west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "时林森" 5 results
  • Expressions and clinical significance of forkhead box protein 3 and adenosine 2a receptor ingastric cancer

    Objective To compare the difference in the expressions of forkhead box protein 3 (FoxP3) and adenosine 2a receptor (A2aR) in gastric cancer tissues and its adjacent tissues, and to investigate the relationship between the elevated expression of FoxP3/A2aR and clinicopathological features in gastric cancer. Methods Gastric cancer tissues and their adjacent tissues from 52 patients with gastric cancer were collected, who underwent surgery in the Affiliated Hospital of Xuzhou Medical University from July 2015 to November 2016, immunohistochemical staining was used to detect the expressions of FoxP3 and A2aR. Results ① The high-expression rate of FoxP3 in gastric cancer tissues was 69.2% (36/52), which was higher than that of adjacent tissues (11.5%, 6/52), P<0.001. The high-expression rate of A2aR in gastric cancer tissues was 69.2% (36/52), which was higher than that of adjacent tissues (25.0%, 13/52),P<0.001. ② The expression of FoxP3 was positively correlated with the expression of A2aR in gastric cancer tissues (r=0.76, P<0.05). ③ In gastric cancer tissues, high-expressions of FoxP3 and A2aR were not related to gender, age, diameter of tumor, tumor location, degree of differentiation, gross type, and histological type (P>0.05), but both associated with TNM stage, T stage, number of lymph node metastasis, and distant metastasis (P<0.05), the high-expression rates of FoxP3 and A2aR in patients with stage Ⅲ+Ⅳ were higher than those of patients with stage Ⅰ+Ⅱ, the high-expression rates of FoxP3 and A2aR in patients with stage T3+T4 were higher than those of patients with stage T1+T2, the high-expression rates of FoxP3 and A2aR in patients with distant metastasis were higher than those of patients without distant metastasis, and the high-expression rates of FoxP3 and A2aR increased gradually with the increase in the number of lymph node metastasis. Conclusion There are high expressions of FoxP3 and A2aR in gastric cancer tissues, and both of them may play important role in promoting the occurrence and development of gastric cancer.

    Release date:2017-11-22 03:58 Export PDF Favorites Scan
  • 阑尾黏液囊肿诊治分析

    目的探讨阑尾黏液囊肿的诊断与治疗方法。 方法回顾性分析笔者所在医院2012年1月至2015年3月期间收治的20例阑尾黏液性囊肿患者的临床资料。 结果本病主要临床表现为右下腹疼痛和腹部包块,术前无一确诊病例。行腹腔镜手术12例:腹腔镜下阑尾切除术5例,腹腔镜下盲肠部分切除4例,另3例因肿瘤较大而中转开腹行阑尾切除术;行开腹手术8例:阑尾切除术2例,盲肠部分切除3例,右半结肠切除术4例(其中1例患者行阑尾切除,术后病理报告为低级别阑尾黏液肿瘤,再追加二期手术,行右半结肠切除术)。术后获随访16例,随访时间4~36个月,平均16个月,肿瘤均无复发;失访4例。 结论阑尾黏液性囊肿临床罕见,术前诊断困难,腹腔镜手术可应用于本病的治疗。

    Release date: Export PDF Favorites Scan
  • Expressions of PD-L1 and A2aR in colorectal cancer and its clinical significances

    ObjectiveTo detect expressions of cell programmed death ligand 1 (PD-L1) and adenosine 2a receptor (A2aR) proteins in colorectal cancer tissues and investigate its relationship with clinicopathologic features of patients with colorectal cancer.MethodsThe colorectal cancer tissues and corresponding paracancerous tissues of 106 patients with colorectal cancer were collected, the patients underwent surgery in the Affiliated Hospital of Xuzhou Medical University from August 2013 to August 2015. The immunohistochemical staining was used to detect the expressions of A2aR and PD-L1 proteins.ResultsThe positive rates of A2aR and PD-L1 protein expression in the colorectal cancer tissues were significantly higher than those in the corresponding paracancerous tissues, respectively [A2aR: 74 (69.8%) versus 35 (33.0%), χ2=28.721, P<0.001; PD-L1: 57 (53.8%) versus 28 (26.4%), χ2=16.516, P<0.001], which in the colorectal cancer tissues were correlated with the Broders grading (A2aR: χ2=9.198, P=0.010; PD-L1: χ2=8.354, P=0.015), T staging (A2aR: χ2=6.737, P=0.009; PD-L1: χ2=6.437, P=0.011), and TNM staging (A2aR: χ2=4.884, P=0.027; PD-L1: χ2=8.246, P=0.004) and were not correlated with the gender, age, tumor portion, lymph node metastasis and CA19-9 (P>0.05), but the positive rates of A2aR protein expression were correlated with the tumor diameter (χ2=4.386, P=0.036) and CEA positive (χ2=6.315, P=0.012), and the positive rates of PD-L1 protein expression were not correlated with them (P>0.05). The expression of PD-L1 protein was positively correlated with the expression of A2aR in the colorectal cancer tissues (rs=0.237, P=0.027).ConclusionPD-L1 and A2aR protein expressions are higher in colorectal cancer tissues, it is provided that both of them might play an important role in promoting occurrence and development of colorectal cancer.

    Release date:2019-05-08 05:34 Export PDF Favorites Scan
  • 妊娠阑尾炎的诊治体会

    目的探讨妊娠阑尾炎的诊断与最佳手术时间。 方法回顾性分析2011年10月至2015年10月期间我院诊治的50例妊娠阑尾炎患者的临床资料。根据发病后至手术时间分为观察组和对照组,观察组为发病时间24 h内进行手术者,对照组为发病时间超过24 h进行手术者。比较2组患者的平均住院时间、早产率、切口感染率和术中引流管放置率。 结果2组患者的年龄、孕周、血白细胞计数及体温比较差异均无统计学意义(P>0.05),观察组急性蜂窝织性阑尾炎患者所占比例明显高于对照组(χ2=9.93,P=0.002),而对照组急性坏疽性阑尾炎患者所占比例明显高于观察组(χ2=9.93,P=0.002)。观察组的住院时间明显短于对照组(t=2.36,P=0.02),早产率、切口感染率及术中引流管放置率均明显低于对照组(χ2=5.56,P=0.018;χ2=5.35,P=0.021;χ2=8.42,P=0.004)。 结论妊娠阑尾炎强调早期诊断和及早手术治疗,发病时间24 h内进行手术治疗效果较好。

    Release date:2016-11-22 10:23 Export PDF Favorites Scan
  • 腹部 CT 对急性非典型阑尾炎的诊断价值分析

    目的 探讨腹部 CT 对急性非典型阑尾炎的临床诊断价值。 方法 回顾性分析徐州医科大学附属医院胃肠外科 2016 年 10 月至 2017 年 6 月期间急诊收治的经腹部 CT 初步诊断为急性非典型阑尾炎 60 例患者的临床资料。 结果 60 例患者中男 36 例,女 24 例;年龄 15~79 岁,中位年龄 43 岁。行腹部 CT 检查前均未确诊为阑尾炎,行腹部 CT 检查得以确诊,其中 41 例患者表现为阑尾增粗、肠壁增厚,5 例患者盲肠周围可见少量游离气体影,1 例女性患者表现为盆腔脓肿,1 例患者伴有小肠梗阻, 19 例患者的阑尾内可见粪石;有 6 例患者的阑尾解剖异常,包括 2 例肝下阑尾、3 例腹膜后位及 1 例盆腔阑尾。均行手术探查,术后病理学检查证实为急性非典型阑尾炎 59 例,输卵管感染积脓、脓液包裹阑尾 1 例,诊断符合率为 98.3%。 结论 腹部 CT 能较好地显示阑尾的位置、形态以及与周围组织的关系,对急性非典型阑尾炎的诊断符合率较高。

    Release date:2017-11-22 03:58 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content