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乳腺癌放疗对甲状腺功能和钙磷离子水平的影响 被引量:8
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作者 张明 魏世鸿 +4 位作者 刘锐峰 欧阳水根 管玲 江秀娟 高力英 《现代肿瘤医学》 CAS 2018年第14期2199-2202,共4页
目的:通过对比乳腺癌术后锁骨上区放疗前后甲状腺、甲状旁腺功能,甲状腺超声和钙磷离子的变化,探讨放疗对甲状腺损伤的影响因素。方法:选取甘肃省肿瘤医院放疗科2015年1月至2017年1月收治的120例分期为Ⅱ、Ⅲ期,且具有术后放疗适应证的... 目的:通过对比乳腺癌术后锁骨上区放疗前后甲状腺、甲状旁腺功能,甲状腺超声和钙磷离子的变化,探讨放疗对甲状腺损伤的影响因素。方法:选取甘肃省肿瘤医院放疗科2015年1月至2017年1月收治的120例分期为Ⅱ、Ⅲ期,且具有术后放疗适应证的女性乳腺癌患者,分别在放疗前、放疗结束、放疗结束后1个月、6个月、12个月、24个月检查甲状腺、甲状旁腺功能,甲状腺超声和钙磷离子水平。结果:放疗结束、放疗结束后1和6个月三碘甲状腺原氨酸(T3)[(2.01±0.33)nmol/L、(2.05±0.39)nmol/L、(2.05±0.27)nmol/L]与放疗前相比明显减低,差异有统计学意义(P<0.05);放疗结束后1个月血清游离甲状腺激素(FT4)[(13.63±1.67)pmol/L]与放疗前比较明显降低,差异有统计学意义(P<0.05);放疗结束12个月后甲状腺过氧化物酶抗体(A-TPO)[(5.38±0.73)IU/L]与放疗前比较明显降低,差异有统计学意义(P<0.05);放疗结束12个月后患者钙离子检测有下降趋势,磷离子和甲状旁腺激素无明显变化;甲状腺结节与结节附近丰富血流比例在放疗结束6个月后减少较明显。结论:乳腺癌术后锁骨上区放疗对甲状腺、甲状旁腺功能有影响,但影响有限,随时间延长,甲减风险增高;对甲状旁腺和磷离子无明显影响;钙离子放疗结束12个月后有降低趋势;放疗结束6个月后甲状腺结节和血流减少明显。 展开更多
关键词 乳腺癌 甲状腺 甲状旁腺 钙磷离子
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Healing time, calcium and phosphorus contents as well as bone metabolism evaluation after Xianling Gubao-assisted surgical treatment of Colles fracture in elderly women 被引量:1
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作者 Xue-Feng Qian Ping Cao +2 位作者 Shuan Liu Hong-Ping Yang Ming-Yong Zhang 《Journal of Hainan Medical University》 2017年第2期156-160,共5页
Objective:To study the effect of Xianling Gubao-assisted surgical treatment on postoperative healing, calcium and phosphorus contents as well as bone metabolism in elderly women with Colles fracture.Methods:A total of... Objective:To study the effect of Xianling Gubao-assisted surgical treatment on postoperative healing, calcium and phosphorus contents as well as bone metabolism in elderly women with Colles fracture.Methods:A total of 96 elderly female patients with Colles fracture treated in our hospital between June 2013 and December 2015 were selected and randomly divided into two groups, the observation group of patients received Xianling Gubao capsule combined with manual reduction and plaster external fixation therapy, and control group of patients only received reduction and external fixation therapy. The fracture healing time was followed up after treatment, and 3 months after treatment, serum was collected to determine the content of calcium-phosphorus metabolism indexes and bone metabolism indexes.Results:The fracture healing time of observation group was significantly shorter than that of control group;1 month and 3 months after treatment, serum Ca, P, ALP, IGF-1, PDGF, BGP and PICP levels of both groups were significantly higher than those before treatment while CTX-1, tPINP and TRACP-5b levels were significantly lower than those before treatment;serum Ca, P, ALP, IGF-1, PDGF, BGP and PICP levels of observation group after treatment were significantly higher than those of control group while CTX-1, tPINP and TRACP-5b levels were significantly lower than those of control group.Conclusion:Adjuvant Xianling Gubao capsule therapy can promote the Colles fracture healing in elderly women, also improve calcium-phosphorus metabolism, promote bone formation and inhibit bone resorption. 展开更多
关键词 COLLES fracture Xianling GUBAO capsule calcium-phosphorus metabolism BONE formation BONE RESORPTION
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