期刊文献+
共找到65篇文章
< 1 2 4 >
每页显示 20 50 100
论电视综艺节目运营策略的发展与创新——以河北卫视《小强来了》为例
1
作者 宋菲 任静静 《采写编》 2023年第7期174-175,共2页
随着新媒体的迅速发展,面对电视观众流失、广告投放份额减少等问题,传统电视媒体加快了自我调整与革新的步伐,不断优化节目运营方式。河北卫视综艺节目《小强来了》探索出了一条电视综艺节目运营的成功路径:节目主动借力新媒体,创新内容... 随着新媒体的迅速发展,面对电视观众流失、广告投放份额减少等问题,传统电视媒体加快了自我调整与革新的步伐,不断优化节目运营方式。河北卫视综艺节目《小强来了》探索出了一条电视综艺节目运营的成功路径:节目主动借力新媒体,创新内容,实现跨屏联动;拓宽运营渠道,组建脱口秀联盟,实现多屏共振;集中媒体资源,创新广告形式,赋能广告运营。 展开更多
关键词 电视综艺节目 运营策略 创新 《小强来了》
下载PDF
从《小强来了》看新闻脱口秀 被引量:1
2
作者 侯羽化 《新闻研究导刊》 2016年第17期138-,共1页
河北广播电视台《经视新闻眼》栏目在周末推出了一档新闻脱口秀——《小强来了》,开播半年里,取得了良好的收视效果和观众口碑,并展现出了很大的发展潜力。本文以《小强来了》为例,分析新闻脱口秀应以内容为骨,以主持人的个人魅力为表,... 河北广播电视台《经视新闻眼》栏目在周末推出了一档新闻脱口秀——《小强来了》,开播半年里,取得了良好的收视效果和观众口碑,并展现出了很大的发展潜力。本文以《小强来了》为例,分析新闻脱口秀应以内容为骨,以主持人的个人魅力为表,找寻新闻脱口秀的发展方向。 展开更多
关键词 《小强来了》 新闻脱口秀
下载PDF
《小强观察》:打造主流“网红”背后的媒体融合探索
3
作者 曾小强 《西部广播电视》 2017年第14期17-17,21,共2页
2017年5月,中国互联网协会等单位发布《中国移动互联网发展状况及其安全报告(2017)》,其中提到:2016年中国境内活跃的手机上网码号数量达12.47亿。这意味着,目前我国移动互联网用户突破12亿人。在移动互联网爆发式增长的背景下,受众特... 2017年5月,中国互联网协会等单位发布《中国移动互联网发展状况及其安全报告(2017)》,其中提到:2016年中国境内活跃的手机上网码号数量达12.47亿。这意味着,目前我国移动互联网用户突破12亿人。在移动互联网爆发式增长的背景下,受众特别是年轻受众接受资讯的渠道正趋于多元化和碎片化,这也对传统电视媒体带来了严峻的挑战。 展开更多
关键词 《小强观察》 媒体融合 网红
下载PDF
Study on Food-making Quality of Strong-gluten Wheat Varieties from Lime Concretion Black Soil Area in the Huanghuai Wheat Region 被引量:1
4
作者 刘爱峰 程敦公 +4 位作者 李豪圣 宋健民 曹新有 赵振东 刘建军 《Agricultural Science & Technology》 CAS 2016年第6期1429-1431,1445,共4页
In this study, 13 strong-gluten wheat varieties screened by the Key Project of Modern Agricultural Industry Technology System "Study on Industrial Technology for Strong-gluten Wheat from Lime Concretion Black Soil Ar... In this study, 13 strong-gluten wheat varieties screened by the Key Project of Modern Agricultural Industry Technology System "Study on Industrial Technology for Strong-gluten Wheat from Lime Concretion Black Soil Area in the Huanghuai Wheat Region" were used as experimental materials to investigate their bread-making quality, noodle-making quality and other related characteristics. The results showed that more than half of the wheat varieties had better bread-making quality; the bread made from wheat with longer dough mixing time than 3.0 min had better texture, lighter color, and better taste. All these 13 strong-gluten wheat varieties showed good noodle-making quality in color, appearance, smoothness and taste; the differences between varieties were mainly found in palatability and viscoelasticity. Jimai 20, Xinong 979, Zhengmai 7698, Ji'nan 17 and Zhengmai 9023 exhibited excellent bread-making quality; Zhengmai 366, Jimai 20 and Xinong 979 displayed excellent noodle-making quality. Fresh dough sheets made from Zhengmai 366, Jimai 20 and Xinong 979 exhibited slight color variation within 24 h and high peak starch paste viscosity; dry and cooked noodles made from Zhengmai 366, Jimai 20 and Xinong 979 had good quality. 展开更多
关键词 Lime concretion black soil Strong-gluten wheat BREAD NOODLE QUALITY
下载PDF
An amplitude suppression method based on the decibel criterion
5
作者 孔选林 陈辉 +3 位作者 王金龙 胡治权 徐丹 李录明 《Applied Geophysics》 SCIE CSCD 2017年第3期387-398,460,461,共14页
To suppress the strong noise in seismic data with wide range of amplitudes, commonly used methods often yield unsatisfactory denoising results owing to inappropriate thresholds and require parametric testing as well a... To suppress the strong noise in seismic data with wide range of amplitudes, commonly used methods often yield unsatisfactory denoising results owing to inappropriate thresholds and require parametric testing as well as iterations to achieve the anticipated results. To overcome these problems, a data-driven strong amplitude suppression method based on the decibel criterion in the wavelet domain (ISANA) is proposed. The method determines the denoising threshold based on the decibel criterion and statistically analyzes the amplitude index rather than the abnormally high amplitudes. The method distinguishes the frequency band distributions of the valid signals in the time-frequency domain based on the wavelet transformation and then calculates thresholds in selected time windows, eventually achieving frequency-divided noise attenuation for better denoising. Simulations based on theoretical and real-world data verify the adaptability and low dependence of the method on the size of the time window. The method suppresses noise without energy loss in the signals. 展开更多
关键词 wavelet transformation AMPLITUDE decibel criterion DENOISING
下载PDF
新书上架
6
《程序员》 2009年第8期128-129,共2页
《小强外职记》 书评人:吴诗展 “你知道这世界由哪两类人组成吗?” “是男人和女人?”
关键词 书评 书介绍 《小强外职记》 《小强》
下载PDF
Phase field method simulation of faceted dendrite growth with arbitrary symmetries 被引量:1
7
作者 陈志 陈佩 +3 位作者 巩贺贺 段培培 郝丽梅 金克新 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2018年第2期290-297,共8页
A numerical simulation based on a regularized phase field model is developed to describe faceted dendrite growth morphology. The effects of mesh grid, anisotropy, supersaturation and fold symmetry on dendrite growth m... A numerical simulation based on a regularized phase field model is developed to describe faceted dendrite growth morphology. The effects of mesh grid, anisotropy, supersaturation and fold symmetry on dendrite growth morphology were investigated, respectively. These results indicate that the nucleus grows into a hexagonal symmetry faceted dendrite. When the mesh grid is above 640×640, the size has no much effect on the shape. With the increase in the anisotropy value, the tip velocities of faceted dendrite increase and reach a balance value, and then decrease gradually. With the increase in the supersaturation value, crystal evolves from circle to the developed faceted dendrite morphology. Based on the Wulff theory and faceted symmetry morphology diagram, the proposed model was proved to be effective, and it can be generalized to arbitrary crystal symmetries. 展开更多
关键词 phase field method strong anisotropy faceted dendrite Wulff theory tip velocity SYMMETRY
下载PDF
Abstraction of Small Signal Equivalent Circuit Parameters of Enhancement-Mode InGaP/AlGaAs/InGaAs PHEMT
8
作者 徐静波 尹军舰 +3 位作者 张海英 李潇 刘亮 叶甜春 《Journal of Semiconductors》 EI CAS CSCD 北大核心 2007年第3期361-364,共4页
An extraction method of the component parameter values of an enhancement-mode InGaP/AIGaAs/In-GaAs PHEMT small signal equivalent circuit is presented,and these component parameter values are extracted by using the EEH... An extraction method of the component parameter values of an enhancement-mode InGaP/AIGaAs/In-GaAs PHEMT small signal equivalent circuit is presented,and these component parameter values are extracted by using the EEHEMT1 model of IC-CAP software. The extraction results are verified by ADS software,and the DC I-V curves and S parameters simulated by ADS are basically accordant with those of the test results. These results indicate that the EEHEMT1 model can be used for extracting the component parameters of an enhancement-mode PHEMT. 展开更多
关键词 ENHANCEMENT-MODE InGaP/AIGaAs/InGaAs PHEMT small signal equivalent circuit parameter extraction
下载PDF
Optimal Light Intensity and Nitrogen-to-Phosphorus Ratio for Growth of Nitzschia capitellata Hust.
9
作者 晏妮 胡晓红 陈椽 《Agricultural Science & Technology》 CAS 2014年第3期453-456,共4页
Objective] The aim was to explore the potential of Nitzschia capitel ata as excel ent baits and bioenergy, and the optimal light intensity and nitrogen-to-phos-phorus (N/P) ratio suitable for its growth were researc... Objective] The aim was to explore the potential of Nitzschia capitel ata as excel ent baits and bioenergy, and the optimal light intensity and nitrogen-to-phos-phorus (N/P) ratio suitable for its growth were researched as wel . [Method] With light intensity gradient set, Nitzschia capitel ata was cultured with the same nutrients at (25 ±1) ℃ and light cycle at 12 h/d to select optimal light intensity. Then, Nitzschia capitel ata was cultured with the same condition, and nitrogen-to-phospho-rus ratios at 5∶1, 6∶1, 7∶1 and 8∶1. [Result] With light intensity at 3 000 lx, specific growth rate and standing stock achieved the highest at 0.51 d-1 and 7.97×104 cel s/ml. The growth condition with nitrogen-to-phosphorus ratio at 6∶1 was the most suitable for Nitzschia capitel ata growth. [Conclusion] The optimal light intensity and nitrogen-to-phosphorus ratio were 3 000 lx and 6∶1, respectively, for Nitzschia capitel ata. 展开更多
关键词 Nitzschia capitellata Hust. Light intensity Specific growth rate Standingstock Nitrogen-to-phosphorus ratio
下载PDF
DIFFERENTIABILITY OF C_0-SEMIGROUPS WITH APPLICATION
10
作者 金振东 喻文焕 +1 位作者 靳展 王辅敏 《Transactions of Tianjin University》 EI CAS 1999年第2期25-29,共5页
This paper considers the differentiability of C 0 semigroups with respect to (w.r.t.) parameters contained in their infinitesimal generators.It is proved that the generalized continuity and strong differentiability ... This paper considers the differentiability of C 0 semigroups with respect to (w.r.t.) parameters contained in their infinitesimal generators.It is proved that the generalized continuity and strong differentiability of their infinitesimal generators w.r.t.parameters imply the differentiability of the C 0 semigroups.The results are applied to the differentiability of the solution of a linear delay differential equation w.r.t.its delays. 展开更多
关键词 C 0 semigroup infinitesimal generator generalized continuity strongly Frechet differential dalay equation
下载PDF
Aniracetam attenuates H_2O_2-induced deficiency of neuron viability, mi-tochondria potential and hippocampal long-term potentiation of mice in vitro 被引量:1
11
作者 王永富 李朝翠 蔡景霞 《Neuroscience Bulletin》 SCIE CAS CSCD 2006年第5期274-280,共7页
Objective It is known that free radicals are involved in neurodegeneration and cognitive dysfunction, as seen in Alzheimer's disease (AD) and aging. The present study examines the protective effects of aniracetam a... Objective It is known that free radicals are involved in neurodegeneration and cognitive dysfunction, as seen in Alzheimer's disease (AD) and aging. The present study examines the protective effects of aniracetam against H2O2- induced toxicity to neuron viability, mitochondria potential and hippocampal long-term potentiation (LTP). Methods Tetrazolium salt 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide (MTT) was used to detect neuronal viability. MitoTracker Red (CMX Ros), a fluorescent stain for mitochondria, was used to measure mitochondria potential. Electrophysiological technique was carried out to record hippocampual LTE Results H2O2 exposure impaired the viability of neurons, reduced mitochondria potential, and decreased LTP in the CA region of hippocampus. These deficient effects were significantly rescued by pre-treatment with aniracetam (10 ~100μmol/L). Conclusion These results indicate that aniracetam has a strong neuroprotective effect against H2O2-induced toxicity, which could partly explain the mechanism of its clinical application in neurodegenerative diseases. 展开更多
关键词 H2O2 ANIRACETAM neuronal viability mitochondria potential long-term potentiation hippocampus MICE
下载PDF
Acute Toxicity Test of Qiangli Bupi Paste
12
作者 李江萍 蒋玲 何瑾 《Agricultural Science & Technology》 CAS 2017年第12期2477-2478,共2页
[Objective] The toxicity of Qiangli Bupi Paste was investigated, to provide a test basis for its further development and safe use. [Method] Forty Kunming mice, half male and half female, were selected and divided into... [Objective] The toxicity of Qiangli Bupi Paste was investigated, to provide a test basis for its further development and safe use. [Method] Forty Kunming mice, half male and half female, were selected and divided into the CK group and the Qiangli Bupi Paste group, each of which included 20 mice. The acute toxicity of Qiangli Bupi Paste was observed by the maximum administration dosage method. No mice and abnormal response were observed within 14 d in various groups. The tested animals were also subjected to anatomical observation. [Result] All the tested animals survived in the test, and behaved normally, with glossy hair. Their body weights accorded with the growth regularity. During the anatomy, no important vis- ceral organs showed pathological changes, and there were no significant differences in body weight between the two groups before administration, on the 7~ after ad- ministration and the 14 d after administration (P〉0.05). [Conclusion] In the acute toxicity test of Qiangli Bupi Paste, the maximum administration dosage was 48 g/kg (equivalent to 96 times of the daily dose of adult in clinic), and no obvious toxic response was observed. 展开更多
关键词 Qiangli Bupi Paste MICE Acute toxicity Maximum administration dosage
下载PDF
Evaluation of small bowel blood flow in healthy subjects receiving low-dose aspirin 被引量:3
13
作者 Urara Nishida Mototsugu Kato +5 位作者 Mutsumi Nishida Go Kamada Takeshi Yoshida Shouko Ono Yuichi Shimizu Masahiro Asaka 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第2期226-230,共5页
AIM:To investigate the relationship between low-dose aspirin-induced small bowel mucosal damage and blood flow,and the effect of rebamipide. METHODS:Ten healthy volunteers were enrolled in this study.The subjects were... AIM:To investigate the relationship between low-dose aspirin-induced small bowel mucosal damage and blood flow,and the effect of rebamipide. METHODS:Ten healthy volunteers were enrolled in this study.The subjects were divided into two groups:a placebo group given low-dose aspirin plus placebo and a rebamipide group given low-dose aspirin plus rebamipide for a period of 14 d.Capsule endoscopy and contrast-enhanced ultrasonography were performed before and after administration of drugs.Areas under the curves and peak value of time-intensity curve were calculated. RESULTS:Absolute differences in areas under the curves were-1102.5(95%CI:-1980.3 to-224.7,P=0.0194) in the placebo group and-152.7(95%CI:-1604.2 to 641.6,P=0.8172) in the rebamipide group. Peak values of time intensity curves were-148.0(95% CI:-269.4 to-26.2,P=0.0225) in the placebo group and 28.3(95%CI:-269.0 to 325.6,P=0.8343) in the rebamipide group.Capsule endoscopy showed mucosal breaks only in the placebo group. CONCLUSION:Short-term administration of low-dose aspirin is associated with small bowel injuries and blood flow. 展开更多
关键词 Small-intestine Capsule endoscopy Lowdose aspirin Contrast-enhanced ultrasonography REBAMIPIDE
下载PDF
A continuous differentiable wavelet threshold function for speech enhancement 被引量:3
14
作者 贾海蓉 张雪英 白静 《Journal of Central South University》 SCIE EI CAS 2013年第8期2219-2225,共7页
Enhanced speech based on the traditional wavelet threshold function had auditory oscillation distortion and the low signal-to-noise ratio (SNR). In order to solve these problems, a new continuous differentiable thresh... Enhanced speech based on the traditional wavelet threshold function had auditory oscillation distortion and the low signal-to-noise ratio (SNR). In order to solve these problems, a new continuous differentiable threshold function for speech enhancement was presented. Firstly, the function adopted narrow threshold areas, preserved the smaller signal speech, and improved the speech quality; secondly, based on the properties of the continuous differentiable and non-fixed deviation, each area function was attained gradually by using the method of mathematical derivation. It ensured that enhanced speech was continuous and smooth; it removed the auditory oscillation distortion; finally, combined with the Bark wavelet packets, it further improved human auditory perception. Experimental results show that the segmental SNR and PESQ (perceptual evaluation of speech quality) of the enhanced speech using this method increase effectively, compared with the existing speech enhancement algorithms based on wavelet threshold. 展开更多
关键词 continuous differentiable wavelet threshold fimction speech enhancement Bark wavelet packet non-fixed deviation noise
下载PDF
Relationship between diameter of split Hopkinson pressure bar and minimum loading rate under rock failure 被引量:6
15
作者 李夕兵 洪亮 +2 位作者 尹土兵 周子龙 叶洲元 《Journal of Central South University of Technology》 EI 2008年第2期218-223,共6页
In order to investigate the relationship between bar diameter and loading rate of the split Hopkinson pressure bar(SHPB) setup under the failure of rock specimen and realize the medium strain rate loading of specimen,... In order to investigate the relationship between bar diameter and loading rate of the split Hopkinson pressure bar(SHPB) setup under the failure of rock specimen and realize the medium strain rate loading of specimen,new SHPB setups with different elastic bar's diameters of 22,36,50 and 75 mm were constructed.The tests were carried out on these setups at different loading rates,and the specimens had the same diameter of elastic bars and same ratio of length to diameter.The test results show that the larger the elastic bar's diameter is,the less the loading rate is needed to cause specimen failure,they show good power relationship,and that under the same strain rate loading,specimens are broken more seriously with larger diameter SHPB setup than with smaller one. 展开更多
关键词 rock failure Hopkinson pressure bar DIAMETER minimum loading rate medium strain rate
下载PDF
On the Smallest Base of the Stone Space
16
作者 白瑞蒲 《Chinese Quarterly Journal of Mathematics》 CSCD 1997年第1期91-94, ,共4页
In this paper,first we define the concept of strong open set for topological space. Then we prove: 1 ) a distributive lattice L possesses the smallest set of generating elements if and only if the Stone space (L) of L... In this paper,first we define the concept of strong open set for topological space. Then we prove: 1 ) a distributive lattice L possesses the smallest set of generating elements if and only if the Stone space (L) of L possesses a smallest base constructed by strong open sets; 2) a Bollean lattice B possesses the smallest set of generating elements if and only if B is a finite Boolean lattice. 展开更多
关键词 Stone space strong open set smallest base: smallest set of generating elements
下载PDF
Relationship between Earth’s Rotation and Several Strong Earthquakes and Moderate-small Earthquakes Occurring around the Epicenter Regions Prior to Strong Earthquakes 被引量:2
17
作者 Wang Hengxin Zhao Xiaoyan +1 位作者 Li Yan'e Chen Xuezhong 《Earthquake Research in China》 2011年第4期444-455,共12页
The relationships between Earth's rotation and the 1975 Haicheng, Liaoning Ms7.3 earthquake, 2008 Wenchuan, Sichuan Ms8.0 earthquake and the 2004 Sumatra Msg. 0 earthquake, as well as moderate-small earthquakes occur... The relationships between Earth's rotation and the 1975 Haicheng, Liaoning Ms7.3 earthquake, 2008 Wenchuan, Sichuan Ms8.0 earthquake and the 2004 Sumatra Msg. 0 earthquake, as well as moderate-small earthquakes occurring around the epicenter regions prior to them are investigated in this study. The obtained results could benefit the further understanding of the relationship between the Earth's rotation and earthquakes. 展开更多
关键词 Strong earthquake Moderate-small earthquake Earth's rotation
下载PDF
Relationship between ADP-induced platelet-fibrin clot strength and anti-platelet responsiveness in ticagrelor treated ACS patients 被引量:5
18
作者 Dan-Dan LI Xu-Yun WANG +5 位作者 Shao-Zhi XI Jia LIU Liu-An QIN Jing JING Tong YIN Yun-Dai CHEN 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2016年第4期282-289,共8页
Background Ticagrelor provides enhanced antiplatelet efficacy but increased risk of bleeding and dyspnea. This study aimed to display the relationship between ADP-induced platelet-fibrin clot strength (MAADP) and cl... Background Ticagrelor provides enhanced antiplatelet efficacy but increased risk of bleeding and dyspnea. This study aimed to display the relationship between ADP-induced platelet-fibrin clot strength (MAADP) and clinical outcomes in acute coronary syndrome (ACS) patients treated by ticagrelor. Methods Consecutive Chinese-Han patients with ACS who received maintenance dose ofticagrelor on top of aspirin were recruited. After 5-day ticagrelor maintenance treatment, MAADP measured by thrombelastography (TEG) were recorded for the evaluation of ticagrelor anti-platelet reactivity. Pre-specified cutoffs of MAADP 〉 47 mm for high on-treatment platelet reactivity (HTPR) and MAADP 〈 31 mm for low on-treatment platelet reactivity (LTPR) were applied for evaluation. The occurrences of primary ischemic cardiovascular events (including a composite of cardiac death, non-fatal myocardial infarction and stroke), the Thrombolysis in Myocardial Infarction (TIMI) defined bleeding events, and ticagrelor related dyspnea were recorded after a follow-up of three months. Results Overall, 176 ACS patients (Male: 79.55%, Age: 59.91 ±10.54 years) under ticagrelor maintenance treatment were recruited. The value of MAADP ranged from 4.80% to 72.90% (21.27% ± 12.07% on average), with the distribution higher skewed towards the lower values. Using the pre-specific cutoffs for HTPR and LTPR, seven patients (3.98%) were identified as HTPR and 144 patients (81.82%) as LTPR. After a follow-up of three months in 172 patients, major cardiovascular events occurred in no patient, but TIMI bleeding events in 81 (47.09%) with major bleedings in three patients. All patients with major bleedings were classified as LTPR. Ticagrelor related dyspnea occurred in 31 (18.02%) patients, with 30 (21.28%) classified as LTPR and no one as HTPR (P = 0.02). Conclusions In ticagrelor treated ACS patients, MAADP measured by TEG might be valuable for the prediction of major bleeding and ticagrelor related dyspnea. Due to the small number of patients with HTPR after ticagrelor maintenance treatment, larger scale study should be warranted to verify the relationship between MAADP defined HTPR and ticagrelor related ischemic events. 展开更多
关键词 Clinical outcomes Platelet reactivity THROMBELASTOGRAPHY Ticagrelor
下载PDF
Comparative analysis of different methods for image enhancement 被引量:4
19
作者 吴笑峰 胡仕刚 +4 位作者 赵瑾 李志明 李劲 唐志军 席在芳 《Journal of Central South University》 SCIE EI CAS 2014年第12期4563-4570,共8页
Image enhancement technology plays a very important role to improve image quality in image processing. By enhancing some information and restraining other information selectively, it can improve image visual effect. T... Image enhancement technology plays a very important role to improve image quality in image processing. By enhancing some information and restraining other information selectively, it can improve image visual effect. The objective of this work is to implement the image enhancement to gray scale images using different techniques. After the fundamental methods of image enhancement processing are demonstrated, image enhancement algorithms based on space and frequency domains are systematically investigated and compared. The advantage and defect of the above-mentioned algorithms are analyzed. The algorithms of wavelet based image enhancement are also deduced and generalized. Wavelet transform modulus maxima(WTMM) is a method for detecting the fractal dimension of a signal, it is well used for image enhancement. The image techniques are compared by using the mean(μ),standard deviation(?), mean square error(MSE) and PSNR(peak signal to noise ratio). A group of experimental results demonstrate that the image enhancement algorithm based on wavelet transform is effective for image de-noising and enhancement. Wavelet transform modulus maxima method is one of the best methods for image enhancement. 展开更多
关键词 image enhancement wavelet transform histogram equalization unsharp masking(UM) modulus maxl mum threshold
下载PDF
Improved techniques for double-balloon-enteroscopy-assisted endoscopic retrograde cholangiopancreatography 被引量:7
20
作者 Takashi Osoegawa Yasuaki Motomura +11 位作者 Kazuya Akahoshi Naomi Higuchi Yoshimasa Tanaka Terumasa Hisano Souichi Itaba Junya Gibo Mariko Yamada Masaru Kubokawa Yorinobu Sumida Hirotada Akiho Eikichi Ihara Kazuhiko Nakamura 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第46期6843-6849,共7页
AIM: To investigate the clinical outcome of double balloon enteroscopy (DBE)-assisted endoscopic retrograde cholangiopancreatography (DB-ERCP) in patients with altered gastrointestinal anatomy. METHODS: Between Septem... AIM: To investigate the clinical outcome of double balloon enteroscopy (DBE)-assisted endoscopic retrograde cholangiopancreatography (DB-ERCP) in patients with altered gastrointestinal anatomy. METHODS: Between September 2006 and April 2011, 47 procedures of DB-ERCP were performed in 28 patients with a Roux-en-Y total gastrectomy (n = 11), Billroth Ⅱ gastrectomy (n = 15), or Roux-en-Y anastomosis with hepaticojejunostomy (n = 2). DB-ERCP was performed using a short-type DBE combined with several technical innovations such as using an endoscope attachment, marking by submucosal tattooing,selectively applying contrast medium, and CO2 insufflations. RESULTS: The papilla of Vater or hepaticojejunostomy site was reached in its entirety with a 96% success rate (45/47 procedures). There were no significant differences in the success rate of reaching the blind end with a DBE among Roux-en-Y total gastrectomy (96%), Billroth Ⅱ reconstruction (94%), or pancreatoduodenectomy (100%), respectively (P = 0.91). The total successful rate of cannulation and contrast enhancement of the target bile duct in patients whom the blind end was reached with a DBE was 40/45 procedures (89%). Again, there were no significant differences in the success rate of cannulation and contrast enhancement of the target bile duct with a DBE among Roux-en-Y total gastrectomy (88 %), Billroth Ⅱ reconstruction (89%), or pancreatoduodenectomy (100%), respectively (P = 0.67). Treatment was achieved in all 40 procedures (100%) in patients whom the contrast enhancement of the bile duct was successful. Common endoscopic treatments were endoscopic biliary drainage (24 procedures) and extraction of stones (14 procedures). Biliary drainage was done by placement of plastic stents. Stones extraction was done by lithotomy with the mechanical lithotripter followed by extraction with a basket or by the balloon pull-through method. Endoscopic sphincterotomy was performed in 14 procedures with a needle precutting knife using a guidewire. The mean total duration of the procedure was 93.6 ± 6.8 min and the mean time required to reach the papilla was 30.5 ± 3.7 min. The mean time required to reach the papilla tended to be shorter in Billroth Ⅱ reconstruction (20.9 ± 5.8 min) than that in Roux-en-Y total gastrectomy (37.1 ± 4.9 min) but there was no significant difference (P = 0.09). A major complication occurred in one patient (3.5%); perforation of the long limb in a patient with Billroth Ⅱ anastomosis.CONCLUSION: Short-type DBE combined with several technical innovations enabled us to perform ERCP in most patients with altered gastrointestinal anatomy. 展开更多
关键词 Double-balloon enteroscopy Endoscopic retrograde cholangiopancreatography Pathological anatomy Pancreatobiliary disease
下载PDF
上一页 1 2 4 下一页 到第
使用帮助 返回顶部