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可视标准通道联合可视超细通道经皮肾镜取石术精准穿刺治疗复杂性肾结石的临床应用 被引量:56
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作者 周可义 赵春利 +3 位作者 杨文增 崔振宇 马涛 张彦桥 《中国内镜杂志》 北大核心 2017年第7期109-112,共4页
目的探讨可视标准通道联合可视超细通道经皮肾镜取石术(PCNL)精准穿刺治疗复杂性肾结石的临床疗效和安全性。方法 2015年6月-2016年10月,采取可视标准通道超声气压弹道碎石联合可视超细通道PCNL精准穿刺钬激光碎石对48例复杂性肾结石患... 目的探讨可视标准通道联合可视超细通道经皮肾镜取石术(PCNL)精准穿刺治疗复杂性肾结石的临床疗效和安全性。方法 2015年6月-2016年10月,采取可视标准通道超声气压弹道碎石联合可视超细通道PCNL精准穿刺钬激光碎石对48例复杂性肾结石患者进行多通道碎石取石术。包括鹿角形结石10例,肾多发结石38例。结果 48例患者共建立110个通道。其中4例术前肾功能不全合并感染者穿刺中发现积脓且结石负荷较大,术中改行肾造瘘术加PCNL简单处理梗阻部位结石;44例完成一期手术:单通道5例,双通道24例,三通道15例;二期手术8例,新建通道12个。两期中单侧首次手术完成时间平均75(35~125)min。一期清除率79.2%(38/48),二期术后结石总清除率87.5%(42/48)。6例残石结合体外冲击波碎石术(ESWL)及药物排石,术后随访3个月,6例结石排净,总清石率100.0%(48/48)。两期术后无脓毒血症、大出血和输尿管损伤等严重并发症。结论可视标准通道联合可视超细通道PCNL精准穿刺治疗复杂性肾结石安全有效、清石率高,且并发症低,可以在临床推广。 展开更多
关键词 可视标准通道 可视超细通道 经皮肾镜取石术 精准穿刺 复杂性肾结石
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可视穿刺肾镜在成人睾丸鞘膜积液治疗中的初步应用 被引量:5
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作者 李冬明 崔振宇 +4 位作者 郭景阳 马涛 古德强 杨帆 杨文增 《中国内镜杂志》 2022年第2期77-81,共5页
目的探讨可视穿刺肾镜睾丸鞘膜切除术治疗成人睾丸鞘膜积液的应用价值。方法回顾性分析2018年10月-2020年10月该院行可视穿刺肾镜睾丸鞘膜切除术的23例成人睾丸鞘膜积液患者的病例资料。观察患者手术时间、出血量、住院时间、术后并发... 目的探讨可视穿刺肾镜睾丸鞘膜切除术治疗成人睾丸鞘膜积液的应用价值。方法回顾性分析2018年10月-2020年10月该院行可视穿刺肾镜睾丸鞘膜切除术的23例成人睾丸鞘膜积液患者的病例资料。观察患者手术时间、出血量、住院时间、术后并发症和复发情况。结果22例患者顺利完成手术,1例因阴囊粘连严重中转开放手术。22例患者手术时间(27.6±5.7)min,出血量(1.5±0.6)mL;术后7例出现轻度阴囊水肿,术后1 d消退,术后2 d拔除引流条,术后3 d出院;其余15例于术后1 d拔除引流条,术后2 d出院。所有患者均未出现中重度阴囊水肿、切口感染和阴囊血肿等并发症。术后病理均为睾丸鞘膜。随访6个月均未复发,无阴囊慢性疼痛。结论使用可视穿刺肾镜行睾丸鞘膜切除术,创伤小,恢复快,并发症少,复发率低,具有较高的临床价值。 展开更多
关键词 可视肾镜 阴囊镜 鞘膜切除术 睾丸鞘膜积液 微创手术
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Mucosal bacterial dysbiosis in patients with nodular lymphoid hyperplasia in the terminal ileum
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作者 Qiao-Li Jiang You Lu +6 位作者 Meng-Jie Zhang zhen-yu cui Zhong-Mei Pei Wen-Hua Li Lun-Gen Lu Jing-Jing Wang Ying-Ying Lu 《World Journal of Gastroenterology》 SCIE CAS 2022年第8期811-824,共14页
BACKGROUND Nodular lymphoid hyperplasia(NLH)in the small intestine is a rare benign lesion characterized by multiple small nodules on the intestinal surface.Patients with terminal ileal NLH may experience long-term ab... BACKGROUND Nodular lymphoid hyperplasia(NLH)in the small intestine is a rare benign lesion characterized by multiple small nodules on the intestinal surface.Patients with terminal ileal NLH may experience long-term abdominal pain,diarrhea,and abdominal distension,among other symptoms.Supplementation with probiotics could mitigate these symptoms.NLH is linked to the immune system,and it may result from accumulation of plasma-cell precursors due to a maturational defect during the development of B lymphocytes.The intestinal microbiome plays an essential role in the immune system.Thus,we speculate that the gut flora plays a key role in terminal ileal NLH.AIM To explore the correlation between intestinal flora and terminal ileal NLH.METHODS We collected mucosal biopsy samples that were obtained via colonoscopy from 15 patients with terminal ileal NLH(the test group)and 15 normal subjects(the control group).We subsequently performed 16 S-r RNA gene amplicon sequencing of these samples,and the results were evaluated using alpha diversity,beta diversity and microbial composition analyses.The Phylogenetic Investigation of Communities by Reconstruction of Unobserved States was used to predict the metabolic pathways and orthologous groups according to the Kyoto Encyclopedia of Genes and Genomes database.RESULTS Compared with the control group,the terminal ileal NLH group showed an increased alpha diversity(P<0.05).The overall intestinal microbiota in the NLH group was significantly different from that of the control group(P<0.05),implying that there was the dysbiosis in the terminal ileal NLH patients.The relative abundance of phylum Bacteroidetes was significantly lower in the NLH group,while that of Patescibacteria and Campilobacterota was significantly higher.The genus Bacteroides was the dominant gut microbiota in both groups,but its abundance was significantly lower in the test group than it was in the control group.Conversely,the relative abundances of Haemophilus,Streptococcus,Pseudomonas,Actinomyces,TM7 X,Fusobacterium nucleatum,Parvimonas,Granulicatella,Helicobacter,and the[Eubacterium]nodatum group were significantly higher in the test group than they were in the control group.In addition,several altered metabolic pathways,orthologous groups,and modules were found.For example,the Peptidoglycan biosynthesis and Aminoacyl t RNA biosynthesis were both increased in the test group.CONCLUSION Maintaining the microbial balance and supplementing targeted protective bacteria could improve symptoms and potentially reduce the risk of lymphoma transformation in patients with terminal ileal NLH. 展开更多
关键词 HYPERPLASIA BACTEROIDES Small intestine Microbiome Helicobacter pylori COLONOSCOPY
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Laguerre Series Expansion for Scale Functions and Its Applications in Risk Theory
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作者 Jia-yi XIE zhen-yu cui Zhi-min ZHANG 《Acta Mathematicae Applicatae Sinica》 2026年第1期146-162,共17页
We propose an exact explicit closed-form Laguerre series expansion formula to compute the q-scale function of a spectrally negative Lévy process(SNLP),and other functions associated to the scale function for the ... We propose an exact explicit closed-form Laguerre series expansion formula to compute the q-scale function of a spectrally negative Lévy process(SNLP),and other functions associated to the scale function for the first time.The proposed closed-form formula for the scale function has many applications in applied probability and in particular in the Lévy insurance risk theory.We shall show that the new series expansion formulas can be used to express the expected discounted penalty functions,the moments of the present value of total dividend payments as well as the time value of Parisian ruin in the Lévy risk models. 展开更多
关键词 Laguerre series scale function spectrally negative Lévy process ruin probability
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Valuation of American Strangles Through an Optimized Lower–Upper Bound Approach
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作者 Jing-Tang Ma Wen-Yuan Li zhen-yu cui 《Journal of the Operations Research Society of China》 EI CSCD 2018年第1期25-47,共23页
In this paper,we construct tight lower and upper bounds for the price of an American strangle,which is a special type of strangle consisting of long positions in an American put and an American call,where the early ex... In this paper,we construct tight lower and upper bounds for the price of an American strangle,which is a special type of strangle consisting of long positions in an American put and an American call,where the early exercise of one side of the position will knock out the remaining side.This contract was studied in Chiarella and Ziogas(J Econ Dyn Control 29:31–62,2005)with the corresponding nonlinear integral equations derived,which are hard to be solved efficiently through numerical methods.We extend the approach in the paper of Broadie and Detemple(Rev Finance Stud 9:1211–1250,1996)from the case of American call options to the case of American strangles.We establish theoretical properties of the lower and upper bounds,and propose a sequential optimization algorithm in approximating the early exercise boundary of the American strangle. The theoretical bounds obtained can beeasily evaluated, and numerical examples confirm the accuracy of the approximationscompared to the literature. 展开更多
关键词 Option pricing American strangle Lower and upper bounds Early exercise boundaries OPTIMIZATION
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