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人工耳蜗植入术后植入电极的影像学检查 被引量:16
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作者 孔维佳 马辉 +4 位作者 韩萍 乐建新 熊新高 朱立新 戴陈凯 《中华耳鼻咽喉科杂志》 CAS CSCD 北大核心 2004年第2期81-84,共4页
目的 探讨建立螺旋CT扫描及三维重建技术观察人工耳蜗植入电极方法 ,并比较X线摄片方法与螺旋CT扫描三维重建方法的耳蜗内电极的影像学特征及其临床应用价值。方法  18例人工耳蜗植入患者全部作术后X线摄片检查。其中 9例用经眼眶前... 目的 探讨建立螺旋CT扫描及三维重建技术观察人工耳蜗植入电极方法 ,并比较X线摄片方法与螺旋CT扫描三维重建方法的耳蜗内电极的影像学特征及其临床应用价值。方法  18例人工耳蜗植入患者全部作术后X线摄片检查。其中 9例用经眼眶前后位摄片 ,9例采用侧斜位 6 0°摄片。 3例患者施行术后螺旋CT扫描及内耳三维重建方法。结果  2种投射头位的X线摄片均可显示电极形态及单个电极对 ,可间接判断电极在耳蜗内的植入深度。螺旋CT扫描三维重建图可直观地显示耳蜗形态、电极形态及其在耳蜗内植入的深度 ,可清晰识别单个电极对。结论 螺旋CT扫描三维重建方法可直观观察植入电极的形态及位置 ,可准确判断电极在耳蜗内植入的深度 。 展开更多
关键词 人工耳蜗植入 术后 电极植入 影像学检查 三维重建
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癫癎外科长程颅内电极埋置方法与安全性探讨(附75例分析) 被引量:14
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作者 蔡立新 李勇杰 +1 位作者 张国君 杜薇 《中国微侵袭神经外科杂志》 CAS 2008年第5期197-199,共3页
目的探讨提高癫癎外科长程颅内电极埋置手术安全性与成功率的方法及注意事项。方法回顾性分析210例接受癫癎手术病人行颅内皮质和(或)深部电极埋藏的经验,总结颅内电极埋置的适应证及术后出现的各种并发症。结果共75例(35.7%)病人采用... 目的探讨提高癫癎外科长程颅内电极埋置手术安全性与成功率的方法及注意事项。方法回顾性分析210例接受癫癎手术病人行颅内皮质和(或)深部电极埋藏的经验,总结颅内电极埋置的适应证及术后出现的各种并发症。结果共75例(35.7%)病人采用术前长程颅内电极埋置手术。术后出现颅内血肿6例(8.0%),脑水肿6例(8.0%),感染7例(9.3%),脑脊液漏13例(17.3%),电极折断1例(1.3%)。病人无因并发症而放弃癫癎外科手术,亦无与电极埋置手术相关的长期并发症发生。结论颅内电极埋置术是癫癎外科中一项安全的侵袭性检查方法。术前认真制定手术方案,注意操作细节及技巧,将有助于避免并发症的发生。 展开更多
关键词 癫痫 电极 植入 手术后并发症
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ROSA机器人辅助下脑深部电极植入术研究 被引量:10
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作者 毛之奇 余新光 +4 位作者 凌至培 潘隆盛 崔志强 徐欣 孙璐 《中国现代神经疾病杂志》 CAS 2015年第9期712-715,共4页
目的探讨机器人无框架立体定向手术辅助系统(ROSA)辅助下脑深部电极植入术的准确性和安全性。方法共6例未能准确定位致灶的癫患者均行ROSA机器人辅助下脑深部电极植入术,术后复查CT和MRI,记录电极偏差的最大距离和最小距离,计算平均值... 目的探讨机器人无框架立体定向手术辅助系统(ROSA)辅助下脑深部电极植入术的准确性和安全性。方法共6例未能准确定位致灶的癫患者均行ROSA机器人辅助下脑深部电极植入术,术后复查CT和MRI,记录电极偏差的最大距离和最小距离,计算平均值,以评价手术准确性;术中记录电极相关出血事件,术后随访时复查CT或MRI记录电极相关出血或缺血事件及并发症发生情况,以评价手术安全性。结果 6例患者术前计划植入电极37根,术中实际植入37根,成功率达100%。植入电极主要分布于颞叶内侧、海马和岛叶(5例)、顶枕叶(1例)。电极尖端最大偏差距离为8.79 mm、最小偏差距离为1.14 mm,平均(3.65±1.82)mm。术中无一例发生电极相关出血事件,术后复查头部CT和MRI均未见电极相关出血或缺血事件。术后随访3~5个月(平均3.67个月),均未发生颅内感染、电极折断、头皮愈合不良、伤口感染等并发症。结论 ROSA机器人辅助下脑深部电极植入术简便、快捷,电极植入准确性高、安全性佳。 展开更多
关键词 癫 电极 植入 立体定位技术
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多道听觉脑干植入的临床应用 被引量:9
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作者 吴皓 Olivier Sterkers +1 位作者 Alain Rey Didier 《中华耳鼻咽喉科杂志》 CSCD 2000年第2期123-125,I006,共4页
目的 探讨多道听觉脑干植入的手术方法及其对恢复双侧听神经瘤所致全聋患者听力的效果。方法  7例双侧听神经瘤患者 ,在肿瘤摘除后将 2 1道听觉脑干植入 (auditorybrainstemimplant,ABI)电极植入于第四脑室外侧隐窝内 ,直接刺激脑干... 目的 探讨多道听觉脑干植入的手术方法及其对恢复双侧听神经瘤所致全聋患者听力的效果。方法  7例双侧听神经瘤患者 ,在肿瘤摘除后将 2 1道听觉脑干植入 (auditorybrainstemimplant,ABI)电极植入于第四脑室外侧隐窝内 ,直接刺激脑干耳蜗核 ,术中以面神经电图、舌咽神经肌电图及电诱发听觉脑干反应 (electricallyevokedauditorybrainstemresponses,EABR)确定电极的正确位置。术后 6周开通装置并调试 ,定期行言语识别能力测试。结果  6例患者术中均能准确定位外侧隐窝 ,并能记录到典型的EABR ;术后均能获得不同程度的言语识别能力 ,其中 2例获得开放句识别能力。另 1例患者术中解剖定位困难 ,术中未能记录到EABR。术后电极刺激 1例无非听觉反应、5例部分电极产生非听觉反应、1例全部电极均产生非听觉反应 ,有非听觉反应的相应电极被关闭。结论 多道听觉脑干植入能使因双侧听神经瘤而全聋的患者产生有意义的听觉 ,术中正确定位脑干耳蜗核为手术成功的关键。 展开更多
关键词 诱发电位 听觉脑干植入 双侧听神经瘤
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心脏手术同期心外膜永久起搏器植入术临床应用观察 被引量:9
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作者 任崇雷 姜胜利 +2 位作者 肖苍松 王嵘 高长青 《中华医学杂志》 CAS CSCD 北大核心 2017年第16期1227-1230,共4页
目的总结心脏手术同期行心外膜永久起搏器植入术的疗效及临床应用经验。方法2014年11月至2016年7月在解放军总医院心血管外科住院治疗的符合心脏起搏器植入指征,需要心脏手术的心动过缓患者15例行心脏手术同期心外膜永久起搏器植入术,... 目的总结心脏手术同期行心外膜永久起搏器植入术的疗效及临床应用经验。方法2014年11月至2016年7月在解放军总医院心血管外科住院治疗的符合心脏起搏器植入指征,需要心脏手术的心动过缓患者15例行心脏手术同期心外膜永久起搏器植入术,男9例,女6例,年龄50~73(63.5±6.2)岁。手术均在全麻下进行,胸部正中切口入路。其中,单腔起搏器手术10例,双腔起搏器手术5例;同期瓣膜置换术7例,瓣膜置换加房颤射频消融术3例,冠状动脉旁路移植术2例,主动脉根部置换术2例,瓣膜置换联合冠状动脉旁路移植术1例。术中、术后1周及6个月随访检测起搏参数变化。结果15例患者在心脏手术同期植入心外膜永久起搏器,均顺利治愈出院,无手术并发症。共植入20根心外膜电极,其中右心房电极5根,右心室电极15根。术后随访3~22个月,中位随访12个月,无电极断裂及手术伤口感染发生,起搏阈值、感知参数及电极阻抗均正常。结论对于需要心脏手术的心动过缓患者在心脏手术同期行心外膜永久起搏器植入术安全有效,近中期结果满意,避免了分期手术风险。 展开更多
关键词 心脏起搏器 人工 电极 植入 心脏外科手术 心外膜 同期手术
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Inhibitory activity of polysaccharide extracts from three kinds of edible fungi on proliferation of human hepatoma SMMC-7721 cell and mouse implanted S180 tumor 被引量:5
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作者 Jiang SM Xiao ZM Xu ZH 《World Journal of Gastroenterology》 SCIE CAS CSCD 1999年第5期404-407,共4页
AIM To determine the activities ofpolysaccharide extracts from Flammulina velutipes (Curt. ex Fr. ) Sing (FV), Lentinusedodes (LE) and Agaricus bisporus Sing (AB)on the proliferation of human hepatoma SMMC-7721 cells ... AIM To determine the activities ofpolysaccharide extracts from Flammulina velutipes (Curt. ex Fr. ) Sing (FV), Lentinusedodes (LE) and Agaricus bisporus Sing (AB)on the proliferation of human hepatoma SMMC-7721 cells in vitro and on mouse implanted S-180tumors in vivo.METHODS The polysaccharide extracts were isolated from the fruit bodies of FV, LE and AB by the methods of hot-water extraction, Sevag’sremoval of proteins, ethanol precipitation,trypsin digestion and ethanol fractionalprecipitation. Human hepatoma SMMC-7721 cells were treated with 50 mg/L Polysaccharide extracts, and the mitosis index, mitochondria activity and cell proliferation were detected at different times in both control and experimental groups. The mice with S-180 implanted tumors were injected with the polysaccharide extracts at 24 mg/ kg body weight for 9 d and the tumorweight was measured on the 15th day.RESULTS The mitosis index of hepatoma cells in vitro could be significantly decreased by treatment with the polysaccharide extracts fromthe three kinds of edible fungi (P < 0 .005 ). Thecell numbers and mitochondria activity of SMMC7721 cells treated with polysaccharide extracts were lower than those in control groups (P <0.005). The inhibition rates of polysaccharide extracts against implanted S-180 tumors in mice were 52.8%, 56.6% and 51 .9% respectivelycompared with that in c0ntrol gr0ups.CONCLUSI0N The POIysaccharide extractsfrom the three kinds of edible fungi could inhibitnot only the Cultured malignant cells in vitfO butalso impIanted Sl80 tum0r i0 vivo. 展开更多
关键词 polysaccharide edible fungi liver neoplasm carcinoma hepatocellular SMMC7721 TUMOR cell cultured implanted tumor S-180 CELL PROLIFERATION
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Quantitative features of myoelectric signals in the orbicularis oculi muscle during different motion states 被引量:6
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作者 Dongyue Xu Keyong Li +2 位作者 Jingquan Liu Yujuan Wang Yuefeng Rui 《Neural Regeneration Research》 SCIE CAS CSCD 2010年第24期1895-1899,共5页
Artificial facial nerve prostheses are thought to restore eye-closed function in peripheral facial paralysis patients.At present,however,there is no adequate quantitative or qualitative information regarding myoelectr... Artificial facial nerve prostheses are thought to restore eye-closed function in peripheral facial paralysis patients.At present,however,there is no adequate quantitative or qualitative information regarding myoelectric signal(MES)features for healthy orbiculads oculi muscle(OOM).The present study analyzed MES features of normal OOM in rabbits during the natural continuous eye-opening(N1)state,natural continuous eye-closing(N2)state,natural blink(N3)state,and evoked eye-closing(E)state according to time domain and frequency domain analysis.Results showed that OOM electrical activities in N1 and N2 states,as well as myoelectric amplitude,were low and stable.Nevertheless,during N3 and E states,OOM electrical activities were significantly increased and amplitude was much higher in the E state than in the N3 state.In the time domain,differences in MES peak absolute potential were not significant between N1 and N2 states,in the frequency domain,differences in power spectral density peak frequency of electromyogram signals were significant between two sets of four OOM movement states.These results suggest that OOM significantly contracts and induces eyelid-closing action.In addition,OOM is diastolic during the N1state.A N2 state does not require continuous intensive OOM contraction.Moreover,distinctions of quantitative information in time and frequency domain features of MES can be used as an OOM reference to identify muscle movement patterns. 展开更多
关键词 orbicularis oculi muscle myoelectric signal ELECTROMYOGRAPHY implanted microelectrode power spectral density nerve electrophysiology
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骶神经电调控在女性神经源性下尿路功能障碍治疗中的意义 被引量:7
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作者 宋奇翔 许成 刘智勇 《中国医师杂志》 CAS 2019年第5期661-664,共4页
外伤、医源性损伤及神经系统病变等均可导致神经源性下尿路功能障碍(NLUTD)。但在女性存在着一些较为特殊的病因,包括根治性子宫切除术、尿道中段悬吊术、盆腔脏器脱垂修复术、Fowler综合征、间质性膀胱炎等。由于NLUTD的复杂性、特殊... 外伤、医源性损伤及神经系统病变等均可导致神经源性下尿路功能障碍(NLUTD)。但在女性存在着一些较为特殊的病因,包括根治性子宫切除术、尿道中段悬吊术、盆腔脏器脱垂修复术、Fowler综合征、间质性膀胱炎等。由于NLUTD的复杂性、特殊性及难治性,使得一部分患者在经历过传统的行为训练、口服药物及手术治疗后难以达到满意的效果甚至发生疾病进展和恶化。在临床治疗上,越来越多的证据表明骶神经电调控(SNM)在治疗女性NLUTD中的优势。建立在现有文献报道的基础上,本文将对女性NLUTD的发生机制及SNM在该疾病中的应用进行回顾与总结。 展开更多
关键词 电刺激疗法 电极 植入 腰骶丛 下尿路症状 女(雌)性泌尿生殖系统疾病 综述
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术前埋植硬膜下电极定位功能区和近功能区致灶的准确性研究(附24例报告) 被引量:6
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作者 王桂松 徐纪文 +3 位作者 周洪语 田鑫 江基尧 罗其中 《中国微侵袭神经外科杂志》 CAS 2005年第6期241-243,共3页
目的探讨术前埋植硬膜下电极定位功能区和近功能区致疒间灶的准确性和手术效果。方法术前根据EEG、MRI、PET表现,对24例癫疒间病人埋植硬膜下电极,记录皮质脑电信号,定位致疒间灶,并采用点对点刺激定位功能区。在术中皮质脑电监测下行... 目的探讨术前埋植硬膜下电极定位功能区和近功能区致疒间灶的准确性和手术效果。方法术前根据EEG、MRI、PET表现,对24例癫疒间病人埋植硬膜下电极,记录皮质脑电信号,定位致疒间灶,并采用点对点刺激定位功能区。在术中皮质脑电监测下行致疒间灶切除和(或)热凝疒间灶皮质。结果4例致疒间灶位于左侧语言功能区,3例位于语言功能区和周边,3例临近语言功能区;左侧3例、右侧5例位于中央前回运动区,左侧2例、右侧1例位于运动区和周边;左侧1例、右侧2例临近运动区。行单纯病灶切除4例,单纯皮质热凝10例,病灶切除加热凝10例。术后13例癫疒间表现完全消失,9例发作减少75%以上,2例发作减少50%以上。无神经功能缺失。结论术前埋植硬膜下皮质电极可对功能区和致疒间灶精确定位,提高了手术切除致疒间灶的可能性和安全性。 展开更多
关键词 癫痫 脑电捕记术 电极 植入 皮质电描记术 癫痫灶
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适用于生物体系的自驱动纳米技术研究进展 被引量:7
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作者 赵兵 祁宁 +2 位作者 张德锁 李青松 张克勤 《材料导报》 EI CAS CSCD 北大核心 2017年第1期126-130,142,共6页
随着纳米科技的快速发展,出现了不少可用于生物体系的植入式纳米器件,因而开发一种全新的、与植入式纳米器件相匹配的纳米供能系统意义重大。自驱动纳米技术可以从环境中收集能量转化为电能,实现能量自给,有望成为植入式纳米器件能源问... 随着纳米科技的快速发展,出现了不少可用于生物体系的植入式纳米器件,因而开发一种全新的、与植入式纳米器件相匹配的纳米供能系统意义重大。自驱动纳米技术可以从环境中收集能量转化为电能,实现能量自给,有望成为植入式纳米器件能源问题的有效解决方案。对纳米发电机、生物燃料电池、太阳能电池这3种自驱动纳米技术的研究现状、面临问题以及未来研究方向进行了综述,以期为自驱动纳米技术的应用与发展提供参考和借鉴。 展开更多
关键词 自驱动 植入 纳米发电机 生物燃料电池 太阳能电池
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Role of MR-DWI and MR-PWI in the radiotherapy of implanted pulmonary VX-2 carcinoma in rabbits 被引量:5
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作者 Qiang Zhang Mingmin Zhang +6 位作者 Zhaoxin Liu Baoqi Shi Fuliang Qi Haijiang Wang Yuan Lv Haijiao Jin Weijing Zhang 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2014年第5期532-542,共11页
Objective: To detect the activity of tumor cells and tumor blood flow before and after the radiotherapy of implanted pulmonary VX-2 carcinoma in rabbit models by using magnetic resonance diffusion-weighted imaging(M... Objective: To detect the activity of tumor cells and tumor blood flow before and after the radiotherapy of implanted pulmonary VX-2 carcinoma in rabbit models by using magnetic resonance diffusion-weighted imaging(MR-DWI) and magnetic resonance perfusion weighted imaging(MR-PWI), and to evaluate the effectiveness and safety of the radiotherapy based on the changes in the MR-DWI and MR-PWI parameters at different treatment stages.Methods: A total of 56 rabbit models with implanted pulmonary VX-2 carcinoma were established, and then equally divided into treatment group and control group. MR-DWI and MR-PWI were separately performed using a Philips Acheiva 1.5T MRI machine(Philips, Netherland). MRI image processing was performed using special perfusion software and the WORKSPACE advanced workstation for MRI. MRDWI was applied for the observation of tumor signals and the measurement of apparent diffusion coefficient(ADC) values; whereas MR-PWI was used for the measurement of wash in rate(WIR), wash out rate(WOR), and maximum enhancement rate(MER). The radiation treatment was performed using Siemens PRIMUS linear accelerator. In the treatment group, the radiotherapy was performed 21 days later on a once weekly dosage of 1,000 c Gy to yield a total dosage of 5,000 c Gy.Results: The ADC parameters in the region of interest on DWI were as follows: on the treatment day for the implanted pulmonary VX-2 carcinoma, the t values at the center and the edge of the lesions were 1.352 and 1.461 in the treatment group and control group(P〉0.05). During weeks 0-1 after treatment, the t values at the center and the edge of the lesions were 1.336 and 1.137(P〉0.05). During weeks 1-2, the t values were 1.731 and 1.736(P〈0.05). During weeks 2-3, the t values were 1.742 and 1.749(P〈0.05). During weeks 3-4, the t values were 2.050 and 2.127(P〈0.05). During weeks 4-5, the t values were 2.764 and 2.985(P〈0.05). The ADC values in the treatment group were significantly high 展开更多
关键词 Magnetic resonance diffusion-weighted imaging(MR-DWI) magnetic resonance perfusion weighted imaging(MR-PWI) implanted pulmonary VX-2 carcinoma in rabbits RADIOTHERAPY
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Gut-targeted therapies for type 2 diabetes mellitus: A review
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作者 Tian-Cheng Xu Yun Liu +1 位作者 Zhi Yu Bin Xu 《World Journal of Clinical Cases》 SCIE 2024年第1期1-8,共8页
Type 2 diabetes mellitus(T2DM)is a chronic metabolic disorder characterized by hyperglycemia and insulin resistance.The global prevalence of T2DM has reached epidemic proportions,affecting approximately 463 million ad... Type 2 diabetes mellitus(T2DM)is a chronic metabolic disorder characterized by hyperglycemia and insulin resistance.The global prevalence of T2DM has reached epidemic proportions,affecting approximately 463 million adults worldwide in 2019.Current treatments for T2DM include lifestyle modifications,oral antidiabetic agents,and insulin therapy.However,these therapies may carry side effects and fail to achieve optimal glycemic control in some patients.Therefore,there is a growing interest in the role of gut microbiota and more gut-targeted therapies in the management of T2DM.The gut microbiota,which refers to the community of microorganisms that inhabit the human gut,has been shown to play a crucial role in the regulation of glucose metabolism and insulin sensitivity.Alterations in gut microbiota composition and diversity have been observed in T2DM patients,with a reduction in beneficial bacteria and an increase in pathogenic bacteria.This dysbiosis may contribute to the pathogenesis of the disease by promoting inflammation and impairing gut barrier function.Several gut-targeted therapies have been developed to modulate the gut microbiota and improve glycemic control in T2DM.One potential approach is the use of probio-tics,which are live microorganisms that confer health benefits to the host when administered in adequate amounts.Several randomized controlled trials have demonstrated that certain probiotics,such as Lactobacillus and Bifidobacterium species,can improve glycemic control and insulin sensitivity in T2DM patients.Mechanisms may include the production of short-chain fatty acids,the improvement of gut barrier function,and the reduction of inflammation.Another gut-targeted therapy is fecal microbiota transplantation(FMT),which involves the transfer of fecal material from a healthy donor to a recipient.FMT has been used successfully in the treatment of Clostridioides difficile infection and is now being investigated as a potential therapy for T2DM.A recent randomized controlled trial showed that FMT from lea 展开更多
关键词 Type 2 diabetes mellitus GASTROENTEROLOGY BACTERIA implanted device
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老年患者起搏器置入术后主动固定电极参数可变性分析 被引量:6
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作者 李健 史扬 +4 位作者 王玉堂 国建萍 郭红阳 林琨 单兆亮 《中华老年心脑血管病杂志》 CAS 北大核心 2013年第10期1047-1049,共3页
目的比较老年患者起搏器置入术后主动固定电极参数的变化情况。方法入选62例接受主动固定电极置入的患者,将电极固定于右心室流出道间隔部33例作为流出道间隔组,右心室心尖间隔部29例作为心尖间隔组,分别于术中、术后48h和3个月测定起... 目的比较老年患者起搏器置入术后主动固定电极参数的变化情况。方法入选62例接受主动固定电极置入的患者,将电极固定于右心室流出道间隔部33例作为流出道间隔组,右心室心尖间隔部29例作为心尖间隔组,分别于术中、术后48h和3个月测定起搏阈值及电极阻抗,分析其变化情况。结果 2组患者术后48h电极阻抗较术中明显下降(P<0.05),术后3个月较术后48h明显下降(P<0.05)。流出道间隔组术后3个月起搏阈值较术中及术后48h有升高趋势,但差异无统计学意义(P>0.05),心尖间隔组术中、术后48h及3个月起搏阈值无明显变化(P>0.05)。2组起搏阈值及电极阻抗比较,差异无统计学意义(P>0.05)。结论老年患者起搏器置入术中主动固定电极起搏阈值在术后3个月无明显变化,电极阻抗逐渐降低。 展开更多
关键词 心脏起搏器 人工 电极 植入 电阻抗 室间隔
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经静脉拔除导线严重并发症的相关危险因素 被引量:6
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作者 刘刚 李学斌 +11 位作者 昃峰 段江波 王龙 李鼎 苑翠珍 姜陆洋 高卿 杨威 赵舟 韩增强 陈生龙 陈彧 《中华心律失常学杂志》 2019年第1期63-67,共5页
目的探讨患者经静脉拔除心内电极导线过程中常见的严重并发症及其相关危险因素。方法回顾性分析2012年1月1日至2017年12月31日所有在北京大学人民医院经静脉拔除心内导线患者资料,根据是否发生并发症将这些患者分为并发症组与对照组,记... 目的探讨患者经静脉拔除心内电极导线过程中常见的严重并发症及其相关危险因素。方法回顾性分析2012年1月1日至2017年12月31日所有在北京大学人民医院经静脉拔除心内导线患者资料,根据是否发生并发症将这些患者分为并发症组与对照组,记录所有患者的性别、年龄、植入器械类型,初次导线植入时间、拔除导线总数、拔除右心房导线数目、拔除右心室导线数目,拔除植入型心律转复除颤器(ICD)导线数目,拔除左心室导线数目,拔除方法等变量。并应用单因素和多因素Logistic回归分析这些变量是否与严重并发症的发生相关。结果研究期间共完成经静脉导线拔除手术922例,共拔除各类导线1832根(其中右心房导线751根,右心室导线917根,左心室导线74根,除颤导线90根)。共发生严重并发症16例(包括急性心脏压塞12例,需要外科手术的急性三尖瓣反流3例,急性肺动脉栓塞1例)。本组资料严重并发症的发生率为1.7%。单因素和多因素Logistic回归分析表明拔除右心房导线数目(OR=3.056,95%CI1.174~7.958,P=0.022)、初次导线植入时间(OR=1.102,95%CI1.029~1.180,P=0.005)是经静脉拔除导线发生严重并发症的危险因素(OR=1.102,95%CI1.029~1.180,P=0.005;OR=3.056,95%CI1.174~7.958,P=0.022)。结论在经静脉起搏导线拔除工作中,急性心脏压塞是最常见的严重并发症。右心房导线数目增加、初次导线植入时间延长是围术期发生严重并发症的危险因素。 展开更多
关键词 心脏起搏器 人工 电极 植入 术中并发症 危险因素
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植入式射频毁损活体猪肝实验研究 被引量:5
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作者 王春平 彭晓君 +4 位作者 任永强 汪毅 谭晓华 龚丽娟 胡大荣 《世界华人消化杂志》 CAS 2000年第9期1003-1008,共6页
目的探讨植入式射频毁损活体肝组织的优化工作方式,了解射频毁损肝组织的病理特征.方法应用 RF2000型射频治疗仪及 LeVeen 电极针,术中对5只实验猪肝脏分别进行了30,50,70及90W,递升式单相(50W起始,每分钟升10W~90W)、递升式双相(单相... 目的探讨植入式射频毁损活体肝组织的优化工作方式,了解射频毁损肝组织的病理特征.方法应用 RF2000型射频治疗仪及 LeVeen 电极针,术中对5只实验猪肝脏分别进行了30,50,70及90W,递升式单相(50W起始,每分钟升10W~90W)、递升式双相(单相毁损完成30s以70W 继续毁损)几种方式毁损,观察肝毁损灶的范围、形状、温度、术中可能的并发症及 HE.染色和 NADH 肝细胞活力染色即刻评定肝细胞坏死程度.结果射频毁损中央区为均匀一致彻底的球形凝固性坏死,外围为大约2 mm 的出血带,尚存部分活力;以递升式双相毁损产生的毁损灶较大,可达4.0 cm×3.5 cm×3.5 cm,毁损灶中心温度可达132℃.以90W 毁损产生的坏死灶较小约1.5 cm×1.5 cm×1.0cm;以30W 毁损阻抗始终不上升,但中心温度仍达60℃,产生的毁损灶约0.7 cm×0.5 cm×0.5 cm.术中可见自限性腹腔出血、膈肌或胃灼伤.结论植入式射频以递升式双相毁损方式可有效、理想地毁损肝组织,值得推广应用. 展开更多
关键词 射频毁损肝组织 肝肿瘤 治疗 电凝法
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Photodynamic Therapy Mediated by 5-Aminolevulinic Acid Suppresses Gliomas Growth by Decreasing the Microvessels 被引量:4
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作者 易伟 徐海涛 +8 位作者 田道锋 吴立权 张申起 王龙 冀保卫 朱晓楠 Humphrey Okechi 刘刚 陈谦学 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2015年第2期259-264,共6页
Although 5-aminolevulinic acid(5-ALA)-mediated photodynamic therapy(PDT) has been demonstrated to be a novel and effective therapeutic modality for some human malignancies, its effect and mechanism on glioma are s... Although 5-aminolevulinic acid(5-ALA)-mediated photodynamic therapy(PDT) has been demonstrated to be a novel and effective therapeutic modality for some human malignancies, its effect and mechanism on glioma are still controversial. Previous studies have reported that 5-ALA-PDT induced necrosis of C6 rat glioma cells in vitro. The aim of this study was to further investigate the effect and mechanism of 5-ALA-PDT on C6 gliomas implanted in rats in vivo. Twenty-four rats bearing similar size of subcutaneously implanted C6 rat glioma were randomly divided into 3 groups: receiving 5-ALA-PDT(group A), laser irradiation(group B), and mock procedures but without any treatment(group C), respectively. The growth, histology, microvessel density(MVD), and apoptosis of the grafts in each group were determined after the treatments. As compared with groups B and C, the volume of tumor grafts was significantly reduced(P〈0.05), MVD was significantly decreased(P〈0.001), and the cellular necrosis was obviously increased in group A. There was no significant difference in apoptosis among the three groups. The in vivo studies confirmed that 5-ALA-PDT may be an effective treatment for gliomas by inhibiting the tumor growth. The mechanism underlying may involve increasing the cellular necrosis but not inducing the cellular apoptosis, which may result from the destruction of the tumor microvessels. 展开更多
关键词 glioma modality implanted inducing histology controversial inhibiting recurrence destruction irradiation
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Exploring magneto-electric nanoparticles(MENPs):a platform for implanted deep brain stimulation 被引量:1
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作者 Małgorzata Kujawska Ajeet Kaushik 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第1期129-130,共2页
Towards implanted deep brain stimulation(D B S):The human brain i s a complex network of 86 billion neurons and 85 billion nonneuronal cells and they are coordinated in a well-defined ratio(1:1)which is required for d... Towards implanted deep brain stimulation(D B S):The human brain i s a complex network of 86 billion neurons and 85 billion nonneuronal cells and they are coordinated in a well-defined ratio(1:1)which is required for desired body functions.The connectivity among neuronal cells secretes neurotransmitters(e.g.,dopamine)to establish a perfect connection between the brain and a peripheral system i.e.,motor coordination. 展开更多
关键词 STIMULATION DOPAMINE implanted
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病窦综合征患者起搏器植入中应用主动电极11例临床研究 被引量:5
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作者 孙志明 张燕 《陕西医学杂志》 CAS 2018年第4期488-490,共3页
目的 :探讨病窦综合征患者起搏器植入术中应用主动固定起搏电极导线的效果。方法:收集病窦综合征患者11例,入院后均接受起搏器植入术治疗,手术在X线指导下均采用主动固定起搏电极导线置入目标区域。术后随访12个月,观察主动固定起搏电... 目的 :探讨病窦综合征患者起搏器植入术中应用主动固定起搏电极导线的效果。方法:收集病窦综合征患者11例,入院后均接受起搏器植入术治疗,手术在X线指导下均采用主动固定起搏电极导线置入目标区域。术后随访12个月,观察主动固定起搏电极导线的植入稳定性和并发症发生情况,采用起搏系统分析器测量本组患者植入即刻、术后3个月、术后6个月、术后12个月的起搏阈值、振幅和阻抗参数变化,胸片复查观察心功能变化和主动固定起搏电极导线有无移位等。结果:11例患者手术均成功植入起搏器和主动固定电极导线,术后和随访6个月稳定性、安全性较高;术后3个月、6个月、12个月起搏阈值、阻抗参数均明显低于手术植入即刻,差异具有统计学意义(P<0.05),术后各时点参数较为稳定,相较差异无统计学意义(P>0.05);随访6个月期末患者心功能指标LAD、RAD、LVEDd、RVEDd较术前均有显著下降,差异具有统计学意义(P<0.05)。结论:病窦综合征患者起搏器植入术中应用主动固定电极导线是安全可行的,术后起搏参数较为稳定,有利于心功能预后恢复。 展开更多
关键词 病窦综合征/治疗 心脏起搏器 人工 假体和植入物 电极 植入
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微创人工耳蜗植入技术 被引量:5
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作者 李永新 张国平 +2 位作者 郑军 龚树生 韩德民 《中国医学文摘(耳鼻咽喉科学)》 2011年第2期78-79,共2页
近几年来微创人工耳蜗植入(minimally invasive cochlear implantation,MICI)在国内、外耳科学界不断被提出。微创手术(minimallyinvasivesurgery)这一治疗理念始于1985年,当时英国泌尿外科医师Payne Wickham在内镜治疗泌尿道结... 近几年来微创人工耳蜗植入(minimally invasive cochlear implantation,MICI)在国内、外耳科学界不断被提出。微创手术(minimallyinvasivesurgery)这一治疗理念始于1985年,当时英国泌尿外科医师Payne Wickham在内镜治疗泌尿道结石的报道中首次使用“minimally invasiveprocedure”一词来描述治疗过程,随后在医学各个学科领域内被广泛使用,微创手术这一理念也被广泛传播。 展开更多
关键词 耳蜗植入术(Cochlear implantation) 外科手术 微创性(Surgical Procedures MinimallyInvasive) 电极 植入(Electrodes implanted)
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A Preliminary Study on DNA Mutation Induction of Maize Pollen Implanted by Low Energy N^+ Beam 被引量:3
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作者 程备久 阚显照 +1 位作者 朱苏文 李培金 《Plasma Science and Technology》 SCIE EI CAS CSCD 2001年第1期659-664,共6页
The maize pollens were implanted with seven different doses of 30 keV N+ beam respectively, The genomic DNA polymorphism from treated pollens were analyzed with 104 primers by using RAPD respectively. The results sho... The maize pollens were implanted with seven different doses of 30 keV N+ beam respectively, The genomic DNA polymorphism from treated pollens were analyzed with 104 primers by using RAPD respectively. The results showed that N^+ beam-induced mutation of maize pollens can result in the change of their DNA bases. The mutation is not properly random and its frequency increases with a rise in 30 keV N+ beam doses. It is conformed with A-G transformation, which is one of the most important factors in DNA bases induced by N+ beam. 展开更多
关键词 DNA A Preliminary Study on DNA Mutation Induction of Maize Pollen implanted by Low Energy N BEAM
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