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内镜黏膜下剥离术治疗早期胃癌及癌前病变的疗效分析 被引量:25
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作者 张志镒 吴正奇 +7 位作者 卢林芝 樊平 赵光源 李世华 辛亮 王希萍 张丽萍 吴翠花 《中国内镜杂志》 2018年第7期102-107,共6页
目的探讨内镜黏膜下剥离术(ESD)治疗早期胃癌及癌前病变的疗效和风险。方法对2011年6月-2016年12月甘肃省武威肿瘤医院内镜中心经ESD治疗的206例早期胃癌及癌前病变患者的临床病理和随访资料进行总结,评价ESD治疗的一次性完整切除率、... 目的探讨内镜黏膜下剥离术(ESD)治疗早期胃癌及癌前病变的疗效和风险。方法对2011年6月-2016年12月甘肃省武威肿瘤医院内镜中心经ESD治疗的206例早期胃癌及癌前病变患者的临床病理和随访资料进行总结,评价ESD治疗的一次性完整切除率、并发症发生率、复发转移率和临床疗效。结果 206例患者中早期胃癌157例(76.21%),其中m1 39例(24.84%)、m2 17例(10.83%)、m3 92例(58.60%)、sm1 4例(2.55%)、sm2 3例(1.91%)、基底部有癌肿累及2例(1.27%),胃腺管癌84例(53.50%)、中分化腺癌61例(38.85%)、乳头状腺癌5例(3.18%)、胃黏液腺癌2例(1.27%)、胃低分化腺癌5例(3.18%);高级别上皮内瘤变41例(19.90%);绒毛状管状腺瘤伴低级别上皮内瘤变8例(3.88%)。ESD整块切除率为99.03%(204/206),完整切除率为98.06%(202/206),组织学完整治愈率为98.06%(202/206)。术后迟发性出血7例(3.40%),术中穿孔5例(2.43%),术后出现贲门狭窄2例(0.97%),均予保守治疗出院。随访时间9~67个月,第3和5年以上病灶复发3和2例,第3和5年总复发率分别为3.53%和4.35%;第3和5年以上死亡各2例,3和5年生存率分别为97.65%(83/85)和95.65%(44/46)。结论 ESD治疗早期胃癌及癌前病变是一种简便、安全、疗效肯定的方法,临床值得推广。 展开更多
关键词 胃肿瘤 癌前病变 内镜黏膜下剥离术 安全性 并发症
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镇静镇痛胃镜与普通胃镜在临床检查中的应用效果比较 被引量:12
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作者 卢林芝 张志镒 +7 位作者 吴正奇 赵光源 李世华 刘金殿 卢翠玲 辛亮 边玉龙 秦天燕 《中国内镜杂志》 2021年第1期81-85,共5页
目的通过比较镇静镇痛胃镜与普通胃镜在临床检查中的应用效果,探讨镇静镇痛胃镜的安全性、耐受性和受检者的可接受程度。方法选取2019年5月-2019年8月在该院行上消化道癌筛查的人群作为研究对象,根据受检者意愿选择胃镜检查方式,分为镇... 目的通过比较镇静镇痛胃镜与普通胃镜在临床检查中的应用效果,探讨镇静镇痛胃镜的安全性、耐受性和受检者的可接受程度。方法选取2019年5月-2019年8月在该院行上消化道癌筛查的人群作为研究对象,根据受检者意愿选择胃镜检查方式,分为镇静镇痛胃镜组和普通胃镜组。比较两组受检者检查前后相关体征变化,分析镇静镇痛胃镜的应用效果。结果镇静镇痛胃镜组检查前后收缩压、心率和血氧饱和度比较,差异均有统计学意义(P <0.05);普通胃镜组检查前后收缩压和心率比较,差异均有统计学意义(P <0.05);两组受检者检查前血压、心率和血氧饱和度比较,差异均无统计学意义(P>0.05);镇静镇痛胃镜组检查后收缩压和心率低于普通胃镜组,两组比较,差异均有统计学意义(P <0.05);镇静镇痛胃镜组不良反应发生率(呛咳、流涎、躁动、恶心呕吐和咽喉痛)较普通胃镜组低,耐受程度及满意度明显优于普通胃镜组,对检查过程的遗忘比例明显高于普通胃镜组,两组比较,差异均有统计学意义(P <0.05);镇静镇痛胃镜组阳性病变检出率明显高于普通胃镜组,两组比较,差异有统计学意义(2.98%和0.47%,X~2=4.42,P=0.036)。结论受检者更易耐受镇静镇痛胃镜检查方式,该方式不良反应发生率低,阳性病变检出率高,有利于对患者相关病变的检查,受检者对检查的满意度和可接受程度较高。 展开更多
关键词 镇静镇痛胃镜 普通胃镜 应用效果 安全性 消化道疾病
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Knockdown of nucleophosmin induces S-phase arrest in HepG2 cells 被引量:4
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作者 Qing-Qing Wang zhi-yi zhang +4 位作者 Jian-Yong Xiao Chun Yi Lin-Zi Li Yan Huang Jing-Ping Yun 《Chinese Journal of Cancer》 SCIE CAS CSCD 北大核心 2011年第12期853-860,共8页
Nucleophosmin/B23 (NPM) is a universally expressed nucleolar phosphoprotein that participates in proliferation, apoptosis, ribosome assembly, and centrosome duplication; however, the role of NPM in cell cycle regulati... Nucleophosmin/B23 (NPM) is a universally expressed nucleolar phosphoprotein that participates in proliferation, apoptosis, ribosome assembly, and centrosome duplication; however, the role of NPM in cell cycle regulation is not well characterized. We investigated the mechanism by which NPM is involved in cell cycle regulation. NPM was knocked down using siRNA in HepG2 hepatoblastoma cells. NPM translocation following actinomycin D (ActD) treatment was investigated using immunofluorescent staining. Expression of NPM and other factors involved in cell cycle regulation was examined by Western blotting. Cell cycle distribution was measured using flow cytometry to detect 5-ethynyl-2′-deoxyuridine (EdU) incorporation. Cell proliferation was quantified by the MTT assay. Knockdown of NPM increased the percentage of HepG2 cells in S phase and led to decreased expression of P53 and P21Cip1/WAF1. S-phase arrest in HepG2 cells was significantly enhanced by ActD treatment. Furthermore, knockdown of NPM abrogated ActD-induced G2/M phase cell cycle arrest. Taken together, these data demonstrate that inhibition of NPM has a significant effect on the cell cycle. 展开更多
关键词 HepG2细胞 细胞周期调控机制 S期 诱导 免疫荧光染色 细胞周期阻滞 细胞增殖 siRNA
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无痛肠镜检查后并发缺血性肠病的分析(附36例报告) 被引量:1
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作者 李世华 张志镒 +2 位作者 吴正奇 卢林芝 谢春芳 《中国内镜杂志》 2022年第3期73-78,共6页
目的探讨因无痛肠镜检查引起的缺血性肠病的临床发病特点、治疗方案及预后。方法回顾性分析2018年1月-2020年12月该院7422例接受肠镜检查或肠息肉内镜下治疗的患者的临床资料,根据检查方式不同分为无痛肠镜组(n=4615)和普通肠镜组(n=28... 目的探讨因无痛肠镜检查引起的缺血性肠病的临床发病特点、治疗方案及预后。方法回顾性分析2018年1月-2020年12月该院7422例接受肠镜检查或肠息肉内镜下治疗的患者的临床资料,根据检查方式不同分为无痛肠镜组(n=4615)和普通肠镜组(n=2807)。分析两种检查方式引起的缺血性肠病的临床特征。结果两组患者均以腹痛、便血和发热为主要临床表现,早期给予内科治疗,均治愈。共41例患者确诊为缺血性肠病。其中,无痛肠镜组36例,普通肠镜组5例。不同检查类别患者发生缺血性肠病比较,差异有统计学意义(χ^(2)=11.51,P=0.001);内镜下摘除肠息肉与未摘除肠息肉患者发生缺血性肠病比较,差异有统计学意义(χ^(2)=30.75,P=0.000);无痛肠镜和内镜下摘除肠息肉是发生缺血性肠病的独立危险因素(O^R=2.907,P=0.032;O^R=3.313,P=0.000)。结论无痛肠镜检查和肠息肉摘除更易诱发缺血性肠病,早期给予干预,预后良好。 展开更多
关键词 缺血性肠病 无痛肠镜 普通肠镜 发生率 预后
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Cancer Incidence and Mortality Survey in Wuwei, Gansu Province, Northwestern China from 2003 to 2012: A Retrospective Population-based Study 被引量:12
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作者 Cheng-Yun Li Yan-Cheng Ye +7 位作者 Ge-Yu Liang Wen-Hua zhang zhi-yi zhang Xiao-Qin Liu Ying Liang Fen-Lan Xu Jing Li Ji-Lian Xiang 《Chinese Medical Journal》 SCIE CAS CSCD 2016年第6期636-644,共9页
Background: Population-based cancer registry collects the data on cancer incidence and mortality deaths from covered population to describe and survey the epidemics in certain areas. The aim of this study was to esti... Background: Population-based cancer registry collects the data on cancer incidence and mortality deaths from covered population to describe and survey the epidemics in certain areas. The aim of this study was to estimate the cancer incidence and mortality in Wuwei, Gansu province, Northwestern China from 2003 to 2012. The goal is to better understand cancer distribution and long-term development of cancer prevention and treatment in Wuwei. Methods: Data were collected from the Wuwei Cancer Registry between 2003 and 2012. In this registry, data from 46 cancer report centers were included in this analysis. Incidence/mortality rates, age-specific incidence/mortality rates, age-standardized incidence/mortality rates, and cumulative incidence/mortality rates were calculated. Totally, 9,836,740 person-years (5,110,342 for males and 4,726,398 for females) had been monitored over this time period. The gender ratio of male/female was 1.08:1. The number of new cancer cases and related deaths was 24,705 and 17,287 from 2003 to 2012, respectively. Results: The proportion of morphological verification was 74.43%. The incidence of cases identified through death certification only was 1.21%, and the mortality to incidence ratio was 0.70. The average crude incidence was 251.15/100,000 persons (310.61 and 186.87 for males and females per 100,000 persons, respectively). The age-standardized rates by Chinese standard population (ASR-China) and by world standard population (ASR-world) were 207.76 and 245.42 per 100,000 persons, respectively. The crude cancer mortality was 175.74/100,000 persons (228.34 and 118.86 for males and females per 100,000 persons). ASR for China and the world was 149.57 and 175.13/100,000 persons, respectively. The most common cancers and leading causes of cancer-related deaths in Wuwei were as follows: cancers of stomach, esophagus, liver, lung, colorectum, breast, cervix, lymphoma, blood (leukemia), brain, and central nervous system. In Wuwei, during 2003 and 2012, cancer incidence and mortality rates increased by 1.32% and 1.3 l%/year, respectively. During this time, colorectum cancer incidence and mortality rates increased by 2.69% and 7.54%/year, respectively, in Wuwei. The incidence and mortality of other gastric, esophageal, liver, and lung cancers also all increased. Conclusions: The results of this study report a more accurate cancer burden among the population of Wuwei, China. Active research of cancers etiology and effective prevention should be established to reduce the incidence and mortality associated with cancers. 展开更多
关键词 Cancer Registry China INCIDENCE MORTALITY
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Toward wiping out osteoarthritis in China:research highlights 被引量:2
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作者 Zhi-Zhong Ye zhi-yi zhang +2 位作者 Zhan-Guo Li Ci-Bo Huang Yue zhang 《Chinese Medical Journal》 SCIE CAS CSCD 2020年第8期883-885,共3页
Osteoarthritis(OA)is currently considered as more than a degenerative disorder of weight-bearing joints,instead one organ disease of“all-joint”due to cause(s)of aging,injury,inflammation,metabolic disorders,etc.Its ... Osteoarthritis(OA)is currently considered as more than a degenerative disorder of weight-bearing joints,instead one organ disease of“all-joint”due to cause(s)of aging,injury,inflammation,metabolic disorders,etc.Its prevalence is high:9.6%in men and 18.0%in women aged over 60 years.Most health professionals say that OA is incurable and focus exclusively on palliative treatment,as we lack effective disease modifying osteoarthritis drugs(DMOADs).[1]But should we hope that treating OA precisely in China is possible through intensive research and drug development? 展开更多
关键词 OSTEOARTHRITIS DRUGS INFLAMMATION
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