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991.
喉功能保留的梨状窝癌外科治疗 总被引:25,自引:0,他引:25
目的 评价喉功能保留梨状窝癌的手术治疗效果。方法 回顾性分析了1974~1994年6月我院初治的44例经保留喉功能手术治疗的梨状窝癌病例,其中T110例T218例,T42例。2例术后放射治疗,42例术前放射治疗,原发灶术式包括:36例梨状窝切除术;8例喉及下咽部分切除术。结果 44例5年生存率为50%,I期为80%,Ⅱ期为71.43%,Ⅲ期为52.9%,Ⅳ期为26.7%,总的局部控制率为81.8% 相似文献
992.
喉癌中p16基因突变和甲基化的研究 总被引:3,自引:0,他引:3
目的 探讨p16基因在喉癌发生发展中的作用和在喉癌中的失活机制。方法 应用聚合酶链反应-单链构象多态性分析(polymerase chain reaction-single strand conformation polymorphismanaly-sis,PCR-SSCP)银染方法和PCR甲基化敏感内匹酶方法检测32例喉癌和相应癌旁组织的p16基因第1,第2外显子突变和甲基化热点区域部分内切酶 相似文献
993.
鼻咽癌茎突后间隙侵犯的临床意义探讨 总被引:7,自引:0,他引:7
目的 探讨鼻咽癌茎突后间隙侵犯的临床意义。方法 1992年12月~1993年12月198Ⅰ-Ⅳa期鼻咽癌住院初治患者接受受根治性放射治疗。按茎突后间隙有无侵犯分为茎后侵犯组和茎后无侵犯组。应用Kaplan-Meier,Log-Rank及卡方检验等方法对两组患者5年生存率、局部控制率和无远处转移生存率进行分析和评价。结果两组患者口咽侵犯率分别为72.1%和16.8%(P〈0.001),后组颅神经侵犯 相似文献
994.
The purpose of this study was to define the treatment of choice (partial laryngectomy vs radiotherapy) in the early stage of supraglottic squamous cell cancer (ESSC). One hundred and fifteen patients with ESSC were treated with either partial laryngectomy (25 patients) or with radiotherapy(90 patients) between January 1984 and December 1996. All patients had a follow-up of over ¶29 months. Radiotherapy (RT) had a local control rate of 79%, which increased to 90% with salvage surgery, and a high larynx preservation rate (83%). Partial laryngectomy (PL) offered a better initial local control rate of 84%, which increased to 88% with salvage surgery, and functional results were also good (80%). No statistically significant differences were found between RT and PL. RT was less costly, showed better suitability for treatment, produced moderate morbidity and sequelae, and local recurrence was easier to rescue. However, it is a once-only application technique. PL showed higher immediate postoperative morbidity, higher cost and lower suitability for treatment but had fewer sequelae, offered the best initial local control and is multi-applicable. No clear oncological arguments were found in our series to define whether PL or RT is the treatment of choice for ESSC. Both are effective therapies. Secondary factors such as suitability for treatment, morbidity, cost and applicability should be individually evaluated when choosing the type of treatment. As the laser endoscopic approach decreases morbidity and costs and makes the condition more suitable for treatment, it could be the treatment of choice for ESSC, in cases where local tumoral extent and larynx exposure allow radical excision. 相似文献
995.
In this study, the chemosensitivity of 36 cases' fresh neuroglioma specimens was examined in vitro with MTT assay. The separation method for single tumor cell, the number of planting of cells, and the dosage and acting time of drugs, which have effects on the results of MTT assay, were studied systematically. On the basis of this experiment, we established a screening method for the chemosensitivity of neuroglioma; it is accurate, rapid, and simple. At the same time, the results showed that neuroglioma was more sensitive to the chemotherapeutic drugs Vm26, DDP and MMC, and the sensitivity varied with not only the drugs but also the individuals. 相似文献
996.
Neurofibromatosis is a dominantly inheriteddefect of the ectoderm,characterized by cafe au laitspots since the childhood and multiple tumorsderived from elements of peripheral and cranialnerves.Hernia-like tumors of various sizes can oftenbe felt under the skin and serve as a valuablecharacteristic in making diagnosis.However,theycan also affect brain,vegetative nerve system or othertissues and lead to bony abnormalities,mentaldisturbances and sometimes,endocrine abnormalities, 相似文献
997.
Luminol-hemin system was used for chemiluminescent flow-injection analysis with immobilized glucoxidase(GOD) column to determine blood glucose. The method is fast, simple and sensitive. Blood samples were diluted to 1:1000 and pumped into the flow-injection analyzer for direct detection. The sampling frequency was 30 samples/h, with a detection limit of 7.2 x 10(-9) mol/L(1.30 micrograms/L). A column packed with 36 milligrams of CPG could be used nearly 200 times. The determination results of glucose in serum by this method were in good agreement with those obtained by the routine GOD spectrophotometric method (correlation coefficient r = 0.90, P > 0.05). Recoveries of this method were 94.0%-107.2%. 相似文献
998.
The changes of type I collagen in the lung tissues of rats with hypoxic pulmonary hypertension (HPH) and its relationship to the mean pulmonary arterial pressure (mPAP) were investigated. The blood dynamic indexes of pulmonary circulation were measured by using Swan-Ganz. The distribution of type I collagen in pulmonary arteries, bronchi and plumonary interstitial was observed by using streptavidin peroxidase method (SP). The morphologic changes of small pulmonary arteries and the level of type I collagen were determined by image pattern analysis technique and gray scale scanning, respectively. The results showed, compared with the controls, mPAP of the hypoxic rats elevated (from 2.12 +/- 0.25 to 3.95 +/- 0.43 kPa, P < 0.01), their small pulmonary arteries, walls thickened (MT% from 16.35 +/- 2.64 to 35.83 +/- 3.55, MA% from 26.83 +/- 3.40 to 59.68 +/- 4.90, P < 0.01) and lumen narrowed. The distribution of type I collagen was mainly in the external layer of pulmonary arterial walls; the positive degrees of gray scale scanning increased and had a positive linear relationship to the mPAP and MT%. These findings suggest that the increase of type I collagen contents in pulmonary arteries is closely related to the development of HPH. 相似文献
999.
In order to investigate the inhibition of the activation and collagen production of cultured rat hepatic stellate cells (HSC) by antisense oligonucleotides (ASON) against TGF beta 1 after cationic liposome (lipofectin) delivery, the authors synthesized a 20-mer phosphorothioate antisense oligonucleotide of TGF beta 1 mRNA, and its sense of missense oligonucleotides, and then treated the HSC with cationic liposome/oligonucleotide complexes respectively. The cellular uptake of 32P-labelled oligonucleotides was determined by liquid scintillation counting, and HSC activation was assessed by the expression of alpha-smooth muscle actin(alpha-SMA). The cellular uptake of lipofectin/32P-ASON complex was approximately five-fold higher than that of 32P-ASON alone. Cationic liposome (lipofectin) delivery significantly increased the inhibition of HSCs activation by ASON, while compared with the use of naked TGF beta 1 ASON at the same concentration (at a final concentration of 1 mumol/L, P < 0.05). However, these effects were not observed in lipofectin alone, liposome/sense or missense oligos complexes at the same concentration. The oligonucleotide or lipofectin/oligos complexes had no cytotoxicity to rat HSCs in culture. These findings suggest that cationic liposome is an effective vehicle to improve the delivery of ASON to rat HSCs in culture, and the cationic liposome/TGF beta 1 ASON complex may be useful for the treatment of hepatic fibrosis. 相似文献
1000.
为了解肝素对脂多糖诱导人肾小球系膜细胞增殖和细胞因子分泌的影响。作者采用四甲基偶氮唑蓝比色分析法及生物活性法,分别测定了人肾小球MC增殖和细胞因子的分泌情况。结果显示;在正常培养条件下,人肾上球MC分泌一定理的白细胞介素6(IL-60和肿瘤坏死因子α(TNF-α)。脂多糖诱导MC增殖及分泌IL-6,TNF-α。高浓度的肝素(500U/ml)促进MC增殖及分泌细胞因子,低浓度的肝素(5U/ml)抑制 相似文献