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Analysis of the Millard method for unilateral cleft lip repair
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作者 张如鸿 《外科研究与新技术》 2003年第2期127-127,共1页
Objective To analyze and describe the advantages and disadvantages of the Milland repair in the unilateral cleft lip (UCL).Methods In 30 patients with UCL undergoing the deft lip repair with the Millard Ⅰ or Ⅱ metho... Objective To analyze and describe the advantages and disadvantages of the Milland repair in the unilateral cleft lip (UCL).Methods In 30 patients with UCL undergoing the deft lip repair with the Millard Ⅰ or Ⅱ method, the vermilion was repaired by a modified method with a triangle flap, while the alar cartilage reposition was performed. Results Postoperative follow-up of 6 - 12 months revealed the good results with invisible scar, good preservation of philtrum dimple and column, full vermilion and lengthened columella, good alar cartilage reposition. Conclusion The Millard method is good for UCL repair. The modified technique with a trangle flap on the vermilion edge can overcome Millard’s disavantages. The anatomic reposition of the affected alar cartilage by blunt dissection at the first stage is suitable for the oriental. 6 refs,4 figs. June 2003 Vol12 展开更多
关键词 millard repair CLEFT CARTILAGE UNILATERAL disadvantages overcome DIssECTION preservation ORIENTAL
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S100B protein in tissue development,repair and regeneration 被引量:14
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作者 Guglielmo Sorci Francesca Riuzzi +4 位作者 Cataldo Arcuri Claudia Tubaro Roberta Bianchi Ileana Giambanco Rosario Donato 《World Journal of Biological Chemistry》 CAS 2013年第1期1-12,共12页
The Ca 2+-binding protein of the EF-hand type,S100B,exerts both intracellular and extracellular regulatory activities.As an intracellular regulator,S100B is involved in the regulation of energy metabolism,transcriptio... The Ca 2+-binding protein of the EF-hand type,S100B,exerts both intracellular and extracellular regulatory activities.As an intracellular regulator,S100B is involved in the regulation of energy metabolism,transcription,protein phosphorylation,cell proliferation,survival,differentiation and motility,and Ca 2+ homeostasis,by interacting with a wide array of proteins(i.e.,enzymes,enzyme substrates,cytoskeletal subunits,scaffold/adaptor proteins,transcription factors,ubiquitin E3 ligases,ion channels) in a restricted number of cell types.As an extracellular signal,S100B engages the pattern recognition receptor,receptor for advanced glycation end-products(RAGE),on immune cells as well as on neuronal,astrocytic and microglial cells,vascular smooth muscle cells,skeletal myoblasts and cardiomyocytes.However,RAGE may not be the sole receptor activated by S100B,the protein being able to enhance bFGF-FGFR1 signaling by interacting with FGFR1-bound bFGF in particular cell types.Moreover,extracellular effects of S100B vary depending on its local concentration.Increasing evidence suggests that at the concentration found in extracellular fluids in normal physiological conditions and locally upon acute tissue injury,which is up to a few nM levels,S100B exerts trophic effects in the central and peripheral nervous system and in skeletal muscle tissue thus participating in tissue homeostasis.The present commentary summarizes results implicating intracellular and extracellular S100B in tissue development,repair and regeneration. 展开更多
关键词 s100B CELL proliferation CELL differentiation CELL survival CELL MOTILITY DEVELOPMENT TIssUE homeostasis TIssUE repair TIssUE REGENERATION
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Brain repair for Parkinson's disease:is the answer in the matrix? 被引量:2
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作者 Niamh Moriarty Eilís Dowd 《Neural Regeneration Research》 SCIE CAS CSCD 2018年第7期1187-1188,共2页
Two hundred years after James Parkinson first described the cardinal motor symptoms of the disorder that would later bear his name,there is still an irrefutable need for a therapy that targets the underlying pathophys... Two hundred years after James Parkinson first described the cardinal motor symptoms of the disorder that would later bear his name,there is still an irrefutable need for a therapy that targets the underlying pathophysiology of the disease and not solely its symptoms. 展开更多
关键词 Brain repair for Parkinson’s disease:is the answer in the matrix
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Impact of SNP-SNP interactions of DNA repair gene ERCC5 and metabolic gene GSTP1 on gastric cancer/atrophic gastritis risk in a Chinese population 被引量:5
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作者 Liang Sang Zhi Lv +2 位作者 Li-Ping Sun Qian Xu Yuan Yuan 《World Journal of Gastroenterology》 SCIE CAS 2018年第5期602-612,共11页
AIM To investigate the interactions of the DNA repair gene excision repair cross complementing group 5(ERCC5) and the metabolic gene glutathione S-transferase pi 1(GSTP1) and their effects on atrophic gastritis(AG) an... AIM To investigate the interactions of the DNA repair gene excision repair cross complementing group 5(ERCC5) and the metabolic gene glutathione S-transferase pi 1(GSTP1) and their effects on atrophic gastritis(AG) and gastric cancer(GC) risk.METHODS Seven ERCC5 single nucleotide polymorphisms(SNPs)(rs1047768, rs2094258, rs2228959, rs4150291, rs4150383, rs751402, and rs873601) and GSTP1 SNP rs1695 were detected using the Sequenom MassA RRAY platform in 450 GC patients, 634 AG cases, and 621 healthy control subjects in a Chinese population.RESULTS Two pairwise combinations(ERCC5 rs2094258 and rs873601 with GSTP1 rs1695) influenced AG risk(P_(interaction) = 0.008 and 0.043, respectively), and the ERCC5 rs2094258-GSTP1 rs1695 SNP pair demonstrated an antagonistic effect, while ERCC5 rs873601-GSTP1 rs1695 showed a synergistic effect on AG risk OR = 0.51 and 1.79, respectively). No pairwise combinations were observed in relation to GC risk. There were no cumulative effects among the pairwise interactions(ERCC5 rs2094258 and rs873601 with GSTP1 rs1695) on AG susceptibility(P_(trend) > 0.05). When the modification effect of Helicobacter pylori(H. pylori) infection was evaluated, the cumulative effect of one of the aforementioned pairwise interactions(ERCC5 rs873601-GSTP1 rs1695) was associated with an increased AG risk in the case of negative H. pylori status(P_(trend)= 0.043).CONCLUSION There is a multifarious interaction between the DNA repair gene ERCC5 SNPs(rs2094258 and rs873601) and the metabolic gene GSTP1 rs1695, which may form the basis for various inter-individual susceptibilities to AG. 展开更多
关键词 EXCIsION repair cross complementing group 5 Glutathione s-TRANsFERAsE pi 1 ATROPHIC GAsTRITIs Gastric cancer single nucleotide polymorphisms
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Millard's改进法修复双侧唇裂的体会
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作者 吕勤英 焉晋绪 《青海医药杂志》 1991年第4期24-25,共2页
唇裂是口腔科最常见的先天性畸形,双侧唇裂是其中较为严重的类型,按畸形的程度不同,又将其分为三类:Ⅰ双侧完全性裂;Ⅱ双侧不完全性裂;Ⅲ混合裂(一侧完全性裂,一侧部分裂),以Ⅰ类最为常见。双侧唇裂的修复方法很多,常用的有:Brawn氏法、... 唇裂是口腔科最常见的先天性畸形,双侧唇裂是其中较为严重的类型,按畸形的程度不同,又将其分为三类:Ⅰ双侧完全性裂;Ⅱ双侧不完全性裂;Ⅲ混合裂(一侧完全性裂,一侧部分裂),以Ⅰ类最为常见。双侧唇裂的修复方法很多,常用的有:Brawn氏法、Barsky氏法、Wynn氏法、Bauer氏法、Glover氏法以及宋儒耀的直线法。由于双侧唇裂的组织缺损,组织移位比较严重,且因两侧裂开,没有正常侧作缓冲及正确修复和标准。 展开更多
关键词 millards 双侧唇裂 宋儒耀 混合裂 先天性畸形 直线法 鼻底 完全性 口轮匝肌 鼻小柱基底
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Editor's Choice—Application of tissue-engineered materials in the repair of spinal cord injury
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《Neural Regeneration Research》 SCIE CAS CSCD 2011年第19期1456-1456,共1页
The development of tissue-engineered technology brings hope to the treatment of spinal cord injury. Preparation of a tissue-engineered spinal cord stent with three-dimensional bionic structure has important value in t... The development of tissue-engineered technology brings hope to the treatment of spinal cord injury. Preparation of a tissue-engineered spinal cord stent with three-dimensional bionic structure has important value in the construction of tissue-engineered spinal cord and the repair of spinal cord injury. Acellular scaffolds can be produced with chemical extraction, 展开更多
关键词 Application of tissue-engineered materials in the repair of spinal cord injury Editor’s Choice
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AB047.Membrane binding of S100A10 protein and AHNAK peptide involved in cell membrane repair
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作者 Xiaolin Yan Marie-France Lebel-Beaucage +3 位作者 Samuel Tremblay Gary Shaw Dror Warschawski Élodie Boisselier 《Annals of Eye Science》 2019年第1期222-222,共1页
Background:The S100A10 protein might be an early biomarker of diabetes development leading to diabetic retinopathy.The protein complex S100A10/annexin A2 allows the recruitment of the C-terminal of AHNAK protein(AHNAK... Background:The S100A10 protein might be an early biomarker of diabetes development leading to diabetic retinopathy.The protein complex S100A10/annexin A2 allows the recruitment of the C-terminal of AHNAK protein(AHNAK C-ter peptide)to the membrane in presence of calcium,before forming a platform which can initiate membrane repair.However,no molecular data are currently available on membrane binding of the different proteins involved in this complex.We aim to study the membrane binding of S100A10,AHNAK C-ter peptide and their complex to better understand their roles in cell membrane repair process.Methods:Firstly,S100A10 will be overexpressed and purified by affinity chromatography and AHNAK C-ter peptide will be synthesized.Langmuir monolayers membrane model will then be used to characterize the interactions between these proteins and different phospholipids found in membranes.The secondary structure,orientation and membrane organization of these proteins will be studied by Polarization Modulation Infrared Reflection-Absorption Spectroscopy.Their lateral localization will be determined through the influence of these proteins on the physical state of lipids by fluorescence microscopy.Results:The optimization of the overexpression,purification and cleavage of the GST tag procedure to obtain pure S100A10 was completed.Protein identification by mass spectrometry and circular dichroism stability pre-studies were performed.In parallel,AHNAK C-ter peptide was studied by Langmuir monolayer model and the results indicate this peptide prefers lipids with negatively charged polar heads and unsaturated acyl chains.Preliminary solid-state NMR results confirm this phenomenon at 37℃.Conclusions:Our research will complete current knowledge on membrane binding of S100A10 and AHNAK C-ter peptide.We could also identify the conditions leading to modifications of these membrane bindings,and possibly to the loss of protein function.Thus,this project helps to better determine their roles in membrane repair,as well as in other physiological mechanisms in which these proteins are involved. 展开更多
关键词 s100A10 AHNAK diabetic retinopathy membrane repair
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Carotid-subclavian bypass and endovascular aortic repair of Kommerell’s diverticulum with aberrant left subclavian artery:A case report
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作者 Wajeehullahi Akilu Yi Feng +4 位作者 Xiao-Xue Zhang Shi-Liang Li Xian-Tao Ma Min Hu Cai Cheng 《World Journal of Clinical Cases》 SCIE 2023年第33期8038-8043,共6页
BACKGROUND Kommerell’s diverticulum(KD)with aberrant left subclavian artery is a rare congenital deformity and also has very little research literature about it(35%of case study).There are three types of aortic arch ... BACKGROUND Kommerell’s diverticulum(KD)with aberrant left subclavian artery is a rare congenital deformity and also has very little research literature about it(35%of case study).There are three types of aortic arch diverticulum.Even literature concerning the treatment options are limited.CASE SUMMARY We present a case report of a 50-year-old male with KD in the right aortic arch with aberrant left subclavian artery.We conducted a total endovascular repair procedure,which is innovative and will spread more light in the medical world.Our patient has no past medical history and is a non-smoker and non-alcoholic.Patient presented with shortness of breath,chest pain and dizziness for six months.Blood tests were done and computerized tomography(CT)angiogram of the chest confirmed the diagnosis,illustrating showed a 3.9 cm KD.On Day 1,the CT angiogram showed mild dilatation of the thoracic aorta,adjacent esophagus,trachea was compressed and displaced.Surgery was planned as the treatment modality.Carotid-Subclavian artery bypass and endovascular aortic repair was conducted.We used prolene 5-0 C1 sutures to precisely anastomose a 6-mm Dacron graft to the left subclavian artery.Haemostasis was secured and wounds were closed.Protamine was administered and patient was shifted to intensive care unit.Post-operative,patient responded favorably and was discharged.Regular follow-up is done.CONCLUSION The procedure we performed is novel.This will help the cardio-thoracic surgeons a better insight about the full procedures we conducted,thereby bringing more light and better treatment options in managing KD with aberrant subclavian artery. 展开更多
关键词 Kommerell’s diverticulum Left common carotid artery Aberrant left subclavian artery Carotid-subclavian bypass Medtronic stent catheter endovascular repair Case report
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谷胱甘肽S转移酶P1和X线修复交错互补基因1基因多态性与前列腺癌化疗敏感性及预后关系研究
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作者 薛松 张祥 +2 位作者 潘鑫 易晓明 商学军 《中华男科学杂志》 CAS CSCD 2024年第9期803-808,共6页
目的:探究前列腺癌患者谷胱甘肽S转移酶P1(GSTP1)和X线修复交错互补基因1(XRCC1)基因多态性与化疗敏感性及预后的关系。方法:选取2018年5月至2021年5月行雄激素剥夺治疗+双药化疗的前列腺癌患者103例,收集患者临床资料,采用PCR-PFLP方... 目的:探究前列腺癌患者谷胱甘肽S转移酶P1(GSTP1)和X线修复交错互补基因1(XRCC1)基因多态性与化疗敏感性及预后的关系。方法:选取2018年5月至2021年5月行雄激素剥夺治疗+双药化疗的前列腺癌患者103例,收集患者临床资料,采用PCR-PFLP方法对患者行基因分型,并分析其GSTP1-rs1695位点和XRCC1-rs25487位点的多态性,分析其与化疗敏感性的关系,并探究GSTP1和XRCC1基因多态性与患者3年生存率的相关性。结果:103例前列腺癌化疗患者GSTP1-rs1695位点和XRCC1-rs25487位点分布均符合Hardy-Weinberg平衡(χ2=9.794,P>0.05)。GSTP1-rs1695位点中AA基因型占比为65.05%(67/103),AG基因型占比为23.30%(24/103),GG基因型占比为11.65%(12/103);XRCC1-rs25487位点中AA基因型占比为29.13%(30/103),AG基因型占比为50.49%(52/103),GG基因型占比为20.39%(21/103)。GSTP1-rs1695 AA型化疗敏感性为35.82%,低于AG/GG型58.33%(P<0.05)。XRCC1-rs25487 AA型化疗敏感性为40.00%,AG/GG型45.21%,两者差异无统计学意义(P>0.05)。GSTP1-rs1695、XRCC1-rs25487不同表型患者3年无进展生存率之间无明显差异(P>0.05)。GSTP1-rs1695 AA型3年总生存率低于AG/GG型;XRCC1-rs25487 AA型低于AG/GG型(P<0.05)。多因素COX回归分析结果显示,GSTP1-rs1695 AA型、XRCC1-rs25487 AA型均为前列腺癌患者化疗后3年总生存期的独立影响因素。结论:GSTP1-rs1695、XRCC1-rs25487基因多态性对前列腺癌患者化疗敏感性和预后均有一定影响,GSTP1-rs1695和XRCC1-rs25487 A等位基因突变均可导致更短的3年生存率,G等位基因突变可带来更好的化疗敏感性和生存期。 展开更多
关键词 前列腺癌 谷胱甘肽s转移酶P1 X线修复交错互补基因1 基因多态性 化疗敏感性
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OJU Peyronie’s Disease in an Elderly Ghanaian Gentleman—A Case-Report and Literature Review
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作者 Frank Obeng Aishah Fadila Adamu +16 位作者 Samuel Edudzi Gavor Blessings Yao Setsoafia Sedem Atimpo Ebenezer Antwi Enoch Kwaku Adjaho Nana Yaa Agyenim Boateng Merveille Adjin Anum-Laryea Gwendolyn Egyefi Armah Juliet Enyonam Dzivenu Frank Fosu Joel Kwame Kwao Alexander Kofi Quansah Pearl Esi Demawu Hussein Rachel Akosua Sogbe Kafui Kossi Kekessie Mawuenyo Attawa Oyortey Ali Mamudu Ayamba 《Open Journal of Urology》 2024年第10期519-531,共13页
Background: Peyronie’s disease is characterized by fibrous plaque formation in the tunica albuginea, leading to penile curvature and sexual dysfunction. Surgical correction is often required in cases of severe deform... Background: Peyronie’s disease is characterized by fibrous plaque formation in the tunica albuginea, leading to penile curvature and sexual dysfunction. Surgical correction is often required in cases of severe deformity or significant functional impairment. Aim: To present the case of a patient with severe Peyronie’s disease who underwent surgical correction using an autologous fascia lata graft. Case Presentation: We report the case of a 77-year-old Black-African gentleman with Peyronie’s disease, presenting with a self-reported penile curvature of 70 degrees and significant sexual frustration. He was managed surgically with plaque excision followed by a tunica albuginea patch using a subcutaneously harvested autologous fascia lata graft, all performed in a single surgical session. Conclusion: This case highlights the importance of individualized surgical planning and patient-specific considerations in achieving optimal outcomes in the management of Peyronie’s disease, particularly in cases requiring grafting for severe curvature. 展开更多
关键词 Peyronie’s Disease Penile Trauma Tunica Albuginea Penile Deformity sexual Frustration Careful Diagnosis Tailored-surgical Therapy Calcific-Plaques Autologous Fascia Lata Graft Water-Tight repair
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改良Millard法修复单侧唇裂64例 被引量:4
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作者 宋培军 李建成 +4 位作者 张莉 李旭文 王怀谷 熊竹友 蒋邦红 《实用医学杂志》 CAS 北大核心 2017年第11期1802-1804,共3页
目的:探讨应用改良Millard法修复单侧唇裂的临床效果。方法:收集我院2014年7月至2015年6月期间64例单侧唇裂患者,对传统Millard法进行改良将传统的鼻小柱的定点移至近患侧鼻小柱根部,移动的范围根据鼻小柱畸形程度及鼻孔大小进行调整;... 目的:探讨应用改良Millard法修复单侧唇裂的临床效果。方法:收集我院2014年7月至2015年6月期间64例单侧唇裂患者,对传统Millard法进行改良将传统的鼻小柱的定点移至近患侧鼻小柱根部,移动的范围根据鼻小柱畸形程度及鼻孔大小进行调整;不再设计鼻底及鼻翼基部切口,改为充分游离患侧的口轮匝肌,使其与健侧游离的口轮匝肌进行对位缝合。结果:本组患者均行改良Millard法进行修复后,经过1~12个月的随访,上唇、人中嵴解剖形态自然,两侧唇峰基本对称。结论:通过与传统Millard术式修复患者比较,外观有较大改善。改良Millard法修复单侧唇裂是一种比较理想的修复方法。 展开更多
关键词 改良millard 单侧唇裂 修复
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Millard法修复唇裂对上颌骨生长发育影响的动物实验研究 被引量:3
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作者 石冰 龙洁 王晴 《华西口腔医学杂志》 CAS CSCD 北大核心 1999年第2期102-104,107,共4页
目的:探讨Milard法修复唇裂对上颌骨生长发育的影响。方法:本研究将30只(30天龄)日本纯种幼兔随机分成正常对照组(10只)、人工造裂组(10只)和Milard法修补裂组(10只)。术后20周(30周龄)处死全部... 目的:探讨Milard法修复唇裂对上颌骨生长发育的影响。方法:本研究将30只(30天龄)日本纯种幼兔随机分成正常对照组(10只)、人工造裂组(10只)和Milard法修补裂组(10只)。术后20周(30周龄)处死全部动物并行头颅测量。结果:Milard法修复唇裂后上颌骨的前后向较造裂组及正常对照组生长发育受限,同时上颌高度、后牙弓宽度及面后份宽呈代偿性增长,鼻中隔向裂隙侧偏曲。结论:Milard法修复唇裂有抑制上颌骨生长的作用。 展开更多
关键词 唇裂 millard 上颌骨 生长 动物实验
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改良Millard法修复单侧完全性唇裂 被引量:6
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作者 文抑西 刘建华 《华西口腔医学杂志》 CAS CSCD 北大核心 1996年第1期51-52,共2页
应用改良Millard法,即传统的上三角瓣法加不典型的下三角瓣法修补单侧完全性唇裂20例,取得了满意的近期效果。该法具有定点容易、易于掌握、使用灵活、效果满意等特点,特别是小的下三角瓣,具有弥补上三角瓣法在修复单侧完... 应用改良Millard法,即传统的上三角瓣法加不典型的下三角瓣法修补单侧完全性唇裂20例,取得了满意的近期效果。该法具有定点容易、易于掌握、使用灵活、效果满意等特点,特别是小的下三角瓣,具有弥补上三角瓣法在修复单侧完全唇裂时下降唇峰点不足的缺点,且下三角瓣很小,不破坏人中窝形态,具备鼻底良好封闭、矫正鼻小柱歪斜、直线状瘢痕模拟人中嵴及唇峰点下降充足等优点。 展开更多
关键词 唇裂 外科手术 millard
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“Millard+”法修复单侧唇裂术后继发唇鼻部畸形效果观察 被引量:4
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作者 夏东胜 何冬梅 +1 位作者 吴近芳 周蓉蓉 《中国美容医学》 CAS 2015年第22期17-20,共4页
目的:寻求更高效的修复单侧唇裂术后继发的多项唇鼻部畸形的方法。方法:局部麻醉下,采用以Millard法(I式或II式)为基础,联合其他各种方法(以下简称“Millard+”法)一次性修复单侧唇裂术后继发的唇鼻部多项畸形。结果:对本组2... 目的:寻求更高效的修复单侧唇裂术后继发的多项唇鼻部畸形的方法。方法:局部麻醉下,采用以Millard法(I式或II式)为基础,联合其他各种方法(以下简称“Millard+”法)一次性修复单侧唇裂术后继发的唇鼻部多项畸形。结果:对本组22例单侧唇裂术后继发唇鼻部多项畸形的患者(排除上唇过紧情况),均采用“Millard+”法进行手术修复,经一次手术获得修复多项畸形的结果。其中16例于术后3~12个月获得随访,根据患者自我评价,满意16例(100%)。结论:采用“Mi1lard+”法,可以经过一次手术较好地修复单侧唇裂术后继发唇鼻部多项畸形,特别是在增加上唇长度、抬高患侧鼻底、收窄患侧鼻孔、矫正鼻小柱偏斜等方面效果显著。该方法不仅可以较大程度矫正畸形,而且可最大限度减少对下次手术的影响。 展开更多
关键词 唇裂 继发畸形 上唇畸形 鼻畸形 millard 修复
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改良Millard法修复单侧完全性唇裂的临床研究 被引量:5
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作者 陈镇 何家才 《安徽医科大学学报》 CAS 北大核心 2013年第2期196-199,共4页
采用改良Millard法修复33例单侧完全性唇裂患儿。结果显示33例患儿创口Ⅰ期愈合,双侧唇高基本对称,唇弓形态良好,唇红形态丰满,患侧鼻底封闭好,鼻小柱居中,双侧鼻孔大小基本对称。表明改良Millard法是修复单侧完全性唇裂的一种较理想的... 采用改良Millard法修复33例单侧完全性唇裂患儿。结果显示33例患儿创口Ⅰ期愈合,双侧唇高基本对称,唇弓形态良好,唇红形态丰满,患侧鼻底封闭好,鼻小柱居中,双侧鼻孔大小基本对称。表明改良Millard法是修复单侧完全性唇裂的一种较理想的手术方法。 展开更多
关键词 单侧完全性唇裂 改良millard 修复
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改良Millard法功能性修复单侧唇裂16例 被引量:2
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作者 王怀谷 赵永娟 顾斌 《蚌埠医学院学报》 CAS 2013年第1期27-29,共3页
目的:观察改良Millard法修复单侧唇裂的效果。方法:基于对Millard、Onizuka及罗慧夫术前设计的理解,在白唇、柱状线及红唇的设计上选择性地综合采用三种设计方法,同时采用患侧口轮匝肌与鼻棘、鼻底及对侧口轮匝肌多层次、多部位重叠缝... 目的:观察改良Millard法修复单侧唇裂的效果。方法:基于对Millard、Onizuka及罗慧夫术前设计的理解,在白唇、柱状线及红唇的设计上选择性地综合采用三种设计方法,同时采用患侧口轮匝肌与鼻棘、鼻底及对侧口轮匝肌多层次、多部位重叠缝合。在功能性修复唇裂的同时,使人中嵴显现,且防止鼻翼外脚外移复发。术中使C瓣自然退缩于鼻底,以增加患侧鼻小柱和鼻底的皮肤。结果:16例术后双侧唇高相等,红唇缘延续光滑,唇弓形态自然;人中嵴形态存在,无干燥红唇与湿润红唇交错,无唇外翻;上唇运动时无不正常凹陷和扭曲;双侧鼻孔、鼻翼基底基本对称,形成鼻孔槛,效果满意。结论:改良Millard法是功能性修复单侧唇裂的一种较好的方法。 展开更多
关键词 唇裂 外科手术 millard 修复 口轮匝肌
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两种不同化疗方案对NSCLC的疗效和肿瘤标志物水平的影响及作用机制探讨 被引量:11
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作者 张云 肖艳林 李贤斌 《海南医学院学报》 CAS 2015年第9期1265-1267,共3页
目的:探讨吉西他滨+长春瑞滨和紫杉醇+顺铂化疗两种化疗治疗晚期非小细胞肺癌(NSCLC)的临床疗效,对肿瘤标志物的影响及其治疗机制。方法:选取102例NSCLCH患者,随机分为研究组和对照组各51例,分别接受吉西他滨加长春瑞滨和顺铂加紫杉醇... 目的:探讨吉西他滨+长春瑞滨和紫杉醇+顺铂化疗两种化疗治疗晚期非小细胞肺癌(NSCLC)的临床疗效,对肿瘤标志物的影响及其治疗机制。方法:选取102例NSCLCH患者,随机分为研究组和对照组各51例,分别接受吉西他滨加长春瑞滨和顺铂加紫杉醇化疗。比较两组近期临床有效率和疾病进展时间;修复交叉互补基因1的表达(ERCC1)及肿瘤标志物CA125、CEA和NSE水平的变化。结果:研究组临床有效率明显高于对照组,差异具有统计学意义(P<0.05);研究组临床TTP明显高于对照组,差异具有统计学意义(P<0.05);研究组总体评分明显高于对照组,差异具有统计学意义(P<0.05);治疗2个周期后研究组CA125、CEA和NSE水平明显低于治疗前和对照组治疗后水平,差异具有统计学意义(P<0.05);ERCC1阳性表达率明显低于对照组,差异具有统计学意义(P<0.05)。结论:吉西他滨+长春瑞滨组治疗NSCLC临床有效率、获益率高,无疾病进展时间长,术后生活质量好,疗效优于紫杉醇+顺铂化疗两,其疗效机制可能与吉西他滨抑制ERCC1的表达有关。 展开更多
关键词 顺铂 吉西他滨 晚期非小细胞肺癌 肿瘤标志物 修复交叉互补基因1
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基于B/S架构的器材设备科管理信息系统探析之七:设备维修保养 被引量:3
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作者 云庆辉 李向东 +1 位作者 晋虎 段晔 《医疗卫生装备》 CAS 2015年第7期127-129,共3页
目的:建立完善而健全的设备维修保养监管系统。方法:利用面向服务的体系结构(service-oriented architecture,SOA)作为主体架构,并利用互联网信息服务(internet information service,IIS)管理器作为发布工具。结果 :规范和优化了维修保... 目的:建立完善而健全的设备维修保养监管系统。方法:利用面向服务的体系结构(service-oriented architecture,SOA)作为主体架构,并利用互联网信息服务(internet information service,IIS)管理器作为发布工具。结果 :规范和优化了维修保养监管流程,建立的信息化维修保养监管系统操作简单、查询方便、统计便捷,促进了医疗设备维修管理的规范化、合理化。结论:该系统的实现对于提高维修效率及设备使用时间、保障设备的使用价值具有良好的促进作用,进一步达到了节约成本的目的。 展开更多
关键词 医疗设备 维修 保养 B/s架构
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Millard法结合下三角瓣法修复单侧完全性唇裂 被引量:1
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作者 余波 张萍 罗锐 《中国美容医学》 CAS 2004年第2期212-213,共2页
目的:探讨采用Millard法结合下三角瓣法修复单侧完全性唇裂的临床效果。方法:采用Millard法结合下三角瓣法修复单侧完全性唇裂26例,阐明该术式的方法、优点及手术中应注意的问题。结果:26例患者手术全部成功,上唇解剖形态恢复满意,上唇... 目的:探讨采用Millard法结合下三角瓣法修复单侧完全性唇裂的临床效果。方法:采用Millard法结合下三角瓣法修复单侧完全性唇裂26例,阐明该术式的方法、优点及手术中应注意的问题。结果:26例患者手术全部成功,上唇解剖形态恢复满意,上唇丰满,唇弓外形自然,患侧唇峰下降充足,唇上部紧张度较大,鼻小柱居中,患侧鼻翼鼻孔外形恢复良好,鼻底丰满,人中嵴形态良好,直线状瘢痕模拟人中嵴。结论:该方法集Millard法及下三角瓣法之优点,相互弥补其缺点,修复单侧完全性唇裂临床效果满意,手术灵活性及难度较大,主要靠目测及临床经验,应在熟练掌握两种常用术式后选用。 展开更多
关键词 millard 下三角瓣法 修复 单侧完全性唇裂
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1(1/2)心室修补手术治疗Ebstein畸形 被引量:2
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作者 陈劲进 肖颖彬 +3 位作者 钟前进 陈林 王学锋 陈柏成 《第三军医大学学报》 CAS CSCD 北大核心 2003年第16期1462-1463,共2页
目的 总结 1 心室修补手术治疗Ebstein畸形的经验。方法  1997年 1月至 2 0 0 2年 8月对 9例中、重度Ebstein畸形病人 ,行 1 心室修补手术 ,其中合并房间隔缺损 (右向左分流 ) 5例 ,三尖瓣为轻至重度反流 ;所有病人术前均有症状 ,... 目的 总结 1 心室修补手术治疗Ebstein畸形的经验。方法  1997年 1月至 2 0 0 2年 8月对 9例中、重度Ebstein畸形病人 ,行 1 心室修补手术 ,其中合并房间隔缺损 (右向左分流 ) 5例 ,三尖瓣为轻至重度反流 ;所有病人术前均有症状 ,其中心功能Ⅱ级 5例 ,心功能Ⅲ级 4例。除行三尖瓣成形及闭合房间隔缺损外 ,均行上腔静脉右肺动脉双向分流术。结果 本组无手术死亡。 1例 5岁重度三尖瓣下移患儿术后出现右侧胸腔积液 ,经穿刺治疗半月后胸腔积液消失。随访 3个月至 5年 ,心功能恢复到Ⅰ级 ,复查心脏超声提示三尖瓣轻度反流。结论  1 心室修补手术治疗可能是治疗中、重度Ebstein畸形较好的方法。其远期疗效有待于进一步观察。 展开更多
关键词 三尖瓣下移 双向腔肺动脉分流术 1 1/2心室修补手术 治疗
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