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新型连续灌注可调负压清石鞘装置在经皮肾镜取石术中的应用 被引量:5
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作者 沈诞 朱大庆 +8 位作者 单立松 董毅 王忠新 王鹏超 林彦多 高雪松 史涛坪 刘启明 张旭 《中国内镜杂志》 2022年第9期7-12,共6页
目的评估新型连续灌注可调负压清石鞘(VMP)装置在经皮肾镜取石术(PCNL)中的安全性和可行性,探讨其碎石、清石效率和优势。方法回顾性分析2016年1月-2021年2月解放军总医院海南医院64例行PCNL治疗的肾结石患者的临床资料。根据治疗方案... 目的评估新型连续灌注可调负压清石鞘(VMP)装置在经皮肾镜取石术(PCNL)中的安全性和可行性,探讨其碎石、清石效率和优势。方法回顾性分析2016年1月-2021年2月解放军总医院海南医院64例行PCNL治疗的肾结石患者的临床资料。根据治疗方案不同分为VMP组(n=36)和常规PCNL组(SP组,n=28)。所有患者均于麻醉后在超声引导穿刺下逐步扩张,建立(F16~F20)经皮肾通道,使用VMP装置(VMP组)或常规经皮肾装置(SP组)行钬激光碎石。比较两组患者围手术期指标和清石率(SFR)等。结果所有患者均顺利完成手术。VMP组术中平均灌注时间明显短于SP组[(42.72±29.11)和(74.82±37.33)min,P=0.000],SFR明显高于SP组(94.4%和75.0%,P=0.035)。VMP组术后24 h血红蛋白(Hb)变化为11.00(5.00,11.25)g/L,SP组为3.00(-3.75,13.75)g/L,差异有统计学意义(P=0.005),术后住院时间明显短于SP组[(7.56±2.65)和(9.21±3.26)d],差异有统计学意义(P=0.028)。两组患者术后24 h白细胞(WBC)和血清肌酐(SCr)变化比较,差异无统计学意义(P>0.05)。结论PCNL术中使用VMP安全、可行且有效,较常规PCNL能明显缩短术中灌注时间和术后住院时间,减轻术后疼痛,降低感染风险。 展开更多
关键词 经皮肾镜取石术 碎石 肾结石 可调负压清石鞘装置 清石率 感染
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非肝硬化期慢性病毒性肝炎合并骨质疏松症的研究进展
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作者 王平 高学松 +1 位作者 张耀南 段雪飞 《世界华人消化杂志》 CAS 2022年第11期491-497,共7页
骨质疏松症是病毒性肝炎肝硬化的并发症之一,有大量研究阐述了肝硬化患者中骨质疏松症的发病机制及治疗方法,而未进展至肝硬化阶段的慢性病毒性肝炎是否同样存在并发骨质疏松症的风险则尚无定论,多数研究就两者的关系给出了肯定的答复,... 骨质疏松症是病毒性肝炎肝硬化的并发症之一,有大量研究阐述了肝硬化患者中骨质疏松症的发病机制及治疗方法,而未进展至肝硬化阶段的慢性病毒性肝炎是否同样存在并发骨质疏松症的风险则尚无定论,多数研究就两者的关系给出了肯定的答复,但其发病机制和治疗等仍无系统的论断.本文回顾了近年来有关慢性病毒性肝炎及骨质疏松症的相关文献,就非肝硬化期慢性病毒性肝炎继发骨质疏松症的发生风险、可能的致病机制及治疗方案进行了系统的综述,以期明确两者的关系,提高临床医生关于本病的认识,并为临床诊治提供参考. 展开更多
关键词 慢性病毒性肝炎 骨质疏松症 发病机制 治疗
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Screening of hepatocyte proteins binding to F protein of hepatitis C virus by yeast two-hybrid system 被引量:2
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作者 Yan-Ping Huang Jun Cheng +10 位作者 Shu-Lin Zhang Lin Wang Jiang Guo Yan Liu Yuan Yang Li-Ying Zhang Gui-Qin Bai xue-song gao Dong ji Shu-Mei Lin Qing Shao 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第36期5659-5665,共7页
AIM: To investigate the biological function of F protein by yeast two-hybrid system. METHODS: We constructed F protein bait plasmid by cloning the gene of F protein into pGBKT7, then recombinant plasmid DNA was tran... AIM: To investigate the biological function of F protein by yeast two-hybrid system. METHODS: We constructed F protein bait plasmid by cloning the gene of F protein into pGBKT7, then recombinant plasmid DNA was transformed into yeast AH109 (a type). The transformed yeast AH109 was mated with yeast Y187 (α type) containing liver cDNA library plasmid in 2×YPDA medium. Diploid yeast was plated on synthetic dropout nutrient medium (SD/-Trp-Leu-HisAde) containing X-α-gal for selection and screening. After extracting and sequencing plasmids from positive (blue) colonies, we underwent sequence analysis by bioinformatics. RESULTS: Thirty-six colonies were selected and sequenced. Among them, 11 colonies were zymogen granule protein, 5 colonies were zinc finger protein, 4 colonies were zinc-α-2-glycoprotein, 1 colony was sialyltransferase, 1 colony was complement control protein factor I, 1 colony was vitronectin, and 2 colonies were new genes with unknown function. CONCLUSION: The yeast two-hybrid system is an effective method for identifying hepatocyte proteins interacting with F protein of hepatitis C virus. F protein may bind to different proteins. 2005 The WJG Press and Elsevier Inc. All rights reserved 展开更多
关键词 Hepatitis C virus F protein Yeast two-hybridsystem
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Prediction models for development of hepatocellular carcinoma in chronic hepatitis B patients 被引量:1
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作者 Jiang Guo xue-song gao 《World Journal of Clinical Cases》 SCIE 2021年第14期3238-3251,共14页
Chronic hepatitis B(CHB)-related hepatocellular carcinoma(HCC)is a major health problem in Asian-Pacific regions.Antiviral therapy reduces,but does not completely prevent,HCC development.Thus,there is a need for accur... Chronic hepatitis B(CHB)-related hepatocellular carcinoma(HCC)is a major health problem in Asian-Pacific regions.Antiviral therapy reduces,but does not completely prevent,HCC development.Thus,there is a need for accurate risk prediction to assist prognostication and decisions on the need for antiviral therapy and HCC surveillance.A few risk scores have been developed to predict the occurrence of HCC in CHB patients.Initially,the scores were derived from untreated CHB patients.With the development and extensive clinical application of nucleos(t)ide analog(s)(NA),the number of risk scores based on treated CHB patients has increased gradually.The components included in risk scores may be categorized into host factors and hepatitis B virus factors.Hepatitis activities,hepatitis B virus factors,and even liver fibrosis or cirrhosis are relatively controlled by antiviral therapy.Therefore,variables that are more dynamic during antiviral therapy have since been included in risk scores.However,host factors are more difficult to modify.Most existing scores derived from Asian populations have been confirmed to be accurate in predicting HCC development in CHB patients from Asia,while these scores have not offered excellent predictability in Caucasian patients.These findings support that more relevant variables should be considered to provide individualized predictions that are easily applied to CHB patients of different ethnicities.CHB patients should receive different intensities of HCC surveillance according to their risk category. 展开更多
关键词 Antiviral agents Hepatitis B virus Hepatocellular carcinoma Liver cirrhosis Risk factors Proportional hazards models
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Chronic Liver Failure after Treatment with Infliximab for Ankylosing Spondylitis in a Patient with Hepatitis B
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作者 Yun-ru Li Feng-xin Chen +2 位作者 Xue-fei Duan xue-song gao Xiao-ling Fan 《国际感染病学(电子版)》 CAS 2013年第2期84-87,共4页
A 50-year-old man with ankylosing spondylitis was treated successfully with infliximab,who was also a HBV carrier for about twenty-five years.After injection with infliximab for four times,he developed jaundice and HB... A 50-year-old man with ankylosing spondylitis was treated successfully with infliximab,who was also a HBV carrier for about twenty-five years.After injection with infliximab for four times,he developed jaundice and HBV DNA was detectable in serum.Serum aminotransferase and total bilirubin levels were higher than normal.Then he was hospitalized and treated with entacavir and Chinese herb medicine.But his liver damage aggravated and was diagnosed as acute on chronic liver failure.Finally,liver transplantation was carried out and he was cured successfully. 展开更多
关键词 Acute on chronic liver failure Hepatitis B Ankylosing spondylitis
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