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喉返神经解剖病理变异对甲状腺癌术中规范化神经监测的影响 被引量:12
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作者 李晨 田文 +2 位作者 臧宇 姚京 陈凛 《海南医学》 CAS 2016年第3期392-394,共3页
目的观察甲状腺癌喉返神经(RLN)发生解剖病理变异时对术中神经监测(IONM)4步法的影响,为IONM规范化操作提供理论支持及应用策略。方法回顾性分析2012年6月至2014年12月在解放军总医院普通外科行甲状腺癌手术并于术中行IONM的160例的临... 目的观察甲状腺癌喉返神经(RLN)发生解剖病理变异时对术中神经监测(IONM)4步法的影响,为IONM规范化操作提供理论支持及应用策略。方法回顾性分析2012年6月至2014年12月在解放军总医院普通外科行甲状腺癌手术并于术中行IONM的160例的临床资料,根据术中显露RLN形态特征,分为变异组55例(解剖变异、病理变异)与无变异组105例。评估RLN解剖病理变异对IONM 4步法操作的影响。结果术中显露RLN共297根。RLN识别率变异组为89.32%(92/103)顺利识别,其中11根(10.68%,11/103)寻找困难;无变异组100%均顺利识别,两组比较差异有统计学意义(P<0.05);术中RLN显露部位为气管食管沟内194根(65.32%)、气管旁75根(25.25%)、食管旁17根(5.72%)、甲状腺腺体内11根(3.71%);评价术后刺激RLN所得EMG波形对诊断术后声带麻痹的灵敏性与特异性,发现阴性预测值100%,阳性预测值仅25.00%。结论 RLN变异造成IONM4步法操作时RLN定位困难,R1值难以获取,干扰EMG波形研读;准确认知RLN解剖病理学形态特征,有利于提升IONM规范化操作水平。 展开更多
关键词 甲状腺癌 术中神经监测 喉返神经 解剖变异 病理变异
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甲状腺癌喉返神经条件变异的病理学基础与术中神经监测相关性研究 被引量:3
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作者 李晨 田文 +2 位作者 姚京 臧宇 陈凛 《武警医学》 CAS 2016年第6期568-570,共3页
目的研究甲状腺癌导致喉返神经(recurrent laryngeal nerve,RLN)条件变异的病理学特点,探讨甲状腺癌术中神经监测(intraoperative neuromonitoring,IONM)对RLN条件变异的识别、辨认及保护。方法回顾性分析2012-03至2014-03在本院因甲状... 目的研究甲状腺癌导致喉返神经(recurrent laryngeal nerve,RLN)条件变异的病理学特点,探讨甲状腺癌术中神经监测(intraoperative neuromonitoring,IONM)对RLN条件变异的识别、辨认及保护。方法回顾性分析2012-03至2014-03在本院因甲状腺癌行甲状腺全切术并行IONM患者资料,依据肿瘤生物学特性,对RLN条件变异进行病理学分类,为IONM准确识别及有效保护RLN提供病理学支持。结果 240例术中显露RLN共436支,其中发现条件变异48支(10.76%)。RLN条件变异与甲状腺癌生物学特性相关,依据病理类型将条件变异分为:位置变异型、形态变异型、病变浸润型。应用组分别检出:12、9、15支;非应用组分别检出:3、4、5支。2组RLN条件变异识别率,分别为:36/215,12/231,2组比较有统计学意义(P<0.05)。结论 RLN条件变异是导致术中对RLN错误识别,以及造成RLN损伤的重要潜在因素,IONM有利于术中确认RLN各种变异的病理解剖特点,以有效保护RLN。 展开更多
关键词 甲状腺癌 术中神经监测 喉返神经 病理变异
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家庭指导对一例TPM2基因杂合病理变异患儿的疗效报道
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作者 王丽娜 《中文科技期刊数据库(全文版)医药卫生》 2021年第12期394-395,共2页
观察家庭指导对抬高TPM2基因杂合病理变异患儿粗大运动、精细运动、适应能力、语言、社交能力的作用。方法:采用Bobath、rood,物理治疗、作业治疗、感觉统合、语言治疗等方法结合生长发育的规律提高患儿各方面的能力。结果:经过13个月... 观察家庭指导对抬高TPM2基因杂合病理变异患儿粗大运动、精细运动、适应能力、语言、社交能力的作用。方法:采用Bobath、rood,物理治疗、作业治疗、感觉统合、语言治疗等方法结合生长发育的规律提高患儿各方面的能力。结果:经过13个月的家庭指导,患儿的《0-6岁儿童行为神经量表》发育商在逐渐提高并达到正常水平。结论:家庭指导是一种适用于TPM2基因杂合病理变异患儿的康复形式,值得推广和应用。 展开更多
关键词 TPM2基因杂合病理变异 家庭指导 《0-6岁儿童行为神经量表》
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肿瘤抑制基因变异的分子病理学研究进展 被引量:16
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作者 丛文铭 《中华病理学杂志》 CAS CSCD 北大核心 2001年第1期58-60,共3页
关键词 肿瘤抑制基因 基因变异分子病理 LOH MSI TSG
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Clinicopathological significance of B-cell-specific Moloney murine leukemia virus insertion site 1 expression in gastric carcinoma and its precancerous lesion 被引量:9
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作者 Jing Zhao Xiang-Dong Luo Chun-Li Da Yan Xin 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第17期2145-2150,共6页
AIM: To explore the relation between B-cell-specific Moloney murine leukemia virus insertion site 1 (Bmi-1) expression and the clinicopathological features of gastric carcinoma (GC).METHODS: Immunohistochemistry... AIM: To explore the relation between B-cell-specific Moloney murine leukemia virus insertion site 1 (Bmi-1) expression and the clinicopathological features of gastric carcinoma (GC).METHODS: Immunohistochemistry was used to detect the expression of Bmi-1 and ki-67. Doublelabeling staining was used to display the distribution of Bcl-2^+/ki-67 cells in 162 cases of GC and its matched normal mucosa and precancerous lesion.RESULTS: The positive rate of Bmi-1 expression in GC(52.5%) was significantly higher than that in normal gastric mucosa (21.6%, X^2 = 33.088, P 〈 0.05). The Bmi-1 expression in GC was closely related with the Lauren's and Borrmann's classification and clinicalstage (X^2 = 4.400, 6.122 and 11.190, respectively, P〈 0.05). The expression of ki-67 was related to the Borrmann's classification (X^2 = 13.380, P 〈 0.05).Bcl-2 expression was correlated with the Lauren's classification (Z2 = 4.725, P 〈 0.05), and the Bmi-1 expression both in GC (rk = 0.157, P 〈 0.05) and inintestinal metaplasia (rk = 0.270, P 〈 0.05).CONCLUSION: Abnormal Bmi-1 expression in GCmay be involved in cell proliferation, apoptosis andcancerization. This marker can objectively indicate theclinicopathological characteristics of GC. 展开更多
关键词 B-cell-specific Moloney murine leukemiavirus insertion site 1 Gastric carcinoma Precancerouslesion Cell proliferation Apoptosis
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Current practices and guidelines for clinical next-generation sequencing oncology testing
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作者 Samuel P.Strom 《Cancer Biology & Medicine》 SCIE CAS CSCD 2016年第1期3-11,共9页
Next-generation sequencing(NGS) has been rapidly integrated into molecular pathology, dramatically increasing the breadth genomic of information available to oncologists and their patients. This review will explore th... Next-generation sequencing(NGS) has been rapidly integrated into molecular pathology, dramatically increasing the breadth genomic of information available to oncologists and their patients. This review will explore the ways in which this new technology is currently applied to bolster care for patients with solid tumors and hematological malignancies, focusing on practices and guidelines for assessing the technical validity and clinical utility of DNA variants identified during clinical NGS oncology testing. 展开更多
关键词 Cancer genomics next-generation sequencing molecular diagnostics
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Novel genetic variations of the p53R2 gene in patients with colorectal adenoma and controls
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作者 Zong-Lin Deng Da-Wen Xie +4 位作者 Roberd M Bostick Xi-Jiang Miao You-Ling Gong Jin-Hui Zhang Michael J Wargovich 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第33期5169-5173,共5页
AIM: p53-Inducible ribonucleotide reductase small subunit 2 (p53R2) encodes a 351-amino-acid peptide, which catalyzes conversion of ribonucleoside diphosphates to the corresponding deoxyribonucleotides required for DN... AIM: p53-Inducible ribonucleotide reductase small subunit 2 (p53R2) encodes a 351-amino-acid peptide, which catalyzes conversion of ribonucleoside diphosphates to the corresponding deoxyribonucleotides required for DNA replication and repair. A recent study reported that a point mutation (G/T) in the p53 binding sequence in a colon cancer cell line completely impaired p53R2 protein activity.METHODS: We screened the p53R2 gene coding regions and a regulatory region which contains a p53 binding sequence in 100 patients with colorectal adenoma and 100 control subjects using PCR, cold SSCP, and direct DNA sequencing.RESULTS: Although we did not identify genetic variation in all nine exons, four regulatory-region variants were found,of which three were single nucleotide polymorphisms (SNPs) (nt 1 789 C/G, nt 1 928 A/G, 1 933 T/C), and one was 20 bp insertion which replaced a ATTTT between nt 1 831 and 1 835. Additionally, we determined the frequency of these p53R2 variants in a recently concluded case-control study of incident sporadic colorectal adenomas (163 cases and 210 controls).CONCLUSION: Although more detailed functional characterizations of these polymorphisms remain to be undertaken, these polymorphic sites may be useful for identifying alleles associated with mis-splicing, additional transcript factors and, more generally, in cancer-susceptibility association studies. 展开更多
关键词 Genetic polymorphism Colorectal neoplasia p53R2 SSCP PCR-RFLP
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Study Genetic Variation Using DNA Molecular Markers and Identification Physiological Races of Wheat Stripe (yellow) Rust Puccinia striiformis f.sp tritici during 2010-2014 in Some Regions of Syria
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作者 Shoula Kharoui Fawaz Azmeh Buthainah N. Alsalamah 《Journal of Food Science and Engineering》 2017年第3期161-172,共12页
Yellow Rust (stripe) rust (Puccinia striiformis West. f. sp. tritici) is one of the most epidemic diseases infect wheat in cold and wet regions. In 1988, this disease caused a loss of seasonal production amounted ... Yellow Rust (stripe) rust (Puccinia striiformis West. f. sp. tritici) is one of the most epidemic diseases infect wheat in cold and wet regions. In 1988, this disease caused a loss of seasonal production amounted 70% on wheat variety Mexipak in Syria, and recurrent infection in 2010, caused by a virulent race called Yr27, caused a considerable loss in the production of bread wheat cultivars (Cham 8, Cham 6 particularly) amounted 90%. Recently, 15 races of yellow rust had been addressed in Syria for seasons 2010-2014; 159E256, 166E254, 166E256, 255 E112, 0 E0, 64 E 6, 230 El50, 0 E 18, 198 El30, 166 El50, 102 El60, 128 E0, 126 El50, 214E150, and 6E16. The race 6E16 was the most frequent during the two seasons, while the race 255El12 was the most virulent, followed by the race 230E222 and the race 0E0 was the weakest one. This study revealed the presence of fourteen newly observed races in Syria. Molecular Variance Analysis of Molecular Variance (AMOVA) of 55 yellow rust Puccinia striiformis f.sp tritici isolates examined by Amplify Fragment Length Polymorphism (AFLP) revealed high genetic variation within population, and the dimensional scale analysis (MSD) and tree diagram showed that the Syrian yellow rust isolates were clustered in three groups: the first group contained isolates derived from durum wheat, the second one contained bread wheat isolates, but the third was made of isolates derived from both durum and bread wheat species. 展开更多
关键词 Wheat yellow (stripe) rust Puccinia striiformis West f. sp. tritici DNA molecular markers AFLP PCR races Syria.
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