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find Author "韩学东" 2 results
  • Relationship Between Methylation of MiR-34b Gene Promoter and Papillary Thyroid Carcinoma

    Objective To investigate the expression level and methylation level of micro RNA-34b(miR-34b) gene in papillary thyroid carcinoma (PTC), and to analyze the relationship between methylation and clinicopathological characters of PTC. Methods PTC tissues and tumor adjacent tissues were collected from 25 patients with PTC who underwent operation in Huai’an First People’s Hospital of Nanjing Medical University from Sep. 2008 to Oct. 2010. Expression of miR-34b gene and level of methylation in gene promoter were detected by real time PCR and methylation-specific PCR in the 2 kinds of tissues, respectively. Results The expression value of miR-34b mRNA in PTC tissues was 0.85±0.05, which was significantly lower than those of tumor adjacent tissues (1.62±0.09), P=0.030. There were methylation in 18 (72%,18/25) PTC tissues, and 10 (40%,10/25) in tumor adjacent tissues, and the ratio of methylation was higher in PTC tissues (P=0.021). In PTC tissues, methylation was not related to age, gender, tumor size, TNM stage, and invasion of the capsule (P>0.05), but was related to lymph node metastasis (P<0.05). Ratio of methylation in patients with lymph node metastasis was significantly higher than those of patients with no lymph node metastasis. Conclusion Methylation of miR-34b gene promoter is one of the reasons for inactivation of PTC, and it may be related to the development and metastasis of PTC, which needs to be further investigated.

    Release date:2016-09-08 10:34 Export PDF Favorites Scan
  • EnCor 真空旋切加双套管负压引流治疗乳腺脓肿

    目的 探讨高频超声引导下 EnCor 真空旋切加双套管负压引流治疗乳腺脓肿的可行性及其临床应用价值。 方法 回顾性分析 2012 年 10 月至 2015 年 10 月期间于南京医科大学附属淮安第一医院治疗的 41 例乳腺脓肿患者的临床病理资料,其中有 20 例行 EnCor 真空旋切加双套管负压引流术(EnCor 组),21 例行常规切开引流术(对照组),比较 2 组患者疗效的差异。 结果 2 组患者在年龄、脓肿直径、脓肿位置等一般资料比较差异无统计学意义(P>0.05)。2 组患者手术治疗顺利,但 EnCor 组中有 2 例在旋切过程中发生出血,局部加压 1 h 后成功完成真空旋切术。2 组的手术时间比较差异无统计学意义(P>0.05)。EnCor 组的切口瘢痕大小、治愈时间、住院时间、换药次数及疼痛评分均明显优于对照组(P<0.05)。所有患者术后均治愈出院,无一例再手术,无术后出血、皮肤损伤、乳糜漏等并发症发生。41 例患者术后随访 3~20 个月,平均 12 个月,无一例失访。查体结合高频超声检查无脓腔残留及复发征象。对照组切口疤痕较明显,有1 例发生乳房变形;而 EnCor 组切口瘢痕微小,患者对术后乳房外形及治疗效果均满意。 结论 本研究的初步结果提示,EnCor 真空旋切辅以双套管负压引流治疗乳腺脓肿安全、可靠、痛苦小且微创。

    Release date:2017-12-15 06:04 Export PDF Favorites Scan
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