首页 | 本学科首页   官方微博 | 高级检索  
相似文献
 共查询到19条相似文献,搜索用时 140 毫秒
1.
目的:探讨尿纤维连接蛋白(fibronectin,Fn)与上尿路移行细胞癌的生物学关系。方法:采用ELISA法检测30例上尿路移行细胞癌、25例其它泌尿系疾病患者及20例正常人尿液Fn含量,并同时测定尿肌酐(Creatin,Cr),计算Fn/Cr比值,比较各组人群尿Fn/Cr比值之间的差异;分析不同肿瘤分期、分级尿Fn/Cr之间的差异;比较其与尿脱落细胞学检测上尿路移行细胞癌的敏感性。结果:上尿路移行细胞癌尿Fn/Cr比值为(46.4±26.5)mg/mol,明显高于正常人(14.7±8.8)mg/mol及其它泌尿系疾病患者(28.2±22.7)mg/mol。以34mg/mol为标准,尿Fn/Cr比值诊断上尿路移行细胞癌的灵敏度和特异度分别为73.3%和77.8%。尿Fn/Cr比值与上尿路肿瘤分期分级有关。尿脱落细胞学检测上尿路移行细胞癌的敏感性为53.3%,采用Fn/Cr检测较脱落细胞学检查敏感性无统计学意义(P>0.05)。结论:尿Fn/Cr可作为上尿路移行细胞癌的诊断指标。其高低与膀胱癌的分期、分级有关,可大致判断浸润度和恶性度,并可用于上尿路移行细胞癌的预后评估。  相似文献   

2.
目的:探讨血管内皮生长因子(VEGF)在膀胱移行细胞癌中的表达及临床意义。方法:采用免疫组化、ELISA方法对45例膀胱移行细胞癌组织、血浆和10例正常膀胱黏膜组织、30例正常成人血浆中VEGF进行检测分析。结果:VEGF在膀胱移行细胞癌患者中呈高表达,且随分期、分级的增高而增高;膀胱癌手术前患者血浆中VEGF的浓度高于手术后。结论:1.VEGF的表达与膀胱移行细胞癌的病理分级、临床分期及生物学行为有密切关系;2.血浆中VEGF水平可有助于预测膀胱癌患者手术疗效。  相似文献   

3.
目的:探讨女性膀胱出口梗阻的诊断方法。方法:54例非神经原性排尿障碍女性患者分为梗阻与非梗阻组,利用影像尿动力学检查,比较两组尿动力学参数。结果:梗阻组最大尿流率(9.0±5.6mL/s)显著小于无梗阻组(23.8±6.3mL/s),梗阻组最大尿流率时逼尿肌压(48.1±28.2cmH2O)显著高于非梗阻组(20.1±8.2cmH2O)。结论:影像尿动力学检查是诊断女性膀胱出口梗阻的金标准。  相似文献   

4.
目的:通过测定女性吸食海洛因患者外周血中T细胞亚群Th1/Th2细胞因子和血清中性激素的变化,从分子水平探讨吸食海洛因对女性免疫功能和性激素的影响。方法:取吸毒组和正常对照组清晨空腹静脉血3mL,应用双抗体夹心ABC-ELISA法测定Th1/Th2细胞因子,采用放免法检测血清雌激素(E2)、孕激素(P)。结果:吸毒组30例患者Th1细胞因子(IL-2:1.45±0.48μg/L,TNF-β:0.37±0.14μg/L,INF-γ:2.99±0.55μg/L)和Th2细胞因子(IL-4:23.68±11.22μg/L,IL-10:12.11±5.13μg/L)低于32例健康组Th1细胞因子(IL-2:4.09±0.79μg/L,TNF-β:0.91±0.35μg/L,INF-γ:5.69±0.91μg/L)、Th2细胞因子(IL-4:54.24±17.21μg/L,IL-10:22.34±7.26μg/L)水平(P<0.01);吸毒组患者血清雌激素与孕激素水平显著低于健康组(吸毒组E2:38.71±18.18ng/L,P:0.79±0.53μg/L;健康组分别为79.98±34.42ng/L和2.10±0.86μg/L)(P<0.01)。结论:海洛因的摄入可导致青年女性性腺激素水平下降和免疫水平全面下降。  相似文献   

5.
目的 :探讨基质金属蛋白酶 (matrixmetalloprotein .ase - 2MMP - 2 )在膀胱癌和阴茎癌中的表达及意义。方法 :采用免疫组化法对MMP - 2在 4 2例膀胱癌和 4 5例阴茎癌中的表达进行研究。结果 :MMP - 2在膀胱癌中的阳性表达率为 2 8.5 7% (12 / 4 2 ) ,在阴茎癌中的阳性表达率为 5 7.78% (2 6 / 4 5 ) ;在膀胱移行细胞癌和腺癌中的阳性率分别为 2 3.6 8% (9/ 38)、75 .0 0 % (3/ 4 ) ,两者比较有显著性差异 (P <0 .0 1)。在阴茎癌高分化组阳性率为 4 5 .16 % ,中分化组阳性率为 85 .7% ,两组比较有显著性差异 (P <0 .0 5 )。结论 :MMP - 2在移行上皮癌与鳞状上皮癌中均有表达 ,其在鳞癌中的表达高于移行细胞癌 ,腺癌细胞的高表达提示腺癌细胞的浸润性高于移行细胞癌。  相似文献   

6.
目的:研究丹参注射液对慢乙肝肝硬化血栓前状态的治疗作用.方法:测定慢乙肝肝硬化患者血栓学指标:血管假性血友病因子(vWF)、D-二聚体(D-D)和血清纤维蛋白降解产物(FDP),根据血栓前状态的纳入标准明确慢乙肝肝硬化患者是否存在血栓前状态,将存在血栓前状态的患者随机分成两组:治疗组和对照组,两组间无统计学差异,具有可比性.治疗组在对照组的基础上加用丹参注射液治疗,疗程为4周.治疗结束后再次测定上述指标并进行两组间比较.结果:治疗前治疗组和对照组vWF、FDP和D-D测定值分别为:(230.81±78.39)%、(8.20±3.15)mg/L、(0.73±0.14)μg/ml和(243.37±79.85)%、(8.29±2.89)mg/L、(0.80±0.17)μg/ml;治疗后治疗组和对照组vWF、FDP和D-D测定值分别为:(104.41±50.89)%、(3.89±1.37)mg/L、(0.41±0.15)μg/ml和(241.96±80.86)%、(8.26±2.83)mg/L、(0.79±0.17)μg/ml.治疗前后比较治疗组vWF、FDP和D-D测定值有非常显著性差异(P<0.001);两组间治疗前后差值比较有非常显著性差异(P<0.001).结论:丹参注射液对慢乙肝肝硬化血栓前状态有很好的治疗作用.  相似文献   

7.
目的 :探讨特发性水肿病人早期肾损害诊断指标。方法 :对 5 0例正常对照和 4 0例特发性水肿患者采用ELISA方法检测尿微量白蛋白 (mALB)、视黄醇结合蛋白 (RBP) ,尿转铁蛋白 (TRF)和α1-微球蛋白 (α1-M ) ,终点法测尿N -乙酰 - β -D -氨基葡萄糖苷酶 (NAG) ,比色法测尿肌酐。结果 :正常对照组尿mALB为 (3.6 1± 2 .4 6 )mg/L ,RBP/Cr为 (7.4 6± 5 .0 2 ) μg/mmol,TRF/Cr为 (0 .0 5± 0 .0 3)mg/mmol ,α1-M /Cr为 (0 .78± 0 .5 1)mg/mmol,NAG/Cr为 (0 .5 2± 0 .4 6 )U/mmol,特发性水肿患者尿mALB为 (12 .4 2± 11.2 5 )mg/L ,RBP/Cr为 (18.75± 17.16 ) μg/mmol,TRF/Cr为 (0 .0 8± 0 .0 1)mg/mmol ,NAG/Cr为 (1.89± 1.6 4)U/mmol,α1-M /Cr为 (0 .86± 0 .14 )mg/mmol;其检测的阳性率分别为 :mALB :30 % ,NAG :4 0 % ,RBP :2 7.5 % ,TRF :2 .5 % ,α1-M :5 % ,两项指标联合检测其阳性率分别为 :NAG+mALB :4 0 % ,NAG +RBP :4 0 % ,mALB +RBP :32 .5 %。结论 :尿NAG酶的检测是诊断特发性水肿早期肾损害的最灵敏、可靠的实验室指标。  相似文献   

8.
目的:检测粘蛋白MUC1在膀胱移行细胞癌和膀胱良性病变及正常膀胱组织中的表达,探讨其在膀胱移性细胞癌诊断、预后和治疗中的意义.方法:采用免疫组化S-P方法和彩色医学图文分析系统,对40例膀胱移行细胞癌组织,14例腺性膀胱炎组织(对照组)和17例正常膀胱组织(对照组)粘蛋白MUC1表达进行检测分析;所有数据均用SPSS13.0统计软件包进行统计学处理.结果:MUC1在膀胱移行细胞癌组织中表达高于正常膀胱组织,两者差异性有显著性意义(P0.05);与病人年龄、性别、结石、感染、首发或复发等无明显相关(P0.05).结论:从正常膀胱粘膜组织到腺性膀胱炎再向膀胱癌的演进过程中MUC1的表达具有增多的趋势,MUC1是反应膀胱粘膜上皮细胞代谢活跃的增生特征,而不是恶性变的标志.  相似文献   

9.
目的:评价经尿道膀胱颈切开治疗女性膀胱颈梗阻的疗效。方法:12例经影像尿动力学和膀胱镜检查诊断为膀胱颈梗阻的女性患者,行经尿道膀胱颈切开术,采用SPSS软件比较术前术后尿动力学参数。结果:12例患者术后平均最大尿流率(Qmax)21±4.7mL/s较术前平均Qmax8.4±3.2mL/s显著增加,平均排尿量305±122mL较术前185±82mL显著增加,平均残尿量16.5±12mL较术前135±121mL显著减少,排尿症状明显改善。结论:经尿道膀胱颈切开治疗女性膀胱颈梗阻疗效显著。  相似文献   

10.
《中国科技奖励》2004,(11):54-55
天津市泌尿外科研究所马腾骧主任等完成的"膀胱移行上皮癌诊断治疗及应用基础研究"获2000年度国家科技进步二等奖,该项目针对泌尿系统最常见的恶性肿瘤--膀胱移行上皮癌(简称膀胱癌)开展了深入系统的研究。根据1997年的流行病学调查,膀胱癌的死亡率位居肿瘤死亡的前十位。由于膀胱癌生  相似文献   

11.
目的探讨胎儿纤维连接蛋白(fFN)联合宫颈长度检测预测早产的价值。方法采用ELISA法检测86例先兆早产孕妇宫颈阴道分泌物中胎儿fFN水平,阴道B超测量其宫颈长度,分析其预测妊娠结局的价值。结果胎儿fFN测定联合宫颈长度预测早产的敏感性、特异性、阳性预测值和阴性预测值分别为97.30%、75.00%、87.80%和100.00%,其特异性、阳性预测值明显高于胎儿fFN及宫颈长度单独检测(P〈0.05)。结论胎儿fFN检测联合宫颈长度对预测早产有较高的价值。  相似文献   

12.
Diagnosis and treatment of pheochromocytoma in urinary bladder   总被引:1,自引:0,他引:1  
Objective: To study the diagnosis and treatment ofpheochromocytoma in urinary bladder. Methods: Six cases of bladder pheochromocytoma were studied. Four cases showed hypertension, 3 of which were paroxysmal hypertension during urination. Catecholamine (CA) was increased in a case, and vanillymandelic acid (VMA) was increased in 2 cases. Bladder submucosal mass was detected by B-ultrasound in 5 cases (5/5), computerized tomography (CT) in 3 cases (3/3), cystoscopy in 5 cases (5/6). Four cases took a-receptor blocker for 2 weeks, 1 case took β-receptor blocker to decrease heart rate. All patients were treated with surgical operation including 4 partial cystectomies, 2 excavations. Results: Three cases had manifestations including headache, excessive perspiration and hypertension during cystoscopy. Four cases were confirmed before operation. Two cases showed hypertension during operation. All patients were pathologically diagnosed as pheochromocytoma post- operatively. In five cases followed up, blood pressure returned to normal. No patient had relapse and malignancy. Conclusions: Typical hypertension during urination comprised the main symptoms. We should highly suspect bladder pheochromocytoma if a submucosal mass was discovered with B-ultrasound, CT, ^131I-M1BG (methyliodobenzylguanidine) and cystoscopy. The determination of CA in urine is valuable for qualitative diagnosis. The preoperative management of controlling blood pressure and expansion of the blood volume are very important. Surgical operation is a good method for effective treatment. Postoperative long-time followed up is necessary.  相似文献   

13.
Objective: To study the diagnosis and treatment of pheochromocytoma in urinary bladder. Methods: Six cases of bladder pheochromocytoma were studied. Four cases showed hypertension, 3 of which were paroxysmal hypertension during urination. Catecholamine (CA) was increased in a case, and vanillymandelic acid (VMA) was increased in 2 cases. Bladder sub- mucosal mass was detected by B-ultrasound in 5 cases (5/5), computerized tomography (CT) in 3 cases (3/3), cystoscopy in 5 cases (5/6). Four cases took α-receptor blocker for 2 weeks, 1 case took β-receptor blocker to decrease heart rate. All patients were treated with surgical operation including 4 partial cystectomies, 2 excavations. Results: Three cases had manifestations including headache, excessive perspiration and hypertension during cystoscopy. Four cases were confirmed before operation. Two cases showed hypertension during operation. All patients were pathologically diagnosed as pheochromocytoma post- operatively. In five cases followed up, blood pressure returned to normal. No patient had relapse and malignancy. Conclusions: Typical hypertension during urination comprised the main symptoms. We should highly suspect bladder pheochromocytoma if a submucosal mass was discovered with B-ultrasound, CT, 131I-MIBG (methyliodobenzylguanidine) and cystoscopy. The deter- mination of CA in urine is valuable for qualitative diagnosis. The preoperative management of controlling blood pressure and expansion of the blood volume are very important. Surgical operation is a good method for effective treatment. Postoperative long-time followed up is necessary.  相似文献   

14.
Antimicrobial activity of organic and aqueous extracts from fruits, leaves and roots of Tribulus terrestris L., an Iraqi medicinal plant used as urinary anti-infective in folk medicine, was examined against 11 species of pathogenic and non-pathogenic microorganisms: Staphylococcus aureus, Bacillus subtilis, Bacillus cereus, Corynebacterium diphtheriae, Escherichia coli,Proteus vulgaris, Serratia marcescens, Salmonella typhimurium, Klebsiella pneumoniae, Pseudomonas aeruginosa and Candida albicans using microdilution method in 96 multiwell microtiter plates. All the extracts from the different parts of the plant showed antimicrobial activity against most tested microorganisms. The most active extract against both Gram-negative and Gram-positive bacteria was ethanol extract from the fruits with a minimal inhibitory concentration (MIC) value of 0.15 mg/ml against B. subtilis,B. cereus, P. vulgaris and C. diphtheriae. In addition, the same extract from the same plant part demonstrated the strongest antifungal activity against C. albicans with an MIC value of 0.15 mg/ml.  相似文献   

15.
目的通过统计与分析泌尿系统感染性病原菌的构成比,评价其检测方法,为有效地控制医院感染提供参考依据。方法查阅近年来国内医药类核心期刊等杂志上报道的相关数据,进行统计学处理与综合分析。结果所分析的11种病原菌是泌尿系统感染性常见病原菌,其中以大肠埃希菌的构成比最高;培养检查法是诊断泌尿系统感染的金标准。结论大肠埃希菌是医院感染最常见的条件致病菌,需认真加以控制。对其他病原菌的控制也不容忽视。培养检查法是诊断泌尿系统感染的金标准,不可用其他方法取代。  相似文献   

16.
目的:分析尿微量白蛋白与糖尿病早期肾脏损害的关系。方法:测定尿微量采用快速金标法。结果:116例2型糖尿病病人早期尿微量白蛋白检出61例,阳性率占52.5%,结论:尿微量白蛋白检测对糖尿病人早期肾损害诊断有较重要的临床价值。  相似文献   

17.
Urine has become one of the most attractive biofluids in clinical proteomics,for its procurement is easy and noninvasive and it contains sufficient proteins and peptides. Urinary proteomics has thus rapidly developed and has been extensively applied to biomarker discovery in clinical diseases,especially kidney diseases. In this review,we discuss two important aspects of urinary proteomics in detail,namely,sample preparation and proteomic tech-nologies. In addition,data mining in urinary proteomics is also b...  相似文献   

18.
随着时代的发展,大学校园和城市之间逐渐产生了一个特殊的区域,即所谓的大学校园“边缘区”。以系统分析法对由边缘区地段的特殊性引发的“边缘区现象”的成因,特点及发展方向进行深入的思考.  相似文献   

19.
从控制走向协调,以治理代替管理,既是世界高等教育改革的趋势,也是美国公立大学一直努力的方向,而加州大学则是将这种努力践行得较为彻底的一个成功典范.这种努力具体表现为加州大学一方面通过与政府签订协约、引入市场机制、寻求校外群体的支持等形式来弱化政府的管制色彩,另一方面又充分发挥董事会、学术委员会等治理机构的协调作用,为大学自治提供一系列的缓冲与保护.  相似文献   

设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号