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经内镜逆行胰胆管造影术在治疗合并消化道狭窄的胆胰疾病患者中的应用价值 被引量:1
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作者 王维钊 向晓星 +13 位作者 刘军 邓登豪 王璐 陈娟 陈炜炜 柴海娜 孙超 吴莹莹 徐庆成 陈功 韩维维 陈超伍 倪修凡 任天棋 《世界华人消化杂志》 CAS 2021年第15期866-872,共7页
背景随着目前医学诊疗技术的飞速发展,手术微创化,已成为疾病诊疗新趋势,而经过数十年的发展,经内镜逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)已成为微创治疗胆胰疾病的首选手段之一,但是,当胆胰疾病合... 背景随着目前医学诊疗技术的飞速发展,手术微创化,已成为疾病诊疗新趋势,而经过数十年的发展,经内镜逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)已成为微创治疗胆胰疾病的首选手段之一,但是,当胆胰疾病合并消化道狭窄时,行ERCP难度往往较大,目前在该领域的研究较少,因此我们以此为中心展开研究.目的分析ERCP在治疗合并消化道狭窄的胆胰疾病患者中的应用价值.方法收集2014-01/2019-01我院ERCP治疗合并消化道狭窄的胆胰疾病患者临床资料,分析患者病例特点、狭窄处理方式、ERCP并发症情况,评估手术成功率及预后.结果4216例接受ERCP患者中,共有消化道狭窄(食管、胃、十二指肠狭窄)患者134例,其中食管胃吻合口狭窄13例(食管癌术后)、胃窦部狭窄1例(胃窦部巨大脂肪瘤)、十二指肠狭窄120例(恶性狭窄113例,良性狭窄7例).共有106例患者ERCP成功,整体成功率79.10%,包括11例食管吻合口狭窄,1例胃窦狭窄,94例十二指肠狭窄(良性7例,恶性87例).其中42例狭窄较轻患者经变换体位及上腹部压迫后通过狭窄段完成ERCP;31例通过更换JF十二指肠镜或胃镜进镜及导丝引导下完成手术;33例通过柱状气囊扩张后完成ERCP,其中9例在术后同时留置肠道支架;共有28例狭窄较重患者未能完成ERCP,2例为食管胃吻合口狭窄,26例为十二指肠球降部恶性狭窄.术中一例食管吻合口狭窄扩张后出血较多停止手术;术后6例患者在3-6 mo内因肿瘤浸润并十二指肠梗阻行肠道支架置入,2例因术后同时留置的肠道支架阻塞行肠道支架内清理扩张;无穿孔、重症胰腺炎等重大并发症.结论胆胰疾病合并消化道狭窄时,选取合适方法通过狭窄段后行ERCP仍是安全可行的:(1)对于食管癌术后狭窄,经食管扩张通过狭窄后常可完成ERCP,但需警惕食管狭窄扩张出血;(2)十二指肠球、降部狭窄较重患者ERCP难度大,尤以降部狭窄难于球部,球囊扩张可作为通过狭窄段的有效手段,经扩张后短期内易再发侵犯并狭窄,此类患者术后应选择性留置肠道支架;(3)对于扩张后内镜不能通过狭窄段以及浸润严重者,需考虑直接置入肠道支架或选取非ERCP方式解决患者胆道梗阻问题. 展开更多
关键词 经内镜逆行胰胆管造影 消化道狭窄 胆胰疾病
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结肠黑变病的临床特点分析 被引量:9
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作者 柴海娜 刘军 +6 位作者 吴莹莹 陈功 孙超 王璐 陈超伍 朱海杭 赵仁淹 《中国内镜杂志》 2021年第10期24-29,共6页
目的分析结肠黑变病(MC)的检出率及其与性别、伴发肠道疾病的相关性。方法回顾性分析2013年1月-2020年10月该院378例行电子结肠镜检查并诊断为MC的患者的内镜资料及相关临床资料。采用SPSS 20.0统计软件分析MC的检出率及其与年龄、性别... 目的分析结肠黑变病(MC)的检出率及其与性别、伴发肠道疾病的相关性。方法回顾性分析2013年1月-2020年10月该院378例行电子结肠镜检查并诊断为MC的患者的内镜资料及相关临床资料。采用SPSS 20.0统计软件分析MC的检出率及其与年龄、性别、伴发肠道疾病的相关性。结果MC的检出率呈逐年升高趋势。年龄≤60岁的患者中,女性检出率高于男性;大于60岁且小于80岁的患者中,男性检出率及上升幅度大于女性。息肉是MC最常见的伴发疾病,约占28.31%。息肉大小和性别差异无统计学意义。结论MC呈逐年上升趋势。80岁前,其检出率随着年龄的增长而增加。MC与结肠息肉、结肠癌关系密切,可合并炎症性肠病、结肠憩室、结直肠炎和脂肪瘤等。 展开更多
关键词 结肠黑变病 结肠镜 回顾性分析 检出率 结肠息肉 结肠癌
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Diabetes mellitus related bone metabolism and periodontal disease 被引量:36
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作者 ying-ying wu E Xiao Dana T Graves 《International Journal of Oral Science》 SCIE CAS CSCD 2015年第2期63-72,共10页
Diabetes mellitus and periodontal disease are chronic diseases affecting a large number of populations worldwide.Changed bone metabolism is one of the important long-term complications associated with diabetes mellitu... Diabetes mellitus and periodontal disease are chronic diseases affecting a large number of populations worldwide.Changed bone metabolism is one of the important long-term complications associated with diabetes mellitus.Alveolar bone loss is one of the main outcomes of periodontitis,and diabetes is among the primary risk factors for periodontal disease.In this review,we summarise the adverse effects of diabetes on the periodontium in periodontitis subjects,focusing on alveolar bone loss.Bone remodelling begins with osteoclasts resorbing bone,followed by new bone formation by osteoblasts in the resorption lacunae.Therefore,we discuss the potential mechanism of diabetes-enhanced bone loss in relation to osteoblasts and osteoclasts. 展开更多
关键词 periodontal metabolism osteoclast alveolar gingival inflammation populations attachment superoxide macrophages
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Thrombophilia Caused by Beta2-Glycoprotein I Deficiency: In Vitro Study of a Rare Mutation in APOH Gene 被引量:3
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作者 Xiao-ping ZHANG Wei ZENG +7 位作者 Hui LIU Liang TANG Qing-yun WANG Zhi-peng CHENG ying-ying wu Bei HU Wei SHI Yu HU 《Current Medical Science》 SCIE CAS 2018年第2期379-385,共7页
This study aimed to explore the mechanism of a novel mutation (p.Lys38Glu) in apolipoprotein H (APOH) gene causing hereditary beta2-glycoprotein I (β2GPI) deficiency and thrombosis in a proband with thrombophil... This study aimed to explore the mechanism of a novel mutation (p.Lys38Glu) in apolipoprotein H (APOH) gene causing hereditary beta2-glycoprotein I (β2GPI) deficiency and thrombosis in a proband with thrombophilia. The plasma level of β2GPI was measured by ELISA and Western blotting, and anti-β2GPI antibody by ELISA. Lupus anticoagulant (LA) was assayed using the dilute Russell viper venom time. Deficiency of the major natural anticoagulants including protein C (PC), protein S (PS), antithrombin (AT) and thrombomodulin (TM) was excluded from the proband. A mutation analysis was performed by amplification and sequencing of the APOH gene. Wild type and mutant (c.112A〉G) APOH expression plasmids were constructed and transfected into HEK293T cells. The results showed that the thrornbin generation capacity of the proband was higher than that of the other family members. Missense mutation p.Lys38Glu in APOH gene and LA coexisted in the proband. The mutation led to β2GPI deficiency and thrombosis by impairing the protein production and inhibiting the platelet aggregation. It was concluded that the recurrent thrombosis of the proband is associated with the coexistence ofp.Lys38Glu mutation in APOH gene and LA in plasma. 展开更多
关键词 beta2-glycoprotein I lupus anticoagulant MUTATION apolipoprotein H THROMBOPHILIA
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Stretchable and self-healing conductive fibers from hierarchical silver nanowires-assembled network 被引量:1
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作者 ying-ying wu Hong Chen +3 位作者 Fan Zhang Pan Guo Haili Qin Huai-Ping Cong 《Nano Research》 SCIE EI CSCD 2024年第2期763-770,共8页
Conductive fibers(CFs)with features of high conductivity,stretchability,self-healability,and electromechanical stability are key components of the increasingly popular wearable electronics.However,since the lack of st... Conductive fibers(CFs)with features of high conductivity,stretchability,self-healability,and electromechanical stability are key components of the increasingly popular wearable electronics.However,since the lack of structural design of conductive network and interfacial interaction between soft polymer and conductive additives,it is still hard to enable CFs to meet above requirements.Here,we describe a facial drawing method from a hydrogel reservoir which is remolded into ultrathin and stretchable CFs with excellent multi-responsive self-healability.The hydrogel reservoir was fabricated in synergy of an ice-templating method and in situ polymerization using the assembled framework as a crosslinker.Relying on the effective fabrication mechanism,the diameter of CFs could be well-tuned from 90 to 400μm by adjusting the dipping depth of the glass rod,accompanied with conductivity increased from 0.75 to 2.5 S/m.Since the hierarchical network structure was well maintained in the CFs,professional performances have been proved on the stretchability and electromechanical stability.The presence of massive hydrogen bonding and Ag–S bond enabled the CFs with excellent self-healability under the conditions of contact,electric field,and near infrared light,respectively.Excitingly,the CFs with high sensing property could be integrated into an advanced textile sensor through an effective healing-induced integration strategy,demonstrating its great potentials as superior two-dimensional(2D)electronic skins. 展开更多
关键词 conductive fibers self-assembled silver nanowires Ag–S coordination SELF-HEALING flexible sensors
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Aggregation-induced emission meets magnetic bistability: Synergy between spin crossover and fluorescence in iron(Ⅱ) complexes
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作者 Yao Li Mohammad Khurram Javed +5 位作者 Shu-Qi wu Arshia Sulaiman ying-ying wu Zhao-Yang Li Osamu Sato Xian-He Bu 《Chinese Chemical Letters》 SCIE CAS CSCD 2023年第4期608-613,共6页
Luminescent spin crossover(SCO) materials have attracted significant interest owing to their potential applications in magneto-optical switches. However, the majority of previously reported FeII-based SCO complexes ar... Luminescent spin crossover(SCO) materials have attracted significant interest owing to their potential applications in magneto-optical switches. However, the majority of previously reported FeII-based SCO complexes are adversely affected by fluorescence quenching in the solid-state. Here, we have constructed the first mononuclear FeIIcomplex decorated with an aggregation-induced emission(AIE) luminophore(i.e., tetraphenylethylene) that exhibits synergistic SCO and fluorescence behavior. Intriguingly, we obtained two types of crystals in different solvent systems, both displaying distinct magnetic bistability and fluorescence properties. The fluorescence intensity was observed to track the magnetic susceptibility, which confirmed that SCO and solid-state fluorescence operate synergistically. We introduce a novel approach for the construction of luminescent SCO compounds using an AIEgen as a luminophore, which leads to fluorescence emission in the solid-state, thus allowing us to study the synergy between SCO and fluorescence. 展开更多
关键词 Magnetic bistability Spin crossover LUMINESCENCE Aggregation-induced emission Supramolecular structures
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Slow Phase Transition-Induced Scan Rate Dependence of Spin Crossover in a Two-Dimensional Supramolecular Fe(III)Complex
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作者 Zhao-Yang Li ying-ying wu +6 位作者 Yao Li Jin-Hua Wang Arshia Sulaiman Mohammad Khurram Javed Ya-Chao Zhang Wei Li Xian-He Bu 《CCS Chemistry》 CAS CSCD 2023年第2期412-422,共11页
Spin crossover(SCO)is commonly accompanied by a synchronous phase transition.A few phase transitioncoupled SCO compounds have been reported,yet the synergy between SCO and phase transition on different time scales has... Spin crossover(SCO)is commonly accompanied by a synchronous phase transition.A few phase transitioncoupled SCO compounds have been reported,yet the synergy between SCO and phase transition on different time scales has not been explored.Herein,we report an[Fe(H-5-Cl-thsa-Et)(5-Cl-thsa-Et)]·H2O(1·H2O;H2-5-Cl-thsa-Et=5-chloro-salicylaldehyde ethylthiosemicarbazone)Fe(III)complex that displays a two-dimensional supramolecular structure and SCO behavior above room temperature.Its dehydrated form1 exhibits a two-step spin transition with aplateau in the temperature-dependent magnetization(M−T)curve at room temperature and a 51 K thermal hysteresis loop(Tc↑↓=299/248 K)at a rate of 5 K/min.The improved SCOperformance in 1 could be attributed to the stronger intralayer but weaker interlayer interactions,which is supported by single-crystal structural analysis and density functional theory calculations.Remarkably,complex 1 displays an unusual scan rate-dependent SCO behavior at rates of 0.5−30 K/min,in whichM−T curveplateaus appear at lower scan rates(<10 K/min)but vanish at faster scan rates(≥10 K/min).Scan rate-dependent differential scanning calorimetry,powder X-ray diffractometry,timedependent magnetic moment decays,and infrared spectroscopy consistently reveal that the slow structural relaxation is coupled with a slowcrystallographic phase transition,which is the mechanism for the unusual scan rate-dependent SCO. 展开更多
关键词 SUPRAMOLECULAR two-dimensional structures scan rate dependence spin crossover slow phase transition
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