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多孔髓芯减压支撑植骨并关节囊开窗治疗早期股骨头缺血性坏死的疗效观察 被引量:1
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作者 张波 李志鹏 +2 位作者 段修武 李玲 王延生 《中国社区医师(医学专业)》 2013年第21期32-33,共2页
目的:探讨多孔髓芯减压支撑植骨并关节囊开窗治疗早期股骨头缺血性坏死的疗效。方法:收治股骨头坏死患者148例(160髋),分为两组,对照组(80髋)为单纯髓芯减压组;试验组(80髋)为多孔髓芯减压支撑植骨并关节囊开窗组,临床采用Harris评分系... 目的:探讨多孔髓芯减压支撑植骨并关节囊开窗治疗早期股骨头缺血性坏死的疗效。方法:收治股骨头坏死患者148例(160髋),分为两组,对照组(80髋)为单纯髓芯减压组;试验组(80髋)为多孔髓芯减压支撑植骨并关节囊开窗组,临床采用Harris评分系统评估,并分期X线MRI检查。结果:经平均18个月随访,两组末次随访时髋关节Harris评分均高于术前,多孔髓芯减压支撑植骨并关节囊开窗组Harris评分高于单纯减压组(P<0.01)。结论:多孔髓芯减压支撑植骨并关节囊开窗可有效进行骨内及关节内减压,改善内环境,减轻疼痛,阻止病情发展或延缓病情发展,该方法简单有效,花费低,适合早期股骨头缺血性坏死的患者,优于单纯髓芯减压治疗。 展开更多
关键词 股骨头缺血性坏死 多孔髓芯减压 支撑植骨 关节囊开窗
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Endometrial MicroRNA Signature during the Window of Implantation Changed in Patients with Repeated Implantation Failure 被引量:10
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作者 Cheng Shi Huan Shen +9 位作者 Li-Juan Fan Jing Guan Xin-Bang Zheng Xi Chen Rong Liang Xiao-Wei Zhang Qing-Hua Cui Kun-Kun Sun Zhu-Ran Zhao Hong-Jing Han 《Chinese Medical Journal》 SCIE CAS CSCD 2017年第5期566-573,共8页
Background: At present, a diagnostic tool with high specificity for impaired endometrial receptivity, which may lead to implantation failure, remains to be developed. We aimed to assess the different endometrial micr... Background: At present, a diagnostic tool with high specificity for impaired endometrial receptivity, which may lead to implantation failure, remains to be developed. We aimed to assess the different endometrial microRNA (miRNA) signatures for impaired endometrial receptivity by microarray analysis. Methods: A total of 12 repeated implantation failure (RIF) patients and I0 infertile patients, who conceived and delivered after one embryo transfer attempt, were recruited as RIF and control groups, respectively. Endometrial specimens from the window of implantation (WOI) were collected from these two groups. MiRNA microarray was conducted on seven and five samples from the RIF and control groups, respectively. Comparative, functional, and network analyses were performed for the microarray results. Quantitative real-time polymerase chain reaction (PCR) was performed on other samples to validate the expression of specific miRNAs. Results: Compared with those in the control group, the expression levels of 105 miRNAs in the RIF group were found to be significantly up- or down-regulated (at least 2-fold) by microarray analysis. The most relevant miRNA functional sets of these dysregulated miRNAs were miR-30 family, human embryonic stern cell regulation, epithelial-mesenchymal transition, and miRNA tumor suppressors by tool for annotations ofmicroRNA analysis. Network regulatory analysis found 176 miRNA-mRNA interactions, and the top 3 core miRNAs were has-miR-4668-5p, has-miR-429, and has-miR-5088. Expression levels of the 18 selected miRNAs in new samples by real-time PCR were found to be regulated with the same trend, as the result ofmicroarray analysis. Conclusions: There is a significant different expression of certain miRNAs in the WOI endometrium for RIF patients. These miRNAs may contribute to impaired endometrial receptivity. 展开更多
关键词 Embryo implantation Endometrial Receptivity MicroRNA Microarray Repeated implantation Failure window of implantation
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