期刊文献+
共找到7篇文章
< 1 >
每页显示 20 50 100
肺内多发小结节术前CT引导下微弹簧圈定位的初步探讨 被引量:22
1
作者 李凤卫 陈应泰 +2 位作者 边建伟 辛兴 刘思杰 《中国肺癌杂志》 CAS CSCD 北大核心 2018年第11期857-863,共7页
背景与目的肺内多发小结节微创手术的成功与否有赖于术前定位,然而目前缺乏针对肺内多发小结节术前定位的临床研究。本研究旨在与同期肺内单发小结节定位相比,探讨行电视胸腔镜手术(video-assisted thoracoscopic surgery, VATS)术前电... 背景与目的肺内多发小结节微创手术的成功与否有赖于术前定位,然而目前缺乏针对肺内多发小结节术前定位的临床研究。本研究旨在与同期肺内单发小结节定位相比,探讨行电视胸腔镜手术(video-assisted thoracoscopic surgery, VATS)术前电子计算机断层扫描(computed tomography, CT)引导下留置微弹簧圈定位肺内多发小结节的临床价值。方法回顾性分析术前行肺内小结节微弹簧圈定位者235例的临床资料。根据结节是否为单发分为:单发结节组184例(single nodule group),多发结节组51例(multiple nodules group)。单发结节组常规方式CT引导下定位,多发结节组在CT引导下分级、分批次留置微弹簧圈定位,统计分析两组定位成功率、并发症、病理结果及定位操作相关数据等。结果多发结节组定位成功率达90.2%,与同期单发结节组成功率相比无统计学差异(90.2%vs 94.6%,P=0.205),多发结节组气胸发生率与单发结节组亦无统计学差异(21.6%vs 14.1%, P=0.179),然而多发结节组的操作时间明显长于单发结节组的操作时间[(30.6±6.6) min vs (19.9±7.4) min, P=0.000]。两组均无大咯血、空气栓塞及血胸发生等严重并发症。两组均无因术中无法定位结节而中转开胸者;手术方式以亚肺叶切除为主;术后病理以非浸润性病变为主。结论对于需行胸腔镜手术的肺部多发小结节,按照一定策略,术前CT引导下分级、分批次留置微弹簧圈的定位方法安全、有效,值得推广。 展开更多
关键词 计算机断层扫描 定位 肺肿瘤 多发性 肺切除术
暂未订购
预充式CT引导下肺内小结节微弹簧圈穿刺定位法的初步探讨 被引量:9
2
作者 李凤卫 陈应泰 +2 位作者 边建伟 辛兴 吴迅 《中国肺癌杂志》 CAS CSCD 北大核心 2019年第6期349-354,共6页
背景与目的肺内小结节微弹簧圈穿刺定位是微创手术切除肺内小结节常用的术前定位方法,然而该方法仍有操作复杂、轻微并发症多等不足之处,我们将原有方法进行了优化。本研究旨在探讨优化后的预充式计算机断层扫描(computed tomography, ... 背景与目的肺内小结节微弹簧圈穿刺定位是微创手术切除肺内小结节常用的术前定位方法,然而该方法仍有操作复杂、轻微并发症多等不足之处,我们将原有方法进行了优化。本研究旨在探讨优化后的预充式计算机断层扫描(computed tomography, CT)引导下肺内小结节微弹簧圈穿刺定位法在临床中的应用价值。方法对2018年9月-2019年1月间31例患者的35枚肺结节,于术前采用预充式CT引导下肺内小结节微弹簧圈穿刺定位,然后施行胸腔镜下(video-assisted thoracoscopic surgery, VATS)手术。统计分析定位操作相关数据、成功率、并发症、病理结果等。结果定位成功率97.1%,VATS切除成功率100%。CT定位时间平均10.1 min(5 min-31 min),微创切除病灶所需时间平均38.2 min(10 min-100 min)。术中发现微弹簧圈脱位回缩至胸壁内1例,通过充气膨肺状态下自胸壁穿刺点刺入穿刺针,成功定位肺内结节并予以切除。3例患者定位后发生微量气胸,但无需闭式引流处理。3例患者出现肺内血肿。35枚肺结节术后病理结果为:高分化腺癌15例,原位癌7例,微浸润腺癌5例,非典型腺瘤样增生4例,肺内淋巴结增生、炎性结节各2例。结论采用预充式微弹簧圈定位肺内小结节简便、安全、有效,值得推广。 展开更多
关键词 断层扫描 定位 肺肿瘤
暂未订购
Development of MEMS directed evolution strategy for multiplied throughput and convergent evolution of cytochrome P450 enzymes
3
作者 li Ma fengwei li +12 位作者 Xingwang Zhang Hui Chen Qian Huang Jing Su Xiaohui liu Tianjian Sun Bo Fang Kun liu Dandan Tang Dalei Wu Wei Zhang Lei Du Shengying li 《Science China(Life Sciences)》 SCIE CAS CSCD 2022年第3期550-560,共11页
Directed evolution(DE)inspired by natural evolution(NE)has been achieving tremendous successes in protein/enzyme engineering.However,the conventional"one-protein-for-one-task"DE cannot match the"multi-p... Directed evolution(DE)inspired by natural evolution(NE)has been achieving tremendous successes in protein/enzyme engineering.However,the conventional"one-protein-for-one-task"DE cannot match the"multi-proteins-for-multi-tasks"NE in terms of screening throughput and efficiency,thus often failing to meet the fast-growing demands for biocatalysts with desired properties.In this study,we design a novel"multi-enzymes-for-multi-substrates"(MEMS)DE model and establish the proof-ofconcept by running a NE-mimicking and higher-throughput screening on the basis of"two-P450 s-against-seven-substrates"(2P×7S)in one pot.With the multiplied throughput and improved hit rate,we witness a series of convergent evolution events of the two archetypal cytochrome P450 enzymes(P450 BM3 and P450 cam)in laboratory.It is anticipated that the new strategy of MEMS DE will find broader application for a larger repertoire of enzymes in the future.Furthermore,structural and substrate docking analysis of the two functionally convergent P450 variants provide important insights into how distinct P450 active-sites can reach a common catalytic goal. 展开更多
关键词 MEMS directed evolution cytochrome P450 enzymes high-throughput screening convergent evolution ambroxide 3β-hydroxylase
原文传递
Structure-guided manipulation of the regioselectivity of the cyclosporine A hydroxylase CYP-sb21 from Sebekia benihana 被引量:2
4
作者 fengwei li li Ma +8 位作者 Xingwang Zhang Jingfei Chen Feifei Qi Yinyue Huang Zepeng Qu lishan Yao Wei Zhang Eung-Soo Kim Shengying li 《Synthetic and Systems Biotechnology》 SCIE 2020年第3期236-243,共8页
The cytochrome P450 enzyme CYP-sb21 from the rare actinomycete Sebekia benihana is capable of hydroxylating the immunosuppressive drug molecule cyclosporine A(CsA)primarily at the 4th N-methyl leucine(MeLeu4),giving r... The cytochrome P450 enzyme CYP-sb21 from the rare actinomycete Sebekia benihana is capable of hydroxylating the immunosuppressive drug molecule cyclosporine A(CsA)primarily at the 4th N-methyl leucine(MeLeu4),giving rise toγ-hydroxy-N-methyl-L-Leu4-CsA(CsA-4-OH).This oxidative modification of CsA leads to dramatically reduced immunosuppressive activity while retaining the hair growth-promoting side-effect,thus demonstrating great application potential in both pharmaceutical and cosmetic industries.However,this P450 enzyme also hydroxylates CsA at the unwanted position of the 9th N-methyl leucine(MeLeu9),indicating that the regioselectivity needs to be improved for the development of CsA-4-OH into a commercial hair growth stimulator.Herein,we report the crystal structure of CYP-sb21 in its substrate-free form at 1.85Å.Together with sequence and 3D structure comparisons,Autodock-based substrate docking,molecular dynamics(MD)simulation,and site-directed mutagenesis,we identified a number of key residues including R294,E264,and M179 that can improve catalytic efficiency or change the regioselectivity of CYP-sb21 towards CsA,setting the stage for better enzymatic preparation of CsA-4-OH.This study also provides new insights into the substrate recognition and binding mechanism of P450 enzymes that accommodate bulky substrates. 展开更多
关键词 Cytochrome P450 monooxygenase Crystal structure Cyclosporine A Regioselectivity Hair growth stimulator
原文传递
Moisio型指数和计算
5
作者 李凤伟 吴严生 岳勤 《中国科学:数学》 CSCD 北大核心 2021年第10期1627-1634,共8页
本文计算一类Moisio型指数和.设2模r^(m)的阶为(r-1)/2·r^(m-1),其中r为奇素数, r≡1 (mod 4),m为正整数.设q=2((r-1)/2·r^(m-1)), Fq为q元有限域,χ为Fq到复数的经典加法特征.本文将给出指数和S(a, b)=∑x∈Fqχ(ax(q-1)/rm+... 本文计算一类Moisio型指数和.设2模r^(m)的阶为(r-1)/2·r^(m-1),其中r为奇素数, r≡1 (mod 4),m为正整数.设q=2((r-1)/2·r^(m-1)), Fq为q元有限域,χ为Fq到复数的经典加法特征.本文将给出指数和S(a, b)=∑x∈Fqχ(ax(q-1)/rm+bx)(a, b∈Fq)的值.特别地,本文运用有限域上椭圆曲线的有理点,计算一类S(a)=r^(m)/(q-1)S(a, 0)的值. 展开更多
关键词 特征和 分圆数 椭圆曲线有理点
原文传递
一类二元Goppa码及其诱导的新码
6
作者 吴严生 李凤伟 +1 位作者 胡丽琴 岳勤 《中国科学:数学》 CSCD 北大核心 2024年第9期1413-1420,共8页
令m为正整数,F_(2^(m))是有限域.设L为由F_(2^(m))中的元素构成的子集,G(x)=x^(3t)+1,其中L中的元素均不是G(x)的根,而且t|(2^(m)-1).设Γ(L,G)为以G(x)作为Goppa多项式、L为定义集的二元可分Goppa码.本文证明该Goppa码的最小距离等于... 令m为正整数,F_(2^(m))是有限域.设L为由F_(2^(m))中的元素构成的子集,G(x)=x^(3t)+1,其中L中的元素均不是G(x)的根,而且t|(2^(m)-1).设Γ(L,G)为以G(x)作为Goppa多项式、L为定义集的二元可分Goppa码.本文证明该Goppa码的最小距离等于其设计距离,即d=6t+1.这推广了Bezzateev和Shekunova(1995)的结果.同时本文找到了许多新的二元线性码,进一步扩充了Grassl的线上码表.值得强调的是,本文确定至少3个二元线性码是新发现的,它们的参数分别为[32,16,8]、[62,43,8]和[128,106,8].这些码与Grassl码表中具有相同参数的码都不等价,可被认为是具有该参数的已知最好的线性码. 展开更多
关键词 Goppa码 二元线性码 最小距离
原文传递
Role of post-hepatectomy portal hypertension in predicting the outcome of hepatocellular carcinoma after curative resection
7
作者 Jian lin liangrui Chen +6 位作者 Xiaodong Shi fengwei li Qian Xu Hongzhi liu Jingfeng liu Kui Wang Feng Shen 《Portal Hypertension & Cirrhosis》 2024年第2期75-85,共11页
Aims:Portal venous pressure frequently increases after a major hepatectomy.We aimed to assess the outcomes of patients with hepatocellular carcinoma(HCC)with different post-hepatectomy portal pressure statuses and the... Aims:Portal venous pressure frequently increases after a major hepatectomy.We aimed to assess the outcomes of patients with hepatocellular carcinoma(HCC)with different post-hepatectomy portal pressure statuses and the predictive factors correlated with prognosis and post-hepatectomy portal hypertension(PHPH).Methods:Data from consecutive patients who underwent curative-intent hepatectomy for HCC at the Eastern Hepatobiliary Surgery Hospital and Mengchao Hepatobiliary Hospital of Fujian Medical University between January 2008 and December 2016 were retrospectively analyzed.Patients were followed up until March 1,2022.PHPH was defined as new-onset portal hypertension(PH)in patients without preoperative PH within 1 month of hepatectomy.Patients were classified into two groups according to the presence or absence of PHPH:non-PH and PHPH.The clinicopathological characteristics were compared between the two groups.Univariate and multivariate analyses were used to identify independent risk factors for early and late recurrence of HCC,overall survival(OS),and PHPH.Results:Disease-free survival rates were significantly higher in the non-PH group(n=1068)than those in the PHPH group(n=423)(62.0%,39.0%,and 31.0%vs.46.2%,24.5%,and 19.3%at 1,3,and 5 years,respectively;all p<0.001).The 1-,3-,and 5-year OS rates were 91.0%,66.4%,and 51.4%in the non-PH group and 80.0%,48.9%,and 32.6%in the PHPH group,respectively(all p<0.001).Multivariate analysis revealed that PHPH was independently associated with early recurrence of HCC and poor OS(hazard ratio[HR]1.476,95%confidence interval[CI]1.279–1.704,p<0.001 and HR 1.601,95%CI 1.383–1.853,p<0.001,respectively).Furthermore,hepatitis B virus infection,cirrhosis,preoperative alanine aminotransferase>40 U/L,and major hepatectomy were identified as independent risk factors for PHPH.Conclusions:PHPH was associated with early recurrence of HCC and poor OS but not with late recurrence.Therefore,PHPH may be an attractive target for therapeutic interventions and follow-up surveillance to improve prognosis. 展开更多
关键词 hepatocellular carcinoma HEPATECTOMY portal hypertension PROGNOSIS predictive factors
暂未订购
上一页 1 下一页 到第
使用帮助 返回顶部