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食管钡餐造影结合CT在评估食管癌放疗疗效中的应用
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作者 杜迎节 张山燕 徐建伟 《影像研究与医学应用》 2024年第8期47-50,共4页
目的:观察食管钡餐造影结合CT在评估食管癌放疗疗效中的应用价值。方法:选取2022年3月—2023年8月泰安市肿瘤防治院收治的68例食管癌患者,所有患者均采取肿瘤放射治疗,放疗前及放疗后实施CT检查与食管钡餐造影。应用食管钡餐造影对病灶... 目的:观察食管钡餐造影结合CT在评估食管癌放疗疗效中的应用价值。方法:选取2022年3月—2023年8月泰安市肿瘤防治院收治的68例食管癌患者,所有患者均采取肿瘤放射治疗,放疗前及放疗后实施CT检查与食管钡餐造影。应用食管钡餐造影对病灶缓解状况进行分析,通过CT对区域淋巴结短径、淋巴结体积、最大管壁厚度、长径等进行检测,联合CT检查与食管钡餐造影评估放疗后的短期生存率。结果:68例患者中,完全缓解、部分缓解、稳定、进展分别有23例、37例、5例、3例,总缓解率是88.24%。放疗后的淋巴结体积、淋巴结长径和淋巴结短径比放疗前的小,差异有统计学意义(P<0.05),而放疗前、后最大管壁厚度差异无统计学意义(P>0.05)。管壁厚度≤1.12 cm与管壁厚度>1.12 cm的总缓解率差异无统计学意义(P>0.05)。放疗后淋巴长径≤1.57 cm比放疗后淋巴长径>1.57 cm的总缓解率高,差异有统计学意义(P<0.05)。放疗后淋巴结短径≤0.89 cm的总缓解率比放疗后淋巴结短径>0.89 cm的高,差异有统计学意义(P<0.05)。放疗后淋巴结体积≤1.79 cm^(3)的总缓解率比淋巴结体积<1.79 cm^(3)的高,差异有统计学意义(P<0.05)。结论:CT结合食管钡餐在食管癌放疗治疗效果评估中应用效果明显,两者联合对于淋巴结体积、长径和短径与钡餐造影疗效的评估更有价值,值得采纳、推广。 展开更多
关键词 食管癌 放疗 食管钡餐造影 淋巴结 食管壁厚度
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A New Route to the Synthesis of Barium Carbonate Crystals by the Induction of Bacillus Pasteurii 被引量:3
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作者 王丽娜 霍冀川 +1 位作者 刘树信 雷永林 《Chinese Journal of Structural Chemistry》 SCIE CAS CSCD 2011年第5期738-742,共5页
As one of the soil microorganisms, bacillus pasteurii exhibits good urease-produ-cing ability. A novel method is used to prepare BaCO3 crystals by the induction of bacillus pasteurii. The crystals have been characteri... As one of the soil microorganisms, bacillus pasteurii exhibits good urease-produ-cing ability. A novel method is used to prepare BaCO3 crystals by the induction of bacillus pasteurii. The crystals have been characterized by XRD, SEM and FT-IR. X-ray diffraction analysis quantified that the BaCO3 crystals obtained belong to the orthorhombic crystal system. Examination by scanning electron microscopy identified that the BaCO3 crystals have different morphologies under different preparation conditions. FT-IR indicated that surfactant EDTA had great effect on the morphology of BaCO3 crystals. Different morphology crystals had uniform distribution and integral shape. The forming mechanism and influence of EDTA on the morphology of BaCO3 crystals have been discussed. 展开更多
关键词 barium carbonate bacillus pasteurii UREASE crystal structure FTIR x-ray diffraction (XRD)
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X-RAY FLUORESCENCE SPECTRA ANALYSIS ON THE STRUCTURE AROUND Ti^(4+) OF BaO-SiO_2-B_2O_3-TiO_2 SYSTEM GLASSES
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作者 宋晓岚 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS 2000年第4期43-47,共5页
The structure around Ti^(4+) in Bao-SiO_2 -B_2O_3-TiO_2 had been studied by X-ray fluorescence spectra. The results show that the Ti^(4+) mainly exists in the [TiO_4] and enters the network of [SiO_4]. [TiO_4] has the... The structure around Ti^(4+) in Bao-SiO_2 -B_2O_3-TiO_2 had been studied by X-ray fluorescence spectra. The results show that the Ti^(4+) mainly exists in the [TiO_4] and enters the network of [SiO_4]. [TiO_4] has the tendency to change to [TiO_6] with the increase of TiO_2 con-tent. When the TiO_2 content increases to about 20mol% the tendency reaches its maximum. 展开更多
关键词 titanium barium boronsilicate glasses Ti^(4+) structural state x-ray fluorescence spectra analysis (XRF)
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食管间质瘤的钡餐、CT表现及其病理 被引量:6
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作者 黄清玲 刘文 +1 位作者 张宗军 黄伟 《中国医学计算机成像杂志》 CSCD 北大核心 2009年第4期327-330,共4页
目的:分析食管间质瘤的影像学特点,探讨钡餐及CT对该肿瘤的诊断价值。方法:回顾性分析经手术病理证实的16例食管间质瘤钡餐及CT的影像学特点,并与病理进行对照。结果:16例患者共检出病灶17个,15例为单发病灶,1例为2个病灶。以食管中下... 目的:分析食管间质瘤的影像学特点,探讨钡餐及CT对该肿瘤的诊断价值。方法:回顾性分析经手术病理证实的16例食管间质瘤钡餐及CT的影像学特点,并与病理进行对照。结果:16例患者共检出病灶17个,15例为单发病灶,1例为2个病灶。以食管中下段常见(13/17)。13例良性肿瘤均为单发病灶。钡餐表现食管弧形外压性改变,CT平扫表现为腔内黏膜下类圆形的均匀软组织密度影,增强后均匀轻度强化。3例恶性肿瘤共4个病灶。其中1例钡餐显示食管管壁僵硬,黏膜有破坏,CT平扫肿瘤分叶状有囊变坏死,增强扫描呈不规则强化,囊变坏死区不强化,余2例3个病灶钡餐黏膜线不规则,CT上病灶前缘呈浅分叶状,密度无明显异常。结论:食管间质瘤钡餐多表现为黏膜下隆起性病变,CT多表现为腔内生长的肿块。钡餐和CT检查有助于食管间质瘤的诊断。 展开更多
关键词 食管间质瘤 钡餐 体层摄影术 X线计算机 病理
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食管黏膜下血肿的临床与X线表现 被引量:2
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作者 黄映宏 吴桂丽 +3 位作者 罗育新 黄楚绵 郭岳霖 刘国瑞 《中国医学影像学杂志》 CSCD 2007年第2期113-115,共3页
目的:分析食管黏膜下血肿的临床及X线表现。材料和方法:回顾性分析经食道镜确诊及处理的29例食管黏膜下血肿的临床及X线食管钡餐表现。结果:食管黏膜下血肿临床症状轻且定位不明确,X线食管钡餐表现为食管腔内充盈缺损21例、液-钡平面影... 目的:分析食管黏膜下血肿的临床及X线表现。材料和方法:回顾性分析经食道镜确诊及处理的29例食管黏膜下血肿的临床及X线食管钡餐表现。结果:食管黏膜下血肿临床症状轻且定位不明确,X线食管钡餐表现为食管腔内充盈缺损21例、液-钡平面影6例及囊状钡剂充填影4例。结论:X线食管钡餐检查,结合临床表现能明确诊断食管黏膜下血肿,并对临床治疗有重要指导意义。 展开更多
关键词 食管 黏膜下血肿 临床 X线 食管钡餐
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贲门失弛缓症诊断技术的进展 被引量:4
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作者 姚学敏 王美峰 林琳 《胃肠病学》 2011年第7期432-434,共3页
贲门失弛缓症(AC)是一种病因未明的原发性食管运动障碍性疾病,目前其诊断主要根据临床表现、内镜检查、食管钡餐、食管测压等。定时食管吞钡检查是一种简便、非侵入性的食管排空评估技术,有助于AC的诊断、疗效评估以及治疗后检测复发;... 贲门失弛缓症(AC)是一种病因未明的原发性食管运动障碍性疾病,目前其诊断主要根据临床表现、内镜检查、食管钡餐、食管测压等。定时食管吞钡检查是一种简便、非侵入性的食管排空评估技术,有助于AC的诊断、疗效评估以及治疗后检测复发;而食管高分辨率测压(HRM)的敏感性较高,并可将AC食管异常收缩分为3种亚型。本文就AC诊断技术的进展作一综述。 展开更多
关键词 食管失弛症 食管括约肌 下段 定时食管吞钡检查 高分辨率测压 诊断
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基于VFSS/MBS的吞咽困难饮食调整策略 被引量:9
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作者 魏鹏绪 《中国康复理论与实践》 CSCD 2007年第8期745-747,共3页
饮食调整是一种吞咽困难康复常用而又重要的干预手段。根据电视X线透视吞咽功能研究/改良吞钡造影,可以明确患者能够适应的固体/液体食物种类、适宜的每口摄入量和吞咽时有效的姿势调整方法,以确定安全、有效的吞咽困难饮食调整策略,尽... 饮食调整是一种吞咽困难康复常用而又重要的干预手段。根据电视X线透视吞咽功能研究/改良吞钡造影,可以明确患者能够适应的固体/液体食物种类、适宜的每口摄入量和吞咽时有效的姿势调整方法,以确定安全、有效的吞咽困难饮食调整策略,尽量保证经口进食,促进患者吞咽功能的康复。 展开更多
关键词 吞咽困难 饮食调整 电视X线透视吞咽功能研究/改良吞钡造影 康复 综述
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以急性化脓性甲状腺炎首诊的先天性梨状窝瘘影像学表现 被引量:2
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作者 张铭 王翔 潘昌杰 《放射学实践》 北大核心 2018年第11期1128-1132,共5页
目的:分析先天性梨状窝瘘(CPSF)所致急性化脓性甲状腺炎(AST)的影像学表现特征及其诊断价值。方法:回顾性分析2016年6月-2017年6月在我院经喉镜或病理证实的6例因CPSF所致AST患者的影像学资料,包括下咽造影(6例)、CT(6例)及MRI检查(5例... 目的:分析先天性梨状窝瘘(CPSF)所致急性化脓性甲状腺炎(AST)的影像学表现特征及其诊断价值。方法:回顾性分析2016年6月-2017年6月在我院经喉镜或病理证实的6例因CPSF所致AST患者的影像学资料,包括下咽造影(6例)、CT(6例)及MRI检查(5例)。结果:6例患者均为左侧AST,以瘘道显影作为确诊依据,下咽造影确定2例CPSF,CT扫描确诊4例CPSF,MRI扫描确定1例CPSF。对于继发性炎性改变的显示,在下咽造影检查中3例患者可见梨状窝形态改变(变浅或消失),颈部蜂窝织炎及甲状腺脓肿无法显示;CT检查中梨状窝形态改变显示4例,颈部蜂窝织炎及甲状腺脓肿分别显示5例、4例;MRI中梨状窝形态改变显示4例,颈部蜂窝织炎及甲状腺脓肿分别显示5例、5例。结论:先天性梨状窝瘘致急性化脓性甲状腺炎影像学表现具有特征性,证实瘘道的存在是诊断CPSF的关键。本研究提示对细小瘘道的显示,CT增强或口服对比剂后CT比下咽造影及MRI具有更高的敏感性。对于颈部继发炎性改变的显示,特别是炎症累及范围及边界,MRI比CT更具有优势。下咽造影、CT及MRI检查的综合运用有助于提高对该病诊断的敏感性和准确性。 展开更多
关键词 先天性梨状窝瘘 甲状腺炎 化脓性 下咽造影 体层摄影术 X线计算机 磁共振成像
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腹痛患儿上消化道钡餐检查与血清幽门螺杆菌抗体的测定
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作者 赵子庆 吴斌 +2 位作者 吴丽瑟 陈素清 陈影 《福建医学院学报》 1996年第3期245-246,共2页
目的探讨上消化道钡餐检查结合血清幽门螺杆菌(Hp)抗体测定的临床应用价值。方法对100例疑为上消化道炎症或溃疡病患儿进行上消化道钡餐(GI)检查和血清Hp抗体测定。结果GI提示十二指肠溃疡12例,十二指肠球炎5例,胃... 目的探讨上消化道钡餐检查结合血清幽门螺杆菌(Hp)抗体测定的临床应用价值。方法对100例疑为上消化道炎症或溃疡病患儿进行上消化道钡餐(GI)检查和血清Hp抗体测定。结果GI提示十二指肠溃疡12例,十二指肠球炎5例,胃窦炎14例,胃炎56例,正常9例,总阳性率为91%;其血清Hp抗体阳性(%)分别为100%,100%,93%,61%,44%,总阳性率为66%。病程>1月患儿Hp抗体阳性率明显高于病程≤1月组。结论Hp感染是小儿溃疡病、十二指肠球炎、胃(窦)炎的主要原因;GI检查配合血清Hp抗体测定可做为小儿溃疡病、上消化道炎症及其是否Hp感染诊断的有效辅助手段。 展开更多
关键词 幽门螺杆菌 抗体 腹痛 儿童 上消化道 钡餐
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碘海醇与硫酸钡两种造影剂在脑卒中后吞咽障碍患者吞咽造影检查中的应用 被引量:7
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作者 卢璨 孙洁 《中国医药导报》 CAS 2021年第11期129-132,共4页
目的探讨碘海醇与硫酸钡两种造影剂在脑卒中后吞咽障碍患者电视荧光放射吞咽功能检查(VFSS)中的应用效果。方法选择2018年9月—2019年6月徐州医科大学附属医院康复科行VFSS的脑卒中后吞咽障碍患者71例为研究对象。依据随机数字表法将其... 目的探讨碘海醇与硫酸钡两种造影剂在脑卒中后吞咽障碍患者电视荧光放射吞咽功能检查(VFSS)中的应用效果。方法选择2018年9月—2019年6月徐州医科大学附属医院康复科行VFSS的脑卒中后吞咽障碍患者71例为研究对象。依据随机数字表法将其分为硫酸钡组(36例)、碘海醇组(35例)。硫酸钡组采用硫酸钡为造影剂,碘海醇组采用碘海醇为造影剂。比较两组造影过程中渗漏-误吸程度以及两组吸入性肺炎的发生情况,并分析两种造影剂对吞咽功能障碍的治疗效果。结果两组患者第2次造影后Rosenbek渗漏-误吸量表(PAS)评分明显低于第1次造影后PAS评分,差异有统计学意义(P<0.05);两组患者PAS评分比较,差异无统计学意义(P>0.05)。硫酸钡组吸入性肺炎发生率高于碘海醇组,差异有统计学意义(P<0.05)。两组吞咽能力治疗效果比较,差异无统计学意义(P>0.05)。结论在VFSS检查中使用碘海醇作为造影剂不会降低吞咽造影检查的敏感性,且吸入性肺炎发生率低,不影响临床治疗。 展开更多
关键词 脑卒中后吞咽障碍 电视荧光放射吞咽功能检查 硫酸钡 碘海醇 吞咽造影检查
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大剂量稀钡灌肠对回盲部的观察 被引量:1
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作者 贾智勇 厚利洁 朱斌 《内蒙古医学杂志》 2005年第5期396-397,共2页
目的:探讨大剂量稀钡灌肠对回盲部结构及病灶的诊断价值.方法:35例大剂量稀钡灌肠造影病例都有完整临床资料,或经手术病理证实,或经临床保守治疗随访证实,所有病例均在结肠造影前5~10d进行过大剂量稀钡钡餐造影,并选择回盲部充盈像及... 目的:探讨大剂量稀钡灌肠对回盲部结构及病灶的诊断价值.方法:35例大剂量稀钡灌肠造影病例都有完整临床资料,或经手术病理证实,或经临床保守治疗随访证实,所有病例均在结肠造影前5~10d进行过大剂量稀钡钡餐造影,并选择回盲部充盈像及加压像作为观察指标.结果:大剂量稀钡灌肠造影对于回盲部结构及病变的显示明显优于大剂量钡餐造影,且在统计学上有非常显著性差异.结论:应把大剂量稀钡灌肠造影作为检查回盲部病变的常规手段. 展开更多
关键词 回盲部 稀钡灌肠造影 X线检查
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喉癌患者环状软骨上喉部分切除术后吞咽功能评估方法的研究 被引量:17
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作者 李新龙 杨昌国 《现代肿瘤医学》 CAS 2019年第18期3226-3229,共4页
目的:分析喉癌患者环状软骨上喉部分切除术后6个月吞咽功能恢复情况及纤维内镜吞咽检查(FEES)、改良X线吞咽造影(MBS)和改良误侵误吸计分量表(MPAS)的评估价值。方法:回顾性分析本院2016年1月至2017年12月收治的55例喉癌患者的临床资料... 目的:分析喉癌患者环状软骨上喉部分切除术后6个月吞咽功能恢复情况及纤维内镜吞咽检查(FEES)、改良X线吞咽造影(MBS)和改良误侵误吸计分量表(MPAS)的评估价值。方法:回顾性分析本院2016年1月至2017年12月收治的55例喉癌患者的临床资料,评估患者术后6个月吞咽功能的恢复情况,并采用Kappa检验分析FEES与MBS两种评估方法的一致性。结果:经FEES和MBS检查,依据患者的MPAS评分结果,吞咽功能正常的评估标准为流食、半流食和固体食物均评为1分,记录55例患者术后不同时间段吞咽功能恢复正常的情况。经FEES检查:术后0.5~1个月吞咽功能正常14例,术后1~1.5个月正常21例,术后1.5~3个月正常31例,术后3~6个月正常42例;经MBS检查:术后0.5~1个月吞咽功能正常9例,术后1~1.5个月正常11例,术后1.5~3个月正常26例,术后3~6个月正常32例。经Kappa一致性检验结果发现,FEES与MBS两种评估方法对流食评估结果的一致性一般(Kappa=0.54),而对半流食与固体食物评估结果的一致性较强(Kappa=0. 85、0. 82)。以MBS检查结果为金标准,拔除胃管的指征为:流食、半流食和固体食物的MPAS评分均≤4级,误吸量少且可咳出。55例患者均可拔除胃管,拔除胃管的平均时间为(20. 95±6. 14) d。结论:喉癌患者在环状软骨上喉部分切除术后6个月的吞咽功能可恢复正常或基本正常,且FEES和MBS两种检查方法对患者术后吞咽功能恢复情况具有良好的评估价值,其中FEES检查具有无辐射、操作简便等特点,临床医师可自行完成,更适用于评估喉癌患者环状软骨上喉部分切除术后吞咽功能的恢复情况。 展开更多
关键词 喉癌 环状软骨上喉部分切除术 吞咽功能 纤维内镜吞咽检查 改良X线吞咽造影 改良误侵误吸计分量表
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吞钡造影在神经源性吞咽障碍评估中的应用 被引量:3
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作者 齐赛 张捧玉 《中国康复医学杂志》 CAS CSCD 2004年第5期346-348,共3页
目的:探讨吞钡造影在神经源性吞咽障碍评估中的价值。方法:30例患者分别于康复治疗前和康复治疗后行吞钡造影,观察吞咽的动态过程及其障碍发生的不同时相。结果:吞咽障碍可出现口腔内食物异常滞留、鼻腔逆流、误咽、梨状隐窝食物残留等... 目的:探讨吞钡造影在神经源性吞咽障碍评估中的价值。方法:30例患者分别于康复治疗前和康复治疗后行吞钡造影,观察吞咽的动态过程及其障碍发生的不同时相。结果:吞咽障碍可出现口腔内食物异常滞留、鼻腔逆流、误咽、梨状隐窝食物残留等情况,吞咽康复训练1个月前后比较,上述症状明显改善(P<0.01)。结论:吞钡造影评估神经源性吞咽障碍客观、简便、有效。 展开更多
关键词 神经源性吞咽障碍 康复治疗 吞钡造影术 脑卒中 并发症 吞咽反射
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中医疗法治疗胃溃疡的临床疗效 被引量:9
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作者 陈元鑫 《中医临床研究》 2012年第24期95-95,97,共2页
目的:探讨中医疗法对治疗胃溃疡的临床疗效。方法:将58例胃部溃疡患者的性别、年龄以及病症程度,随机将其分为了中医组和西医组,每组各29例。中医组在治疗中根据患者胃溃疡的类型,展开不同的中医用药治疗。西医组,在治疗中主要采用兰索... 目的:探讨中医疗法对治疗胃溃疡的临床疗效。方法:将58例胃部溃疡患者的性别、年龄以及病症程度,随机将其分为了中医组和西医组,每组各29例。中医组在治疗中根据患者胃溃疡的类型,展开不同的中医用药治疗。西医组,在治疗中主要采用兰索拉唑、阿莫西林、洁维乐凝胶、克拉霉素等进行治疗。结果:经过3个月疗程治疗与12个月观察,中医组显效23例,有效4例,无效2例,总有效率93.10%;西医组显效20例,有效4例,无效5例,总有效率82.75%;12个月后,中医组复发1例,西医组复发6例,占20.68%。结论:采用中医治疗方式治疗胃溃疡临床疗效显著,值得临床推广应用。 展开更多
关键词 胃溃疡 中医治疗 胃镜 X线钡餐 尿素酶实验 脾胃虚寒 肝胃气滞
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Clinical pathology analysis of esophageal sarcomatoid carcinoma
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作者 Changshan Li Jingzhong Xu +2 位作者 Shenghua Tian Qingmin Meng Gangping Wang 《The Chinese-German Journal of Clinical Oncology》 CAS 2014年第5期235-239,共5页
Objective: The purpose of this study was to study the clinical, imaging characters and pathological characteristics of esophageal sarcomatoid carcinoma. Methods: We reviewed 23 cases of esophageal sarcomatoid carcin... Objective: The purpose of this study was to study the clinical, imaging characters and pathological characteristics of esophageal sarcomatoid carcinoma. Methods: We reviewed 23 cases of esophageal sarcomatoid carcinoma from Janu ary 2006 to December 2013 in four hospitals. The data of patients who were esophageal sarcomatoid carcinoma operated were retrospectively analyzed. All cases had completed upper gastrointestinal barium images materials and 14 of these cases had completed CT images materials. Upper gastrointestinal barium images and CT imaging features include tumor location, size, shape, and strengthen, etc. The biological parameters of lesions including the express of cytokeratin AE1/AE3, 34E12,, Vimentin, desmin, Actin, S100 and Ki67 detected by immunhistochemical UltraSensitiveTM SP method (n = 23), and the patients' data of contrastographic picture (n = 23), imaging characters of CT scan (n = 14), and their relationship were studied. Results: Upper gastrointestinal barium images, CT imaging and gastrointestinal fiberscopy revealed Iobulated intraluminal filling defect 0.4 cm to 5.7 cm x 3.5 cmx 1.3 cm (mean = 3. 7 cm) in the mid (n = 14), lower (n = 7) and upper (n = 2) intrathoracic esophagus. Among 23 cases of esophageal sarcomatoid carcinoma, 19 patients were of mushroom type, 2 patients was of ulcer type, and 2 patients were of medulla type; 19 patients were pedunculated, and 4 patients were no pedunculated (2 patients was of ulcer type). The tumor surface was relatively smooth and esophageal compliance was maintained. The pathological changes of esophagus such as lightly locked, rigid wall nomanifest partly, esophageal lumens expand partly, major filling sublobe defect could be shown through contrast medium. Normal esophagus was no unpack obviously over pathological changes. Enhanced computed tomography showed tumors in the intrathoracic esophagus and 8 lymph nodes metastases in 3 cases. Histologically, carcinomatous and sarcomatous components coexist. Microscopically, the tumor comprised poorly differentiated squamous cell carcinoma and spindleshaped cells resembling leiomyosarcoma. Immu nohistochemically, spindleshaped sarcomatous cells displayed weekly positive reaction to cytokeratin AE1/AE3. Transitional zone was seen between sarcomatous and carcinomatous elements in 5 cases. The 17 lymph nodes metastases in 5 cases (53 lymph nodes) among 23 cases esophageal sarcomatoid carcinoma (187 lymph nodes) were observed. Conclusion: The clinical and radiologic features of esophageal sarcomatoid carcinoma overlap with those of other esophageal neoplasms. There are the radiologic imaging changes such as a large, intraluminal, polypoid mass, major filling sublobe defect and pedicle skin flap tumor in esophageal lumen, esophageal lumen extension partly, dissepiment rigidity wall no obviously, etc. Histologically, carcinomatous and sarcomatous components coexist and the biphasic pattern is the key diagnostic feature. However, esophageal sarcomatoid carcinoma has a more favorable prognosis than other malignant esophageal neoplasms. Immunohistochemical staining seems necessary to distinguish these lesions from other esophageal neoplasms. 展开更多
关键词 ESOPHAGUS sarcornatoid carcinoma barium sulfate tomography x-ray computer PATHOLOGY diagnosis
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Predictive value of symptoms and demographics in diagnosing malignancy or peptic stricture
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作者 Iain A Murray Joanne Palmer +1 位作者 Carolyn Waters Harry R Dalton 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第32期4357-4362,共6页
AIM:To determine which features of history and demographics predict a diagnosis of malignancy or peptic stricture in patients presenting with dysphagia.METHODS:A prospective case-control study of 2000 consecutive refe... AIM:To determine which features of history and demographics predict a diagnosis of malignancy or peptic stricture in patients presenting with dysphagia.METHODS:A prospective case-control study of 2000 consecutive referrals(1031 female,age range:17-103 years) to a rapid access service for dysphagia,based in a teaching hospital within the United Kingdom,over 7 years.The service consists of a nurse-led telephone triage followed by investigation(barium swallow or gastroscopy),if appropriate,within 2 wk.Logistic regression analysis of demographic and clinical variables was performed.This includes age,sex,duration of dysphagia,whether to liquids or solids,and whether there are associated features(reflux,odynophagia,weight loss,regurgitation).We determined odds ratio(OR) for these variables for the diagnoses of malignancy and peptic stricture.We determined the value of the Edinburgh Dysphagia Score(EDS) in predicting cancer in our cohort.Multivariate logistic regression was performed and P < 0.05 considered significant.The local ethics committee confirmed ethics approval was not required(audit).RESULTS:The commonest diagnosis is gastro-esophageal reflux disease(41.3%).Malignancy(11.0%) and peptic stricture(10.0%) were also relatively common.Malignancies were diagnosed by histology(97%) or on radiological criteria,either sequential barium swallows showing progression of disease or unequivocal evidence of malignancy on computed tomography.The majority of malignancies were esophago-gastric in origin but ear,nose and throat tumors,pancreatic cancer and extrinsic compression from lung or mediastinal metastatic cancer were also found.Malignancy was statistically more frequent in older patients(aged >73 years,OR 1.1-3.3,age < 60 years 6.5%,60-73 years 11.2%,> 73 years 11.8%,P < 0.05),males(OR 2.2-4.8,males 14.5%,females 5.6%,P < 0.0005),short duration of dysphagia(≤ 8 wk,OR 4.5-20.7,16.6%,8-26 wk 14.5%,> 26 wk 2.5%,P < 0.0005),progressive symptoms(OR 1.3-2.6:progressive 14.8%,intermittent 9.3%,P < 0.001),with weight loss of ≥ 2 kg(OR 2.5-5.1,weight loss 22.1%,without weight loss 6.4%,P < 0.0005) and without reflux(OR 1.2-2.5,reflux 7.2%,no reflux 15.5%,P < 0.0005).The likelihood of malignancy was greater in those who described true dysphagia(food or drink sticking within 5 s of swallowing than those who did not(15.1%vs 5.2% respectively,P < 0.001).The sensitivity,specificity,positive predictive value and negative predictive value of the EDS were 98.4%,9.3%,11.8% and 98.0% respectively.Three patients with an EDS of 3(high risk EDS ≥ 3.5) had malignancy.Unlike the original validation cohort,there was no difference in likelihood of malignancy based on level of dysphagia(pharyngeal level dysphagia 11.9% vs mid sternal or lower sternal dysphagia 12.4%).Peptic stricture was statistically more frequent in those with longer duration of symptoms(> 6 mo,OR 1.2-2.9,≤ 8 wk 9.8%,8-26 wk 10.6%,> 26 wk 15.7%,P < 0.05) and over 60 s(OR 1.2-3.0,age < 60 years 6.2%,60-73 years 10.2%,> 73 years 10.6%,P < 0.05).CONCLUSION:Malignancy and peptic stricture are frequent findings in those referred with dysphagia.The predictive value for associated features could help determine need for fast track investigation whilst reducing service pressures. 展开更多
关键词 Dysphagia Deglutition disorders Esophageal neoplasms Esophageal stenosis Gastroscopy barium swallow Predictive value of tests
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Crystal Structure of Ba<sub>x</sub>Sr<sub>1-x</sub>TiO<sub>3</sub>Fine Powder
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作者 Natheer B. Mahmood Emad K. Al-Shakarchi +1 位作者 Brahim Elouadi Xavier Feaugas 《Journal of Modern Physics》 2015年第1期70-77,共8页
Various compositions of the system BaxSr1-xTiO3 (BST) have been elaborated both as fine powders and ceramic monoliths, using the co-precipitation route within a warmed supersaturated solution of oxalic acid. The appro... Various compositions of the system BaxSr1-xTiO3 (BST) have been elaborated both as fine powders and ceramic monoliths, using the co-precipitation route within a warmed supersaturated solution of oxalic acid. The appropriate stoichiometry was determined from the mixtures of precisely titrated aqueous solutions of cations chlorides (SrCl2, BaCl2, and TiCl4). The reason of this process was to apply low sintering temperature in production of BST samples with ultra-fine powders. These powders primarily calcined at (850°C) for (5 hr) were used to elaborate ceramics after pellets sintering at (1200°C) during (8 hrs). Indeed, XRD patterns were confirmed that the samples are a pure phase and a perovskite cubic structural type at (x = 0, 0.5, 0.6). Whereas, (x = 0.7, 0.8, 0.9, 1) showed a tetragonal phase. There is agreement between the FTIR and XRD analysis, by the relation of the wave vector (K) and lattice constant. It was deduced a stimulated relation between (x) and (K). The results of TEM, they were clear that the lowest particle sizes investigated of BST powders nearly (36 - 50 nm). 展开更多
关键词 barium Strontium TITANATE OXALATE CO-PRECIPITATION Method x-ray Diffraction Transmission Electron Microscope Ultra-Fine Powder
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食道钡剂造影对鼻咽癌患者放疗后的吞咽功能评估
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作者 徐永立 凌岳 《现代医院》 2016年第12期1788-1790,共3页
目的研究食道钡剂造影对鼻咽癌患者放疗后吞咽功能的评估价值,为临床诊治提供参考。方法对2012年1月-2015年12月间收治的鼻咽癌放疗后的患者156例进行回顾性分析,其中78例进行过调强放疗治疗(设为观察组),78例进行过常规放疗治疗(设为... 目的研究食道钡剂造影对鼻咽癌患者放疗后吞咽功能的评估价值,为临床诊治提供参考。方法对2012年1月-2015年12月间收治的鼻咽癌放疗后的患者156例进行回顾性分析,其中78例进行过调强放疗治疗(设为观察组),78例进行过常规放疗治疗(设为对照组)。两组患者均进行食道钡剂造影检查及随访调查,并与其喉镜检查结果比较,对比三者结果并作深入分析。结果应用食道钡剂造影检查发现观察组出现吞咽障碍总计为55.13%(43/78),显著低于对照组的85.90%(67/78);通过随访调查统计得到观察组出现吞咽功能障碍患者总计60.26%(47/78),显著低于对照组的91.03%(71/78);对喉镜检查结果对比发现观察组出现吞咽功能障碍总计56.41%(44/78),显著低于对照组的88.46%(69/78)。最后对比三种结果得到两组中食道钡剂造影与随访调查、喉镜对鼻咽癌放疗后吞咽功能检查结果对比均差异无统计学意义(P>0.05)。结论鼻咽癌患者进行放疗治疗后普遍出现吞咽功能障碍,而调强放疗后出现的比例较低。采用食道钡剂造影检查后对吞咽功能障碍了解详细,可为了解病情发展严重程度及治疗提供依据,具有较高的应用价值。 展开更多
关键词 鼻咽癌 放疗 吞咽功能障碍 食道钡剂造影 评估价值
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Syntheses,Structures and Properties of Some New Composition Perovskite Compounds:Sr0.6Bi0.4FeO2.7,Sr1-xBixFeO3-y and Ba1.5Pt0.5Mn2O6
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《Chinese Journal of Structural Chemistry》 SCIE CAS CSCD 1994年第5期350-359,共页
New composition perovskite-type compounds with formula Sr0.6Bi0.4FeO2.7,Sr1-xBixFeO3-y(x=0.1 to 0. 9 in interveral of 0.1),and Ba1.5Pt0.5Mn2O6 have been synthsized and structurally characterized.The crystal structure ... New composition perovskite-type compounds with formula Sr0.6Bi0.4FeO2.7,Sr1-xBixFeO3-y(x=0.1 to 0. 9 in interveral of 0.1),and Ba1.5Pt0.5Mn2O6 have been synthsized and structurally characterized.The crystal structure of Sr0.6Bi0.4FeO2.7has been determined by X-ray single crystal diffraction,and the data of neutron powder diffraction collected at both room temperature and elevated temperature(380℃).The compound Sr0.6Bi0.4FeO2.7 crystallizes in the cubic space group of Pm3m with Z=1,a=3.9330(6) at room temperature,a=3.9498(6)A at 380℃.The magnetic structure from the neutron powder diffraction data collected at room temperature is consistent with a simple G-type antiferromagnetism and has a magnetic moment of 4.98 μB per Fe atom.The structures of Sr1-xBixFeO3-y with x other than 0.4 were also refined from the X-ray powder diffraction data.The data were consistent with a tetragonal cell when x=0.1,a rhombohedral cell when x= 0.9,and a cubic cell for x=0.2~0.8.From single crystal X-ray diffraction data,Ba1.5Pt0.5Mn2O6 crystallizes in hexagonal space group of P63mc with a= 5.7722 (6),c=4.4504(9),V=128.42(2),Z=1.The Sr(1-x)BixFeO(3-y)are found to be a good electronic and ionic conductor. 展开更多
关键词 perovskite-type compounds strontium bismuth iron oxides barium platinum manganese oxide single crystal structure neutron powder diffraction x-ray powder diffraction
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脑卒中吞咽障碍患者食管清除功能异常与口咽期吞咽生理及渗漏误吸的相关性分析
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作者 邓宝梅 梁丽丝 +2 位作者 赵嘉欣 郑海清 胡昔权 《中华物理医学与康复杂志》 CSCD 北大核心 2023年第12期1078-1083,共6页
目的:对脑卒中吞咽障碍患者食管清除功能异常的发生率及严重程度进行回顾性分析,探讨脑卒中后食管清除功能异常患者的临床特点,并分析食管清除功能异常与口咽期吞咽生理及渗漏误吸间的相关性。方法:选取2019年10月至2023年4月期间在我... 目的:对脑卒中吞咽障碍患者食管清除功能异常的发生率及严重程度进行回顾性分析,探讨脑卒中后食管清除功能异常患者的临床特点,并分析食管清除功能异常与口咽期吞咽生理及渗漏误吸间的相关性。方法:选取2019年10月至2023年4月期间在我院康复科住院、并完成吞咽造影检查(含正位像食管清除观察)的174例脑卒中患者作为研究对象,从其医疗记录中收集临床资料数据,并针对患者吞咽5 ml高稠度食物的正位像及侧位像造影结果进行分析。采用改良钡剂吞咽障碍造影评估量表(MBSImP)的食管清除(EC)项目对患者的食管清除功能进行评级,并对其口腔期及咽期的各吞咽生理成分进行评分。采用Rosenbek渗漏误吸量表对患者进食的安全性进行评级。结果:在174例入选患者中,共发现70例(40.23%)患者有食管清除功能异常,且大部分(共43例)患者表现为食管中到远端滞留。与食管清除正常组患者比较,食管清除异常组患者的平均年龄更高、咽期总体障碍程度更严重( P<0.001)。通过相关性分析发现,入选患者食管清除功能与口腔期范畴的各吞咽生理成分及渗漏误吸评级均无显著相关性( P>0.05),而与咽期范畴的喉上抬( r=0.229, P=0.002)、舌骨前移运动( r=0.244, P=0.001)、咽蠕动( r=0.521, P<0.001)、咽收缩( r=0.309, P<0.001)、食管上括约肌开放( r=0.337, P<0.001)、舌根收缩( r=0.261, P=0.001)及咽部残留( r=0.260, P=0.001)均具有显著正相关性。 结论:脑卒中吞咽障碍患者可同时合并食管清除功能障碍。食管清除功能异常与年龄及咽期吞咽障碍严重程度相关。咽期吞咽生理异常可能伴随更高的食管清除异常发生率,咽蠕动减弱常提示伴随更严重的食管清除异常。将正位像食管清除观察纳入常规吞咽造影检查中,有助于筛查食管功能异常以早期识别临床问题,提高吞咽评估的全面性及系统性。 展开更多
关键词 食管期吞咽障碍 食管清除 脑卒中 MBSImP 吞咽生理成分 渗漏 误吸
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