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        west china medical publishers
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        find Keyword "肝" 2157 results
        • Clinical Analysis of 156 Old Patients with Severe Acute Cholangitis Treated by PTCD under Ultrasonic Guidance

          目的 總結超聲引導下經皮經肝穿刺膽管引流術(PTCD)的優、缺點,為臨床治療重癥急性膽管炎(SAC)提供參考。方法 回顧性分析我院1994年8月至2008年7月期間對156例老年SAC患者行在超聲引導下的PTCD治療的臨床資料。結果 156例行PTCD均獲成功,1次穿刺成功140例,其成功率達89.7%(140/156); 16例首次穿刺失敗后再次穿刺均成功。無一例發生腹腔出血、膽汁性腹膜炎等并發癥。本組引流效果較好,中毒危象緩解,黃疸減退,肝功能改善。結論 PTCD較外科手術創傷小、操作簡單、快速,具有微創的特點,對老年、有嚴重合并癥及復雜疾病不能耐受手術及麻醉的SAC患者,其作為緊急搶救措施切實可行,并為后期施行根治性手術爭取了時間。

          Release date:2016-09-08 04:26 Export PDF Favorites Scan
        • Genistein Regulates bax Gene Expression and Induces Apoptosis in Hepatocellular Carcinoma HepG2 Cells

          【 Abstract 】 Objective To probe into the role of inositol 1, 4, 5-trisphosphate (IP3) and bax gene expression in apoptosis of HepG2 cells induced by genistein (Gen). Methods HepG2 cells were treated with different concentrations including 20, 40, 60 and 80 μ mol/L Gen as HepG2 cells cultured with 0 μmol/L Gen for 72 h was control; HepG2 cells were treated with 60 μmol/L Gen for 6, 12, 24, 48 and 72 h as HepG2 cells treated with 60 μmol/L Gen for 0 h was control. IP3 content, bax mRNA expression and apoptosis rate were assayed by IP3- [ 3H ] Birtrak assay, RT-PCR and flow cytometry, respectively. ResultsHepG2 cells incubated with each concentration of Gen for 72 h , IP3 content was lower than that of control 〔 (17.7 ± 1.3), (11.2 ± 0.9), (4.9 ± 0.5), (4.8 ± 0.3) pmol/106 cells vs (29.4 ± 0.5) pmol/106 cells 〕 , P < 0.01 ; bax mRNA expression (RI which was the gray degree multiply area of bax/the gray degree multiply area of β -actin) was higher than that of control (0.26 ± 0.02, 0.33 ± 0.05, 0.35 ± 0.06, 0.38 ± 0.05 vs 0.09 ± 0.01), P < 0.01 ; The apoptosis rate was higher than that of control 〔 (10.1 ± 0.9)%, (18.7 ± 1.6)%,   (28.7 ± 2.5)%, (27.9 ± 2.0)% vs (2.6 ± 0.1)% 〕 , P < 0.01. HepG2 cells were incubated with 60 μ mol/L Gen for 6, 12, 24, 48 and 72 h , IP3 content was lower than that of control 〔 (22.6 ± 0.9), (12.0 ± 1.4), (7.5 ± 0.8), (5.6 ± 0.5), (4.3 ± 0.6) pmol/106 cells vs (29.2 ± 0.6) pmol/106 cells 〕 , P < 0.01 ; bax mRNA expression was higher than that of control incubated with 60 μ mol/L Gen for above 12 h (0.25 ± 0.06, 0.29 ± 0.02, 0.30 ± 0.02, 0.35 ± 0.04 vs 0.09 ± 0.01), P < 0.01 ; The apoptosis rate in groups incubated with 60 μ mol/L Gen for 24, 48 and 72 h was significantly higher than that in control 〔 (7.4 ± 0.5)%, (20.5 ± 2.0)%, (30.7 ± 1.6)% vs (2.6 ± 0.1)% 〕 , P < 0.01. ConclusionGen induces apoptosis of HepG2 cells by reducing IP3 production and increasing bax gene expression.

          Release date:2016-09-08 11:45 Export PDF Favorites Scan
        • Systemic Chemo-Immunotherapy for Hepatocellular Carcinoma

          Release date:2016-09-08 11:52 Export PDF Favorites Scan
        • Predicting of PIK3CA Mutations for The Efficacy and Prognosis of Hepatocellular Carcinoma Patients Received Surgical Resection

          ObjectiveTo investigate the predicting effect of PIK3CA mutations for the efficacy and prognosis of hepatocellular carcinoma (HCC) patients received surgical resection. MethodsPCR and DNA sequencing were used to detect the PIK3CA mutation status of 79 HCC tissues, its impact on the short and long term effects of the patients were analyzed. ResultsIn this group of patients, mutation rate of PIK3CA gene exon 9 was 39.24% (31/79), PIK3CA mutation rate correlated with lymph node status and tumor differentiation (P < 0.05). The therapeutic effect of patients with PIK3CA mutation was significantly poor than that of the non-mutated group (P < 0.05). The three-year cumulative survival of patients with PIK3CA mutation (33.33%) was significantly lower than non-mutated group's (60.00%) by Kaplan-Meier (P < 0.05). ConclusionPIK3CA gene mutation in exon 9 could impact the efficiency of surgical resection in patients with HCC and could predict a poor survival prognosis.

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        • eyeMAX膽胰成像系統在肝膽管結石中的應用體會

          目的評價eyeMAX膽胰成像系統在肝膽管結石治療中應用的安全性及效果。方法回顧性分析2021年12月至2022年12月期間曲靖市第一人民醫院肝膽胰外科利用eyeMAX膽胰成像系統治療的18例肝膽管結石患者的臨床資料,評估其技術成功率和臨床成功率以及并發癥發生率。結果18例肝膽管結石直徑為0.8~1.8 cm、平均1.6 cm。采用eyeMAX膽胰成像系統治療均實現技術成功,結石取凈率為100%(18/18),手術時間為(50±10)min;術后有2例出現急性輕癥胰腺炎及1例出現急性膽管炎,無膽道和胃腸穿孔、無出血等并發癥,總體并發癥發生率為16.7%(3/18)。結論本組有限病例結果提示,eyeMAX膽胰成像系統為肝膽管結石的治療提供了新的手段,尤其對肝內膽管結石、膽管狹窄等復雜性肝膽管結石的治療具有一定的優勢。

          Release date:2024-06-20 05:33 Export PDF Favorites Scan
        • Research Progress of C4.4A in Non-small Cell Lung Cancer

          Lung cancer is one of the most malignant common tumor worldwidely and it's the most popular cancer in China. Both the prevalence and mortality of it are higher than other cancers. And its 5-year survival rate is 15%. Non-small cell lung cancer(NSCLC) accounts for about 85% lung cancer and its pathogenesis has not been elucidated. Therefore, early prediction and detection are very important for improving the effect of treatment and prognosis. Recently, dysregulation and excessive activity of the C4.4A as a member of the LY6/uPAR family of membrane proteins has been shown to associate with multiple cancer types. And previous studies suggest that the C4.4A participates in the invasion and metastasis of NSCLC. At the same time, circumstantial evidence proves that C4.4A and liver kinase B1(LKB1) tumor suppressor gene have a negative regulatory relationship. This article will briefly summarize the recent research progresses of C4.4A in NSCLC.

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        • THE EFFECT OF NUTRITIONAL STATUS ON THE HEPATIC METABOLISM IN RAT

          This study was disigned to determine the effect of nutritional status on the energy metabolism of liver. Rat liver of four nutritional groups (Group Ⅰ: fasting; Group Ⅱ: surgar feeding diet; Group Ⅲ: normal feeding diet; Group Ⅳ: group Ⅰ and group Ⅱ accepted patenteral nutrition) were removed for study. The adenosine triphosphate (ATP) level, total addenosine nucleotides (TAN) level, and adenylaty energy charge (EC) of liver decreased in group Ⅰ and group Ⅱ in contrasted with group Ⅲ (Plt;0.001), result of group Ⅳ was similar to that of group Ⅲ when the liver specimens were collected. The rusults indicate that a short period of starvation and low sugar intake will result in the malnutrition of liver and derangement of hapatic energy metabolism and material metabolism. But this status can be corrected by a short perios of parenteral nutrition.

          Release date:2016-08-29 04:26 Export PDF Favorites Scan
        • Pre-Infusion of Allogeneic Lymphocytes Treated with 5-FU Induced Positive Expression of Fas-L in Rat Liver Graft

          ObjectiveTo evaluate the effect of pre-infusion of allogeneic lymphoyctes treated with 5-FU on the rat liver graft. MethodsRat liver transplant models from Wistar to SD were established. Four groups were designed as following: control group: only liver transplantation without any other intervention; lymphocytes group: 1 ml of untreated lymphocytes (5×106/ml) from Wistar rats were preinfused into SD rats on day 7 and 4 separately before transplantation; lymphocytes with low concentration of 5-FU group: low concentration 5-FU (7.5 μg) treated lymphocytes were preinfused as above; lymphocytes with high concentration of 5-FU group: high concentration 5-FU (15 μg) treated lymphocytes were preinfused as above. Fas-L and CD8 expression were detected by immunohistochemistry method on day 7 after transplantation. ResultsThe integral opticaldensity (IOD) of Fas-L positive lymphocytes in the lobules of liver and portal areas were higher in lymphocytes with low concentration of 5-FU group than in the other groups (Plt;0.05). There was no difference between lymphocyte group and lymphocytes with high concentration of 5-FU group (Pgt;0.05). The IOD of CD8+ expression in lobules of liver was not different among all the three lymphocytes treated groups (Pgt;0.05). But in portal areas, CD8+ expression was lower in the lymphocytes with low concentration of 5-FU group than in the other groups (Plt;0.05). ConclusionPreinfusion of lymphocytes treated with low concentration 5-FU can induce graft immune tolerance, the probable mecanism of which is the increasing Fas-L expression in graft.

          Release date:2016-09-08 10:40 Export PDF Favorites Scan
        • SUPPRESSION OF HUMAN HEPATOCELLULAR CARCINOMA CELL GROWTH OF RETINOBLASTOMA SUSCEPTIBILITY GENG

          The Chinese human hepatocellular carcinoma cell SMMC7721 has been analysed by flow cytometry, Southern blotting and Western blotting. The results indicated that SMMC7721 cell is a hypoploid cell with a 0.81 DNA index, and that SMMC7721 cell has internal deletion in the 5'-end of its Rb gene and has no Rb gene product (Rb protein). The normal Rb cDNA has been inserted into a retrovirus vector DOL and introduced into SMMC7721 cells by electrporation transfection technique.About 75% of transfected SMMC7721 cells have been killed by Rb gene product. The remain 25% cells are alive as exogenous Rb gene has been mutationally inactivated. (Chin J Ocul Fundus Dis,1994,10:21-24)

          Release date:2016-09-02 06:34 Export PDF Favorites Scan
        • Multi-Slice Spiral CT Angiography of Liver with Three-Dimensional Reconstruction Technique and Its Clinical Applications

          Release date:2016-09-08 11:52 Export PDF Favorites Scan
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