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经皮椎间孔镜技术与显微镜辅助治疗腰椎间盘突出症的临床疗效分析 被引量:11
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作者 郑明军 蒋臻 +1 位作者 张植雄 陈垍航 《中国内镜杂志》 2023年第4期13-18,共6页
目的 对比分析经皮椎间孔镜技术与显微镜辅助治疗腰椎间盘突出症的临床效果。方法 采用随机数表法,将2017年10月-2019年12月该院收治的60例腰椎间盘突出症患者随机分为:采用经皮椎间孔镜治疗的试验组和采用显微镜辅助治疗的对照组,每组3... 目的 对比分析经皮椎间孔镜技术与显微镜辅助治疗腰椎间盘突出症的临床效果。方法 采用随机数表法,将2017年10月-2019年12月该院收治的60例腰椎间盘突出症患者随机分为:采用经皮椎间孔镜治疗的试验组和采用显微镜辅助治疗的对照组,每组30例。术后分析两组患者的临床治疗效果。结果试验组手术时间和住院时间均短于对照组,切口长度短于对照组,术中出血量少于对照组(P <0.05);术后1周,试验组视觉模拟评分(VAS)低于对照组,日本骨科学会(JOA)评分高于对照组(P <0.05);两组患者临床优良率、术后1和3个月VAS和JOA评分比较,差异均无统计学意义(P> 0.05);对照组术中发生1例硬膜囊撕裂,采用可吸收线修补。其余患者术中及术后均无并发症发生。结论 经皮椎间孔镜技术可有效缩小手术切口,减少术中失血量,减轻短期疼痛,促进患者腰椎功能恢复,且不增加患者并发症发生率,值得临床推广应用。 展开更多
关键词 腰椎间盘突出症 经皮椎间孔镜技术 显微镜辅助治疗 腰椎功能 疼痛
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显微镜开颅与传统开大骨瓣血肿清除治疗高血压脑出血的疗效观察 被引量:2
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作者 彭文武 张海 +4 位作者 周娟燕 王砚强 王敏 陈维多 王德秀 《现代诊断与治疗》 CAS 2015年第21期4980-4981,共2页
选取我科2012年1月-2015年3月年纪相对较轻,一般情况较好,血肿在50ml左右、未发生脑疝、无其他系统病变的33名患者作为手术对象,17例在手术显微镜下进行小骨窗开颅血肿清除手术治疗,16例选择开颅血肿清除、去骨瓣手术,对比二组患者的治... 选取我科2012年1月-2015年3月年纪相对较轻,一般情况较好,血肿在50ml左右、未发生脑疝、无其他系统病变的33名患者作为手术对象,17例在手术显微镜下进行小骨窗开颅血肿清除手术治疗,16例选择开颅血肿清除、去骨瓣手术,对比二组患者的治疗有效率。结果手术显微镜下进行小骨窗开颅血肿清除有效96%;开颅血肿清除、去骨瓣手术有效率为78%。差异具有统计学意义(P〈0.05)。手术显微镜下进行小骨窗开颅血肿清除效果明确,明显优于传统开颅血肿清除、去骨瓣减压手术组,对患者帮助比较大,且无明显并发症出现,在临床上值得推广应用。 展开更多
关键词 显微镜开颅治疗 传统大骨瓣血肿清除 高血压脑出血 疗效
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显微镜下根管治疗在初始根管治疗失败牙髓病患者根管再治疗中的应用效果
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作者 于喜平 《内蒙古医学杂志》 2022年第4期485-487,共3页
目的探讨显微镜下根管治疗在初始根管治疗失败牙髓病患者根管再治疗中的应用效果。方法选取2019年2月至2021年2月于本院就诊的82例初始根管治疗失败牙髓病患者,采用简单随机分组将患者分为观察组和对照组,各41例,对照组采用常规根管治疗... 目的探讨显微镜下根管治疗在初始根管治疗失败牙髓病患者根管再治疗中的应用效果。方法选取2019年2月至2021年2月于本院就诊的82例初始根管治疗失败牙髓病患者,采用简单随机分组将患者分为观察组和对照组,各41例,对照组采用常规根管治疗,观察组采用显微镜下根管治疗。比较两组疗效、麻醉时间、治疗时间、治疗前后疼痛数字评价量表(NRS)评分、疼痛缓解时间、感觉过敏缓解时间和牙体组织缺缓解时间,并记录其牙龈肿胀、牙尖折裂、咬合不适、口腔异味和牙齿疼痛等并发症的发生情况。结果观察组治疗的总有效率为95.12%,明显高于对照组的80.49%(χ^(2)=4.100,P=0.043)。观察组麻醉时间明显短于对照组,而治疗时间明显长于对照组(P<0.05)。治疗后,观察组NRS评分明显低于对照组(P<0.05)。观察组疼痛缓解时间、感觉过敏缓解时间和牙体组织缺缓解时间均明显短于对照组(P<0.05)。观察组患者出现牙龈肿胀、牙尖折裂、咬合不适、口腔异味和牙齿疼痛等并发症的概率明显低于对照组(P<0.05)。结论显微镜下根管治疗初始根管治疗失败牙髓病患者可以显著提升疗效,缩短患者症状缓解时间和麻醉时间,有效减轻其痛感,且安全性较高。 展开更多
关键词 显微镜下根管治疗 牙髓病 根管再治疗
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氯己定消毒溶液在根尖周炎患牙(伴窦道)的根管治疗中的应用
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作者 湛倩倩 《智慧健康》 2024年第19期107-110,共4页
目的探讨氯己定消毒溶液在伴窦道形成的根尖周炎患牙显微根管治疗中的应用。方法选取2020年6月—2021年6月在本院牙体牙髓科就诊的42例有窦道形成的慢性根尖周炎的患者为研究对象,并对患者进行简单随机分组,分为观察组和对照组,进行规... 目的探讨氯己定消毒溶液在伴窦道形成的根尖周炎患牙显微根管治疗中的应用。方法选取2020年6月—2021年6月在本院牙体牙髓科就诊的42例有窦道形成的慢性根尖周炎的患者为研究对象,并对患者进行简单随机分组,分为观察组和对照组,进行规范的显微根管治疗。其中,对照组患者的患牙采用3%次氯酸钠+17%EDTA溶液交替进行根管化学消毒,观察组患者采用3%次氯酸钠+17%EDTA溶液+2%氯己定消毒溶液交替进行根管化学消毒。术后定期复查随访,观察两组患者治疗前后患牙疼痛数字评价表(NRS)、窦道愈合率、窦道愈合时间、就诊次数及患牙根尖周病变预后,并对收集数据进行统计学分析。结果治疗前,两组患者NRS评分对比,差异无统计学意义(P>0.05)。两组患者窦道愈合率对比,差异无统计学意义(P>0.05)。观察组的窦道愈合时间明显短于对照组(P<0.05)。观察组的患者就诊次数明显少于对照组(P<0.05)。两组患者的患牙根尖周病变预后对比,差异无统计学意义(P>0.05)。结论氯己定消毒溶液应用在伴窦道的慢性根尖周炎患牙的显微根管治疗中,能够使根管化学消毒进行得更加彻底,缩短窦道愈合的时间,减少患者的就诊次数,从而提高患牙根管治疗的成功率,能够更好地实现保存天然牙的治疗目标及愿景。 展开更多
关键词 氯己定消毒溶液 慢性根尖周炎 窦道 显微镜下根管治疗
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显微手术联合中医中药治疗耳廓假性囊肿20例临床报导 被引量:2
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作者 林斌 《中医临床研究》 2016年第34期117-118,共2页
目的:观察显微手术联合中医中药治疗耳廓假性囊肿疗效。方法:20例患者均于显微镜下行耳廓囊肿前壁切除术,术后配合中药二陈汤加丹参10g,王不留行10g,血竭9g,赤石脂10g,黄连10g,紫花地丁10g,炙甘草6g,水煎内服治疗。对20例患者随访1年以... 目的:观察显微手术联合中医中药治疗耳廓假性囊肿疗效。方法:20例患者均于显微镜下行耳廓囊肿前壁切除术,术后配合中药二陈汤加丹参10g,王不留行10g,血竭9g,赤石脂10g,黄连10g,紫花地丁10g,炙甘草6g,水煎内服治疗。对20例患者随访1年以上,观察其愈合情况、复发率、后遗症等。结果:20例全部一期愈合,随访1年以上,无1例复发,患侧耳廓局部未见隆起,皮瓣贴伏愈合良好,未见明显畸形,皮色正常。治愈率达100%。结论:此法效果显著,故值得临床推广应用。 展开更多
关键词 耳廓假性囊肿 显微镜下手术治疗 二陈汤加味 中西结合
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支撑喉镜显微镜下会厌囊肿切除与低温等离子会厌囊肿切除分析
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作者 朱双芬 《中文科技期刊数据库(引文版)医药卫生》 2022年第9期60-63,共4页
经商议确定以我院收治的成人会厌囊肿患者为研究对象,分析其不同治疗方法对患者的疗效。方法拟定研究对象从我院收治的成人会厌囊肿患者中选取,时间范围为2018年4月—2022年10月,共选出40例符合要求者,按治疗方法不同以两组平均分配:对... 经商议确定以我院收治的成人会厌囊肿患者为研究对象,分析其不同治疗方法对患者的疗效。方法拟定研究对象从我院收治的成人会厌囊肿患者中选取,时间范围为2018年4月—2022年10月,共选出40例符合要求者,按治疗方法不同以两组平均分配:对照组(20例,低温等离子消融术)和研究组(20例,显微镜下二氧化碳激光治疗),比较两组效果差异性。结果 研究组切除囊肿、术中出血情况和破裂囊肿数均更少(P<0.05);术后两组咽喉疼痛评分、咽痛持续时间、住院时间及创面恢复时间及并发症和复发情况均与对照组无统计学差异性(P>0.05)。结论 显微镜下应用二氧化碳激光治疗成人会厌囊肿近远期效果较好,可为患者提供安全保障,适宜推广。 展开更多
关键词 会厌囊肿 低温等离子消融术 显微镜下二氧化碳激光治疗 术中出血量 并发症
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Elevated serum alpha fetoprotein levels promote pathological progression of hepatocellular carcinoma 被引量:23
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作者 Peng Li Shan-Shan Wang +4 位作者 Hui Liu Ning Li Michael A McNutt Gang Li Hui-Guo Ding 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第41期4563-4571,共9页
AIM:To investigate the biological role of alpha fetoprotein (AFP) and its clinical signif icance in carcinogenesis of hepatocellular carcinoma (HCC).METHODS:Clinical analysis of HCC patients and im-munohistochemical e... AIM:To investigate the biological role of alpha fetoprotein (AFP) and its clinical signif icance in carcinogenesis of hepatocellular carcinoma (HCC).METHODS:Clinical analysis of HCC patients and im-munohistochemical examination were conducted to evaluate the relationship between serum AFP level and patient mortality. Confocal microscopy,Western blotting, dimethylthiahzolyl-2,5-diphenyl-tetrazolium bromide,Cell Counting Kit-8 assays and flow cytometry were performed to explore the possible mechanism.RESULTS: Among the 160 HCC patients enrolled in this study,130 patients survived 2 years (81.25%),with a survival rate of 86.8% in AFP < 2 0 μg/L group,88.9% in AFP 20-250 μg/L group,and 69.6% in AFP > 250 μg/L group, demonstrating a higher mortality rate in HCC patients with higher AFP levels. Surgical treatment was benef icial only in patients with low AFP levels.The mortality rate of HCC patients with high AFP levels who were treated surgically was apparently higher than those treated with conservative management.The results of immunohistochemistry showed that AFP and AFP receptor were merely expressed in tissues of HCC patients with positive serum AFP.Consistently,in vitro analysis showed that AFP and AFPS were expressed in HepG2 but not in HLE cells. AFP showed a capability to promote cell growth,and this was more apparent in HepG2 cells,in which the proliferation was increased by 3.5 folds. Cell cycle analysis showed that the percent-age of HepG2 cells in S phase after exposure to AFP was modestly increased.CONCLUSION:HCC patients with higher AFP levels show a higher mortality rate,which appears to be attributable to the growth promoting properties of AFP. 展开更多
关键词 Alpha fetoprotein Receptor Hepatocellularcarcinoma MORTALITY Survival
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Studies on the Relationship between Neuroendocrine Cellular Differentiation in Gastric Cancers and Post-operative Survival Time 被引量:2
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作者 Song He Qiao Yan +4 位作者 Xudong Chen Jianbing Zhang Xiaoyun Lu Hongjia Pan Li Chen 《Chinese Journal of Clinical Oncology》 CSCD 2007年第6期416-419,共4页
OBJECTIVE To examine the ultrastructure of gastric cancer ceils by the electron microscope, in order to assess the relationship between neuroendocrine differentiation and post-operative survival time. METHODS NSE, Syn... OBJECTIVE To examine the ultrastructure of gastric cancer ceils by the electron microscope, in order to assess the relationship between neuroendocrine differentiation and post-operative survival time. METHODS NSE, Syn and CgA immunohistochemical labeling was conducted in 168 cases with a common-type of gastric cancer. Electron microscopy was performed in 80 cases with positive immunohistochemical labeling. These cases were followed-up for over 5 years and the post-operative survival data analyzed. RESULTS Neuroendocrine granules were found by electron microscopy in 39 cases. The rate of neuroendocrine differentiation found was 23% (39/168), using routine diagnostic criteria and electron microscopy (REM). The post-operative survival time of gastric cancer patients with neuroendocdne differentiation was significantly shorter (P=-0.0032) compared to those without neuroendocrine differentiation. CONCLUSION It is of significant clinical importance to determine if the neuroendocrine cells are differentiated in gastdc cancers. The gastric cancer patients with neuroendocrine differentiation have a shorter post-operative survival time and a poorer prognosis. Electron microscopy is a reliable method of providing a diagnosis. 展开更多
关键词 gastric cancer NEUROENDOCRINE electron microscopy post-operative survival time.
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Method for grinding and delaminating muscovite 被引量:1
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作者 Shirleny Fontes Santos Silvia Cristina Alves Franca Tsuneharu Ogasawara 《Mining Science and Technology》 EI CAS 2011年第1期7-10,共4页
A method of dry grinding muscovite based on the use of knife-mills is reported.It was possible to produce mica with a particle size below 100 and 45μm.After grinding,the samples were submitted to sonication treatment... A method of dry grinding muscovite based on the use of knife-mills is reported.It was possible to produce mica with a particle size below 100 and 45μm.After grinding,the samples were submitted to sonication treatment,which promoted delamination of the material.The particle size distribution shows that sonicated mica has more particles in the size range 10-50μm than does non-sonicated mica have. This also indicates a decrease in the average particle size.Characterization of the treated muscovite by scanning electron microscopy revealed a highly delaminated material with a plate-like structure.The products were characterized by chemical analysis and X-ray diffraction,too.This mica has already been used for the synthesis of pearlescent pigments. 展开更多
关键词 Muscovite Grinding Ultrasound treatment Mineral processing
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Influence of surface finish and annealing treatment on oxidation behavior of Ti-48Al-8Cr-2Ag alloy
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作者 席艳君 刘泳俊 《Journal of Central South University》 SCIE EI CAS 2009年第4期541-545,共5页
The effect of surface finish and annealing treatment on the oxidation behavior of Ti-48Al-8Cr-2Ag (molar fraction, %) alloy was investigated at 900 and 1 000 ℃, respectively in air. Thermal gravimetric analysis (TGA)... The effect of surface finish and annealing treatment on the oxidation behavior of Ti-48Al-8Cr-2Ag (molar fraction, %) alloy was investigated at 900 and 1 000 ℃, respectively in air. Thermal gravimetric analysis (TGA) was conducted for the characterization of oxidation kinetics. The microstructures of oxide scales were studied by scanning electron microscopy (SEM) and transmission election microscopy (TEM) techniques. Unfavorable effect of the annealing treatment on the oxidation behavior of the coating was also investigated. The results indicate that the oxidation behavior of the alloy is influenced by surface finish and annealing treatment. The oxidation rate of ground sample is lower than that of the polished alloy at 1 000 ℃ in air. The former forms a scale of merely Al2O3, and the latter forms a scale of the mixture of Al2O3 and TiO2. Annealing can improve the formation of TiO2. 展开更多
关键词 Ti-48Al-8Cr-2Ag alloy COATING surface finish ANNEALING oxidation behavior
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LONG-TERM OBSERVATION FOR OSSEOINTEGRATION OF CALCIUM PHOSPHATE SOL-GEL COATING ON Ti-6Al-4V IMPLANTS
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作者 Cheng Yang Yuan-ying Li Li-e Meng Jing-xin Chen Yi Huang 《Chinese Medical Sciences Journal》 CAS CSCD 2007年第3期183-186,共4页
Objective To observe the long-term impact of calcium phosphate (CaP) sol-gel coating on bone growth around porous-surfaced implant. Methods The porous-surfaced Ti-6Al-4V implants were prepared with the addition of a... Objective To observe the long-term impact of calcium phosphate (CaP) sol-gel coating on bone growth around porous-surfaced implant. Methods The porous-surfaced Ti-6Al-4V implants were prepared with the addition of a thin film of CaP sol-gel coating, and implanted into the tibiae of 8 rabbits, each with two implants. Implanted sites were allowed to heal for 2, 8, 12, and 24 weeks, after which specimens were obtained for scanning electron microscope analysis using the freezefracture technique. Results The sol-gel coated implants recovered by freeze-fracture technique showed extensive bone growth from the endosteum along the implant surface. The bone was in direct contact with the CaP layer. The cement line-like layer was clearly demonslxated to be an intervening electron dense afibrillar layer between the CaP coat and the overlying newly deposited bone. The stability and osseointegration of the porous-surfaced implants seemed not to be affected by the osteoclastic resorption of CaP layer occurred during 24 weeks of healing. Conclusion Based on the findings in the long-term observation, the addition of a thin layer of CaP promotes an extensive osseointegrated interface between the porous-surfaced Ti-6Al-4V implants and the newly deposited bone. 展开更多
关键词 calcium phosphate sol-gel IMPLANT OSTEOCONDUCTION scanning electron microscopy
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不同根管的不同治疗方法中诊间急症发生率的回顾性分析
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作者 陈俊杰 《医学新知》 CAS 2018年第A01期797-798,共2页
目的 回顾性分析显微镜下和传统方法治疗不同根管中诊间急症发生率情况,探讨最佳治疗方案.方法 选取行根管治疗的牙髓坏死患者200例,其中非感染根管60例,感染性根管60例和再治疗根管80例.依据治疗方法的不同分为显微镜治疗组100例和传... 目的 回顾性分析显微镜下和传统方法治疗不同根管中诊间急症发生率情况,探讨最佳治疗方案.方法 选取行根管治疗的牙髓坏死患者200例,其中非感染根管60例,感染性根管60例和再治疗根管80例.依据治疗方法的不同分为显微镜治疗组100例和传统治疗组100例,其中60例非感染根管治疗中,30例实施一次根管充填治疗,其余30例则实施多次根管充填治疗,记录所有患者的临床效果、诊间急症法发生率和根充后疼痛的发生率.结果 显微镜治疗组的治疗总有效率(97.0%)高于传统治疗组(89.0%),诊间急症及根充后疼痛发生率(35.0%、41.0%)低于传统治疗组(49.0%、62.0%),上述差异有统计学意义(x2=4.92、4.02、8.83,P<0.05);60例非感染根管治疗中,观察组的诊间急症及根充后疼痛发生率(20.0%、30.0%)均明显低于对照组(56.7%、63.3%),差异有统计学意义(x2=8.53、6.70,P≤0.01).结论 感染性根管、非感染根管及再治疗根管采用显微镜下根管治疗,可提高治疗效果,降低诊间急症法和根充后疼痛发生率,而非感染根管采用一次根管填充法,能够进一步降低诊间急症的发生率. 展开更多
关键词 感染性根管 非感染根管 治疗根管 显微镜治疗 诊间急症
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Mechanisms,clinically curative effects,and antifungal activities of cinnamon oil and pogostemon oil complex against three species of Candida 被引量:5
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作者 王刚生 邓洁华 +2 位作者 马耀辉 史敏 李波 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2012年第1期19-24,共6页
The anti-fungus mechanisms and curative effects of cinnamon oil and pogostemon oil complexes to wards intestinal Candida infections were investigat ed.We measured the minimal inhibitory concentra tion(MIC) values of t... The anti-fungus mechanisms and curative effects of cinnamon oil and pogostemon oil complexes to wards intestinal Candida infections were investigat ed.We measured the minimal inhibitory concentra tion(MIC) values of the complexes against Candida using proportionally-diluted test-tube medium and examined the evolution of the morphology and structures of Candida albicans using scanning electronic microscopy(SEM) and transmission elec tronic microscopy(TEM).We found that the aver age MIC values of the complexes against the fung were 0.064 mg/mL(cinnamon oil),0.032 mg/mL(pogostemon oil) for Candida albicans,0.129 mg/mL(cinnamon oil),0.064 mg/mL(pogostemon oil for Candida tropicalis,and 0.129 mg/mL(cinnamon oil),0.064 mg/mL(pogostemon oil),for Candida krusei.SEM examination over a 24-48 h period showed that the morphology of Candida albicans cells changed significantly.Irregular hollows ap peared on the surfaces,inside organelles were destroyed and the cells burst after treatment.TEM examination over a 48-72 h period indicated that the cell walls were damaged,organelles were destroyed and most cytoplasms became empty bubbles.Sixty intestinal Candida-infected patients were treated with a capsule containing cinnamon and pogostemon oil.The curative ratio was 71.67%(43/60),and the improvement ratio was 28.33%(17/60),giving a to talratio of 100%.Thus,the cinnamonoil and pogostemon oil complexes had strong anti-funguseffectsag ainst Candida albicans,Candidatropicalis,and Candidakrusei.They impacted the morphology and sub-micro structures of the fungus within48-72h,and eventually denatured and killed the cells.The complexes have also shown considerable curative effects to intestinal Candida infections. 展开更多
关键词 Pogostemon oil and cinnamon oil complex CANDIDA Antifungal activity Curative effect
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