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实时虚拟导航系统联合吲哚氰绿染色在原发性肝癌解剖性肝切除术中的应用研究进展
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作者 窦晓伟 王强 +9 位作者 蒲昌盛 师稳再 索晓鹏 吴宪佳 吴田田 蔡俊 程志雷 田远虎 陈建飞 张克明 《肝癌电子杂志》 2021年第4期31-35,共5页
目前原发性肝癌的首选治疗方法是肝切除术。然而,肝切除术后复发率较高,总体治疗效果并不令人满意。解剖性肝切除术预后优于非解剖性肝切除术,但在解剖性肝切除术中,如何识别肿瘤边界、肝内微小病灶及肝段的切离线,仍然是临床面临的难... 目前原发性肝癌的首选治疗方法是肝切除术。然而,肝切除术后复发率较高,总体治疗效果并不令人满意。解剖性肝切除术预后优于非解剖性肝切除术,但在解剖性肝切除术中,如何识别肿瘤边界、肝内微小病灶及肝段的切离线,仍然是临床面临的难题。近年来,实时虚拟导航系统(real-time virtual navigation system,RVS)逐渐应用于临床。RVS是将超声与CT、MRI等影像学图像完全融合,其对肝癌病灶与周围正常肝脏组织的分辨能力及定位检出率优于常规术中超声。吲哚氰绿(indocyanine green,ICG)荧光染色可以标记微小转移病灶及肝段切离线。术中应用RVS实时动态导航联合ICG染色,最终完成精准解剖性肝切除术,可以提高R0切除率,降低原发性肝癌的术后复发率及转移率,改善患者预后。 展开更多
关键词 原发性肝癌 解剖性肝切除术 吲哚氰绿染色 实时虚拟导航系统
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胃神经鞘瘤的研究进展 被引量:2
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作者 蒲昌盛 陈建飞 +7 位作者 田远虎 蔡俊 程志雷 吴田田 索晓鹏 师稳再 吴宪佳 张克明 《国际外科学杂志》 2020年第4期284-288,共5页
胃神经鞘瘤是起源于间叶组织的肿瘤,临床发病率较为少见,占所有胃间质瘤的6.3%,肿瘤好发于胃体部,通常起源胃粘膜下神经从。大部分胃神经鞘瘤患者没有任何临床症状,影像学检查能起到诊断作用,但确定诊断仍需要病理学检查,其中S-100蛋白... 胃神经鞘瘤是起源于间叶组织的肿瘤,临床发病率较为少见,占所有胃间质瘤的6.3%,肿瘤好发于胃体部,通常起源胃粘膜下神经从。大部分胃神经鞘瘤患者没有任何临床症状,影像学检查能起到诊断作用,但确定诊断仍需要病理学检查,其中S-100蛋白是诊断胃神经鞘瘤的"金标准"。胃神经鞘瘤通常需要与胃肠道间质瘤、胃肠自主神经肿瘤等相鉴别。治疗方面,完整的手术切除为首选治疗。 展开更多
关键词 神经鞘瘤 普通外科 胃肠病学和肝病学
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Effects of substance P on growth of fibroblast-like cells derived from bile duct: an in vitro cell culture study 被引量:3
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作者 tian yuanhu Yang Guangyun +3 位作者 Zhang Xiaoqing Shen Wei Dong Jiahong Xu Zhi 《Chinese Medical Journal》 SCIE CAS CSCD 2014年第17期3121-3126,共6页
Background The possible role of substance P (SP) during wound healing has been the primary research focus in recent years,but its effect on the healing process after bile duct injury is little understood.This study ... Background The possible role of substance P (SP) during wound healing has been the primary research focus in recent years,but its effect on the healing process after bile duct injury is little understood.This study aimed to investigate the effects of SP on growth of fibroblast-like cells derived from rabbit bile duct.Methods Fibroblast-like cells derived from rabbit bile duct were identified and divided randomly into control and experimental groups.SP-treated cells at different concentrations of 10^-9-10^-5 mol/L and control group were incubated,respectively,for 48 hours.After incubating,the effects of SP on cell proliferation were assessed by cell counts and MTT test.Apoptosis rate (AR) of cells was measured by flow cytometry.Results Cultured rabbit bile duct cells were fibroblast-like in morphology,and these cells were stained positively for vimentin and negatively for desmin.After SP was added to nonconfluent cells for 48 hours,cell numbers were significantly increased in experimental groups than in controls (P 〈0.05).The maximum stimulation of cell proliferation was achieved at SP of 10^-5 mol/L.Bile duct fibroblast-like cells in the SP group showed a higher proliferating activity and lower AR than those in the control group or in the SP + Spantide group (P 〈0.05).Spantide partly inhibited the effects of SP on fibroblastlike cells.Examination under transmission electron microscopy revealed rough endoplasmic reticulum and prominent Golgi complexes after SP treatment.Conclusions SP has a growth regulatory property on cultivated bile duct fibroblast-like cells in vitro,suggesting that SP may involve in wound healing after bile duct injury by promoting wound fibroblast proliferation and inhibiting apoptosis and participate in pathological scar formation. 展开更多
关键词 substance P bile duct FIBROBLAST cell culture cell proliferation
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