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经肛门全直肠系膜切除术在中低位直肠癌中的疗效及安全性的系统评价和Meta分析 被引量:18
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作者 靳鹏辉 胡立冬 +4 位作者 李小飞 李惠民 刘文涵 郭天康 马云涛 《中国内镜杂志》 2019年第6期25-33,共9页
目的系统评价经肛门全直肠系膜切除术(TaTME)在低位直肠癌中的疗效及安全性。方法计算机检索各数据库The Cochrane Library、Pubmed、Embase、Web of Science、维普、万方、知网和中国生物医学文献数据库(CBM),收集所有关于对比TaTME与... 目的系统评价经肛门全直肠系膜切除术(TaTME)在低位直肠癌中的疗效及安全性。方法计算机检索各数据库The Cochrane Library、Pubmed、Embase、Web of Science、维普、万方、知网和中国生物医学文献数据库(CBM),收集所有关于对比TaTME与腹腔镜全直肠系膜切除术(LaTME)治疗中低位直肠癌疗效的相关研究。对于纳入文献依据NOS量表进行质量评价,采用Review Manager 5.3版软件进行数据合并。结果共纳入13篇符合该研究的文献,共859例直肠癌患者。在疗效方面,Meta分析结果显示,与LaTME相比,TaTME提高了肿瘤完全切除的概率,减少了环周切缘阳性(CRM)的发生风险(OR=1.75,95%CI=1.02~3.01,P=0.040;OR=0.43,95%CI=0.22~0.82,P=0.010)。在安全性方面,Meta分析结果显示,两者的术后并发症相似,发生肠梗阻和吻合口漏的风险差异无统计学意义(OR=0.91,95%CI=0.46~1.78,P=0.780;OR=0.79,95%CI=0.45~1.38,P=0.400)。结论 TaTME在治疗中低位直肠癌患者的疗效方面比LaTME好,有效降低了肿瘤的CRM的发生率。但在安全性方面,两者没有较大的差异,其真实性还需大量高质量的研究进一步验证。 展开更多
关键词 直肠癌 经肛门 腹腔镜 全直肠系膜切除术 META分析
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Magnetic nanoparticles used in headspace extraction coupled with DSI-GC-IT/MS for analysis of VOCs in dry Traditional Chinese Medicine 被引量:3
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作者 Jing Nie Yuan-Jie Teng +2 位作者 Zu-Guang Li wen-han liu Maw-Rong Lee 《Chinese Chemical Letters》 SCIE CAS CSCD 2016年第1期178-184,共7页
A novel magnetic method using polystyrene modified magnetic nanoparticles to perform thermoheadspace extraction was successfully developed for extraction and preconcentration of volatile organic components in dry Trad... A novel magnetic method using polystyrene modified magnetic nanoparticles to perform thermoheadspace extraction was successfully developed for extraction and preconcentration of volatile organic components in dry Traditional Chinese Medicine(TCM) based on gas chromatography-ion trap/mass spectrometry with a Chromato Probe direct sample introduction device. The dried fruit of Amomum testaceum Ridl. was used as the object TCM. The optimum parameters of headspace magnetic solid-phase extraction were investigated, in which desorption solvent ethyl acetate played a key role in this method,and the headspace extraction temperature of 90℃ and the headspace extraction time of 15 min finally decided. Headspace solid-phase microextraction method was also used to analyze volatile compounds in the TCM to compare with the proposed method. The results show that 60 components were identified totally by two methods; most of the low boiling point chemical compounds are isolated by this new method. In this work, an environmental-friendly and cheap analytical method was established, and a new approach to analyze volatile compounds in dry Traditional Chinese Medicine was also provided. 展开更多
关键词 Magnetic nanoparticles Direct sample introduction Volatile components Traditional Chinese Medicine
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