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关节镜下腘窝囊肿切除术与传统开放手术治疗腘窝囊肿临床疗效比较的Meta分析 被引量:9
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作者 姚思成 孙宇 +3 位作者 张锡玮 邰贺 王月盈 陈崇民 《中国内镜杂志》 2022年第1期8-17,共10页
目的系统评价关节镜下腘窝囊肿切除术与传统开放手术治疗腘窝囊肿的效果,为临床医生选择腘窝囊肿切除术式时提供更佳的循证医学依据。方法纳入对照组为传统开放切除手术,观察组为关节镜下切除腘窝囊肿联合关节清理术的随机对照试验与回... 目的系统评价关节镜下腘窝囊肿切除术与传统开放手术治疗腘窝囊肿的效果,为临床医生选择腘窝囊肿切除术式时提供更佳的循证医学依据。方法纳入对照组为传统开放切除手术,观察组为关节镜下切除腘窝囊肿联合关节清理术的随机对照试验与回顾性队列研究。通过检索中国知网(CNKI)、万方、维普(VIP)、PubMed、The CochraneLibrary和Web ofScience数据库近十年的相关文献941篇,排除重复文献、数据无法提取的文献、未设置对照组的文献和质量较差的文献,最后纳入文献24篇(中文文献23篇,英文文献1篇),选取手术有效率、术后复发率、并发症率、视觉模拟评分(VAS)、Lysholm功能评分、术中出血量、手术切口长度作为分析指标。使用Cochrane协作网提供的Review Manager 5.3软件进行系统评价与Meta分析。结果纳入的24篇文章中包含1559例病例,关节镜手术组有效率(OR=0.24,95%CI:0.14~0.41,P=0.000)和Lysholm功能评分(SMD=-2.75,95%CI:-3.64~-1.85,P=0.000)较传统手术组高,并发症发生率(O R^=4.01,95%CI:1.55~10.40,P=0.004)、VAS评分(MD=1.55,95%CI:1.36~1.75,P=0.000)和术后复发率(OR=6.33,95%CI:3.70~10.84,P=0.000)较传统手术组低,术中出血量较传统手术组少(SMD=7.67,95%CI:5.64~9.70,P=0.000),手术切口长度较传统手术组短(SMD=6.16,95%CI:4.94~7.37,P=0.000)。结论关节镜下腘窝囊肿切除术与传统开放手术具有手术有效率高、术后复发率低、并发症少、术后疼痛轻、膝关节功能评分好、术中出血量少和手术切口小等优势。 展开更多
关键词 腘窝囊肿 关节镜 手术治疗 META分析 关节清理术
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关节镜下后交叉韧带重建术手术时机对临床疗效的影响 被引量:1
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作者 姚思成 关雪峰 +4 位作者 孙宇 杨永菊 张锡玮 丛宝华 陈崇民 《中国内镜杂志》 2022年第7期26-32,共7页
目的比较不同时机于关节镜下行后交叉韧带重建术的疗效和安全性。方法回顾性分析2015年1月-2021年6月沈阳市骨科医院40例行后交叉韧带重建术的患者的临床资料。根据伤后手术时间不同将患者分为研究组(于3周内手术,n=24)和对照组(超过3... 目的比较不同时机于关节镜下行后交叉韧带重建术的疗效和安全性。方法回顾性分析2015年1月-2021年6月沈阳市骨科医院40例行后交叉韧带重建术的患者的临床资料。根据伤后手术时间不同将患者分为研究组(于3周内手术,n=24)和对照组(超过3周手术,n=16)。比较两组患者术前、术后8周和末次随访时的膝关节活动范围、国际膝关节文献委员会(IKDC)评分、视觉模拟评分(VAS)、Lysholm膝关节功能评分等。结果两组患者术前与术后8周和末次随访时膝关节活动范围无明显差异(P>0.05);两组患者术前IKDC评分比较,差异无统计学意义(P>0.05),术后8周和末次随访时比较,差异均有统计学意义(P<0.05);研究组术前VAS明显高于对照组,差异有统计学意义(P<0.05),两组患者术后8周和末次随访时VAS比较,差异无统计学意义(P>0.05);两组患者术前Lysholm评分比较,差异无统计学意义(P>0.05),研究组术后8周和末次随访时的Lysholm评分明显高于对照组,差异有统计学意义(P<0.05);两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论后交叉韧带断裂患者于3周内行后交叉韧带重建术,有利于术后患者膝关节功能的恢复。 展开更多
关键词 关节镜 后交叉韧带重建术 手术时机 临床疗效
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Construction and identification of recombinant adenovirus-mediated gene transfer system for rat vascular endothelial growth factor 被引量:3
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作者 Hongyu Yang Hong Qi +1 位作者 Junjie Zou xi-wei zhang 《Journal of Nanjing Medical University》 2008年第1期52-56,共5页
Objective: To construct the recombinant adenovirus vector carrying rat vascular endothelial growth factor(VEGF), as preparation for genetic transfection that follows. Methods: Rat VEGF was obtained by using RT-PCR... Objective: To construct the recombinant adenovirus vector carrying rat vascular endothelial growth factor(VEGF), as preparation for genetic transfection that follows. Methods: Rat VEGF was obtained by using RT-PCR amplification and then cloned into the shutter plasmid pDC316. Subsequently, this newly constructed plasmid pDC316-VEGF, after identification by nuclease digestion analysis and sequencing analysis, was transfected into human embryonic kidney cells HEK293 by Lipofectamine 2000 mediation, together with adenovirus-packaging plasmid pBHGE3. Based on the homologous recombination of the two plasmids within HEK293 cells, the recombinant adenovirus vector carrying VEGF and VDC316-VEGF was created. VDC316-VEGF was subsequently identified using PCR, purified using repeated plaque passages, proliferated using freezing and melting within HEK293 cells, and titrated using 50% Tissue Culture Infective Dose(TCID50) assay. Results:The newly constructed recombinant adenovirus was confirmed to carry rat VEGF based on PCR results, and its titration value determined based on TCID50 assay was 3 × 10^9 pfu/ml. Conclusion:The recombinant adenovirus carrying rat VEGF was successfully constructed. The newly constructed adenovirus can produce a ufficiently high titration value within HEK293 cells, providing a reliable tool for genetic transfection in further gene therapy researches. 展开更多
关键词 vascular endothelial growth factor adenovirus vector genetic transfection
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Familial Nonmedullary Thyroid Carcinoma: A Retrospective Analysis of 117 Families 被引量:3
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作者 Ya-Bing zhang Xiao-Xin Wang +4 位作者 xi-wei zhang Zheng-Jiang Li Jie Liu Zhen-Gang Xu Ping-zhang Tang 《Chinese Medical Journal》 SCIE CAS CSCD 2018年第4期395-401,共7页
Background: The first and most important step in characterizing familial nonmedullary thyroid carcinoma (NMTC) is to distinguish the true familial patients, which is the prerequisite for all accurate analyses. This... Background: The first and most important step in characterizing familial nonmedullary thyroid carcinoma (NMTC) is to distinguish the true familial patients, which is the prerequisite for all accurate analyses. This study aimed to investigate whether patients from families with ≥3 first-degree relatives affected with NMTC have different characteristics than patients from families with only two affected members, and to compare these patients with those with sporadic disease. Methods: We analyzed the clinicopathological features and prognosis of 209 familial and 1120 sporadic cases of NMTC. Familial patients were further divided into two subgroups: families with two affected members and families with ≥3 affected members. Results: The familial group had a significantly higher risk of bilateral growth, multifocality, extrathyroidal extension, and lateral lymph node metastasis than the sporadic group (P 〈 0.05). These main features were also different between the group with ≥3 affected members and the sporadic group. The only difference between the two affected members' group and the sporadic group was incidence of multifocality (P 〈 0.05). The probability of disease recurrence in patients from families with ≥3 affected members was significantly higher than that in sporadic cases (14.46% vs. 5.27%; P = 0.001), while the probability in patients from families with two affected members was similar to that in sporadic patients (6.35% vs. 5.27%; P = 0.610). The Kaplan–Meier survival analysis showed a statistically significant difference in disease-free survival between the two subgroups (85.54% vs. 93.65%; P = 0.045). Conclusions: Patients from families with ≥3 members affected by NMTC have more aggressive features and a worse prognosis than those from families with only two affected members. Patients from families with ≥3 affected first-degree relatives may be considered to have true familial NMTC. 展开更多
关键词 CARCINOMA Nonmedullary THYROID True Familial
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