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    find Author "甄林林" 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 真空旋切加雙套管負壓引流治療乳腺膿腫

      目的 探討高頻超聲引導下 EnCor 真空旋切加雙套管負壓引流治療乳腺膿腫的可行性及其臨床應用價值。 方法 回顧性分析 2012 年 10 月至 2015 年 10 月期間于南京醫科大學附屬淮安第一醫院治療的 41 例乳腺膿腫患者的臨床病理資料,其中有 20 例行 EnCor 真空旋切加雙套管負壓引流術(EnCor 組),21 例行常規切開引流術(對照組),比較 2 組患者療效的差異。 結果 2 組患者在年齡、膿腫直徑、膿腫位置等一般資料比較差異無統計學意義(P>0.05)。2 組患者手術治療順利,但 EnCor 組中有 2 例在旋切過程中發生出血,局部加壓 1 h 后成功完成真空旋切術。2 組的手術時間比較差異無統計學意義(P>0.05)。EnCor 組的切口瘢痕大小、治愈時間、住院時間、換藥次數及疼痛評分均明顯優于對照組(P<0.05)。所有患者術后均治愈出院,無一例再手術,無術后出血、皮膚損傷、乳糜漏等并發癥發生。41 例患者術后隨訪 3~20 個月,平均 12 個月,無一例失訪。查體結合高頻超聲檢查無膿腔殘留及復發征象。對照組切口疤痕較明顯,有1 例發生乳房變形;而 EnCor 組切口瘢痕微小,患者對術后乳房外形及治療效果均滿意。 結論 本研究的初步結果提示,EnCor 真空旋切輔以雙套管負壓引流治療乳腺膿腫安全、可靠、痛苦小且微創。

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