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find Author "董晓强" 2 results
  • Association between a single nucleotide polymorphism in PALB2 rs249954 and breast cancer: a meta-analysis

    ObjectiveTo explore the association between a single nucleotide polymorphism in PALB2 rs249954 and breast cancer.MethodsStudies regarding the association between a single nucleotide polymorphism in PALB2 rs249954 and breast cancer were searched from CNKI, WanFang, CBM, PubMed, Embase, Cochrane Library, Science Direct, and Web of Science. The eligible studies were screened based on the inclusion, exclusion criteria, and principle of quality evaluating. Meta-analysis and the assessment of published bias were performed by Stata 14.0 software.ResultsA total of 7 studies were eligible for this study, including 3 247 cumulative cases of breast cancer and 3 294 controls. Through the comparison of a variety of genetic models, we found that there was no significant for the OR of additive model〔T vs C: OR=1.14, 95% CI was (0.95, 1.37), P=0.156〕 , dominant gene model〔CT+TT vs CC: OR=1.22, 95% CI was (0.97, 1.54), P=0.088〕 , recessive gene model〔TT vs CT+CC: OR=1.11, 95% CI was (0.84, 1.45), P=0.464〕 , codominant gene model CC vs TT and TT vs CT〔 OR=0.79, 95% CI was (0.54, 1.15), P=0.226; OR=0.95, 95% CI was (0.82, 1.11), P=0.523〕 ; there was significant difference for codominant gene model CC vs CT〔OR=0.82, 95% CI was (0.67, 1.00), P=0.048〕 , but the conclusion was different after sensitivity analysis. Besides, there was notable difference for overdominant model〔CC+TT vs CT: OR=0.85, 95% CI was (0.77, 0.94), P=0.001〕 .ConclusionThe mutant genotype heterozygous (CT) of rs249954 in PALB2 will increase the breast cancer risk.

    Release date:2017-09-18 04:11 Export PDF Favorites Scan
  • 8 例结肠腹膜外穿孔的临床诊治分析

    目的 总结结肠腹膜外穿孔的诊断及治疗方法。 方法 回顾性分析 2010 年 1 月至 2017 年 1 月期间苏州大学附属第一医院收治的 8 例结肠腹膜外穿孔患者的临床资料。 结果 8 例患者中,1 例为溃疡性结肠炎致穿孔,1 例为结肠憩室致穿孔,2 例为结肠癌致穿孔,4 例穿孔病因未明。1 例通过 CT 检查确诊,1 例通过 CT、MRI 及窦道造影检查确诊,1 例漏诊,2 例误诊为急性阑尾炎,3 例术前未明确诊断。所有患者均行手术治疗,其中 1 例行回肠造口术,术后 8 h 因重度感染性休克死亡,住院时间短于 24 h;4 例行结肠切除吻合术,住院时间为 9~53 d(中位数为 9.5 d);2 例行结肠部分切除、近端肠管造瘘术,二期行造口关闭、肠吻合术,合计住院时间分别为 27 d 和 24 d;1 例行结肠穿孔修补、近端肠管造瘘术,住院时间为 7 d。7 例手术后存活患者均获访,随访时间 0.5~5.0 年,中位数为 3.7 年。随访期间,3 例死亡。 结论 结肠腹膜外穿孔的误诊率和漏诊率较高,对高度怀疑病例应结合病史及影像学检查,进行鉴别诊断;对病情危重、无法明确诊断者,应尽早行手术探查。

    Release date:2018-04-11 02:55 Export PDF Favorites Scan
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