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胃肝样腺癌14例临床病理分析并文献复习 被引量:4
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作者 孙凡 周少飞 孙凯丽 《肿瘤学杂志》 CAS 2019年第8期763-766,共4页
[目的]探讨胃肝样腺癌(HAS)临床病理特点、诊断、治疗及预后。[方法]回顾性收集青岛市市立医院2009年1月至2017年12月期间收治的14例经外科手术切除标本并经病理证实为HAS患者的临床资料。分析其临床特点、危险因素及预后。[结果] 14例... [目的]探讨胃肝样腺癌(HAS)临床病理特点、诊断、治疗及预后。[方法]回顾性收集青岛市市立医院2009年1月至2017年12月期间收治的14例经外科手术切除标本并经病理证实为HAS患者的临床资料。分析其临床特点、危险因素及预后。[结果] 14例胃肝样腺癌患者均行D2胃癌根治术,初诊时均伴有周围淋巴结转移,4例术前伴有肝转移,5例术前APF升高。化疗可改善患者预后。[结论] HAS是一种特殊类型的少见胃癌,诊断主要依据病理组织学,预后差,根治性手术切除是主要治疗手段。 展开更多
关键词 胃肝样腺癌 临床病理 APF 预后
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基于自由体位的分娩方式对产妇自身产程变化及分娩结局的影响分析 被引量:7
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作者 沈娟华 周少飞 方晶晶 《中国妇幼保健》 CAS 2020年第5期814-817,共4页
目的分析基于自由体位的分娩方式对产妇自身产程变化及分娩结局的影响,为该分娩方式应用于产妇、更好地服务分娩产妇提供理论依据。方法选取2017-2018年于金华浦江第二医院进行分娩的产妇200例随机分为研究组和参照组各100例,参照组采... 目的分析基于自由体位的分娩方式对产妇自身产程变化及分娩结局的影响,为该分娩方式应用于产妇、更好地服务分娩产妇提供理论依据。方法选取2017-2018年于金华浦江第二医院进行分娩的产妇200例随机分为研究组和参照组各100例,参照组采用传统分娩方式,研究组采用基于自由体位的分娩方式。对比两组产妇产程时间、宫口扩张情况、分娩方式、不良妊娠结局发生情况。结果研究组产妇第一、第二、第三产程时间及总产程时间分别为(388.55±102.38)min、(48.69±9.28)min、(6.78±2.45)min、(423.48±116.45)min,低于参照组的(455.29±112.35)min、(66.71±14.10)min、(11.27±3.22)min、(504.27±109.33)min,差异均有统计学意义(P<0.05)。研究组产妇宫口扩张速度(3.14±0.21)cm/h大于参照组产妇的(2.68±0.24)cm/h,宫口全开时间(6.78±1.35)h少于参照组产妇的(8.42±1.24)h,差异均有统计学意义(P<0.05)。两组产妇宫缩间歇时间差异无统计学意义(P>0.05)。研究组产妇自然分娩率61.00%高于参照组的27.00%,剖宫产率13.00%明显低于参照组的39.00%,差异均有统计学意义(P<0.05)。研究组胎儿窘迫、新生儿窒息、产妇下肢麻木/疼痛发生率分别为13.00%、9.00%、2.00%,低于参照组的33.00%、27.00%、10.00%,差异均有统计学意义(P<0.05)。结论基于自由体位的分娩方式可显著缩短产妇的自身产程时间,促进宫口扩张,改善分娩结局,减少不良妊娠结局的发生,临床应用价值较高。 展开更多
关键词 分娩方式 自由体位 产程变化 分娩结局 初乳生长因子
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Correlations between papillary thyroid cancer and peripheral blood levels of matrix metalloproteinase-2, matrix metalloproteinase-9, tissue inhibitor of metalloproteinase-1, and tissue inhibitor of metalloproteinase-2 被引量:8
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作者 zhou shao-fei HU San-yuan +2 位作者 MA Lei MIAO Lei MAO Wei-zheng 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第10期1925-1929,共5页
Background The relationship between the presence of metalloproteinases and thyroid cancer remains unknown, and many controversies still exist in this field. The objective of this study was to investigate the correlati... Background The relationship between the presence of metalloproteinases and thyroid cancer remains unknown, and many controversies still exist in this field. The objective of this study was to investigate the correlations between papillary thyroid cancer and peripheral blood levels of matrix metalloproteinase-2, matrix metalloproteinase-9, tissue inhibitor of metalloproteinase-1, and tissue inhibitor of metall0Proteinase-2. Methods The correlations were studied bY detecting the levels of matrix metalloproteinase-2, matrix metalloproteinase-9, tissue inhibitor of metalloProteinase-1, and tissue inhibitor of metalloproteinase-2 by enzyme-linked immunosorbant assay and reverse-transcription polymerase chain reaction in the peripheral blood of 30 patients with papillary thyroid carcinoma, 27 patients with benign thyroid disease, and 25 hea !hy vo!unteers. Results The leve!s of matrix metalloproteinase-2, matrix metalloproteinase-9, tissue inhibitor of metalloproteinase-1, and tissue inhibitor of metalloproteinase-2 in the peripheral blood of patients with papillary thyroid carcinoma were significantly higher than those in the peripheral blood of patients with benign thyroid disease and healthy volunteers (P 〈0.05). However, there were no significant differences between patients with benign thyroid disease and healthy volunteers (P 〉0.05). The accuracy of detection by both enzyme-linked immunosorbant assay and reverse-transcription polymerase chain reaction in the papillary thyroid cancer group was 83.33%. Conclusions The levels of matrix metalloproteinase-2, matrix metalloproteinase-9, tissue inhibitor of metalloproteinase-1, and tissue inhibitor of metalloproteinase-2 in the peripheral blood are helpful in identifying thyroid carcinoma and aid in preoperative assessment. 展开更多
关键词 thyroid carcinoma matrix metalloproteinase-2 matrix metalloproteinase-9 tissue inhibitor of metalloproteinase-1 tissue inhibitor of metalloproteinase-2
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