1.Local Intra-Arterial Thrombolysis in Acute Ischemic Stroke
Yongwei ZHANG ; Jianmin LIU ; Bo HONG
Journal of Interventional Radiology 2003;0(S1):-
50% was in 72.1% of patients and
2.Research and Application of SPR Sensor Technique in Biomedical Engineering
Yongwei MI ; Guohua LIU ; Wei ZHANG
Chinese Medical Equipment Journal 1993;0(06):-
The major developments in SPR technology are reviewed.The principle,parameters and configurations of SPR sensors are also introduced.Then the applications and future prospects of SPR sensor technology in biomedical engineering area are discussed.It is pointed out that the development of this technology tends to further improve the detection sensitivity and resolution,multi-channel detection,the array of micro-devices,etc.
3.Endoscopic treatment of ureteral calculi accompanied with polyps: A report of 35 cases
Yongwei ZHAO ; Mingshan SONG ; Yidong LIU
Chinese Journal of Minimally Invasive Surgery 2001;0(02):-
Objective To evaluate the curative effect of endoscopic treatment of ureteral stones accompanied with polyps. Methods A total of 35 cases of ureteral stones complicated with polyps were treated under ureteroscope by using electrocauterization and pneumatic lithotripter. Results All polyps were successfully cauterized. Stones were fragmented in 88.6% (31 of 35) of the cases.Because the stones moved into renal pelvis, ESWL was adopted after the intubation of double-J catheter in 2 cases. Conclusions After polyps have been cauterized by electrocauterization in advance, the treatment for ureteral stones by using ureteroscopy and pneumatic lithotripter is safe and effective.
4.Choices of different pancreaticojejunostomies in patients after pancreaticoduodenectomy
Wei LIU ; Rong HUA ; Wei CHEN ; Yongwei SUN ; Zhiyong WU
Chinese Journal of General Surgery 2014;29(5):340-343
Objective To evaluate the pancreaticojejunostomy procedures selection strategy after pancreaticoduodenectomy.Methods The clinical data of 305 cases who received pancreaticoduodenetomy at Shanghai Renji Hospital from Jan 2010 to Jan 2013 were retrospectively analyzed.For patients with pancreatic duct diameter≥3 mm,duct-to-mucosa pancreaticojejunostomy was applied(120 cases).For duct diameter < 3 mm,modified Child pancreaticojejunostomy was applied to 80 cases when pancreatic stump was large,or binding pancreaticojejunostomy procedures was applied to 105 cases while pancreatic stump was small.Results The diameter of the pancreatic stump in modified Child group was significantly larger than that in the binding group (F =5.78,P < 0.05).The overall incidence of pancreatic fistula was 11.1% (34/305).There were no significant differences in the incidences of pancreatic fistula,peritoneal bleeding,abdominal infection,digestive dysfunction rate,the mean duration of hospital and the death cases among the three groups (x2 =1.51,2.78,1.16,3.75,1.94,F=2.13,P>0.05).Conclusions Three different pancreaticojejunostomies based on the size of pancreatic duct and pancreatic stump are equally safe and effective as a reconstructive method after pancreaticoduodenectomy.
5.Primary cardiac osteosarcoma: report of a case.
Chinese Journal of Pathology 2014;43(4):275-276
Antigens, CD
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metabolism
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Antigens, Differentiation, Myelomonocytic
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metabolism
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Female
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Heart Neoplasms
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metabolism
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pathology
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surgery
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Humans
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Middle Aged
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Neoplasm Invasiveness
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Osteosarcoma
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metabolism
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pathology
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surgery
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Palliative Care
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Receptors, Cell Surface
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metabolism
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Vimentin
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metabolism
6.Preliminary application of Solitaire AB in the thrombectomy of acute arterial occlusion of distal anterior circulation
Yibin FANG ; Wanling WEN ; Yongwei ZHANG ; Qinghai HUANG ; Jianmin LIU
Chinese Journal of Cerebrovascular Diseases 2015;(8):430-434
Objective To investigate the effect of mechanical thrombectomy device Solitaire AB for the treatment of distal occlusion of the intracranial artery caused acute anterior circulation ischemic stroke. Methods The clinical data of 9 patients with arterial occlusion of distal anterior circulation treated by using the Solitaire AB thrombectomy device were analyzed retrospectively. Seven of them had M2 middle cerebral artery occlusion and 2 had A3 occlusion. Their clinical features,imaging data,treatment,and the results of 3-month clinical follow-up were analyzed. The effectiveness of treatment was evaluated through the recanalization rate after stent thrombectomy,the National Institutes of Health Stroke Scale (NIHSS)scores before and after treatment,the modified Rankin scale (mRS)scores,and the 3-month clinical follow-up results. The surgery-related complications and mortality of patients were used to evaluate the safety of the treatment. Results (1 )Of the 9 intracranial arterial occlusions,8 were recanalized successfully. The modified thrombolysis in cerebral infarction (mTICI)was 2b or grade 3. (2)The NIHSS score median 9. 5 (3. 0,15. 5)at discharge dropped significantly compared with 19. 0 (16. 0,22. 0)before procedure. (Z=2. 703,P=0. 007). No permanent complications related to operation occurred. Four of the recanalized patients had good prognosis (mRS 0-1)and 4 had disability (mRS 3-4 ). The mRS score of one non-recanalized patient was 4 at the 3 months follow-up. Conclusion The embolectomy effect is good whom using Solitaire AB device for acute occlusion occurred in the intracranial artery M2 or A3 segment. Its efficacy,safety,and indications still need to be further explored in a larger sample controlled trial.
7.Thymoma-associtated graft-versus-host-like disease with skin involvement: a case report
Zehu LIU ; Yongwei CAI ; Song WANG ; Mei WANG ; Hong SHEN
Chinese Journal of Dermatology 2014;47(10):732-733
A 37-year-old male patient presented with persistent generalized itching erythema and papules for more than 1 month.The patient had received surgical treatment for type B3 thymoma in stage Ⅳ.Five months prior to the presentation,he developed myasthenia gravis.He also complained of chronic diarrhea for two years.Physical examination revealed white patches in the oral mucosa as well as scaly erythema of varying size on the face,trunk and extremities.Lamellar scales could be seen after scratching,while removal of scales could not result in the appearance of bleeding points.There was scaly hyperkeratotic erythema of palms and soles.Histopathological examination revealed psoriasis-like epidermal hyperplasia and parakeratosis with multiple dyskeratocytes,and some of the dyskeratocytes were surrounded by lymphocytes.There was a perivascular infiltration with a small number of lymphocytes.Immunohistochemical study showed positive staining for CD3,CD4 (dermis),CD8 (epidermis) and CD45RO,but negative staining for CD20,CD68 and CD30.The patient was diagnosed as thymoma-associated graftversus-host-like disease,myasthenia gravis and mucosal candidiasis.After treatment with tacrolimus and prednisone,the condition was gradually relieved.
8.Correlation between ApoE gene polymorphism and diabetic nephropathy
Yongwei JIANG ; Liang MA ; Qian LIU ; Xiao CONG ; Yongtong CAO
Chinese Journal of Laboratory Medicine 2016;39(12):974-977
Diabetic nephropathy ( DN) is one of the most serious chronic complications of diabetes and it is the main reason leading to end-stage renal disease.Epidemiological studies have shown that genetic susceptibility is one of the important factors in the development of DN . Regions coded by exon 4 of apolipoprotein E ( ApoE ) gene involved in lipid metabolism , which is considered to be a candidate susceptible gene for diabetic nephropathy .Articles on the relationship of APOE and diabetic nephropathy including case-control study , prospective follow-up study and meta-analysis are reviewed , and the conclusion suggests that APOE E2 allele may be one of the genetic risk factors for DN , and APOE E4 allele may be a protective factor.APOE may play its role in the development of DN through the participation in the lipid metabolism, regulation of cell growth factor activity in extracellular matrix and regulating gene expression in kidney protection and other aspects .However, the detailed mechanism of APOE polymorphism in diabetic nephropathy is unclear and needs further research .
9.Analysis and treatment of intra-abdominal infectious after pancreatic surgery
Junfeng ZHANG ; Yongwei SUN ; Rong HUA ; Wei LIU ; Yanmiao HUO ; Dejun LIU ; Jiao LI
Chinese Journal of Hepatobiliary Surgery 2014;20(7):519-523
Objective To study the bacterial types and their drug resistance in intra-abdominal infections after pancreatic surgery,and to evaluate the appropriate treatment measures.Methods 113 patients who underwent pancreatic surgery from Jan 2012 to Dec 2012 in our hospital were included into this study.The drainage liquid from the surgical sites were collected for bacterial culture and drug susceptibility tests.Results The incidence of intra-abdominal infections was 39.8% (45/113).There were 54 pathogenic strains of bacteria isolated,including 49 strains of gram-negative bacteria (90.7%),4 strains of gram-positive bacteria (7.4%),and 1 strain of fungus (1.9%).The top three pathogens were Pseudomonas aeruginosa (50.0%),Acinetobacter baumannii (14.8%) and Singular deformation bacteria (1 1.1%).Most gram-negative bacteria were sensitive to Polymyxin B and Aminoglycoside antibiotics (> 70%),but they were resistant to Imipenem and Cephalosporin which were commonly administered.Pancreatic fistula was closely related to intra-abdominal infections.Concluusions A gram-negative bacteria,Pseudomonas aeruginosa,was the predominant organism in intra-abdominal infections after pancreatic surgery in our hospital.The situation of drug-resistance was still severe.More effective measures should be taken to prevent growth of resistant strains such as using antibiotics according to drug sensitivity and avoiding empirical single use of broad-spectrum antibiotics.Pancreatic fistula commonly led to intra-abdominal infections.
10.Risk factors of pancreatic fistula after pancreaticoduodenectomy
Wei LIU ; Rong HUA ; Yongwei SUN ; Junfeng ZHANG ; Yanmiao HUO ; Dejun LIU ; Zhiyong WU
Chinese Journal of Pancreatology 2014;14(5):299-302
Objective To analyze the risk factors of pancreatic fistula after pancreaticoduodenectomy,in order to provide evidence to reduce post-operative complication in clinical practice.Methods The clinical data of 352 patients with malignancy who received pancreaticoduodenectomy at the Shanghai Renji Hospital from September 2009 to September 2012 were retrospectively analyzed.The patients were divided into pancreatic fistula group and non-pancreatic fistula group.Peri-operative risk factors of pancreatic fistula after pancreaticoduodenectomy were analyzed by univariate and multivariate logistic regression analysis.Results Forty-nine cases of pancreatic fistula occurred,and the incidence rate of pancreatic fistula was 13.9% (49/352).Univariate and multivariate logistic regression analysis showed sex,age,history of diabetes,operation time,intra-operative blood loss,vessel reconstruction,pancreatic tube placement,anastomosis time,type of digestive tract reconstruction were not risk factors of pancreatic fistula; however,brittle pancreatic tissue,diameter of pancreatic duct <3 mm,pre-operative total bilirubin level > 171 μmol/l,duration of preoperative jaundice > 8 weeks,pre-operative albumin level <30 g/L were the independent risk factors of pancreatic fistula (P < 0.05).Conclusions Brittle pancreatic tissue,small pancreatic duct,high level of serum bilirubin,long duration of preoperative jaundice,low level of serum albumin are the independent risk factors of pancreatic fistula after pancreaticoduodenectomy.