorphisms were assessed by PCR-restriction fragment length polymorphism(RFLP).RESULTS: There were four NAT2 alleles of WT, M1, M2,and M3 both in the healthy subjects and in the patients,and 10 genotypes of WT/WT, WT/M1, WT/M2, WT/M3,M1/M1, M1/M2, M1/M3, M2/M2, M2/M3, M3/M3. M2 allele was present in 15.61% of healthy subjects and 29.52% of patients (X^2 = 15.31, P〈0.0001), and M3 allele was present in 30.59% of healthy subjects and 16.87% of patients (X^2 = 25.33, P〈0.0001). There were more WT/M2 (X^2= 34.42, P〈0.0001, odd ratio= 4.99, 95%CI = 2.27-9.38)and less WT/M3 (X^2 = 3.80, P = 0.03) in the patients than in the healthy subjects. In 70.3% of the patients, there was a difference in NAT2 genotype between their tumors and blood cells. Patients had more WT/M2 (7.2 = 5.11,P = 0.02) and less M2/M3 (X^2= 4.27, P = 0.039) in their blood cells than in the tumors. Furthermore, 53.8% (7/13)of M2/M3 in tumors were from VVT/M2 of blood cells.CONCLUSION: There is a possible relationship between the NAT2 polymorphisms and colorectal cancer in Hebei Han Chinese. The genotype WT/M2 may be a risk factor for colorectal cancer. 展开更多
关键词 NAT2 gene Colorectal cancer RFLP
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