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耳内镜下经耳道鼓室成形手术的可行性分析 被引量:13
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作者 刘平 陆银萍 +2 位作者 王炜 闫鑫 戴国平 《中国内镜杂志》 2019年第7期69-72,共4页
目的探讨全耳内镜下经耳道鼓室成形手术疗效及可行性.方法回顾性分析2016年2月-2017年10月收治的100例慢性化脓性中耳炎和鼓室胆脂瘤患者,同期行经耳道全耳内镜鼓室探查、鼓室病灶清除加鼓室成形手术,观察术后鼓膜形态恢复情况及愈合率... 目的探讨全耳内镜下经耳道鼓室成形手术疗效及可行性.方法回顾性分析2016年2月-2017年10月收治的100例慢性化脓性中耳炎和鼓室胆脂瘤患者,同期行经耳道全耳内镜鼓室探查、鼓室病灶清除加鼓室成形手术,观察术后鼓膜形态恢复情况及愈合率,并比较手术前与手术后3个月平均气导听阈(PTA)及气骨导差(A^B gap)的差异.结果 100例患者术后鼓膜一期完全愈合96例(96%),遗留小穿孔4例(4%),均在门诊耳内镜下处理后完全愈合,内镜下见鼓膜形态良好.术前平均气导听阈为(43.45±9.56)dB/HL,术后平均气导听阈为(27.23±6.89)dB/HL,术前术后比较,差异有统计学意义(P<0.01).术前平均气骨导差为(28.42±6.78)dB/HL,术后平均气骨导差为(13.62±8.67)dB/HL,术前术后比较,差异有统计学意义(P<0.01).结论全耳内镜下经耳道探查处理中耳病灶的同时,行鼓室成形是一种安全有效的手术方法,耳内镜具有视野广及清晰、创伤小、恢复快及听力效果良好和并发症少等优点,具有良好的可行性,是未来中耳手术的一个热点及方向. 展开更多
关键词 慢性化脓性中耳炎 耳内镜 鼓室成形术
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Replication of clinical hepatitis B virus isolate and its application for selecting antiviral agents for chronic hepatitis B patients 被引量:4
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作者 yin-ping lu Tao Guo +5 位作者 Bao-Ju Wang Ji-Hua Dong Jian-Fang Zhu Zhao Liu Meng-Ji lu Dong-Liang Yang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第22期3490-3496,共7页
AIM: To establish a cell model harboring replicative clinical hepatitis B virus (HBV) isolates and evaluate its application in individualized selection of anti-HBV agents for chronic hepatitis B (CHB) patients. METHOD... AIM: To establish a cell model harboring replicative clinical hepatitis B virus (HBV) isolates and evaluate its application in individualized selection of anti-HBV agents for chronic hepatitis B (CHB) patients. METHODS: The full-length HBV genomic DNA from 8 CHB patients was amplified by polymerase chain reaction (PCR). All the patients were treated with lamivudine for at least seven months and finally became resistant to lamivudine. The amplified HBV DNA fragments were inserted into pHY106 vectors by Sap Ⅰ?digestion. The recombinant plasmids containing 1.1 copies of HBV genome were transiently transfected into Huh7 cell line, and the levels of HBsAg, HBeAg and intercellular HBV replicative intermediates were determined by ELISA and Southern blot analysis, respectively, with or without lamivudine and adefovir treatment. The antiviral treatment with adefovir was administered to the patients and analyzed in parallel. RESULTS: A total of 25 independent HBV isolateswere obtained from the sera of 8 patients, each patient had at least two isolates. One isolate from each individual was selected and subcloned into pHY106 vector, including 5 isolates with YVDD mutation and 3 isolates with YIDD mutation. All recombinant plasmids harboring HBV isolates were transfected into Huh7 cells. The results indicated that HBV genome carried in HBV replicons of clinical HBV isolates could effectively replicate and express in Huh7 cells. Adefovir, but not lamivudine, inhibited HBV replication both in vitro and in vivo, and in vitro inhibition was dose-dependent. CONCLUSION: The novel method described herein enables individualized selection of anti-HBV agents in clinic and is useful in future studies of antiviral therapy for CHB. 展开更多
关键词 乙肝病毒 慢性乙型肝炎 隔离群 抗过滤性病原体
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Construction and Characterization of a Hepatitis B Virus Replicon 被引量:5
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作者 yin-ping lu Bao-ju WANG +4 位作者 Ji-hua DONG Zhao LIU Shi-he GUAN Meng-ji lu Dong-liang YANG 《中国病毒学》 CSCD 2007年第1期8-13,共6页
建立复制细胞肝炎 B 病毒(HBV ) 当模特儿并且在抗病毒的药评估决定它的应用程序,我们构造了表情包含了 HBV 染色体的 1.3 个拷贝,并且在 Huh7 房间在短暂 transfection 以后测量了病毒的复制的水平的 plasmid。我们然后观察了抗病毒... 建立复制细胞肝炎 B 病毒(HBV ) 当模特儿并且在抗病毒的药评估决定它的应用程序,我们构造了表情包含了 HBV 染色体的 1.3 个拷贝,并且在 Huh7 房间在短暂 transfection 以后测量了病毒的复制的水平的 plasmid。我们然后观察了抗病毒的药管理的效果。HBV (ayw ) 基因碎片的 1.3 褶层被 PCR 和限制 endonuclease 消化克隆进 pCR2.1。recombinant plasmid 是进 Huh7 房间, HBsAg, HBeAg 和 HBV 的短暂 transfected 在 Huh7 房间的上层清液的 DNA 被 ELISA 和即时 PCR 分别地测量;细胞内部的 HBV replicative 中介和细胞内部的 HBV 抄本被南部的污点和北污点分别地检测。adefovir 的抗病毒的效果,新奇 anti-HBV 核苷酸类似物,在这个细胞的模型系统被评估。结果显示 HBV replicon 的 recombinant plasmid 成功地被构造;在 plasmid pHBV1.3 带的 HBV 染色体能高效地复制并且被表示在哈 7 个房间, adefovir 能在这个细胞的模型,和抑制禁止 HBV 复制是剂量依赖者。结论是 HBV replicon,能在 hepatoma 房间高效地开始病毒的复制,可以是在 HBV 复制和抗病毒的药的学习的一个有用工具。关键词肝炎 B 病毒 - 传染 replicon - 表示向量 CLC 数字 R373 基础条款:国家自然科学基础(No.30271170, No.30170889 ) 。 展开更多
关键词 Hepatitis B virus Infectious replicon Expression vector
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Silencing of UBP43 by shRNA Enhances the Antiviral Activity of Interferon against Hepatitis B Virus 被引量:1
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作者 He-bin FAN Bao-ju WANG +4 位作者 yin-ping lu You-hua HAO Xin-xing YANG Meng-ji lu Dong-liang YANG 《Virologica Sinica》 SCIE CAS CSCD 2008年第5期339-344,共6页
Previous studies have shown that expression of the interferon-sensitive gene (ISG)15 protease UBP43 is increased in the liver biopsy specimens of patients who do not respond to interferon (IFN)-α therapy. We hypothes... Previous studies have shown that expression of the interferon-sensitive gene (ISG)15 protease UBP43 is increased in the liver biopsy specimens of patients who do not respond to interferon (IFN)-α therapy. We hypothesized that UBP43 might hinder the ability of IFN to inhibit HBV replication. In this study, we investigated whether vector-based siRNA promoted by H1 (psiUBP43) could enhance IFN inhibiting HBV replication in cell culture. UBP43 was specifically silenced using shRNA. In HepG2.2.15 cells, the HBeAg and HBV DNA levels were significantly reduced by IFN after transfection of shRNA, imphicated that vector-based siRNA promoted by H1 (psiUBP43) could enhance IFN inhibiting HBV replication in cell culture. These data suggest that UBP43 modulates the anti-HBV type I IFN response, and is a possible therapeutic target for the treatment of HBV infection. 展开更多
关键词 抗病毒活性 肝炎 临床分析 治疗方法
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