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胆总管结石的影像学诊断应用现状及治疗研究
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作者 覃金丹 尹毅霞 +3 位作者 陆俞安 黄珍珍 郭若琳 王荣 《中国医药科学》 2024年第5期38-41,67,共5页
胆总管结石(CBDS)是指位于胆总管内的结石,分别为原发于胆总管内的结石和由胆囊或肝内胆管排出后进入并嵌顿于胆总管内的结石。CBDS是临床上常见的胆道疾病之一,患者临床症状为皮肤或巩膜黄染、上腹部绞痛、发热等。随着CBDS患病率和患... 胆总管结石(CBDS)是指位于胆总管内的结石,分别为原发于胆总管内的结石和由胆囊或肝内胆管排出后进入并嵌顿于胆总管内的结石。CBDS是临床上常见的胆道疾病之一,患者临床症状为皮肤或巩膜黄染、上腹部绞痛、发热等。随着CBDS患病率和患者就诊需求的不断升高,医生及患者对于诊疗方式有了更高的要求,都希望得到更加快速、更加有效的诊疗方案。影像技术及内镜技术的进步为CBDS疾病的诊断及治疗提供了极大的帮助,因此本文总结了近年来国内外相关研究,并对CBDS的最新影像学诊断及治疗进行分析。 展开更多
关键词 胆总管结石 医学影像学 诊断 治疗
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肠道菌群在结直肠癌防治相关研究进展
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作者 陆俞安 尹毅霞 《右江医学》 2024年第2期173-177,共5页
结直肠癌的发病率及病死率逐年上涨~([1]),2020年全球结直肠癌新发病例193万例~([2]),预测到2035年将有250万新发病例,结直肠癌的防治成为关系全人类生命健康的重要公共健康议题之一。从结直肠癌前病变到结直肠癌需要5~10年~([3]),提示... 结直肠癌的发病率及病死率逐年上涨~([1]),2020年全球结直肠癌新发病例193万例~([2]),预测到2035年将有250万新发病例,结直肠癌的防治成为关系全人类生命健康的重要公共健康议题之一。从结直肠癌前病变到结直肠癌需要5~10年~([3]),提示人类有充足的时间防治结直肠癌。癌细胞的增殖受宿主基因突变、遗传累积和环境等多因素影响,在结直肠道中的癌细胞增殖,可通过产生特殊炎症因子浸润正常细胞,这种持续的浸润状态受肠道菌群的影响极大~([4])。 展开更多
关键词 肠道菌群 结直肠癌 生物标志物 病因学
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PCT、Try R及肠道菌群在急性胰腺炎中的研究进展
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作者 黄珍珍 尹毅霞 +1 位作者 陆俞安 覃金丹 《右江医学》 2024年第1期76-79,共4页
急性胰腺炎(acute pancreatitis,AP)是临床常见的急腹症,以胰腺局部发生炎性反应为其主要特征,病情可轻可重,轻症者在一两周内能恢复,重症者迁延不愈,引发一系列危及生命的并发症,若未能早期干预疾病的进展,可导致患者发生不同程度的多... 急性胰腺炎(acute pancreatitis,AP)是临床常见的急腹症,以胰腺局部发生炎性反应为其主要特征,病情可轻可重,轻症者在一两周内能恢复,重症者迁延不愈,引发一系列危及生命的并发症,若未能早期干预疾病的进展,可导致患者发生不同程度的多器官功能损害,促进重症急性胰腺炎(severe acute pancreatitis,SAP)的发生,甚至导致死亡,因此早期预测急性胰腺炎的严重程度对患者的预后极为重要。近年来,降钙素原(procalcitonin,PCT)、胰蛋白酶(trypsin,Try R)、CT形态学特征及相关定量参数在AP患者的早期风险评估和严重程度分层方面取得了很大进展。 展开更多
关键词 急性胰腺炎 血清学标志物 肠道菌群 发病机制
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Glubran胶和Onyx胶栓塞治疗颅内小型动静脉畸形的临床研究
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作者 徐敬晨 尹毅霞 +3 位作者 黄海能 罗琨祥 李传玉 黄华东 《右江民族医学院学报》 2023年第5期788-793,共6页
目的探讨Glubran胶和Onyx胶栓塞治疗颅内小型动静脉畸形(arteriovenous malformation,AVM)的有效性和安全性。方法选择自2018年7月至2022年12月在某院住院治疗的小型AVM患者48例,使用Onyx18胶治疗的25例患者为Onyx组,采用33%浓度Glubra... 目的探讨Glubran胶和Onyx胶栓塞治疗颅内小型动静脉畸形(arteriovenous malformation,AVM)的有效性和安全性。方法选择自2018年7月至2022年12月在某院住院治疗的小型AVM患者48例,使用Onyx18胶治疗的25例患者为Onyx组,采用33%浓度Glubran胶治疗的23例患者为Glubran组。治疗后观察统计患者完全栓塞率、围手术期并发症发生率及预后情况。结果围手术期并发症发生共10例,Onyx组6例(24.00%),Glubran组4例(17.39%),两组间并发症发生率未见明显差异(P=0.836);术后即刻造影可见Onyx组完全栓塞率64.00%(16/25),Glubran组完全栓塞78.26%(18/23),两组术后即刻栓塞率未见明显差异(P=0.278);术后6个月及1年复查DSA,Onyx组完全栓塞率分别为84.00%(21/25)、91.30%(21/23),Glubran组完全栓塞分别为78.26%(18/23)、100%(23/23),两组随访半年及1年栓塞率未见明显差异(P>0.05);术后6个月及1年症状改善率分别为65.79%(25/38)、77.78%(28/36)。结论Glubran胶和Onyx胶治疗小型AVM的有效性及安全性上无明显差异。两种胶均能明显改善患者临床症状,获得较好的临床疗效,而Glubran胶价格相对便宜、不具备毒性作用并且不依赖特定的输送微导管的特点。因此,对于刚开展AVM液体栓塞治疗的神经介入中心优先选择33%浓度Glubran胶。 展开更多
关键词 Glubran胶 ONYX胶 颅内动静脉畸形 栓塞治疗
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不同剂量熊去氧胆酸治疗原发性硬化性胆管炎的研究进展
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作者 梁锦慧 尹毅霞 +1 位作者 梁秋利 黄珍珍 《右江医学》 2023年第4期370-374,共5页
原发性硬化性胆管炎(primary sclerosing cholangitis,PSC)是一种以特发性肝内外胆管炎症和纤维化导致多灶性胆管狭窄为特征、慢性胆汁淤积病变为主要临床表现的自身免疫性肝病[1-3]。PSC的病因和发病机制尚未明确,可能与疏水性胆汁酸... 原发性硬化性胆管炎(primary sclerosing cholangitis,PSC)是一种以特发性肝内外胆管炎症和纤维化导致多灶性胆管狭窄为特征、慢性胆汁淤积病变为主要临床表现的自身免疫性肝病[1-3]。PSC的病因和发病机制尚未明确,可能与疏水性胆汁酸的毒性作用、免疫因素以及遗传因素有关。有研究报道PSC与炎症性肠病密切相关,尤其是溃疡性结肠炎[4-5]。 展开更多
关键词 熊去氧胆酸 原发性硬化性胆管炎 治疗效果 治疗剂量
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鼻胆管引流联合甲硝唑灌注对预防逆行胰胆管造影术后高淀粉酶血症和胰腺炎的临床研究 被引量:2
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作者 尹毅霞 黄赞松 何守搞 《右江医学》 2018年第4期384-387,共4页
目的探讨鼻胆管引流(EBND)联合甲硝唑灌注对逆行胰胆管造影(ERCP)术后高淀粉酶血症(PEPH)和ERCP术后胰腺炎(PEP)发生的预防作用。方法选择2013年8月~2016年8月期间在右江民族医学院附属医院经B超、MRI和磁共振胰胆管造影(MRCP)证实为胆... 目的探讨鼻胆管引流(EBND)联合甲硝唑灌注对逆行胰胆管造影(ERCP)术后高淀粉酶血症(PEPH)和ERCP术后胰腺炎(PEP)发生的预防作用。方法选择2013年8月~2016年8月期间在右江民族医学院附属医院经B超、MRI和磁共振胰胆管造影(MRCP)证实为胆总管结石并成功实施ERCP+十二指肠乳头括约肌切开术(EST)+取石术+EBND治疗的70例住院患者,按随机数字表分为两组,每组35例,实验组给予甲硝唑注射液100 ml灌注、冲洗,30 min/次,2次/d,连用5天;对照组给予0.9%氯化钠注射液100 ml灌注、冲洗,30 min/次,2次/d,连用5天。观察两组患者术前及术后2 h、12 h、24 h、48 h血淀粉酶水平的变化情况。结果术前两组血清淀粉酶比较差异无统计学意义(P>0.05);术后12 h、24 h、48 h两组血清淀粉酶均升高,差异均有统计学意义(P<0.01),且对照组术后12 h、24 h、48 h血清淀粉酶含量明显高于实验组,差异均有统计学意义(P<0.001)。实验组与对照组PEPH发生率分别为14.29%、37.10%,实验组PEPH发生率明显低于对照组,差异有统计学意义(P<0.05)。实验组PEP发生率为2.86%,低于对照组的14.29%,但比较差异无统计学意义(P>0.05)。两组患者均未出现严重不良反应。结论EBND联合甲硝唑灌注能有效降低PEPH的发生,局部高浓度用药有利于提高疗效,方法简单易行,安全可靠,患者易于接受且耐受度高,值得临床推广和应用。 展开更多
关键词 鼻胆管引流 逆行胰胆管造影 高淀粉酶血症 胰腺炎 甲硝唑 疗效
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Effects of the Interaction between Hydroxyapatite Nanoparticles and Hepatoma Cells 被引量:1
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作者 尹美珍 XU Weiguo +4 位作者 CUI Bingcun 戴红莲 HAN yingchao yin yixia LI Shipu 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS 2014年第3期635-642,共8页
To gain a better understanding of the anticancer effects of hydroxyapatite (HAP) nanoparticles in vivo and in vitro, the effects of the interaction of HAP nanoparticles with hepatoma cells were explored. HAP nanopar... To gain a better understanding of the anticancer effects of hydroxyapatite (HAP) nanoparticles in vivo and in vitro, the effects of the interaction of HAP nanoparticles with hepatoma cells were explored. HAP nanoparticles were prepared by homogeneous precipitation and characterized by laser particle analysis and transmission electron microscopy (TEM). HAP nanoparticles were observed to be uniformly distributed, with rod-like shapes and diameters in the range of 42.1-87.1 nm. Overnight attached, suspended, and proliferating Bel-7402 cells were incubated with HAP nanoparticles. Inverted microscopy observation revealed that HAP nanoparticles with a cell membrane showed good adsorption. TEM demonstrated that HAP nanoparticles were present on the surface of cells, continuously taken up by cells through endocytosis, and transported in vesicles close to the nucleus. Fluorescence microscopy showed that the concentrations of intracellular Ca2+ labeled with Fluo-3 calcium fluorescent probe were significantly enhanced. In addition, inverted microscopy observation revealed that suspended cells treated with HAP nanoparticles did not adhere to the culture bottle, resulting in cell death. After the overnight attached cells were treated with HAP nanoparticles for 96 h with increasing doses of HAP nanoparticles, inverted microscopy observation revealed that cell proliferation was slowed and ceU-ceU adhesion was weakened. Feulgen staining and image analysis indicated that the nuclear DNA content of the cells was markedly reduced, and argyrophilic nucleolar organizer region (AgNOR) staining and image analysis indicated that the number of AgNORs was significantly decreased. Therefore, hepatoma cells brought about the adsorption, uptake, transport and degradation of HAP nanoparticles. In addition, HAP nanoparticles affected hepatoma cells with regard to cell-cell adhesion, cell and extracellular matrix adhesion, and DNA and protein synthesis; thus inhibiting cell proliferation. This understanding of the effects of interaction between HAP nanoparticles and hepatoma cells is useful for further study of the anticancer mechanisms of HAP nanoparticles. 展开更多
关键词 hydroxyapatite nanoparticles hepatoma cells interaction effects cell adhesion
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Cytocompatibility Evaluation of Grafted IKVAV PLEOF Hydrogels with Bone Marrow Mesenchymal Stem Cells 被引量:1
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作者 李宾斌 ZHANG Ping +4 位作者 yin yixia QIU Tong TAO Yuan WANG Xinyu 李世普 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS 2014年第4期824-831,共8页
The novel hydrogels-grafted IKVAV poly(lactide-co-ethylene oxide-co-fumarate)(PLEOF) hydrogels(GIPHs) were developed. The rat bone marrow mesenchymal stem cells(BMMSCs) were employed, and the cell vitality and... The novel hydrogels-grafted IKVAV poly(lactide-co-ethylene oxide-co-fumarate)(PLEOF) hydrogels(GIPHs) were developed. The rat bone marrow mesenchymal stem cells(BMMSCs) were employed, and the cell vitality and apoptosis assays were carried out to evaluate the cytocomptibility of GIPHs. Our data demonstrated that the infl uence of GIPHs on the proliferation of BMMSCs was in a concentration and time dependent manner. The proliferative ability of BMMSCs in GIPHs-treated group(100 μg/mL) after 72 h presented a maximum response which was 30.1% more than that of control group. The numbers of apoptotic cells in GIPHs-treated group(100 μg/mL) were just as much as that of control group after 24 h treatment. The GIPHs are able to provide an appropriate environment for BMMSCs survival and proliferation. 展开更多
关键词 proliferation IKVAV hydrogels vitality apoptosis
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RGD Gifted PDLLA-PRGD Conduits Promotes the Sciatic Nerve Regeneration
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作者 方晓青 邱彤 +6 位作者 XIE Lijuan yin yixia LI Binbin YAN Qiongjiao DAI Honglian WANG Xinyu LI Shipu 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS 2014年第3期620-625,共6页
Schwann cells play a key role in peripheral nerve growth and regeneration. The aim of this study was to evaluate the effects of RGD peptides on Schwann cell behavior, and to identify the effects of the modified PDLLA ... Schwann cells play a key role in peripheral nerve growth and regeneration. The aim of this study was to evaluate the effects of RGD peptides on Schwann cell behavior, and to identify the effects of the modified PDLLA films with RGD in vivo. The results revealed that RGD coating with the concentration of 100-500 ug/mL promoted the cell proliferation and boosted the cell migration. Molecularly, RGD coating also enhanced the expression of the proliferation related genes (c-fos and c-jun) and the cell behavior related genes (actin, tublin, tau and MAP1) at first stages of the seeding, which is similar to the effects from laminin coating. In vivo, RGD addition improved the recovery efficiency of the transected nerve in regard of the more survived Schwann cells in vivo and the formation of more mature myelin sheath. Taken together, RGD peptides are good candidates to enhance the biocompatibility of the biomaterials and facilitate the peripheral nerve regeneration by prompting responses in Schwann ceils. 展开更多
关键词 ROD Schwann cells cell behavior PDLLA-PRGD conduit sciatic nerve regeneration
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In vitro Biological Evaluation of Graphene on Neuronal Cells
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作者 易继凌 赵政 +2 位作者 LI Shipu yin yixia WANG Xinyu 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS 2016年第4期925-930,共6页
We prepared graphene(GE) with a mean size of 3087 nm.The transition of graphene oxide(GO) to GE was confirmed by UV-visible spectroscopy,Fourier transform infrared spectroscopy(FTIR) and X-ray diffraction(XRD)... We prepared graphene(GE) with a mean size of 3087 nm.The transition of graphene oxide(GO) to GE was confirmed by UV-visible spectroscopy,Fourier transform infrared spectroscopy(FTIR) and X-ray diffraction(XRD).The experimental results of optical microscopic observation indicated that the GE ranged from 5 to 20 μg/mL did not affect the cell morphologies of the PC12 cells.The results of cell viability and membrane integrity assay supported that of optical microscopic observation and demonstrated that the GE ranged from 5 to 20 μg/mL presented no obvious cytotoxicity.However,reactive oxygen species(ROS) assay suggested that an elevation of ROS level could be detected when the GE ranged from 20 to 100 μg/mL.These results showed that the GE ranged from 5 to 10 μg/mL presented an excellent in vitro biocompatibility and was one kind of potential biomaterials for neural tissue engineering. 展开更多
关键词 ranged visible microscopic integrity suspensions elevation agglomeration purity cytotoxicity sputtering
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Preparation and Evaluation of an Injectable Chitosan-Hyaluronic Acid hydrogel for Peripheral Nerve Regeneration
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作者 张凌溪 陈亦凡 +10 位作者 徐海星 BAO Yun YAN Xiumei LI Yixuan LI Yiping yin yixia WANG Xinyu QIU Tong HUANG Zhijun XU Peihu WANG Xiaobing 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS 2016年第6期1401-1407,共7页
The aim of this study was to obtain the fillers in the lumen of hollow nerve conduits(NCs) to improve the microenvironment of nerve regeneration. A p H-induced injectable chitosan(CS)-hyaluronic acid(HA) hydroge... The aim of this study was to obtain the fillers in the lumen of hollow nerve conduits(NCs) to improve the microenvironment of nerve regeneration. A p H-induced injectable chitosan(CS)-hyaluronic acid(HA) hydrogel for nerve growth factor(NGF) sustained release was developed. Its properties were characterized by gelation time, FT-IR, SEM, in vitro swelling and degradation. Furthermore, the in vitro NGF release profiles and cell biocompatibility were also investigated. The experimental results show that the CS-HA aqueous solution can undergo a rapid gelation 3 minutes after its environmental p H is changed to 7.4. The CSHA hydrogel has interconnected channels with a controllable pore diameter and with a porosity of about 80%. It has a favorable swelling behavior and can be degraded by about 70% within 8 weeks in vitro and is suitable for NGF release. The CS-HA/NGF hydrogel exhibits a lower cytotoxicity and is in favor of the adhesion and proliferation of the BMMSCs cells. It is indicated that the CS-HA/NGF will be a promising candidate for neural tissue engineering. 展开更多
关键词 chitosan hyaluronic acid nerve growth factor injectable hydrogel peripheral nerve regeneration
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