期刊文献+
共找到3篇文章
< 1 >
每页显示 20 50 100
再次或多次手术治疗复发性腹膜后脂肪肉瘤的临床意义 被引量:6
1
作者 谢学海 陈依然 +5 位作者 马永簌 田孝东 高红桥 庄岩 杨尹默 吴问汉 《中国现代医学杂志》 CAS 2019年第8期58-61,共4页
目的探讨再次手术或多次手术治疗复发性腹膜后脂肪肉瘤的治疗策略和临床意义。方法回顾性分析2013年1月—2017年8月北京大学第一医院普通外科收治的16例腹膜后脂肪肉瘤术后复发患者(复发组)行再次或多次手术的临床资料,随访时间12~62个... 目的探讨再次手术或多次手术治疗复发性腹膜后脂肪肉瘤的治疗策略和临床意义。方法回顾性分析2013年1月—2017年8月北京大学第一医院普通外科收治的16例腹膜后脂肪肉瘤术后复发患者(复发组)行再次或多次手术的临床资料,随访时间12~62个月,平均30个月;观察其术后效果。结果 16例腹膜后肿瘤术后复发患者共行手术30例次,手术时间60~840 min,平均360 min;中位手术时间270 min,术中出血50~33 100 ml,平均3 755 ml;中位出血量800 ml。其中,28例次手术为联合脏器切除。原发性腹膜后脂肪肉瘤行手术治疗患者(原发组)与复发组在肿瘤最大径、是否多灶等指标比较,差异无统计学意义(P>0.05),而手术时间、出血量及是否联合脏器切除比较,差异有统计学意义(P<0.05)。随访期间无瘤存活率为25%(4/16),带瘤生存8例,死亡4例。结论对于复发性腹膜后脂肪肉瘤患者,经多学科评估和完善的术前准备,可行再次或多次手术治疗。 展开更多
关键词 脂肪肉瘤 肿瘤 复发 再手术
暂未订购
An image encryption scheme based on three-dimensional Brownian motion and chaotic system 被引量:6
2
作者 Xiu-Li Chai Zhi-Hua Gan +2 位作者 Ke Yuan l Yang Lu yi-ran chen 《Chinese Physics B》 SCIE EI CAS CSCD 2017年第2期99-113,共15页
At present, many chaos-based image encryption algorithms have proved to be unsafe, few encryption schemes permute the plain images as three-dimensional(3D) bit matrices, and thus bits cannot move to any position, th... At present, many chaos-based image encryption algorithms have proved to be unsafe, few encryption schemes permute the plain images as three-dimensional(3D) bit matrices, and thus bits cannot move to any position, the movement range of bits are limited, and based on them, in this paper we present a novel image encryption algorithm based on 3D Brownian motion and chaotic systems. The architecture of confusion and diffusion is adopted. Firstly, the plain image is converted into a 3D bit matrix and split into sub blocks. Secondly, block confusion based on 3D Brownian motion(BCB3DBM)is proposed to permute the position of the bits within the sub blocks, and the direction of particle movement is generated by logistic-tent system(LTS). Furthermore, block confusion based on position sequence group(BCBPSG) is introduced, a four-order memristive chaotic system is utilized to give random chaotic sequences, and the chaotic sequences are sorted and a position sequence group is chosen based on the plain image, then the sub blocks are confused. The proposed confusion strategy can change the positions of the bits and modify their weights, and effectively improve the statistical performance of the algorithm. Finally, a pixel level confusion is employed to enhance the encryption effect. The initial values and parameters of chaotic systems are produced by the SHA 256 hash function of the plain image. Simulation results and security analyses illustrate that our algorithm has excellent encryption performance in terms of security and speed. 展开更多
关键词 image encryption logistic-tent system(LTS) memristive chaotic system three-dimensional(3D) Brownian motion
原文传递
Stratified Platelet-to-lymphocyte Ratio:A Novel Target for Prognostic Prediction of Hepatocellular Carcinoma after Curative Liver Resection 被引量:1
3
作者 Gui-Qian Huang Ji-Na Zheng +6 位作者 Tian-Tian Zou yi-ran chen Ke-Qing Shi Sven Van Poucke Zhang cheng Lu-Yi Ruan Ming-Hua Zheng 《Journal of Clinical and Translational Hepatology》 SCIE 2017年第1期35-42,共8页
Background and Aims:Platelet-to-lymphocyte ratio(PLR)has been shown to predict prognosis of cancers.We aimed to evaluate the prognostic value of stratification of PLR in patients after curative liver resection(CLR)for... Background and Aims:Platelet-to-lymphocyte ratio(PLR)has been shown to predict prognosis of cancers.We aimed to evaluate the prognostic value of stratification of PLR in patients after curative liver resection(CLR)for hepatocellular carcinoma(HCC).Methods:A total of 1804 patients who underwent CLR for suspected HCC between January 2007 and January 2014 were screened for the study.All of the patients were categorized into equal tertiles according to the number of patients and the distribution of PLR.Prognostic significance was determined for overall survival(OS)and was assessed using Kaplan-Meier analysis.Univariate and multi-variate Cox proportional hazard regression analyses were evaluated for association of all independent parameters with disease prognosis.Results:The optimal cut-off points of preoperative PLR were:(T1)11.98-75.00,(T2)75.00-113.33 and(T3)113.33-567.50.There were obvious differences in each PLR tertile with mortality within 36 months of CLR(Plog-rank<0.001).Multivariable analysis suggested that the level of PLR(HR=1.004,95%CI:1.001-1.008,P=0.006),portal vein thrombosis(HR=3.406,95%CI:1.185-9.794,P=0.023),number of nodules(HR=1.810,95%CI:1.345-2.437,P<0.001),Child-Turcotte-Pugh score(HR=1.741,95%CI:1.129-2.684,P=0.012)and microvascular invasion(HR=2.730,95%CI:1.777-4.196,P<0.001)were significant predictors of mortality.Kaplan-Meier analysis of overall survival(OS)demonstrated that each PLR tertile showed a progressively worse OS and apparent separation(Plog-rank=0.016).The highest 5-year OS rate following CLR(58%)was revealed in tertile 1.In contrast,the lowest 5-year OS rate(30%)was revealed in tertile 3.Conclusion:Stratified preoperative PLR could strengthen the predictive power for OS in HCC patients with CLR. 展开更多
关键词 Platelet-to-lymphocyte ratio Hepatocellular carcinoma Curative liver resection Overall survival
原文传递
上一页 1 下一页 到第
使用帮助 返回顶部