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Pipeline血流导向装置与传统支架辅助栓塞治疗颈内动脉未破裂中小型动脉瘤的疗效比较分析
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作者 矫健 李汶翰 +4 位作者 罗瀚 袁亚君 王文毫 刘汉伟 于本帅 《中华介入放射学电子杂志》 2023年第3期223-229,共7页
目的评价Pipeline血流导向装置(Pipeline flow diverter,PED)治疗未破裂颈内动脉中小型动脉瘤的安全性及有效性。方法收集2018年1月至2022年2月我院神经介入科采用PED及支架辅助弹簧圈栓塞(stent-assisted coiling,SAC)治疗的53例颈内... 目的评价Pipeline血流导向装置(Pipeline flow diverter,PED)治疗未破裂颈内动脉中小型动脉瘤的安全性及有效性。方法收集2018年1月至2022年2月我院神经介入科采用PED及支架辅助弹簧圈栓塞(stent-assisted coiling,SAC)治疗的53例颈内动脉未破裂动脉瘤患者的临床资料,并进行回顾性分析及组间对比。分别采用O Kelly Marotta(OKM)分级及Raymond分级评估术后即刻及随访时动脉瘤的栓塞程度;采用改良Rankin量表评分(mRS)评价患者围手术期及随访时的神经功能;介入治疗术后3个月开始采用DSA或CTA随访复查动脉瘤的闭塞情况及支架通畅情况。结果共有符合纳入标准患者53例,其中PED 31例,SAC 22例。两组患者性别、年龄等基线数据均无统计学差异。PED组34枚动脉瘤的术后即刻DSA显示造影剂明显滞留,OKM A级9枚(26.4%),B级7枚(20.6%),C级14枚(41.2%),D级4枚(11.8%)。SAC组24枚动脉瘤的术后即刻DSA显示,RaymondⅠ级16枚(66.7%),Ⅱ级7枚(29.1%),Ⅲ级1枚(4.2%)。手术时间在PED组和SAC组之间存在显著统计学差异(P=0.003<0.05),围手术期出现不良事件为9例,PED组4例,SAC组5例,两组之间差异无统计学意义(P=0.49)。PED组术后平均随访时间为(6.4±1.8)个月(范围:5~12个月);SAC组术后平均随访时间为(10.4±9.0)个月(范围:2~30个月)。对术后动脉瘤闭塞情况进行观察,PED组完全闭塞28例(84.8%),SAC组完全闭塞17例(77.3%)。SAC组术后复发4例,PED组未见术后复发。术后随访中所有患者预后良好,mRS≤2,无出血或缺血导致的术后不良事件发生。结论使用PED治疗颈内动脉未破裂中小型动脉瘤可以缩短手术时间,具有不弱于支架辅助栓塞治疗的动脉瘤完全闭塞率及安全性,且在避免术后复发方面具有明显优势,但长期疗效仍需进一步的随访观察。 展开更多
关键词 Pipeline血流导向装置 颈内动脉 中小型动脉瘤
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Geographic variation in secondary metabolites contents and their relationship with soil mineral elements in Pleuropterus multiflorum Thunb.from different regions
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作者 Yaling Yang Siman Wang +10 位作者 Ruibin Bai Feng Xiong Yan Jin hanwei liu ZiyiWang Chengyuan Yang Yi Yu Apu Chowdhury Chuanzhi Kang Jian Yang Lanping Guo 《Science of Traditional Chinese Medicine》 2024年第3期214-223,共10页
Background:Pleuropterus multiflorum Thunb.cv.“Heshouwu”(HSW)has been used as a classical material for both medicine and food in China for millennia.Recently,the cultivation region of HSW has shifted from Guangdong t... Background:Pleuropterus multiflorum Thunb.cv.“Heshouwu”(HSW)has been used as a classical material for both medicine and food in China for millennia.Recently,the cultivation region of HSW has shifted from Guangdong to Sichuan,Guizhou,and other regions.The investigation of geographic variation in bioactive metabolite contents and their relationship with soil mineral elements holds academic significance.Objective:This study aimed to investigate the variations in the distribution of active components in HSWacross diverse planting regions and their relationship with soil mineral elements.Methods:A reliable quantitative analysis based on ultrahigh-performance liquid chromatography with triple-quadrupole mass spectrometry(UPLC-QQQ-MS)was developed to assess the levels of 15 bioactivemetabolites in 60 HSWsamples collected from 4 distinct regions.A total of 43 soil mineral elements in corresponding 60 soil samples were quantified by inductively coupled plasma mass spectrometry(ICP-MS).Orthogonal partial least squares-discriminant analysis(OPLS-DA),heatmap analysis,Pearson correlation analysis,and random forest(RF)regression were conducted based on the above quantitative data.Results:The content of stilbene glycosides displayed a wider range of variation compared with emodin and physcion among different regions.Eight compounds were screened as the differential metabolites in HSW samples from various sources using the supervised OPLS-DA analysis.Among these,2 important functional compounds including physcion and 2,3,5,4′-tetrahydroxystilbene-2-O-(6″-O-acetyl)-glucoside(THSG-5)are the most abundant inHSWsamples from Deqing,a geographical indicative production region.Pearson correlation analysis indicated that the impact of soil mineral elements on the levels of stilbene glycosides is greater compared to that on anthraquinones.A negative correlation was observed between the levels of elements Na,Zn,Ba,Ti,and 2,3,5,4′-tetrahydroxysilbene 2-O-glucoside(THSG-1).Conversely,a positive correlation was found between the contents of elements Na,Ce,Ti,and physcion and THSG-5,2 components that exhibited higher levels in Deqing.Furthermore,an RF algorithm was employed to establish an interrelationship model,effectively forecasting the abundance of the majority of differential metabolites in HSW samples based on the content data of soil mineral elements.Conclusions:The variation of stilbene glycosides is wider than emodin and physcion in HSW.The levels of metabolites in HSW samples are influenced by soil mineral elements,with stilbene glycosides being more susceptible to such influences compared to anthraquinones.Specifically,THSG-1 shows a negative association withmost soil mineral elements,notably Na,Zn,Ba,and Ti,whereas the content of physcion displays a positive correlation. 展开更多
关键词 Pleuropterus multiflorum Thunb. Geographical difference Soil mineral element UPLC-QQQ-MS Stilbene glycosides ANTHRAQUINONES
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