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高分辨率磁共振成像辅助腹腔镜低位直肠癌手术的效果分析 被引量:2
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作者 梁良 傅丽晖 +2 位作者 王波 冯盼盼 李琪 《中国内镜杂志》 2022年第5期20-26,共7页
目的分析高分辨率磁共振成像(MRI)辅助腹腔镜低位直肠癌的手术效果。方法回顾性分析2018年1月-2020年1月该院收治的118例低位直肠癌患者的临床资料,所有患者均采用腹腔镜手术治疗,术前行高分辨率MRI检查的为MRI组(n=52),术前未行高分辨... 目的分析高分辨率磁共振成像(MRI)辅助腹腔镜低位直肠癌的手术效果。方法回顾性分析2018年1月-2020年1月该院收治的118例低位直肠癌患者的临床资料,所有患者均采用腹腔镜手术治疗,术前行高分辨率MRI检查的为MRI组(n=52),术前未行高分辨率MRI检查的为非MRI组(n=66)。以术后病理检查结果为金标准,比较高分辨率MRI检查对低位直肠癌患者T分期、N分期和环周切缘受累的诊断效果,并比较两组患者围手术期各指标和排便情况。结果高分辨率MRI T分期的诊断率为84.62%(44/52)。其中,T_(1)期和T_(4)期的诊断正确率为100.00%;T_(2)期诊断正确率为85.71%(18/21),误诊的3例为T_(3)期,为过低分期;T_(3)期诊断正确率达77.27%(17/22),误诊的5例为T_(2)期,为过高分期。高分辨率MRI N分期的诊断率为73.08%(38/52)。其中,N_(0)期诊断正确率达66.67%(16/24),误诊的8例为N_(1)期,为过低分期;N_(1)期诊断正确率达71.43%(15/21),误诊的6例有5例为N_(0)期(过高分期),1例为N_(2)期(过低分期);N_(2)期7例诊断正确率达100.00%。高分辨率MRI对环周切缘受累的诊断率为94.23%(49/52)。其中,环周切缘未受累与环周切缘受累诊断正确率达100.00%。MRI组患者的手术时间、第1次排便时间和每次排便时间短于非MRI组,术中出血量和日排便次数少于非MRI组,差异均有统计学意义(P<0.05)。结论高分辨率MRI能够较好地诊断低位直肠癌患者的T分期、N分期和环周切缘受累情况,并可缩短腹腔镜的手术时间,减少术中出血量,改善术后排便情况。 展开更多
关键词 低位直肠癌 高分辨率磁共振成像 腹腔镜 保肛手术
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Salvianolic acid B decreases interleukin-1b-induced colitis recurrence in mice 被引量:4
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作者 pan-pan feng Xue-Sheng Fang +6 位作者 Si-Hui Zhao Jun-Yan Fu Hui-Ting Zhang Yan-Lin Yi Chang-Yi Li Chun-Ling Jiang Da-Peng Chen 《Chinese Medical Journal》 SCIE CAS CSCD 2020年第12期1436-1444,共9页
Background:Degree of mucosal recovery is an important indicator for evaluating the therapeutic effects of drugs in treatment of inflammatory bowel disease(IBD).Increasing evidences has proved that tight junction(TJ)ba... Background:Degree of mucosal recovery is an important indicator for evaluating the therapeutic effects of drugs in treatment of inflammatory bowel disease(IBD).Increasing evidences has proved that tight junction(TJ)barrier dysfunction is one of the pathological mechanisms of IBD.The aim of this study was to observe whether enhancement of TJ can decrease colitis recurrence.Methods:Eighty C57BL/6 mice were randomly divided into four groups including normal group,colitis group,sulfasalazine(SASP)treated group,and traditional Chinese drug salvianolic acid B(Sal B)treated group.Colitis was established in mice by free drinking water containing dextran sulfate sodium,after treatments by SASP and Sal B,recombinant human interleukin-1b(IL-1b)was injected intraperitoneally to induce colitis recurrence.Results:Compared with sham control,cell apoptosis in colitis group was increased from 100.85±3.46%to 162.89±11.45%(P=0.0038),and TJ dysfunction marker myosin light chain kinase(MLCK)was also significantly increased from 99.70±9.29%to 296.23±30.78%(P=0.0025).The increased cell apoptosis was reversed by both SASP(125.99±8.45%vs.162.89±11.45%,P=0.0059)and Sal B(104.27±6.09%vs.162.89±11.45%,P=0.0044).High MLCK expression in colitis group was reversed by Sal B(182.44±89.42%vs.296.23±30.78%,P=0.0028)but not influenced by SASP(285.23±41.04%vs.296.23±30.78%,P>0.05).The recurrence rate induced by recombinant human IL-1b in Sal B-treated group was significantly lower than that in SASP-treated group.Conclusions:These results suggested a link between intestinal mucosal barrier dysfunction,especially TJ barrier dysfunction,and colitis recurrence.The TJ barrier dysfunction in remission stage of colitis increased the colitis recurrence.This study might provide potential treatment strategies for IBD recurrence. 展开更多
关键词 COLITIS Inflammatory bowel disease RECURRENCE Tight junctions
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