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31.
Prostate cancer (PC) is recognized as a common malignancy in male patients. Long non-coding RNA (lncRNA) has been implicated in the development of PC. Recently, long intergenic non-protein coding RNA 1207 (LINC01207) has been reported to regulate the carcinogenesis of multiple cancer types. However, its role in the progression of PC remains to be determined. The aim of the present study was to investigate the expression profile, clinicopathological implication and molecular mechanism of action of LINC01207 in the progression of PC. LINC01207 expression levels were compared between PC tumor and paired normal tissue samples from The Cancer Genome Atlas. The expression of LINC01207 was further analyzed in PC cell lines and a normal prostatic cell line. The role of LINC01207 in proliferation, migration and invasion of PC cells was examined using small interfering RNA-mediated silencing. Western blot analysis was used to investigate the changes in protein levels underlying the mechanism of action of LINC01207. The role of LINC01207 in tumorigenesis was evaluated in a xenograft model. LINC01207 was upregulated in PC tumor samples from TCGA data compared with paired normal tissue. LINC01207 expression was significantly increased in PC cells and tumor tissues compared with in normal prostate cells (RWPE1) and normal prostate tissues, respectively. Furthermore, LINC01207 silencing inhibited PC cell proliferation and colony formation and induced apoptosis. Mechanistic experiments showed that LINC01207 promoted carcinogenesis by sponging miR-1182 to regulate the protein levels of AKT3 in PC cell lines. Thus, the findings of the present study indicated that LINC01207 might play a role in the tumorigenesis of PC and may serve as a therapeutic target for PC treatment.  相似文献   
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33.
Background and purposeWide-necked brain aneurysms therapy remains a challenge for neurointerventionalists, mainly for the high recurrence rate. Low-profile stents make feasible the treatment of these aneurysms. In our multicenter series we analyzed clinical and angiographic results of Neuroform Atlas stent-assisted coiling.Materials and methodsFrom January 2016 to March 2017, 113 wide-necked aneurysms were discovered with CTA, MRA and DSA. The Atlas stent-assisted coiling procedures were performed under general anesthesia with sequential or jailing techniques. Six months follow-up DSA was performed to assess the recurrence rate through the modified Raymond-Roy occlusion scale (RROC). Moreover, patients were evaluated clinically to analyse the degree of disability according to the mRS. MRI was performed at 12 months evaluating both the cerebral tissue and the vessels.ResultsIn all the procedures it was feasible to navigate the Neuroform Atlas to the goal vessel and deploy the stent across the aneurysmal neck. Intra-procedural complications account for the 6.2% (7/113). The immediate occlusion rate was RROC 1 in 88%, 2 in 9% and 3 in 3% of cases. The 6 months clinical data showed mRS Score 0–1 in 96.5% of patients; 3 patients died of complications related to SAH. The 12 months follow-up showed RROC of 1 in 82%, 2 in 13% and 3 in 5% of cases. No aneurysm has been retreated.ConclusionsIn our multicenter experience the Neuroform Atlas stent assisted-coiling has shown to be a safe and effective technique for the treatment of wide-necked intracranial aneurysms with encouraging clinical and angiographic results.  相似文献   
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目的 对寰椎椎弓根螺钉和寰椎侧块螺钉两种固定方法进行解剖测量和生物力学测试的对比研究,为临床选择寰椎螺钉的固定方式提供依据。方法 用电子游标卡尺和量角器测量16套正常成年人寰椎新鲜标本的相关参数,包括寰椎侧块螺钉的最大进钉长度(L1)、侧块螺钉进钉点到寰椎后弓后缘的长度(L2)、椎弓根螺钉在寰椎侧块内部分的长度(L3)、椎弓根螺钉在寰椎后弓内的长度(L4)、寰椎椎弓根螺钉的最大进钉长度(L3+L4)、椎弓根螺钉和侧块螺钉的外倾角(αo)和上斜角(βo)等14项内容。进行寰椎单皮质和双皮质的椎弓根螺钉或侧块螺钉固定,测试比较其螺钉拔出强度和钉道长度。结果 L1为(25.01±0.23)mm、L2为(9.85±1.31)mm、L3为(19.58±1.63)mm、L4为(10.47±1.51)mm、L3+L4为(29.81±1.27)mm、椎弓根螺钉和侧块螺钉的外倾角(αo)和上斜角(βo)分别为10o、5o和15o、20o。双皮质寰椎椎弓根螺钉的最大拔出力为(1686.0±425.3)N,单皮质寰椎椎弓根螺钉为(1082.5±292.7)N;双皮质寰椎侧块螺钉最大拔出力为(1127.2±367.1)N,与单皮质寰椎椎弓根螺钉无明显差异,单皮质寰椎侧块螺钉最小,为(785.2±402.7)N。结论 由于寰椎椎弓根螺钉和寰椎侧块螺钉进钉点的位置不同,使得寰椎椎弓根螺钉的长度较寰椎侧块螺钉要长。寰椎侧块螺钉的长度大于寰椎椎弓根螺钉在寰椎侧块内部分的长度,是因为寰椎侧块螺钉的上斜角度和外倾角度均较大之故。在同时适用寰椎椎弓根螺钉和寰椎侧块螺钉固定的患者,从手术操作和螺钉固定强度考虑,宜首先选择寰椎椎弓根螺钉固定,次选寰椎侧块螺钉固定。  相似文献   
36.
目的 运用SELDI-TOF-MS技术(表面增强激光解吸电离飞行时间质谱技术)检测卵巢癌患者、良性卵巢囊肿和正常健康妇女的血清蛋白质指纹图谱,初步探讨筛选出的肿瘤标志物建立的诊断模型在卵巢癌诊断中的临床意义。方法 用SELDI-TOF-MS技术及WCX2芯片检测55例卵巢癌患者和60例对照纽的血清蛋白指纹图谱,并运用SPSS10.0软件判别分析处理数据和筛选标志物,以建立诊断模型。结果 6个蛋白质峰(11500、11650、11800、15800、16000、16250m/z)组合构建的诊断模型1鉴别卵巢癌和对照组的敏感性为94、5%(52/55),特异性为93.3%(56160)。6个蛋白质峰(11590、11700、12000、14800、15500、15900m/z)组合构建的诊断模型Ⅱ鉴别Ⅰ期卵巢癌和对照组的敏感性为82.45%(14/17),特异性为90.0%(54/60)。5个蛋白质峰(11600、11750、16100、16150、16200m/z)组合构建的诊断模型Ⅲ鉴别Ⅰ期卵巢癌患者和Ⅱ~Ⅳ期卵巢癌患者的敏感性为92.1%(35/38),特异性为94.1%(16/17)。结论 SELDI-TOF-MS技术是一种快速、准确、高通量、高灵敏度的蛋白质分析方法,能够直接检测出卵巢癌患者血清中相对特异的肿瘤标志物,其对于卵巢癌的早期诊断具有一定的临床意义。  相似文献   
37.
寰椎侧块置钉安全区域的建立及其应用   总被引:10,自引:1,他引:10  
目的利用寰枢椎影像学测量建立寰椎侧块螺钉进钉安全区域并指导手术操作。方法30例形态正常的寰枢椎行CT薄层扫描和三维重建,置钉空间(SAS)定义为CT横断面上横突孔内缘切线与椎管切线这两条平行线间的距离,测量0°、10°内倾角的置钉空间值(分别为SAS1、SAS2)及置钉区域;CT测量13例患者术后的置钉位置。结果内倾0°时SAS1为(7.81±1.28)mm,内倾10°时SAS2则为(9.69±1.23)mm,两者差异有统计学意义(P<0.01);SAS1寰椎椎弓根中线至后正中线的距离与枢椎下关节突中线至后正中线的距离差异无统计学意义;当内倾角为10°时,SAS2中线在后弓的位点移至SAS1寰椎椎弓根中线位点外侧约2.0 mm处。13例患者共26枚寰椎侧块螺钉均准确置入,未穿破骨皮质、突入椎管内或损伤血管神经。结论寰椎侧块螺钉置钉存在安全区域,内倾10°时可以获得更宽的置钉空间。实施寰椎侧块螺钉固定术之前,需要对寰椎横断面CT图像等进行测量,确定置钉的安全区域。  相似文献   
38.

Background Context

To our knowledge, there is no study that has systematically analyzed the relationship between C1 transpedicular screw trajectory and V3 segment of vertebral artery (VA V3 segment).

Purpose

To study the relationship between C1 transpedicular screw trajectory and VA V3 segment.

Study Design

A morphologic computed tomography angiography (CTA) analysis of the spatial relationship between C1 transpedicular screw trajectory and VA V3 segment.

Methods

Measurements were made on a workstation by using CTA data of 62 patients. Firstly, parameters related to the relationship between C1 vertebral artery groove (VAG) and vertebral artery (VA) were measured: (A) the shortest distance between the posterosuperior aspect of C1 posterior arch and VA; (B) distance between the outer aspect of VAG and VA; (C) distance between midpoint of VAG and VA; and (D) distance between the inner aspect of the VAG and VA. Then, the central axis of trajectory perpendicular to the coronal plane (axis P) and the central axis of trajectory with a medial inclination (axis M) were designed for the basis of measurements. Parameters related to the relationship between axis P/M and VA V3 segment were measured respectively: (E, E′), distance between insertion point and anterior aspect of VA along axis P/M; (F, F′), the shortest distance between axis P/M and the outer cortex of C1 transverse foramen; and (G, G′), the narrowest width of C1 internal medullary canal along axis P/M.

Result

A, B, C, and D were 1.7±1.0?mm, 1.6±0.9?mm, 1.5±0.7?mm, 2.3±1.1?mm, respectively. E, E′ were 5.5±1.7 mm and 4.1±2.3?mm. F, F′ were 1.9±0.7?mm and 2.9±0.7?mm. G, G′ were 3.7±1.4?mm and 4.8±1.2?mm. There was a little interspace between atlas VAG and VA, which was mainly filled with venous plexus.

Conclusions

There is a close relationship between C1 transpedicular screw trajectory and VA V3 segment. Trajectory with medial inclination technique is suggested especially for female patients.  相似文献   
39.
目的:探讨寰椎椎弓根螺钉和侧块螺钉固定技术的临床疗效。方法:2006年1月-2010年1月,行寰椎椎弓根螺钉固定技术32例(A组),行寰椎侧块螺钉固定技术28例(B组)。通过术中失血量,手术时间,颈枕区疼痛缓解,JOA评分和术后植骨融合情况评定疗效。结果:两组患者在JOA评分,颈枕区疼痛缓解WAS评分)和植骨融合率方面无明显差异。A组术中失血量和手术时间明显低于B组,有统计学意义。B组中有3例术后出现颈枕区疼痛加重。结论:寰椎椎弓根螺钉固定技术显露范围小,简化了操作程序,减少了术中、术后的并发症。在设计手术方案时,应优先考虑椎弓根螺钉技术,而侧块螺钉技术可以作为一种补充。  相似文献   
40.

Background Context

Surgical treatment for unstable atlas fractures has evolved in recent decades from C1-C2 or C0-C2 fusion to motion-preservation techniques of open reduction and internal fixation (ORIF). However, regardless of a transoral or a posterior approach, the reduction is still not satisfactory.

Purpose

The article describes and evaluates a new technique for treating unstable atlas fractures by using a monoaxial screw-rod system.

Study Design

This is a retrospective study.

Patient Sample

The sample includes adult patients with unstable C1 fractures treated with a posterior monoaxial screw-rod system.

Outcome Measures

The outcome measures included a visual analog pain scale, radiographic reduction (lateral mass displacement [LMD]), maintenance of reduction, C1-C2 instability (anterior atlantodens interval), and complications.

Materials and Methods

From August 2013 to May 2016, nine consecutive patients with unstable atlas fractures were retrospectively reviewed. All patients were treated with posterior ORIF by using a monoaxial screw-rod system. The medical records and the preoperative and postoperative radiographs were reviewed. Preoperative and postoperative computed tomography scans were used to specify the fracture types and to assess the reduction.

Results

All nine patients with a mean age of 50.3 years successfully underwent surgery with this technique, and a follow-up of 17.4±9.3 months was performed. Transverse atlantal ligament (TAL) injury was found in eight of the nine patients: one of type I and seven of type II. The preoperative LMD averaged 7.0±2.2?mm and was restored completely after surgery; all the fractures achieved bony healing without loss of reduction or implant failure. None of the patients had complications of neurologic deficit, vertebral artery injury, or wound infection associated with the surgical procedure. Two patients complained of greater occipital nerve neuralgia after the operation, which gradually disappeared in 1 month. All patients had a well-preserved range of motion of the upper cervical spine at the final follow-up.

Conclusions

Posterior osteosynthesis with a monoaxial screw-rod system is capable of an almost anatomical reduction for the unstable atlas fractures. The TAL incompetence may not be a contraindication to ORIF for C1 fractures, but the long-term effect of C1-C2 instability remains to be further investigated.  相似文献   
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