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Fast Evaluation of Oxidative DNA Damage by Liquid Chromatography-Electrospray Tandem Mass Spectrometry Coupled With Precision-cut Rat Liver Slices
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作者 JIANG YUE PENG WANG +3 位作者 YING-HUI LIU JUN-YU WU JIE CHEN REN-XIU PENG 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2007年第5期386-391,共6页
Objective To establish a fast and sensitive method for the detection of 8-hydroxy-2’-deoxyguanosine (8-OHdG) in precision-cut rat liver slices by HPLC-MS/MS and to investigate isoniazid (INH) -induced oxidative D... Objective To establish a fast and sensitive method for the detection of 8-hydroxy-2’-deoxyguanosine (8-OHdG) in precision-cut rat liver slices by HPLC-MS/MS and to investigate isoniazid (INH) -induced oxidative DNA damage. Methods Precision-cut liver slices (300 μm) were prepared from male rats, and incubated with INH (0.018 mol/L) for 2 h after 1 h preincubation. DNA in the slices was extracted and digested into free nucleosides at 37℃ . The samples were injected into HPLC-MS/MS after the proteins were removed. The level of oxidative DNA damage was estimated using the ratio of 8-OHdG to deoxyguanosine (dG). Results The limit of detection of 8-OHdG was 1 ng/mL (S/N=3) and the intra-assay relative standard variation was 3.38% when one transition 284.3/168.4 was used as a quantifier and another two transitions 284.3/140.2, 306.1/190.2 as qualifiers. 8-OHdG and dG were well separated, as indicated by elution at 10.02 and 7.37 min, respectively. INH significantly increased the ratio of 8-OHdG to dG in rat liver slices (P〈0.05). Conclusion 8-OHdG in precision-cut liver slices could be sensitively determined by HPLC-MS/MS. HPLC-MS/MS coupled with precision-cut tissue slices is a fast and reliable analytical technique to evaluate oxidative DNA damage of target tissues caused by procarcinogens and cytotoxins. 展开更多
关键词 ISONIAZID 8-Hydroxy-2'-deoxyguanosine HPLC-MS/MS precision-cut liver slices
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Application of Precision-Cut Rat Liver Slice to Study the Influence of Monocrotaline, Tussilago farfara Alkaloids on the Expression of Cytochrome P450 Enzymes
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作者 Hailin Wang Lianqiang Hui +5 位作者 Chun Li Ting Liu Chang’an Yu Chunyu Cao Ran Hao Yi Zhang 《Health》 CAS 2016年第4期370-379,共10页
Precision-cut liver slice has been successfully used to study the mechanism of drug-induced hepatotoxicity, the prediction of liver toxicity, the discovery of early hepatic toxicity biomarker and the metabolism of dru... Precision-cut liver slice has been successfully used to study the mechanism of drug-induced hepatotoxicity, the prediction of liver toxicity, the discovery of early hepatic toxicity biomarker and the metabolism of drug in liver. We detected the expression of CYP3A4, CYP2B1 + CYP2B2 and CYP2E1 in precision-cut liver slice after co-cultured with monocrotaline or Tussilago farfara alkaloids to investigate the hepatotoxicity mechanism of those drugs. After co-culturing with monocrotaline or Tussilago farfara alkaloids for 6 hours, the expression of CYP3A4 in the microsome of precision-cut liver slices was detected by Western blot, and the expressions of CYP2B1 + CYP2B2 and CYP2E1 were detected by immunofluorescence. The results showed that monocrotaline induced the expression of CYP3A4 and CYP2B1 + CYP2B2, and Tussilago farfara alkaloids obviously up-regulated the expression of CYP2E1 and CYP3A4. Thus, we conclude that the up-regulation of CYP3A4, CYP2B1 + CYP2B2 and CYP2E1 may be one of the toxic mechanisms of liver injury of those drugs. 展开更多
关键词 precision-cut liver slices MONOCROTALINE Tussilago farfara Alkaloids Hepatotoxity Cytochrome P450 Enzymes
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Biophoton Radiations Induced by Hydrogen Peroxide in Mouse Liver Slices and Hepatocyte Nuclei in Relation to the Biophysical Action Mechanism of Reactive Oxygen Species
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作者 Rong Fan Na Liu Jiapei Dai 《Natural Science》 2022年第6期217-225,共9页
Background: Although a large number of studies have confirmed that the different levels of reactive oxygen species (ROS) in cytoplasm and nucleus have effects on cell growth, proliferation, differentiation and apoptos... Background: Although a large number of studies have confirmed that the different levels of reactive oxygen species (ROS) in cytoplasm and nucleus have effects on cell growth, proliferation, differentiation and apoptosis, the exact mechanism of ROS action is unclear. An important reason is that the production and degradation time of ROS in cells is very short, and therefore it’s difficult to understand the mechanism of action based on the traditional molecular action process through the ROS diffusion and target binding. Methods: The fresh liver tissue slices were prepared and the nuclei of hepatocytes were separated from Kunming mice according to the reported method. Liver tissue slices and hepatocyte nuclei were perfused with extracellular or intracellular fluids containing different concentrations of hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>), and real-time imaging monitoring of biophotonic emission was carried out using an ultra-weak biophoton imaging system. Results: The results showed that the continuous perfusion with different concentrations of H<sub>2</sub>O<sub>2</sub> (300, 400 and 500 μM, respectively) resulted in significant increase of biophotonic emissions, presenting a concentration-dependent effect in liver tissue slices and achieving the maximum effect at 400 μM, while the significant enhancement was found after 500 μM treatment on the hepatocyte nuclei. Conclusion: This study suggests that ROS generated in cells may achieve its physiological and pathological effects via biophotonic emissions, which provides a new quantum biological mechanism of ROS, while the detailed clarification requires further research. 展开更多
关键词 BIOPHOTON Ultra-Weak Biophoton Imaging System liver Tissue slices Hepatocyte Nuclei ROS
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Observation of the effect of targeted therapy of 64-slice spiral CT combined with cryoablation for liver cancer 被引量:23
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作者 Qiao-Huan Yan Dian-Guo Xu +4 位作者 Yan-Feng Shen Ding-Ling Yuan Jun-Hui Bao Hai-Bin Li Ying-Gang Lv 《World Journal of Gastroenterology》 SCIE CAS 2017年第22期4080-4089,共10页
AIM To observe the effect of targeted therapy with 64-slice spiral computed tomography(CT) combined with cryoablation for liver cancer.METHODS A total of 124 patients(142 tumors) were enrolled into this study. Accordi... AIM To observe the effect of targeted therapy with 64-slice spiral computed tomography(CT) combined with cryoablation for liver cancer.METHODS A total of 124 patients(142 tumors) were enrolled into this study. According to the use of dual-slice spiral CT or 64-slice spiral CT as a guide technology, patients were divided into two groups: dual-slice group(n = 56, 65 tumors) and 64-slice group(n = 8, 77 tumors). All patients were accepted and received targetedtherapy by an argon-helium superconducting surgery system. The guided scan times of the two groups was recorded and compared. In the two groups, the lesion ice coverage in diameter of ≥ 3 cm and < 3 cm were recorded, and freezing effective rate was compared. Hepatic perfusion values [hepatic artery perfusion(HAp), portal vein perfusion(p Vp), and the hepatic arterial perfusion index(HAp I)] of tumor tissues, adjacent tissues and normal liver tissues at preoperative and postoperative four weeks in the two groups were compared. Local tumor changes were recorded and efficiency was compared at four weeks post-operation. Adverse events were recorded and compared between the two groups, including fever, pain, frostbite, nausea, vomiting, pleural effusion and abdominal bleeding.RESULTS Guided scan times in the dual-slice group was longer than that in the 64-slice group(t = 11.445, p = 0.000). The freezing effective rate for tumors < 3 cm in diameter in the dual-slice group(81.58%) was lower than that in the 64-slice group(92.86%)(χ2 = 5.707, p = 0.017). The HAp and HAp I of tumor tissues were lower at four weeks post-treatment than at pretreatment in both groups(all p < 0.05), and those in the 64-slice group were lower than that in the dualslice group(all p < 0.05). HAp and p Vp were lower and HAp I was higher in tumor adjacent tissues at post-treatment than at pre-treatment(all p < 0.05). Furthermore, the treatment effect and therapeutic efficacy in the dual-slice group were lower than the 64-slice group at four weeks post-treatment(all p < 0.05). Moreover, pleural effusion and intraperitoneal hemorrhage occurred in patients in the dual-slice group, while no complications occurred in the 64-slice group(all p < 0.05). CONCLUSION64-slice spiral CT applied with cryoablation in targeted therapy for liver cancer can achieve a safe and effective freezing treatment, so it is worth being used. 展开更多
关键词 64 片螺线计算了断层摄影术 CRYOABLATION 肝癌症
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Multi-slice spiral CT angiography in evaluating donors of living-related liver transplantation 被引量:13
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作者 Chen, Wen-Hua Xin, Wei +4 位作者 Wang, Jie Huang, Qing-Juan Sun, Yi-Fang Xu, Qing Yu, Sheng-Nan 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2007年第4期364-369,共6页
BACKGROUND: During the past years, the number of liver transplantation has increased greatly, but the number of available organs has not increased. In view of the critical shortage of organs, the indications for livin... BACKGROUND: During the past years, the number of liver transplantation has increased greatly, but the number of available organs has not increased. In view of the critical shortage of organs, the indications for living-related liver transplantation (LRLT) have broadened since experience with the procedure has been achieved. This study was undertaken to assess the value of multi-slice spiral CT (MSCT) angiography in evaluating the hepatic arterial and veinous anatomy of potential donors for LRLT. METHODS: MSCT was performed after intravenous injection of contrast material at 3 ml/s. The total dose was calculated as 2 ml/kg. Twenty LRLT donors (2 men and 18 women) were subjected to MSCT angiography of hepatic blood vessels. These were generated by volume rendering and maximum intensity projection, while curved planar reformation was added in 5 patients. RESULTS: We identified 10 important hepatic vascular variants in 9 of the 20 donors (4 arterial, 4 venous, and 2 portal venous variants). In hepatic arterial variants, two had a replaced right hepatic artery arising from the superior mesenteric artery, an accessory right hepatic artery from the superior mesenteric artery and a replaced left hepatic artery arising from the left gastric artery. In hepatic venous variants, three had an accessory inferior right hepatic vein and one had two accessory inferior right hepatic veins. In hepatic portal venous variants, two had trifurcation of the main portal vein. CONCLUSIONS: As a non-invasive and reliable method, MSCT angiography is of value in the clinical evaluation of LRLT donors. MSCT angiography should be recommended as a routine preoperative examination for potential LRLT donors. 展开更多
关键词 multi-slice spiral CT living-related liver transplantation DONOR ANGIOGRAPHY
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多层螺旋CT检查在鉴别诊断原发性肝癌与肝脏局灶性结节增生中的应用价值
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作者 廖丽娇 《中国医药指南》 2024年第10期91-93,共3页
目的 探讨多层螺旋CT(MSCT)检查在鉴别诊断原发性肝癌与肝脏局灶性结节增生(FNH)中的应用价值。方法 选取我院2019年1月至2022年12月收治的肝脏占位性病变患者83例,均开展MSCT检查,统计原发性肝癌、FNH检出情况,并以肝穿刺活检为金标准... 目的 探讨多层螺旋CT(MSCT)检查在鉴别诊断原发性肝癌与肝脏局灶性结节增生(FNH)中的应用价值。方法 选取我院2019年1月至2022年12月收治的肝脏占位性病变患者83例,均开展MSCT检查,统计原发性肝癌、FNH检出情况,并以肝穿刺活检为金标准,分析MSCT鉴别诊断原发性肝癌与FNH的诊断效能;采用Kappa检验验证MSCT鉴别诊断与肝穿刺活检的一致性。结果 83例肝脏占位性病变患者,经肝穿刺活检证实41例为原发性肝癌,42例为FNH;经MSCT检出原发性肝癌40例,FNH 43例,原发性肝癌检出率为97.56%;MSCT鉴别诊断原发性肝癌与FNH的灵敏度为95.12%、特异度为97.62%、准确度为96.39%、阳性预测值为97.50%、阴性预测值为95.35%;Kappa检验显示,MSCT鉴别诊断与肝穿刺活检的Kappa值为0.928,一致性极高。结论 MSCT检测在鉴别诊断原发性肝癌与FNH中价值高,可提高诊断准确性,便于早期开展针对性治疗,以更好改善患者预后。 展开更多
关键词 原发性肝癌 肝脏局灶性结节增生 多层螺旋CT 鉴别诊断
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多层螺旋CT联合miR-527、miR-25检测对早期原发性肝癌诊断的临床价值
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作者 李振伟 赵宏伟 杜森 《中国CT和MRI杂志》 2024年第2期105-107,共3页
目的分析多层螺旋CT联合血清miR-527、miR-25检测对早期原发性肝癌诊断的临床价值。方法选取本院2022年1月至2023年5月收治的原发性肝癌患者78例,同期良性肝病患者50例,对患者进行多层螺旋CT扫描,qRT-PCR法检测血清miR-527、miR-25水平... 目的分析多层螺旋CT联合血清miR-527、miR-25检测对早期原发性肝癌诊断的临床价值。方法选取本院2022年1月至2023年5月收治的原发性肝癌患者78例,同期良性肝病患者50例,对患者进行多层螺旋CT扫描,qRT-PCR法检测血清miR-527、miR-25水平。ROC曲线分析血清miR-527、miR-25水平对原发性肝癌的诊断价值;四表格法分析多层螺旋CT联合血清miR-527、miR-25对原发性肝癌的诊断价值。结果原发性肝癌患者血清miR-527、miR-25水平显著高于良性肝病患者(P<0.05);ROC曲线结果表明,血清miR-527水平诊断原发性肝癌的AUC为0.753,敏感性为74.36%,特异性为70.00%;血清miR-25水平诊断发生原发性肝癌的AUC为0.722,敏感性为61.54%,特异性为72.00%。多层螺旋CT扫描诊断结果显示,原发性肝癌患者76例,其中弥漫型肝癌12例,结节型肝癌38例,巨块型肝癌26例;良性肝病患者52例。多层螺旋CT扫描诊断原发性肝癌的敏感性为78.21%(61/78),特异性为70.00%(35/50),准确度为75.00%(96/128);多层螺旋CT扫描对原发性肝癌的诊断结果与术后病理诊断结果具有一致性(Kappa值=0.479,P<0.05)。多层螺旋CT联合血清miR-527、miR-25水平诊断原发性肝癌的敏感性为96.15%(75/78)、特异性为68.00%(34/50),准确度为85.16%(109/128);三者联合对原发性肝癌的诊断结果与术后病理诊断结果具有较好一致性(Kappa值=0.673,P<0.05),且联合诊断的敏感性和准确度显著高于多层螺旋CT、miR-527、miR-25单独诊断(P<0.05)。结论多层螺旋CT联合血清miR-527、miR-25检测对早期原发性肝癌诊断准确度较高,具有重要的临床价值。 展开更多
关键词 多层螺旋CT miR-527 miR-25 原发性肝癌 诊断
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多层螺旋CT结合MR弥散加权成像对肝癌患者TACE治疗效果的评估价值
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作者 王旭丽 周志明 陈苏闽 《中国医学创新》 CAS 2024年第14期147-151,共5页
目的:探讨多层螺旋CT(MSCT)结合MR弥散加权成像(DWI)对肝癌患者经导管肝动脉化疗栓塞(TACE)治疗效果的评估价值。方法:前瞻性选取海安市人民医院2018年2月—2023年2月收治的102例肝癌患者为研究对象。所有患者TACE治疗前后均行MSCT、MR... 目的:探讨多层螺旋CT(MSCT)结合MR弥散加权成像(DWI)对肝癌患者经导管肝动脉化疗栓塞(TACE)治疗效果的评估价值。方法:前瞻性选取海安市人民医院2018年2月—2023年2月收治的102例肝癌患者为研究对象。所有患者TACE治疗前后均行MSCT、MRI检查,分析影响肝癌患者TACE治疗效果的因素。结果:102例肝癌患者TACE治疗后3个月,完全缓解(CR)13例,部分缓解(PR)28例,疾病稳定(SD)41例,疾病进展(PD)20例,CR、PR共41例,记为客观缓解组,剩余61例记为未缓解组。治疗后,客观缓解组门静脉灌注量(PVP)、表观弥散系数(ADC)均高于未缓解组,肝动脉灌注量(HAP)、Kep均低于未缓解组(P<0.05)。以肝癌患者TACE治疗效果为应变量(客观缓解=0,未缓解=1),PVP、ADC、Kep、HAP为自变量(赋值为原始数值),进行logistic回归分析,结果显示,HAP、ADC是影响肝癌患者TACE治疗效果的因素(P<0.05)。ROC曲线结果显示,HAP、ADC及二者联合评估肝癌患者TACE治疗效果的敏感度分别为74.45%、79.63%、74.45%,特异度分别为74.38%、76.99%、89.69%,AUC分别为0.749、0.740、0.884。结论:HAP、ADC与肝癌患者TACE治疗效果有关,二者联合评估肝癌患者TACE治疗效果效能最高。 展开更多
关键词 肝癌 多层螺旋CT MR 扩散加权成像 经导管肝动脉化疗栓塞
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Alcohol metabolites and lipopolysaccharide: Roles in the development and/or progression of alcoholic liver disease 被引量:20
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作者 Courtney S Schaffert Michael J Duryee +5 位作者 Carlos D Hunter Bartlett C Hamilton 3rd Amy L DeVeney Mary M Huerter Lynell W Klassen Geoffrey M Thiele 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第10期1209-1218,共10页
The onset of alcoholic liver disease (ALD) is initiated by different cell types in the liver and a number of different factors including: products derived from ethanol-induced inflammation, ethanol metabolites, and th... The onset of alcoholic liver disease (ALD) is initiated by different cell types in the liver and a number of different factors including: products derived from ethanol-induced inflammation, ethanol metabolites, and the indirect reactions from those metabolites. Ethanol oxidation results in the production of metabolites that have been shown to bind and form protein adducts, and to increase inflammatory, fibrotic and cirrhotic responses. Lipopolysaccharide (LPS) has many deleterious effects and plays a significant role in a number of disease processes by increasing inflammatory cytokine release. In ALD, LPS is thought to be derived from a breakdown in the intestinal wall enabling LPS from resident gut bacterial cell walls to leak into the blood stream. The ability of adducts and LPS to independently stimulate the various cells of the liver provides for a two-hit mechanism by which various biological responses are induced and result in liver injury. Therefore, the purpose of this article is to evaluate the effects of a two-hit combination of ethanol metabolites and LPS on the cells of the liver to increase inflamma-tion and fi brosis, and play a role in the development and/or progression of ALD. 展开更多
关键词 酒精性肝病 代谢物 脂多糖 细胞因子释放 肝脏炎症 生物反应 代谢产物 蛋白质结合
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Comparison of free breathing and respiratory triggered diffusion-weighted imaging sequences for liver imaging 被引量:2
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作者 Janio Szklaruk Jong Bum Son +3 位作者 Wei Wei Priya Bhosale Sanaz Javadi Jingfei Ma 《World Journal of Radiology》 CAS 2019年第11期134-143,共10页
BACKGROUND Diffusion-weighted imaging(DWI)has become a useful tool in the detection,characterization,and evaluation of response to treatment of many cancers,including malignant liver lesions.DWI offers higher image co... BACKGROUND Diffusion-weighted imaging(DWI)has become a useful tool in the detection,characterization,and evaluation of response to treatment of many cancers,including malignant liver lesions.DWI offers higher image contrast between lesions and normal liver tissue than other sequences.DWI images acquired at two or more b-values can be used to derive an apparent diffusion coefficient(ADC).DWI in the body has several technical challenges.This include ghosting artifacts,mis-registration and susceptibility artifacts.New DWI sequences have been developed to overcome some of these challenges.Our goal is to evaluate 3 new DWI sequences for liver imaging.AIM To qualitatively and quantitatively compare 3 DWI sequences for liver imaging:free-breathing(FB),simultaneous multislice(SMS),and prospective acquisition correction(PACE).METHODS Magnetic resonance imaging(MRI)was performed in 20 patients in this prospective study.The MR study included 3 separate DWI sequences:FB-DWI,SMS-DWI,and PACE-DWI.The image quality,mean ADC,standard deviations(SD)of ADC,and ADC histogram were compared.Wilcoxon signed-rank tests were used to compare qualitative image quality.A linear mixed model was used to compare the mean ADC and the SDs of the ADC values.All tests were 2-sided and P values of<0.05 were considered statistically significant.RESULTS There were 56 lesions(50 malignant)evaluated in this study.The mean qualitative image quality score of PACE-DWI was 4.48.This was significantly better than that of SMS-DWI(4.22)and FB-DWI(3.15)(P<0.05).Quantitatively,the mean ADC values from the 3 different sequences did not significantly differ for each liver lesion.FB-DWI had a markedly higher variation in the SD of the ADC values than did SMS-DWI and PACE-DWI.We found statistically significant differences in the SDs of the ADC values for FB-DWI vs PACE-DWI(P<0.0001)and for FB-DWI vs SMS-DWI(P=0.03).The SD of the ADC values was not statistically significant for PACE-DWI and SMS-DWI(P=0.18).The quality of the PACE-DWI ADC histograms were considered better than the SMS-DWI and FB-DWI.CONCLUSION Compared to FB-DWI,both PACE-DWI and SMS-DWI provide better image quality and decreased quantitative variability in the measurement of ADC values of liver lesions. 展开更多
关键词 DIFFUSION Magnetic resonance imaging liver APPARENT DIFFUSION coefficient PROSPECTIVE acquisition correction Multi-slice
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肝硬化患者MSCTA影像学特征及对并发EVB的预测价值 被引量:1
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作者 莫彩建 陈金水 陈锦灿 《中国CT和MRI杂志》 2023年第7期110-111,128,共3页
目的观察肝硬化患者的多层螺旋CT血管造影(MSCTA)影像学特征,分析其对并发食管静脉曲张破裂出血(EVB)的预测价值。方法选择2019年7月至2022年7月本院收治的87例肝硬化患者为肝硬化组,根据是否并发EVB分为EVB组(n=52)和非EVB组(n=35)。另... 目的观察肝硬化患者的多层螺旋CT血管造影(MSCTA)影像学特征,分析其对并发食管静脉曲张破裂出血(EVB)的预测价值。方法选择2019年7月至2022年7月本院收治的87例肝硬化患者为肝硬化组,根据是否并发EVB分为EVB组(n=52)和非EVB组(n=35)。另按1:1比例选择87例健康体检者为对照组。所有受检者均行腹部CT检查,利用后处理工作站对CTA获得的腹部血管包括门静脉主干(MPV)、胃左静脉(LGV)、脾静脉(SPV)、肠系膜上静脉(SMV)进行血管重组,测量各血管的最大内径,应用受试者工作特征(ROC)曲线评价上述指标对EVB的预测价值。结果所有受检者均顺利完成检查,获得满意门静脉系血管影像。肝硬化组MPV、LGV、SPV、SMV均明显宽于对照组(P<0.05)。肝硬化组Child-Pugh A级、B级、C级患者的MPV、LGV、SPV比较有统计学差异(P<0.05)。EVB组MPV、LGV、SPV显著高于非EVB组(P<0.05)。ROC曲线分析显示,MPV、LGV、SPV均能有效预测EVB,其ROC曲线下面积(AUC)分别为0.713、0.880、0.866(P<0.01)。结论肝硬化患者MSCTA影像学特征明显,检测MPV、LGV、SPV有助于早期预测EVB。 展开更多
关键词 肝硬化 多层螺旋CT血管造影 影像学特征 食管静脉曲张破裂出血 预测价值
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多层螺旋CT联合血清PIVKA-Ⅱ对原发性肝癌的诊断价值 被引量:4
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作者 周丹丹 李华侨 任诗君 《中国CT和MRI杂志》 2023年第1期117-119,共3页
目的 探讨多层螺旋CT(MSCT)联合血清异常凝血酶原(PIVKA-Ⅱ)对原发性肝癌(PHC)的诊断价值。方法 采用简单随机抽样法抽取2019年6月至2020年6月于我院就诊的PHC患者40例作为PHC组、肝良性占位患者40例作为对照组,同时抽取年龄匹配的健康... 目的 探讨多层螺旋CT(MSCT)联合血清异常凝血酶原(PIVKA-Ⅱ)对原发性肝癌(PHC)的诊断价值。方法 采用简单随机抽样法抽取2019年6月至2020年6月于我院就诊的PHC患者40例作为PHC组、肝良性占位患者40例作为对照组,同时抽取年龄匹配的健康体检者35例作为健康组。所有受试者均接受MSCT检查,全自动电泳荧光免疫分析仪测定血清PIVKA-Ⅱ水平,以病理学结果作为“金标准”,分析单独MSCT检查、单独血清PIVKA-Ⅱ水平测定及两者联合检查对PHC的诊断效能,并绘制三种检查诊断PHC的受试者工作特征(ROC)曲线。结果 与PHC组织比较,PHC组癌旁组织、对照组及健康组的AP、BF及MTT均显著降低(P<0.05),IRF To显著上升(P<0.05);与癌旁组织比较,对照组及健康组的AP、BF及MTT均显著降低(P<0.05),IRF To显著上升(P<0.05)。与PHC组比较,对照组和健康组血清PIVKA-Ⅱ水平显著降低(P<0.05);与对照组比较,健康组血清PIVKA-Ⅱ水平显著降低(P<0.05)。两者联合检查敏感度、特异度、准确度、阳性预测值及阴性预测值均显著高于单独MSCT、PIVKA-Ⅱ检测(P<0.05)。结论 MSCT与血清PIVKA-Ⅱ水平检测对PHC均具有诊断价值,二者联合后能弥补单一检测的不足,提升对PHC的诊断效能。 展开更多
关键词 多层螺旋CT 异常凝血酶原 原发性肝癌 诊断价值
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多排螺旋CT在肝血管瘤、肝转移瘤、原发性肝癌中的临床诊断价值分析 被引量:2
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作者 赵晓丽 王妍妍 贾志仙 《湖北民族大学学报(医学版)》 2023年第2期42-45,共4页
目的分析多排螺旋CT在肝血管瘤、肝转移瘤、原发性肝癌中的临床诊断价值。方法选择2019年8月-2022年3月安阳市中医院进行诊疗的100例肝脏肿瘤患者,均给予多排螺旋CT,以病理诊断为金标准,观察多排螺旋CT对肝血管瘤、肝转移瘤、原发性肝... 目的分析多排螺旋CT在肝血管瘤、肝转移瘤、原发性肝癌中的临床诊断价值。方法选择2019年8月-2022年3月安阳市中医院进行诊疗的100例肝脏肿瘤患者,均给予多排螺旋CT,以病理诊断为金标准,观察多排螺旋CT对肝血管瘤、肝转移瘤、原发性肝癌鉴别诊断准确率,比较肝血管瘤、肝转移瘤、原发性肝癌三期扫描特征。结果以病理诊断为金标准,CT检查肝转移瘤:诊断准确度97.00%,灵敏度94.87%,特异度98.36%,阳性预测值97.37%,肝血管瘤:诊断准确度99.00%,灵敏度97.30%,特异度96.83%,阳性预测值94.74%,阴性预测值98.39%;原发性肝癌:诊断准确度97.00%,灵敏度91.67%,特异度97.40%,阳性预测值95.65%,阴性预测值97.4%;肝血管瘤患者第一期周边出现结节状强化,第二期病灶强化明显,第三期病灶出现向心性强化,肝转移瘤第一期边缘出现连续环状强化,第二期边缘出现连续环状强化,第三期病灶出现低密度改变,原发性肝癌第一期周边出现较为轻微的强化,第二期无明显强化,第三期病灶出现低密度改变。结论肝血管瘤、肝转移瘤、原发性肝癌患者CT三期扫描特征存在差异,多排螺旋CT检查在肝血管瘤、肝转移瘤、原发性肝癌中鉴别诊断准确率较高,可作为鉴别诊断工具,为临床诊疗提供参考。 展开更多
关键词 肝血管瘤 肝转移瘤 原发性肝癌 多排螺旋CT 三期扫描特征 鉴别诊断
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多层螺旋CT和MRI对原发性肝癌的诊断及在射频消融术后的随访价值 被引量:2
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作者 葛小飞 《影像技术》 CAS 2023年第1期32-36,共5页
目的:应用多层螺旋CT和核磁共振(MRI)检查后,对它们对原发性肝癌(PLC)患者的临床诊断价值及射频消融术后的随访价值进行评价。方法:在2019年4月至2022年4月期间,选择我院收治疑似PLC患者(n=80例)为研究对象,患者入院后实施多层螺旋CT和... 目的:应用多层螺旋CT和核磁共振(MRI)检查后,对它们对原发性肝癌(PLC)患者的临床诊断价值及射频消融术后的随访价值进行评价。方法:在2019年4月至2022年4月期间,选择我院收治疑似PLC患者(n=80例)为研究对象,患者入院后实施多层螺旋CT和MRI检查,对患者实施射频消融术,并对比多层螺旋CT与MRI对射频消融术后的随访价值。结果:与多层螺旋CT检查结果81.13%、82.5%相比,MRI诊断患者的灵敏度、准确率分别为94.34%、92.5%,差异明显(P<0.05)。两组检查方法的阴性预测值、阳性预测值、特异度相较差异无统计学意义(P>0.05)。53例确诊为PLC的患者经射频消融肿瘤后,1-3月后应用MRI复查得出35例(66.04%)完全坏死、16例(30.19%)存在肿瘤残留、11例(20.75%)术后存在复发现象,MRI复查结果检出症状发生率明显高于多层螺旋CT,存在差异(P<0.05)。结论:MRI技术对PLC具有较高的诊断价值、较高的灵敏度和准确性,且在射频消融术后随访中具有较高的应用价值。 展开更多
关键词 多层螺旋CT 原发性肝癌 核磁共振 射频消融术 随访价值
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多层螺旋CT和MRI对原发性肝癌的诊断及在射频消融术后的随访价值研究 被引量:1
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作者 曹阳 张雷鸣 《现代医用影像学》 2023年第8期1413-1416,共4页
目的:探讨多层螺旋CT和MRI对原发性肝癌的诊断及在射频消融术后的随访价值。方法:选择2020年4月至2022年4月期间蚌埠医学院第一附属医院收治的疑似原发性肝癌患者104例作为研究对象,入院后接受多层螺旋CT和MRI检查,以肝穿刺活检和手术... 目的:探讨多层螺旋CT和MRI对原发性肝癌的诊断及在射频消融术后的随访价值。方法:选择2020年4月至2022年4月期间蚌埠医学院第一附属医院收治的疑似原发性肝癌患者104例作为研究对象,入院后接受多层螺旋CT和MRI检查,以肝穿刺活检和手术病理结果为金标准,评价多层螺旋CT和MRI对不同直径病灶检出率及诊断敏感度、特异度及准确率,并对接受射频消融术治疗的患者随访1年,比较CT和MRI随访诊断结果。结果:多层螺旋CT对直径<1cm肿瘤检出率53.57%,显著低于MRI检出率85.71%,CT总检出率83.87%显著低于MRI95.70%(P<0.05)。多层螺旋CT诊断原发性肝癌敏感度81.72%、特异度81.82%及准确率81.73%,与MRI诊断的敏感度91.40%、特异度72.73%、准确率89.42%比较无统计学差异(P>0.05)。随访1年多层螺旋CT诊断完全坏死69.44%、残留25.00%、复发5.56%,与MRI诊断完全坏死65.28%、残留27.78%、复发6.94%比较无统计学差异(P>0.05)。结论:原发性肝癌诊断中采取多层螺旋CT和MRI检查具有较高价值,也可进行射频消融术后随访诊断,其中CT操作简单、价格低,MRI对直径<1cm肝肿瘤检出率高,应依据患者实际情况选择适宜的检查方法。 展开更多
关键词 原发性肝癌 多层螺旋CT MRI 射频消融术
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增强多层螺旋CT与3.0T MRI检查在肝脏占位性病变临床诊断中的应用价值 被引量:3
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作者 赵萌萌 高亚 王文华 《四川解剖学杂志》 2023年第1期21-23,42,共4页
目的:分析增强多层螺旋CT与3.0T MRI检查在肝脏占位性病变临床诊断中的应用价值.方法:选取2020年3月至2022年3月河南科技大学第一附属医院收治的89例肝脏占位性病变患者为研究对象.根据不同的诊断方法,将其分为观察组(n=46,3.0T MRI检查... 目的:分析增强多层螺旋CT与3.0T MRI检查在肝脏占位性病变临床诊断中的应用价值.方法:选取2020年3月至2022年3月河南科技大学第一附属医院收治的89例肝脏占位性病变患者为研究对象.根据不同的诊断方法,将其分为观察组(n=46,3.0T MRI检查)和对照组(n=43,增强CT检查).分析两组影像学图像表现及诊断价值,比较两组的不良反应及受检者耐受情况.结果:以术后切除组织的病理学检查结果为金标准,两组漏诊率比较,差异无统计学意义(P>0.05);观察组的诊断符合率高于对照组,误诊率低于对照组,差异均有统计学意义(P<0.05).观察组不良反应发生率及视觉模拟评分(VAS),均低于对照组,差异均有统计学意义(P<0.05).结论:增强多层螺旋CT与3.0T MRI检查,在肝脏占位性病变诊断中的应用效果均较为显著,但3.0T MRI检查的诊断符合率及安全性更高. 展开更多
关键词 多层螺旋CT增强扫描 3.0T MRI检查 肝脏占位性病变 临床诊断
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MSCT对肝镰状韧带旁假性病灶与引流静脉特征和关系分析
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作者 张海涛 柏劲松 +5 位作者 舒圣婕 张驰 李红英 张国华 宋瑞祥 竺玮 《中国临床解剖学杂志》 CSCD 北大核心 2023年第6期657-661,共5页
目的分析肝镰状韧带旁假性病灶(falciform ligament pseudolesion,FLP)与引流静脉的MSCT特征,探讨两者的关系。方法回顾性收集2021年10月至2022年10月在我院行肝CT平扫或增强的病人,各96例,评价FLP及引流静脉的显示率和影像学特点。MSC... 目的分析肝镰状韧带旁假性病灶(falciform ligament pseudolesion,FLP)与引流静脉的MSCT特征,探讨两者的关系。方法回顾性收集2021年10月至2022年10月在我院行肝CT平扫或增强的病人,各96例,评价FLP及引流静脉的显示率和影像学特点。MSCT肝Ⅲ、Ⅳ段引流小静脉分3型:A型,为上下两支,上支起自膈肌与肝之间的脂肪区向下前走行进入肝Ⅲ、Ⅳ段,下支起自脐水平稍上方的前腹壁或局部腹腔脂肪区向上后走行进入肝Ⅲ、Ⅳ段;B型,同A型上支;C型,同A型下支。结果CT平扫和增强显示的FLP形态均以楔形为主(57.1%、63.4%),最常见于肝Ⅳ段前内缘(93.8%),增强CT门静脉期FLP显示率最高(42.7%);CT平扫和增强对FLP的显示差异具有统计学意义(P<0.001),对肝Ⅲ、Ⅳ段引流小静脉的显示差异无统计学意义(P>0.05);CT平扫病例中有FLP和无FLP引流小静脉的显示率差异无统计学意义(P>0.05),CT增强病例中有FLP和无FLP引流小静脉的显示率差异有统计学意义(P<0.001);CT增强5例FLP未见引流小静脉显示,29例引流小静脉显示的病例未见FLP。结论FLP有一定的CT特征,较易与真性病灶鉴别;MSCT肝Ⅲ、Ⅳ段引流小静脉以C型最常见;CT平扫显示的FLP与肝局部组织学异常有关,与引流小静脉无直接相关性,CT增强显示的FLP与引流小静脉有关,可能由引流小静脉和局部肝实质内血供两种因素共同影响。 展开更多
关键词 肝镰状韧带 假病灶 引流静脉 多层螺旋CT 增强
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磁共振成像与多层螺旋C T在原发性肝癌诊断中的效能比较
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作者 卢方 《中国民康医学》 2023年第21期97-99,共3页
目的:比较磁共振成像(MRI)与多层螺旋CT(MSCT)在原发性肝癌诊断中的效能。方法:选取2020年6月至2022年11月该院收治的100例疑似原发性肝癌患者为研究对象。所有患者均进行MSCT、MRI和病理学检查,以病理学检查结果为金标准,比较MSCT、MR... 目的:比较磁共振成像(MRI)与多层螺旋CT(MSCT)在原发性肝癌诊断中的效能。方法:选取2020年6月至2022年11月该院收治的100例疑似原发性肝癌患者为研究对象。所有患者均进行MSCT、MRI和病理学检查,以病理学检查结果为金标准,比较MSCT、MRI检查对不同直径病灶的检出率及在原发性肝癌诊断中的效能。结果:100例疑似原发性肝癌患者中,病理学检查阳性62例,阴性38例;直径<3 cm病灶20例,直径≥3 cm病灶42例;MRI对不同直径病灶的检出率均高于MSCT,差异有统计学意义(P<0.05);MSCT检出阳性66例,阴性34例;MRI检出阳性67例,阴性33例;MRI诊断原发性肝癌的灵敏度、特异度、准确度、阳性预测值、阴性预测值均高于MSCT,差异有统计学意义(P<0.05)。结论:MRI诊断原发性肝癌的效能高于MSCT。 展开更多
关键词 原发性肝癌 磁共振成像 多层螺旋CT 病灶直径 诊断 效能
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逍遥散中药配方颗粒与传统中药饮片治疗肝郁脾虚型月经失调的疗效差异研究
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作者 莫满芳 赵敏 +2 位作者 林文静 梁玉玲 陈志楷 《亚太传统医药》 2023年第11期107-111,共5页
目的:对比分析中药配方颗粒与传统中药饮片在逍遥散治疗肝郁脾虚型月经失调的疗效差异,为两者临床应用奠定基础。方法:采用随机对照研究方法,选择符合肝郁脾虚证的月经失调患者120例,其中,中药配方颗粒组与中药饮片组每组60例,1剂/d,早... 目的:对比分析中药配方颗粒与传统中药饮片在逍遥散治疗肝郁脾虚型月经失调的疗效差异,为两者临床应用奠定基础。方法:采用随机对照研究方法,选择符合肝郁脾虚证的月经失调患者120例,其中,中药配方颗粒组与中药饮片组每组60例,1剂/d,早晚分2次服用,中药配方颗粒组采用逍遥散的中药配方颗粒剂型治疗,中药饮片组采用逍遥散的传统中药汤剂剂型治疗,疗程为3个月经周期,用药期间两组患者不接受其他治疗。比较两组患者治疗前后的月经周期、经期、经量状况的改善状况,并对两组患者治疗前后的中医症状积分进行评分量化比较,对比两组患者临床疗效。结果:经3个月经周期治疗后,中药配方颗粒组总有效率为75.00%,中药饮片组总有效率为71.67%,两组患者治疗有效率比较,差异无统计学意义(P>0.05),两组患者的治疗效果比较,差异无统计学意义(P>0.05)。中医症状积分方面,经治疗后两组患者中医症状均有不同程度改善。两组患者中医症状积分治疗前后组内自身比较,差异均有统计学意义(两组均为P<0.05)。而两组患者中医症状积分组间比较,治疗前差异无统计学意义(P>0.05);治疗后差异亦无统计学意义(P>0.05)。结论:中药配方颗粒与传统中药饮片在逍遥散治疗肝郁脾虚型月经失调临床总有效率基本一致,均能用于治疗肝郁脾虚型月经失调,且经治疗后,可显著改善患者的中医症状。 展开更多
关键词 逍遥散 肝郁脾虚 月经失调 中药配方颗粒 传统中药饮片
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多层螺旋CT增强扫描用于肝癌诊断的价值及符合率分析
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作者 周海梅 张静娴 《智慧健康》 2023年第26期39-42,47,共5页
目的探讨多层螺旋CT(MSCT)增强扫描用于肝癌诊断的价值及符合率。方法选取2019年1月—2022年1月盐城市第一人民医院收治的原发性肝癌患者66例(均经过手术病理检查确诊),给予MSCT平扫、增强扫描,分析不同扫描方法的应用价值。结果CT增强... 目的探讨多层螺旋CT(MSCT)增强扫描用于肝癌诊断的价值及符合率。方法选取2019年1月—2022年1月盐城市第一人民医院收治的原发性肝癌患者66例(均经过手术病理检查确诊),给予MSCT平扫、增强扫描,分析不同扫描方法的应用价值。结果CT增强扫描与平扫的诊断符合率分别为96.97%与65.15%,CT增强扫描符合率明显高于CT平扫(P<0.05)。手术病理得知病灶数共计84个;CT增强扫描动脉期检出病灶81个,占比96.43%,静脉期检出病灶78个,占比92.86%,平衡期检出病灶79个,占比94.05%,CT增强扫描相比CT平扫的检出病灶数占比均明显更高(P<0.05)。CT增强扫描对弥漫型、结节型、巨块型患者的诊断符合率分别为95.24%、96.55%、100.00%,CT平扫的符合率分别为52.38%、55.17%、100.00%,CT增强扫描对于弥漫型、结节型患者的检出率均明显高于CT平扫(P<0.05)。CT平扫主要表现为低密度;CT增强扫描动脉期多数为不均匀明显强化,静脉期病灶强化减退,主要为低密度,少数为等密度,平衡期继续减退强化程度,主要为低密度,少数等密度或者稍高密度。结论对肝癌患者而言,加强多层螺旋CT增强扫描具有较高的诊断符合率,便于明确具体病变分型,为疾病的诊疗提供科学的影像学依据,值得采纳并推广。 展开更多
关键词 多层螺旋CT 增强扫描 诊断 肝癌 符合率
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