1.Lymphatic vessel density of esophageal adenocarcinoma and its clinical significance
Dong TIAN ; Maoyong FU ; Zeliang ZHAO ; Hongying WEN ; Lin ZHANG ; Guidong SHI ; Zhilin LUO
Chinese Journal of Digestive Surgery 2013;12(10):796-800
Objective To investigate the differences on lymphatic vessel density (LVD) among esophageal adenocarcinoma (EAC),esophageal squamous cell carcinoma (ESCC) and normal esophageal tissues,and analyze the clinical significance.Methods Twenty samples of EAC,24 samples of ESCC and 20 cases of normal esophageal tissues were obtained at the Affiliated Hospital of North Sichuan Medical College from January 2004 to January 2011.D2-40 was used for immunostaining of lymphatic vessels in EAC,and antibodies of D2-40 and Ki-67 were used together to detect proliferation of lymphatic vessels.The differences in the LVD among EAC,ESCC and normal esophageal tissues were analyzed.All data were analyzed using the analysis of variance or t test.Results D2-40 staining could identify the lymphatic vessels,and antibodies of D2-40 and Ki-67 could detect the proliferation of lymphatic vessels.The LVD of EAC,ESCC and normal esophageal tissues were (3.3 ± 1.7)/0.17 mm2,(4.6 ± 1.2)/0.17 mm2 and (3.8 ± 1.2)/0.17 mm2,respectively,with significant differences (F =5.44,P <0.05).The LVD of EAC was significantly lower than that of ESCC (t =3.074,P < 0.05),while there was no significant difference in the LVD between the EAC and normal esophageal tissues (t =-1.022,P > 0.05).There were significant differences in the LVD between the ESCC and normal esophageal tissues (t =2.395,P < 0.05).There were significant differences in the LVD between EAC patients with deglutition discomfort and those with pain (t =3.092,P < 0.05).There were significant differences in the LVD between EAC patients with course <6 months and those with course≥6 months (t =3.092,P < 0.05).No statistical difference in clinicopathological parameters including gender,age,site of lesion,tumor diameter,pathological morphology,T stage,N stage,G stage,TNM clinical stage and lymph node metastasis were detected (t = 1.130,1.020,F =0.082,t =0.799,F =0.692,t =0.694,1.820,0.353,0.969,0.969,P > 0.05).Conclusions The LVD of EAC is lower than that of ESCC,but is similar to that of normal esophageal tissues.The LVD of EAC is correlated with the symptoms and course of patients.
2.The Simulation Experiment of Control System for Left Ventricular Assist Device
Zongtao WANG ; Lijun JIN ; Shiping YAN ; Zeliang FU
Chinese Journal of Medical Instrumentation 2016;40(2):143-146
Objective To test the accuracy, the reliability and the stability offl ow-controling method of a new percutaneous left ventricular assist device.Methods With the AMEsim to set up a simulation model, analysis the variations of motor speed, flow and pressure by adjusting the size of valve. and we test the improved-theoretical model with outside experiment.Results In the simulation experiment, with the variations of pressure from A, the system can regulate the motor speed to maintain the pump outlet pressure 1.1×105 Pa~1.2×105 Pa and control thefl ow. With the B valve size changes, thefl ow-controling by the system identify and change the motor speed, to maintain the pump inlet pressure from-0.25×105 Pa to-0.10×105 Pa. In outside experiment, with the variations of the size of valve A and valve B, the pump can change the voltage by self-regulation, maintain the entrance and exit of pressure is relatively stable and control thefl ow.Conclusions It is a fast-responding and better robust way, by adding the pressure sensor to adjust the speed of motor, to control thefl ow accurately.