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| 1 | Clinical Features of Adult/Adolescent Atopic Dermatitis and Chinese Criteria for Atopic Dermatitis显示文摘 | Ping Liu Yan Zhao Zhang-Lei Mu Qian-Jin Lu Qian-Jin L U Li Zhang Xu Yao Min Zheng Yi-Wen Tang Xin-Xiano Lu Xiu-Juan xia You-Kun Lin Yu-Zhen Li Cai-Xia Tu Zhi-Rong Yao Jin-Hua Xu Wei Li Wei Lai Hui-Min Yang Hong-Fu Xie Xiu-Ping Han Zhi-Qiang Xie Xiang Nong Zai-Pei Guo Dan-Qi Deng Tong-Xin Shi Jian-Zhong Zhang | 2016 | Chinese Medical Journal2016，，7： | 64 |
| 2 | 2018 Chinese Pediatric Cardiology Society(CPCS) guideline for diagnosis and treatment of syncope in children and adolescents显示文摘Syncope belongs to the transient loss of consciousness(TLOC), characterized by a rapid onset, short duration, and spontaneous complete recovery. It is common in children and adolescents, accounting for 1% to 2% of emergency department visits.Recurrent syncope can seriously affect children's physical and mental health, learning ability and quality of life and sometimes cardiac syncope even poses a risk of sudden death. The present guideline for the diagnosis and treatment of syncope in children and adolescents was developed for guiding a better clinical management of pediatric syncope. Based on the globally recent development and the evidence-based data in China, 2018 Chinese Pediatric Cardiology Society(CPCS) guideline for diagnosis and treatment of syncope in children and adolescents was jointly prepared by the Pediatric Cardiology Society, Chinese Pediatric Society, Chinese Medical Association(CMA)/Committee on Pediatric Syncope, Pediatricians Branch, Chinese Medical Doctor Association(CMDA)/Committee on Pediatric Cardiology, Chinese College of Cardiovascular Physicians, Chinese Medical Doctor Association(CMDA)/Pediatric Cardiology Society, Beijing Pediatric Society, Beijing Medical Association(BMA). The present guideline includes the underlying diseases of syncope in children and adolescents, the diagnostic procedures, methodology and clinical significance of standing test and headup tilt test, the clinical diagnosis vasovagal syncope, postural orthostatic tachycardia syndrome, orthostatic hypotension and orthostatic hypertension, and the treatment of syncope as well as follow-up. | Cheng Wang Yaqi Li Ying Liao Hong Tian Min Huang Xiangyu Dong Lin Shi Jinghui Sun Hongfang Jin Junbao Du Jindou An Jie Chen Mingwu Chen Qi Chen Sun Chen Yonghong Chen Zhi Chen Adolphus Kai-tung Chau Junbao Du Zhongdong Du Junkai Duan Hongyu Duan Xiangyu Dong Lin Feng Lijun Fu Fangqi Gong Yonghao Gui Ling Han Zhenhui Han Bing He Zhixu He Xiufen Hu Yimin Hua Guoying Huang Min Huang Ping Huang Yujuan Huang Hongfang Jin Mei Jin Bo Li Fen Li Tao Li Xiaohui Li Xiaoyan Liu Yan Li Haitao Lv Tiewei Lv Zipu Li Luyi Ma Silin Pan Yusheng Pang Hua Peng Yuming Qin Jie Shen Lin Shi Kun Sun Jinghui Sun Hong Tian Jie Tian Cheng Wang Hong Wang Lei Wang Jinju Wang Wendi Wang Yuli Wang Rongzhou Wu Tianhe Xia Yanyan Xiao Chunhong Xie Yanlin Xing Zhenyu Xiong Baoyuan Xu Yi Xu Hui Yan Shiwei Yang Qijian Yi Xia Yu Xianyi Yu Yue Yuan Hongyan Zhang Huili Zhang Li Zhang Qingyou Zhang Xi Zhang Yanmin Zhang Zhiwei Zhang Cuifen Zhao Bin Zhou Hua Zhu | 2018 | Science Bulletin2018，63，23： | 54 |
| 3 | Prevalence of Atrial Fibrillation in China and Its Risk Factors显示文摘Objective To study the prevalence of atrial fibrillation(AF)and the relation with its risk factors in China.Methods A total of 19 363 participants(8635 males and 10 728 females) aged ≥35 years in geographically dispersed urban and rural regions of China were included in this cross-sectional survey.All participants received questionnaire,physical and blood examination.Echocardiography were performed for AF patients found in the survey.Results Of the 19 363 participants,199 were diagnosed with AF.The estimated age-standardized prevalence of AF was 0.78% in men and 0.76% in women.The prevalence of AF in participants aged <60 years was 0.41% in men and 0.43% in women,and was 1.83% in both men and women aged ≥60 years.About 19.0% of males and 30.9% of females with AF were diagnosed with valve disease.Age-and sex-adjusted multivariable logistic regression analysis revealed that myocardial infarction,left ventricular hypertrophy(LVH),obesity,and alcohol consumption were associated with a increased risk of AF(P<0.05).Conclusion The age standardized prevalence of AF is 0.77% in the participants enrolled in the present study.The number of AF cases aged ≥35 years is 5.26 million according to 2010 Chinese Census.Most risk factors for AF,identified mainly in Western countries,are also detected in China. | LI Ying WU Yang Feng CHEN Ke Ping LI Xian ZHANG Xing XIE Gao Qiang WANG Fang Zheng ZHANG Shu | 2013 | Biomedical and Environmental Sciences2013，26，9： | 48 |
| 4 | Huang's three-step maneuver for laparoscopic spleen-preserving No.10 lymph node dissection for advanced proximal gastric cancer显示文摘Due to the complexity of the splenic hilar vessels, their anatomical variation and the narrow and deep space, as well as the bleeding-prone splenic parenchyma and the difficulty to manage splenic or vascular bleeding at the splenic hilum,the procedure remains challenging and technically demanding procedure for the performance of laparoscopic pancreas- and spleen-preserving splenic hilar lymph nodes dissection. Based on our experiences, we gradually explored a set of procedural operation steps called 'Huang's threestep maneuver'. In this paper, we not only provide the concrete operation steps for the surgeon, but we also provide our recommended technique of pulling and exposure for assistants. This new maneuver simplifies the complicated procedure and improves the efficiency of laparoscopic spleen-preserving splenic hilar lymphadenectomy, making it easier to master and allowing for its widespread adoption. | Chang-Ming Huang Qi-Yue Chen Jian-Xian Lin Chao-Hui Zheng Ping Li Jian-Wei Xie | 2014 | Chinese Journal of Cancer Research2014，26，2： | 46 |
| 5 | Studies on Temporal and Spatial Variations of Phytoplankton in Lake Chaohu显示文摘这研究的目的是在乔胡湖,描述浮游植物集合的时间、空间的变化,并且讨论位于这些变化下面的可能的机制在中国的一个大浅发育营养正常促进剂湖,与 cyanobacteria 上的强调。191 浮游植物种类的一个总数被识别,在哪个评价的绿色植物(101 ) 之中第一,由 Cyanophytes (46 ) 和 Bacillariophytes (28 ) 列在后面。平均在全部湖上,最大的全部的海藻的生物资源在 11 月与最小(5.05 mg/l ) 出现在 6 月(19.70 mg/l ) 。以累年平均生物资源, cyanobacteria 贡献了 45.43% 总计海藻的生物资源,跟随的 byChlorophytes (27.14%) ,和 Bacillariophytes (20.6%) 。当硝酸盐(NO3-N ) 和集中顺便坐坐的铵(NH4-N ) 跳时,修理氮的 cyanobacterium (淡水藻类的一种) 快速开发了 dranked 第一以在夏天的生物资源。zooplanktivorous 鱼和小甲壳纲的动物浮游动物的那优势赞成了发展,是可能的不可食细丝状或殖民地形成 cyanobacteria。在整个所有季节的 cyanobacteria 的坚持的优势可以在乔胡湖显示对超营养作用的浮游植物的反应的一个新趋势…… | Dao-Gui Deng Ping Xie Qiong Zhou Hua Yang Long-Gen Guo | 2007 | Journal of Integrative Plant Biology2007，49，4： | 36 |
| 6 | Correction of a genetic disease by CRISPR-Cas9-mediated gene editing in mouse spermatogonial stem cells显示文摘Spermatogonial 干细胞(SSC ) 能在移植以后生产众多的男配偶子进接受者睾丸,介绍为基因治疗和修改基因的动物的连续生产的一条珍贵途径。然而, SSC 的成功的基因操作被限制了,部分由于复杂性和当前可得到的基因编辑技术的低效率。这里,我们证明有效基因修正能用 CRISPR-Cas9 系统被介绍进 SSC。我们使用了 CRISPR-Cas9 系统变异在 SCC 的 EGFP transgene 或内长的 Crygc 基因。变异的 SSC 在移植以后经历了精子发生进不肥沃的老鼠睾丸的生精的小管。圆 spermatids 被产生并且在进成熟卵母细胞的注射以后,支持了显示相应变异的显型的异质接合的后代的生产。而且,在 Crygc 的一个引起疾病的变化(在 SSC 先存在的 Crygc −/−) 能乐意地到加入的 CRISPR-Cas9-induced nonhomologous 结束(NHEJ ) 或指导相同的修理(HDR ) 被修理,导致没有是的离开目标修正的证据带改正的基因的 SSC 线由整个染色体的定序出现。用从这些线产生的圆 spermatids 的授精在 100% 的效率与改正的显型产生了后代。我们的结果表明有效基因由 CRISPR-Cas9 系统在老鼠 SSC 编辑,并且提供在 SSC 经由基因修正治好基因疾病的原则的证明。 | Yuxuan Wu Hai Zhou Xiaoying Fan Ying Zhang Man Zhang Yinghua Wang Zhenfei Xie Meizhu Bai Qi Yin Dan Liang Wei Tang Jiaoyang Liao Chikai Zhou Wujuan Liu Ping Zhu Hongshan Guo Hong Pan Chunlian Wu Huijuan Shi Ligang Wu Fuchou Tang Jinsong Li | 2015 | Cell Research2015，25，1： | 37 |
| 7 | PVT v2:Improved baselines with Pyramid Vision Transformer显示文摘Transformers have recently lead to encouraging progress in computer vision.In this work,we present new baselines by improving the original Pyramid Vision Transformer(PVT v1)by adding three designs:(i)a linear complexity attention layer,(ii)an overlapping patch embedding,and(iii)a convolutional feed-forward network.With these modifications,PVT v2 reduces the computational complexity of PVT v1 to linearity and provides significant improvements on fundamental vision tasks such as classification,detection,and segmentation.In particular,PVT v2 achieves comparable or better performance than recent work such as the Swin transformer.We hope this work will facilitate state-ofthe-art transformer research in computer vision.Code is available at http://gffzz188fe103f8f1460as99659kobvb0k6590.ffgz.tsg.suse.edu.cn/whai362/PVT. | Wenhai Wang Enze Xie Xiang Li Deng-Ping Fan Kaitao Song Ding Liang Tong Lu Ping Luo Ling Shao | 2022 | Computational Visual Media2022，8，3： | 30 |
| 8 | Digestive tract reconstruction using isoperistaltic jejunumlater-cut overlap method after totally laparoscopic total gastrectomy for gastric cancer: Short-term outcomes and impact on quality of life显示文摘AIM To evaluate the short-term outcomes and quality of life(Qo L) in gastric cancer patients undergoing digestive tract construction using the isoperistaltic jejunum-latercut overlap method(IJOM) after totally laparoscopic total gastrectomy(TLTG).METHODS A total of 507 patients who underwent laparoscopic gastrectomy(D2) from January 2014 to March 2016 were originally included in the study. The patients were divided into two groups to undergo digestive tract construction using either IJOM after TLTG(group T, n = 51) or Roux-en-Y anastomosis after laparoscopic-assisted total gastrectomy(LATG)(group A, n = 456). The short-term outcomes and Qo L were compared between the two groups after 1:2 propensity-score matching(PSM). We used a questionnaire to assess Qo L.RESULTS Before matching, age, sex, tumor size, tumor location, preoperative albumin and blood loss were significantly different between the two groups(P < 0.05). After PSM, the patients were well balanced in terms of their clinicopathological characteristics, although both blood loss and in-hospital postoperative days in group T were significantly lower than those in group A(P < 0.05). After matching, group T reported better Qo L in the domains of pain and dysphagia. Among the items evaluating pain and dysphagia, group T tended to report better Qo L('Have you felt pain' and 'Have you had difficulty eating solid food')(P < 0.05).CONCLUSION The IJOM for digestive tract reconstruction after TLTG is associated with reduced blood loss and less pain and dysphagia, thus improving Qo L after laparoscopic gastrectomy. | Ze-Ning Huang Chang-Ming Huang Chao-Hui Zheng Ping Li Jian-Wei Xie Jia-Bin Wang Jian-Xian Lin Jun Lu Qi-Yue Chen Long-Long Cao Mi Lin Ru-Hong Tu Ju-Li Lin | 2017 | World Journal of Gastroenterology2017，23，39： | 27 |
| 9 | Practice guidelines for ultrasound-guided percutaneous microwave ablation for hepatic malignancy显示文摘Primary liver cancer and liver metastases are among the most frequent malignancies worldwide,with an increasing number of new cases and deaths every year.Traditional surgery is only suitable for a limited proportion of patients and imaging-guided percutaneous thermal ablation has achieved optimistic results for management of hepatic malignancy.This synopsis outlines the first clinical practice guidelines for ultrasoundguided percutaneous microwave ablation therapy for hepatic malignancy,which was created by a joint task force of the Society of Chinese Interventional Ultrasound.The guidelines aim at standardizing the microwave ablation procedure and therapeutic efficacy assessment,as well as proposing the criteria for the treatment candidates. | Ping Liang Jie Yu Ming-De Lu Bao-Wei Dong Xiao-Ling Yu Xiao-Dong Zhou Bing Hu Ming-Xing Xie Wen Cheng Wen He Jian-Wen Jia Guo-Rong Lu | 2013 | World Journal of Gastroenterology2013，19，33： | 26 |
| 10 | Comparision of modified and conventional delta-shaped gastroduodenostomy in totally laparoscopic surgery显示文摘AIM:To evaluate the safety and feasibility of a modified delta-shaped gastroduodenostomy(DSG)in totally laparoscopic distal gastrectomy(TLDG).METHODS:We performed a case-control study enrolling 63 patients with distal gastric cancer(GC)undergoing TLDG with a DSG from January 2013 to June 2013.Twenty-two patients underwent a conventional DSG(Con-Group),whereas the other 41 patients underwent a modified version of the DSG(Mod-Group).The modified procedure required only the instruments of the surgeon and assistant to complete the involution of the common stab incision and to completely resect the duodenal cutting edge,resulting in an anastomosis with an inverted T-shaped appearance.The clinicopathological characteristics,surgical outcomes,anastomosis time and complications of the two groups were retrospectively analyzed using a prospectively maintained comprehensive database.RESULTS:DSG procedures were successfully completed in all of the patients with histologically complete(R0)resections,and none of these patients required conversion to open surgery.The clinicopathological characteristics of the two groups were similar.There were no significant differences between the groups in the operative time,intraoperative blood loss,extension of the lymph node(LN)dissection and number of dissected LNs(150.8±21.6 min vs 143.4±23.4 min,P=0.225for the operative time;26.8±11.3 min vs 30.6±14.8mL,P=0.157 for the intraoperative blood loss;4/18 vs3/38,P=0.375 for the extension of the LN dissection;and 43.9±13.4 vs 39.5±11.5 per case,P=0.151 for the number of dissected LNs).The anastomosis time,however,was significantly shorter in the Mod-Group than in the Con-Group(13.9±2.8 min vs 23.9±5.6min,P=0.000).The postoperative outcomes,including the times to out-of-bed activities,first flatus,resumption of soft diet and postoperative hospital stay,as well as the anastomosis size,did not differ significantly(1.9±0.6 d vs 2.3±1.5 d,P=0.228 for the time to outof-bed activities;3.2±0.9 d vs 3.5±1.3 d,P=0.295for the first flatus time;7.5±0.8 d vs 8.1±4.3 d,P=0.489 for the resumption of a soft diet time;14.3±10.6 d vs 11.5±4.9 d,P=0.148 for the postoperative hospital stay;and 30.5±3.6 mm vs 30.1±4.0 mm,P=0.730 for the anastomosis size).One patient with minor anastomotic leakage in the Con-Group was managed conservatively;no other patients experienced any complications around the anastomosis.The operative complication rates were similar in the Con-and ModGroups(9.1%vs 7.3%,P=1.000).CONCLUSION:The modified DSG,an alternative reconstruction in TLDG for GC,is technically safe and feasible,with a simpler process that reduces the anastomosis time. | Chang-Ming Huang Mi Lin Jian-Xian Lin Chao-Hui Zheng Ping Li Jian-Wei Xie Jia-Bin Wang Jun Lu | 2014 | World Journal of Gastroenterology2014，20，30： | 26 |
| 11 | Comprehensive Sequence and Whole-Life-Cycle Expression Profile Analysis of the Phosphate Transporter Gene Family in Rice显示文摘植物磷酸盐 transporter (磅) 基因在各种各样的生理、生物化学的过程与重要角色包括一个大家庭。在这研究,数据库搜索在米饭(Oryza sativa ) 产出 26 潜在的磅家庭基因。这些基因的分析导致了八个保存主题和 512 个 trans 膜片断的鉴定,他们中的大多数保存了。237 个通常认为的 cis 元素的一个总数在在上游的 2-kb 被发现这些基因的区域。这些,一个多数是 Pi 反应和另外的压力相关的 cis 规章的元素例如象 PHO 一样, TATA-box-like, PHR1,或 Helixloophelix 元素,并且 WRKY1 和 ABRE 元素,由这些建议基因规定发信号。这些基因的全面表示分析从从三米饭遗传型盖住全部生命周期的 27 纸巾与 RNA 从 microarrays hybridized 用数据被执行:Minghui 63, Zhenshan 97,和 Shanyou 63。实时 PCR 分析证实三米饭磅基因优先地在 flowering 前在 1d 在雄蕊被表示,二在在标题的圆锥花序上演,并且二在在出发阶段以后的 14d 在旗帜长叶。荷尔蒙处理实验在分别地暴露于五荷尔蒙的幼苗揭示了 11 米饭磅基因的微分起来规定或下面规定。这些结果将为阐明是有用的在米饭的生长,发展,和压力反应的这些基因的角色种。 | Fang Liu Xiao-Jian Chang Ying Ye Wei-Bo Xie Ping Wu Xing-Ming Lian | 2011 | Molecular Plant2011，4，6： | 24 |
| 12 | Prognostic impact of metastatic lymph node ratio on gastric cancer after curative distal gastrectomy显示文摘AIM:To investigate the prognostic impact of metastatic lymph node ratio(rN) on gastric cancer after curative distal gastrectomy.METHODS:A total of 634 gastric cancer patients who underwent curative resection(R0) of lymph nodes at distal gastrectomy in 1995-2004.Correlations between positive nodes and retrieved nodes,between rN and retrieved nodes,and between rN and negative lymph node(LN) count were analyzed respectively.Prognostic factors were identif ied by univariate and multivariate analyses.Staging accuracy of the pN category(5th UICC/TNM system) and the rN category was compared according to the survival rates of patients.A linear regression model was used to identify the relation between rN and 5-year survival rate of the patients.RESULTS:The number of dissected LNs was related with metastatic LNs but not related with rN.Cox regression analysis showed that depth of invasion,pN and rN category were the independent predictors of survival(P < 0.05).There was a signif icant difference in survival between LN stages classif ied by the rN category or by the pN category(P < 0.05).However,no signif icant difference was found in survival rate between LN stages classif ied by the pN category or by the rN category(P > 0.05).Linear regression model showed a signif icant linear correlation between rN and the 5-year survival rate of gastric cancer patients(β = 0.862,P < 0.001).Pearson's correlation test revealed that negative LN count was negatively correlated with rN(P < 0.001).CONCLUSION:rN category is a better prognostic tool than the 5th UICC pN category for gastric cancer patients after curative distal gastrectomy.Increased negative LN count can reduce rN and improve the survival rate of gastric cancer patients. | Huang, Chang-Ming Lin, Jian-Xian Zheng, Chao-Hui Li, Ping Xie, Jian-Wei Lin, Bi-Juan Wang, Jia-Bin | 2010 | World Journal of Gastroenterology2010，16，16： | 22 |
| 13 | Lithium, an anti-psychotic drug, greatly enhances the generation of induced pluripotent stem cells显示文摘体的房间能由定义因素是进导致的 pluripotent 干细胞(iPSCs ) 的 reprogrammed。reprogramming 的低效率和 oncogenes 和病毒的向量的 genomic 集成限制了 iPSCs 的潜在的申请。这里,我们报导那锂(李) ,药过去常对待心情混乱,极大地从老鼠提高 iPSC 产生胚胎的成纤维细胞和人的脐的静脉 endothelial 房间。李与(Oct4 ) 或二个因素(OS 或好) 便于 iPSC 产生。支持 reprogramming 上的李的效果仅仅部分取决于它的主要目标 GSK3β。不同于另外的 GSK3β禁止者,李不仅增加 Nanog 的表示,而且提高 Nanog 的 transcriptional 活动。我们也发现李由经由 LSD1 的 downregulation 支持 epigenetic 修正施加它的效果, H3K4 特定的 histone demethylase。将 LSD1 击倒部分在提高 reprogramming 模仿李的效果。我们的结果不仅提供一个直接方法改进 iPSC 产生效率,而且为体的房间 reprogramming 作为一个批评调节的人识别了 histone demethylase。 | Quan Wang Xinxiu Xu Jun Li Jing Liu Haifeng Gu Ru Zhang Jiekai Chen Yin Kuang Jian Fei Cong Jiang Ping Wang Duanqing Pei Sheng Ding Xin Xie | 2011 | Cell Research2011，21，10： | 23 |
| 14 | A nomogram based on age, prostate-specific antigen level, prostate volume and digital rectal examination for predicting risk of prostate cancer显示文摘当适用于一个中国队时,为预言前列腺癌症的风险用另外的人口发展了的诺模图可以介绍相当大的偏爱。在现在的学习,我们寻求了为在一张中国人口预言积极起始的前列腺活体检视的概率开发一张诺模图。与完全的活体检视数据在过去的十年为前列腺癌症的察觉经历了 prostatic 活体检视的 535 个中国人的一个总数被包括。逐步的逻辑回归被用来决定积极起始的活体检视的独立预言者。变老,前列腺特定的抗原(PSA ) ,前列腺体积(PV ) ,数字直肠的考试(DRE ) 地位, %免费 PSA 和 transrectal 超声(TRUS ) 调查结果在分析被包括。一个诺模图模型被开发那基于这些独立预言者计算积极起始的前列腺活体检视的概率。一条操作接收装置的典型曲线被用来估计独自使用诺模图和 PSA 层次预言积极前列腺活体检视的精确性。为积极起始的前列腺活体检视的率是 41.7 %(223/535 ) 。过去常预言积极起始的前列腺活体检视的独立变量是很长时间, PSA, PV 和 DRE 地位。在为为独自一个的 PSA 和诺模图的积极起始的前列腺活体检视的操作接收装置的典型曲线下面的区域是 79.7 %并且 84.8 %分别地。我们的结果显示积极起始的前列腺活体检视的风险能用我们的诺模图在一张中国人口被预言到令人满意的水平。诺模图能被用来识别并且建议应该考虑前列腺活体检视的病人,最终在诊断前列腺癌症提高精确性。 | Ping Tang Hui Chen Matthew Uhlman Yu-Rong Lin Xiang-Rong Deng Bin Wang Wen-Jun Yang Ke-Ji Xie | 2013 | Asian Journal of Andrology2013，15，1： | 22 |
| 15 | Prognostic impact of dissected lymph node count on patients with node-negative gastric cancer显示文摘AIM:To investigate the long-term effect of the number of resected lymph nodes (LNs) on the prognosis of patients with node-negative gastric cancer.METHODS: Clinical data of 211 patients with gastric cancer, without nodal involvement, were analyzed retrospectively after D2 radical operation. We analyzed the relationship between the number of resected LNs with the 5-year survival, the recurrence rate and the post-operative complication rate.RESULTS: The 5-year survival of the entire cohort was 82.2%. The total number of dissected LNs was one of the independent prognostic factors. Among patients with comparable depth of invasion, the larger the number of resected LNs, the better the survival (P<0.05). A cut-point analysis provided the possibility to detect a significant survival difference among subgroups. Patients had a better long-term survival outcomes with LN counts ≥15 for pT1-2, ≥20 for pT3-4, and ≥15 for the entire cohort. The overall recurrence rate was 29.4% within 5 years after surgery. There was a statistically significant, negative correlation between the number of resected LNs and the recurrence rate (P>0.01). The post-operative complication rate was 10.9% and was not signif icantly correlated with the number of dissected LNs (P>0.05).CONCLUSION: For node-negative gastric cancer, sufficient number of dissected LNs is recommended during D2 lymphadenectomy, to improve the long-term survival and reduce the recurrence. Suitable increments of the dissected LN count would not increase the post-operative complication rate. | Chang-Ming Huang Jian-Xian Lin Chao-Hui Zheng Ping Li Jian-Wei Xie Bi-Juan Lin Hui-Shan Lu | 2009 | World Journal of Gastroenterology2009，15，31： | 21 |
| 16 | Multiple imaging techniques in the diagnosis of ampullary carcinoma显示文摘BACKGROUND:Ampullary carcinoma is a neoplasia with a good prognosis compared to pancreatic cancer. But it is difficult to early diagnose because it lacks clear clinical symptoms.This study aimed to evaluate the efficacy of abdominal ultrasonography(US),enhanced computed tomography(CT),magnetic resonance cholangiopancreatography(MRCP)and endoscopic retrograde cholangiopancreatography(ERCP)in detecting ampullary carcinoma. METHODS:Forty-one patients with ampullary carcinoma who had been confirmed pathologically among the inpatients at the First Affiliated Hospital of Zhejiang University School of Medicine from February 2003 to March 2007 were analyzed retrospectively.The accuracy of US,CT,MRCP and ERCP were compared in the diagnosis of ampullary carcinoma. RESULTS:The accurate rate for detection of ampullary carcinoma with US was 26.83%.The accuracy of CT and ERCP in detection of ampullary tumors was 84.62%and 100%,respectively,which were significantly higher than that of US(P<0.05).The accuracy of MRCP in detection of ampullary tumors was similar to that of US in spite of visualization of obstruction and dilatation of the pancreaticobiliary duct with MRCP. CONCLUSIONS:Because of the obscure and late onset of symptoms,ampullary carcinoma is difficult to diagnose early.Multiple imaging techniques should be carried out appropriately in order to early diagnose the disease and improve the prognosis. | Chen, Wei-Xing Xie, Qi-Gui Zhang, Wei-Fang Zhang, Xian Hu, Tian-Tian Xu, Ping Gu, Zhu-Ying | 2008 | Hepatobiliary & Pancreatic Diseases International2008，7，6： | 20 |
| 17 | Pioglitazone attenuates the severity of sodium taurocholate-induced severe acute pancreatitis显示文摘AIM: To determine the effect of pioglitazone, a specific peroxisome proliferator-activated receptor-γ (PPARγ) ligand, on development of severe acute pancreatitis (SAP) and expression of nuclear factor-kappa B (NF-κB) and intercellular adhesion molecule-1 (ICAM-1) in the pancreas. METHODS: Male Sprague-Dawley (SD) rats (160-200 g) were randomly allocated into three groups (n = 18 in each group): severe acute pancreatitis group, pioglitazone group, sham group. SAP was induced by retrograde infusion of 1 mL/kg body weight 5% sodium taurocholate (STC) into the biliopancreatic duct of male SD rats. Pioglitazone was injected intraperitoneally two hours piror to STC infusion. Blood and ascites were obtained for detecting amylase and ascitic capacity. Pancreatic wet/dry weight ratio, expression of NF-κB and ICAM-1 in pancreatic tissues were detected by immunohistochemical staining. Pancreatic tissue samples were stained with hematoxylin and eosin (HE) for routine optic microscopy. RESULTS: Sham group displayed normal pancreatic structure. SAP group showed diffuse hemorrhage, necrosis and severe edema in focal areas of pancreas. There was obvious adipo-saponification in abdominal cavity. Characteristics such as pancreatic hemorrhage, necrosis, severe edema and adipo-saponification were found in pioglitazone group, but the levels of those injuries were lower in pioglitazone group than those in SAP group. The wet/dry pancreatic weight ratio, ascetic capacity, serum and ascitic activities of anylasein the SAP group were significantly higher than those in the sham group and pioglitazone group respectively (6969.50 ± 1368.99 vs 2104.67 ± 377.16, 3.99 ± 1.22 vs 2.48 ± 0.74, P < 0.01 or P < 0.05). According to Kusske criteria, the pancreatic histologic score showed that interstitial edema, inflammatory infiltration, parenchyma necrosis and parenchyma hommorrhage in SAP group significantly differed from those in the sham group and pioglitazone group (7.17 ± 1.83 vs 0.50 ± 0.55, 7.67 ± 0.82 vs 6.83 ± 0.75, P < 0.01, P < 0.05. The expression of NF-κB and ICAM-1 in sham group was lower than that in SAP group and pioglitazone group (0.50 ± 0.55 vs 33 ± 1.21, P < 0.01). There was a significant difference in the expression of NF-κB and ICAM-1 between SAP group and pioglitazone group (7.50 ± 1.05 vs 11.33 ± 1.75, 0.80 ± 0.53 vs 1.36 ± 0.54, P < 0.01 or P < 0.05) at 12 h after the induction of pancreatitis. CONCLUSION: Pioglitazone attenuates the severity of SAP. The beneficial effect of pioglitazone is multifactorial due to its anti-inflammatory activities, most likely through the inhibition of ICAM-1 expression and NF-κB activation. Specific ligands of PPARγ may represent the novel and effective means of clinical therapy for SAP. | Ping Xu Xiao-Jiang Zhou Ling-Quan Chen Jiang Chen Yong Xie Long-HuaLv Xiao-Hua Hou | 2007 | World Journal of Gastroenterology2007，13，13： | 20 |
| 18 | Role of 3DCT in laparoscopic total gastrectomy with spleen-preserving splenic lymph node dissection显示文摘AIM:To investigate whether computed tomography with 3D imaging(3DCT)can reduce the risks associated with laparoscopic surgery.METHODS:We performed a retrospective case-control study evaluating the efficacy of preoperative 3DCT of the splenic vascular anatomy on surgical outcomes in patients undergoing laparoscopic spleen-preserving splenic hilar lymph node(LN)dissection for upper-or middle-third gastric cancer.The clinical records of 312patients with upper-or middle-third gastric cancer who underwent laparoscopic total gastrectomy with spleenpreserving splenic lymph node dissection in our hospital from January 2010 to June 2013 were collected,and the patients were divided into two groups(group 3DCT vs group NO-3DCT)depending on whether they underwent 3DCT or not.Clinicopathologic characteristics,operative and postoperative measures,the number of retrieved LNs,and complications were compared between these two groups.Patients were further compared regarding operative and postoperative measures,the number of retrieved LNs,and complications when subdivided by body mass index(≥23 and<23 kg/m2)and the number of operations performed by their surgeon(≤40 vs>40).RESULTS:The mean numbers of retrieved splenic hilar LNs were similar in patients in group 3DCT and group NO-3DCT(2.85±2.33 vs 2.48±2.18,P>0.05).The operation time and blood loss at the splenic hilum were lower in the patients in group 3DCT(P<0.05 each).The postoperative recovery time and complication rates were similar between the two groups(P>0.05 each).Subgroup analysis showed that the operation time at the splenic hilum in patients with a BMI≥23 kg/m2was significantly shorter in patients in group 3DCT than in group NO-3DCT(20.27±5.84 min vs 26.17±11.01 min,P=0.003).In patients with a BMI<23kg/m2,the overall operation time(171.8±26.32 min vs 188.09±52.63 min,P=0.028),operation time at the splenic hilum(19.39±5.46 min vs 23.74±9.56min,P=0.001),and blood loss at the splenic hilum(13.27±4.96 mL vs 17.98±8.12 mL,P=0.000)were significantly lower in patients in group 3DCT than in group NO-3DCT.After 40 operations,the operation time(18.63±4.40 min vs 23.85±7.92 min,P=0.000)and blood loss(13.10±4.17 mL vs 15.10±4.42 mL,P=0.005)at the splenic hilum were significantly lower in patients who underwent 3DCT,but there were no significant between-group differences prior to 40 operations.CONCLUSION:3DCT is critical for surgical guidance to reduce the risks of splenic LN dissection.This method may be important in safely facilitating laparoscopic spleen-preserving splenic LN dissection. | Jia-Bin Wang Chang-Ming Huang Chao-Hui Zheng Ping Li Jian-Wei Xie Jian-Xian Lin Jun Lu | 2014 | World Journal of Gastroenterology2014，20，16： | 20 |
| 19 | Prognostic impact of splenectomy on advanced proximal gastric cancer with No. 10 lymph node metastasis显示文摘这研究评估了的背景 D2 lymphadenectomy 的预示的影响在脾的核(号码 10 淋巴节点)与先进近似胃的癌症和淋巴节点转移在病人与脾切除术结合了 .Methods 经历了 D2 的有先进近似胃的癌症和 No.10 淋巴节点转移的 216 个病人的临床的记录药品切除术回顾地被分析。73 个病人经历了同时的脾切除术(脾切除术组) ,当时 143 个病人(保存脾的组) 。五年的幸存率,把的 No.10 淋巴节点的吝啬的数字和变形 No.10 淋巴节点,和起作用的病态和死亡在二个组之间计算、比较。潜在的预示的因素被 5 年的幸存率是的 univariate 和 multivariate analysis.Results 评估 30.0% 为脾切除术组织并且 19.7% 为保存脾的组(X^2=14.73, P < 0.05 ) 。在脾切除术组的把的 No.10 淋巴节点和变形 No.10 淋巴节点的吝啬的数字比在保存脾的组显著地大(P < 0.05 ) 。Multivariate 分析表明 gastrectomy 的侵略,脾切除术,和类型的深度是独立预示的因素。为有或没有脾切除术的 T3 病人的幸存率是 38.7% 和 18.9% ,分别地(X^2 =15.03, P < 0.05 ) 。为经历全部的 gastrectomy 的病人,幸存率是 33.4% 和 20.7% ,分别地(X^2=13.63, P < 0.05 ) 。分别地,在脾切除术组的起作用的病态和死亡是 24.7% 和 4.1% 并且分别地在保存脾的组是 17.5% 和 3.5% 。差别不是统计上重要的(P > 0.05 ).Conclusions 脾切除术为在有先进近似胃的癌症的病人的 No.10 淋巴节点解剖是有益的。改进耐心的预后,有脾切除术的全部的 gastrectomy 与 T3 近似胃的癌症为病人被推荐有号码 10 淋巴节点转移。 | HUANG Chang-ming WANG Jia-bin LU Hui-shan ZHENG Chao-hui LI Ping XIE Jian-wei ZHANG Xiang-fu | 2009 | Chinese Medical Journal2009，，22： | 19 |
| 20 | Growth-inhibiting effects of taxol on human liver cancer in vitro and in nude mice显示文摘AIM To investigate the effects of taxol onSMMC-7721 human hepatoma and itsmechanisms.METHODS In vitro cell growth was assessedby trypan blue exclusion method.Experimentalhepatoma model was established by seedingSMMC-7721 cells subcutaneously into Balb/c(nu/nu)nude mice.In vivo tumor growth wasdetermined by measurement of tumor diameterwith Vernier calipers.The syntheses of DNA,RNA and protein were analyzed by incorporationof ~3H-thymidine,~3H-uridine and ~3H-leucinerespectively.Using light and electronmicroscopes to observe the morphologicalchanges of cells including mitosis andapoptosis.RESULTS Taxol was effective against SMMC-7721 human hepatoma cell growth in the rangesof 2.5 nmol/L-10 nmol/L with mitotic arrestand apoptosis in vitro.DNA,RNA and proteinsyntheses in cells were also obviouslysuppressed by in vitro treatment of taxol for72 h.Taxol at 2.5 nmol/L reduced ~3H-thymidineuptake to about 34% of the control value(P<0.05).Increasing the dose of taxol to20 nmol/L resulted in a greater decrease in ~3H-thymidine incorporation to 60% of the controlvalue(P<0.01).At a concentration of 20 nmol/L,the ~3H-uridine and ~3H-leucine uptakeswere reduced to 52%(P<0.05)and 63%(P<0.01),respectively.In vivo,taxolsignificantly inhibited SMMC-7721 tumor growthat 10 mg/kg,i.p.,once daily for 10 d.A morethan 90% decrease in tumor volume wasobserved by day 11(P<0.01)similarly withmitotic arrest and cell apoptosis.CONCLUSION Taxol has a marked anticanceractivity in SMMC-7721 human hepatoma both invitro and in nude mice.Its mechanisms might beassociated with mitotic arrest,subsequently,apoptosis of the hepatoma cells.No obvioustoxicity was observed with in vivoadministration of taxoi. | Jin Hui Yuan Ru Ping Zhang Ru Gang Zhang Li Xia Guo Xing Wang Wang Dan Luo Yong Xie Hong Xie | 2000 | World Journal of Gastroenterology2000，6，2： | 18 |
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