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Pringle maneuver combined with hepatic veins occlusion for complicated hepatectomy is safe, and is effective to prevent dangerous bleeding and air embolism with less disturbance of systemic hemodynamics.

Pringle′s法联合肝静脉阻断技术在复杂肝切除术中既能达到减少术中出血的目的,又能防止术中肝静脉破裂导致空气栓塞,还避免了下腔静脉阻断所引起全身血流动力学紊乱,是一种更安全、有效的血流阻断技术。

Results The amaranthine nuclei had a distinct outline and distributed evenly on the slide. The area of nuclei in liquidbased preparation was much smaller and chromatin was more condensed in comparison with those in conventional smear. The nuclei in conventional smears had the largest value of area and the value of AOD, and CV of IOD, the IOD ratio among diploid, tetraploid and octaploid DNA was most close to 2 and 4, and the CV of IOD exceeded 6%.

结果 三种涂片内肝细胞核分布均匀,轮廓清晰,呈紫红色,与传统涂片法相比,液基法内肝细胞核面积明显减小,染色质高度浓缩;相同倍体的肝细胞核在传统涂片中面积最大,平均光密度最低,各倍体间的比值最接近2和4,积分光密度CV值最低(。5)。

Hep-atic fibrosis is apart of"liver amasser"in the category of TCM.Whereas father doctors advanced that amasser can be get rid of by the way of"maintaining positive matter",to probe into the advantage and foreground of curing hepatic fi-brosis by the ways of FUZheng of TCM.

肝纤维化在中医属于"肝积"范畴,鉴于前辈医家提出"养正积自除"的理论,笔者就中医使用扶正益气培本的方法治疗肝纤维化优势及其前景展开探讨。

Oeeki Y reported a method of partial arterialization of portal vein with ileo-colon arteriovenous anastomosis in 1997, he thought this can prevent theliver failure caused by embolism of hepatic artery after liver operation.

但过量动脉血(门静脉内动脉血灌流量达到门静脉正常血流量的一倍以上时)灌流肝内门静脉则对肝脏有害,如导致肝内门静脉分支增宽,内膜纤维变性,以及肝细胞微粒体酶活力的改变。

Methods This article retrospectively analysed and compared hepatical arteriograph results with clinical data and followup results of 150 patients with intermediate or advanced HCC, retreated by TAE or TAI.

本文收集2003年1月~2004年6月在同济医院放射科做肝动脉化疗栓塞术和肝动脉栓塞的中晚期肝癌150例,将每例病人的肝动脉造影所见与临床资料及随访结果一起进行分析。

The characteristical time-dependent expression of transcriptional factors HNF4α, C/EBPα, and C/EBPβ during the hepatocyte differentiation by bone marrow stem cells demonstrates that the expressions of these transcriptional factors are closely related to the initiation and maintenance of hepatocyte differentiation.

结论在肝细胞分化过程中,转录因子HNF4α、C/EBPα和C/EBPβ呈特征性时序表达,表明骨髓间充质干细胞在向肝细胞分化时,肝细胞相关转录因子的表达与细胞分化的启动和维持密切相关。

The rate of c-kit+ cells in the heart increased gradually from E10 with the highest level of 12.6±3.2% at E11, which was nearly similar to the fetal liver, except for E12 when the c-kit+ cells was 3.4±1.2% in the heart compared to the fetal liver with 11.6±4.1% c-kit+ cells. The rate of c-kit cells in the suspension cells from the heart at E11 maintained stable after 24h culture based in the stromal cells of the heart and AGM region with the same conceptus age, but the rate of c-kit cells obviously decreased in the condition of the stromal cells from the fetal liver. The c-kit cells of the three conditions were all at low level at 48h without significant difference.

通过流式检测c-kit+细胞我们发现,胚胎期心脏和胎肝c-kit+细胞比率几乎一致,E11时c-kit+细胞明显增多,分别高达(12.6±3.2)%和(9.6±2.8)%,但E12时心脏中c-kit+细胞明显减少,仅为(3.4±1.2)%,此时胎肝中c-kit+细胞为(11.6±4.1)%。E11的悬浮细胞与心脏内皮细胞和AGM区基质共培养24h时,c-kit+细胞数量保持稳定,但在胎肝基质细胞中c-kit+细胞数量明显减少,在共培养48h,三组中的c-kit+细胞均呈较低水平,组间没有显著性差异。

To compare the image quality of the three sequences in two groups by One-Way ANOVA and T Test. The qualitative assessment standards include clarity, artifacts, signal uniformity, the conspicuity of enhanced vein and the observable grade of intrahepatic venous branchs. The quantitative assessment standards include SNR and CNR of intrahepatic portal vein and hepatic veins. Furthermore, the anatomy and variations of the intrahepatic portal vein and hepatic veins are statistical analysed.

通过方差分析和T检验分别对A、B组三个序列的图像质量进行比较,评定标准包括清晰度、伪影、信号均匀性、静脉强化程度及肝内静脉分支显示级数等定性指标和肝内门静脉、肝静脉的SNR(Signal-Noise Ratio,信噪比)及CNR(Contrast-Noise Ratio,对比度噪声比)等定量指标。

Regeneration of the liver is inhibited by the denervation of sympathetic nerves.

交感神经的存在与否对肝切除后肝再生具有明显影响,去交感神经状态可抑制肝再生的进程。

The therapy of protection of liver function is very necessary: diammonium glycyrrhizinate can recover the non-specific damage of liver cells, Fufangdanshen can improve the microcirculation of liver, and tiopronin and reduced glutathione has the unique function to recover liver damage caused by fat invasion. Of 168 cases, 60 cases (35.7%) show exacerbation of liver function after using fat-reducing drugs for 1-2 weeks. Of 41 cases (male 36 and female 5) with the complication DM2, 58.5%(24/41) of cases also show exacerbation of liver function after using sugar-reducing drugs.

保肝治疗非常必要,甘草酸二铵有修复非特异性的肝细胞损伤的作用,复方丹参可以改善肝脏微循环;硫普罗宁或还原性谷胱甘肽,对于脂肪肝之由于脂肪浸润引起的肝细胞损伤的修复有独到的作用。168例中有60例(35.7%)因用降脂药物1~2周出现肝功能异常的加重;合并2型糖尿病的41例(男36例,女5例)患者中有58.5%(24/41)的人用降糖药物后也出现肝功能异常的加重。

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