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卵巢浆黏液性肿瘤的临床病理学分析 预览
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作者 岳冰 张淑红 +1 位作者 陈光勇 柳玮华 《临床和实验医学杂志》 2019年第16期1755-1759,共5页
目的探讨卵巢浆黏液性肿瘤的临床病理学特点和病理学分类。方法采用回顾性研究,收集2015年10月至2019年2月首都医科大学附属北京友谊医院收治的27例卵巢浆黏液性肿瘤患者,分析其临床病史、病理分型及镜下特点,并复习相关文献。结果27例... 目的探讨卵巢浆黏液性肿瘤的临床病理学特点和病理学分类。方法采用回顾性研究,收集2015年10月至2019年2月首都医科大学附属北京友谊医院收治的27例卵巢浆黏液性肿瘤患者,分析其临床病史、病理分型及镜下特点,并复习相关文献。结果27例患者中,16例为良性,10例为交界性,1例为恶性。良性者年龄为19~78岁,中位年龄42岁,半数(8/16)为体检时发现,其余表现为腹痛、压迫症状等,镜下显示囊肿被覆混合细胞型单层上皮,其中3例伴局灶上皮增生。交界性者年龄为24~58岁,中位年龄37岁,半数(5/10)为体检时发现,其余表现为痛经、腹痛等,镜下表现为复杂分支的乳头结构,逐级分支形成更小的乳头,最后形成脱落的上皮细胞簇,由混合型上皮组成,其中1例伴有微小浸润。恶性者年龄为26岁,因阴道不规则出血1个月查B超显示盆腔巨大囊实性占位,镜下以膨胀性侵袭为主,伴小灶毁损性间质浸润,由混合型上皮组成,较为突出的是广泛的脉管内癌栓。结论卵巢浆黏液性肿瘤较少见,是2014版世界卫生组织女性生殖器官肿瘤学分类新增加的一类卵巢上皮性肿瘤,分为良性、交界性与恶性,其形态学、免疫表型及分子生物学改变有一定的特殊性,但与卵巢浆液性肿瘤、子宫内膜样肿瘤有一定的重叠。 展开更多
关键词 卵巢肿瘤 浆黏液性 交界性 病理学
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Boundary Behavior of Large Solutions to the Monge-Ampere Equation in a Borderline Case
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作者 Zhi Jun ZHANG 《数学学报:英文版》 SCIE CSCD 2019年第7期1190-1204,共15页
This paper is concerned with the boundary behavior of strictly convex large solutions to the Monge-Ampere equation detD^2u{x)= b(x)f(u(x)),u> 0, x∈Ω, where Ω is a strictly convex and bounded smooth domain in R^N... This paper is concerned with the boundary behavior of strictly convex large solutions to the Monge-Ampere equation detD^2u{x)= b(x)f(u(x)),u> 0, x∈Ω, where Ω is a strictly convex and bounded smooth domain in R^N with N ≥ 2, f is normalized regularly varying at infinity with the critical index N and has a lower term, and b∈C^∞(Ω) is positive in Ω, but may be appropriate singular on the boundary. 展开更多
关键词 The Monge-Ampere EQUATIONS STRICTLY CONVEX large solutions a BORDERLINE CASE BOUNDARY behavior
Pathologic tumor response to neoadjuvant therapy in borderline resectable pancreatic cancer 预览
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作者 June S Peng Jane Wey +3 位作者 Sricharan Chalikonda Daniela S Allende R Matthew Walsh Gareth Morris-Stiff 《国际肝胆胰疾病杂志:英文版》 SCIE CAS CSCD 2019年第4期373-378,共6页
Background:Previous studies have demonstrated the prognostic significance of pathologic tumor response in pancreatic adenocarcinoma following neoadjuvant therapy(NAT).The aim of this study was to determine the inciden... Background:Previous studies have demonstrated the prognostic significance of pathologic tumor response in pancreatic adenocarcinoma following neoadjuvant therapy(NAT).The aim of this study was to determine the incidence of significant pathologic response to NAT in borderline resectable pancreatic cancer(BRPC),and association of NAT regimen and other clinico-pathologic characteristics with pathologic response.Methods:Patients with BRPC who underwent NAT and pancreatic resection between January 2012 and June 2017 were included.Pathologic response was assessed on a qualitative scale based on the College of American Pathologists grading system.Demographics and baseline characteristics,oncologic treatment,pathology,and survival outcomes were compared.Results:Seventy-one patients were included for analysis.Four patients had complete pathologic responses(tumor regression score 0),12 patients had marked responses(score 1),42 had moderate responses(score 2),and 13 had minimal responses(score 3).Patients with complete or marked responses were more likely to have received neoadjuvant gemcitabine chemoradiation(62.5%,38.1%,and 23.1%of the complete/marked,moderate,and minimal response groups,respectively;P=0.04).Of the complete/marked,moderate,and minimal response groups,margins were negative in 75.0%,78.6%,and 46.2%(P=0.16);node negative disease was observed in 87.5%,54.8%,and 15.4%(P<0.01);and median overall survival was 50.0 months,31.7 months,and 23.2 months(P=0.563).Of the four patients with pathologic complete responses,three were disease-free at 66.1,41.7 and 31.4 months,and one was deceased with metastatic liver disease at 16.9 months.Conclusions:A more pronounced pathologic tumor response to NAT in BRPC is correlated with node negative disease,but was not associated with a statistically significant survival benefit in this study. 展开更多
关键词 PANCREATIC cancer BORDERLINE resectable NEOADJUVANT THERAPY PATHOLOGIC response
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Understanding Relational Dysfunction in Borderline, Narcissistic, and Antisocial Personality Disorders: Clinical Considerations, Presentation of Three Case Studies, and Implications for Therapeutic Intervention 预览
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作者 Genziana Lay 《心理学研究:英文版》 2019年第8期303-318,共16页
Personality disorders are a class of mental disorders involving enduring maladaptive patterns of behaving,thinking,and feeling which profoundly affect functioning,inner experience,and relationships.This work focuses o... Personality disorders are a class of mental disorders involving enduring maladaptive patterns of behaving,thinking,and feeling which profoundly affect functioning,inner experience,and relationships.This work focuses on three Cluster B personality disorders(PDs)(Borderline,Narcissistic,and Antisocial PDs),specifically illustrating how relational dysfunction manifests in each condition.People with Borderline Personality Disorder(BPD)experience pervasive instability in mood,behavior,self-image,and interpersonal patterns.In relationships,they tend to alternate between extremes of over-idealization and devaluation.Intense fear of abandonment,fluctuating affect,inappropriate anger,and black/white thinking deeply influence how they navigate personal relationships,which are often unstable,chaotic,dramatic,and ultimately destructive.They have a fundamental incapacity to self-soothe the explosive emotional states they experience as they oscillate between fears of engulfment and abandonment.This leads to unpredictable,harmful,impulsive behavior and chronic feelings of insecurity,worthlessness,shame,and emptiness.Their relationships are explosive,marked by hostility/contempt for self and partner alternating with bottomless neediness.Manipulation,lying,blaming,raging,and“push-pull”patterns are common features.Individuals with Narcissistic Personality Disorder(NPD)exhibit a long-standing pattern of grandiosity and lack of empathy.They have an exaggerated sense of self-importance,are self-absorbed,feel entitled,and tend to seek attention.Scarcely concerned with others’feelings,they can be both charming and exploitative.Oversensitive to criticism,they are prone to overt or covert rage,gaslighting and self-referential thinking.Antisocial Personality Disorder(APD)is marked by impulsive,callous,and irresponsible behavior with no regard to be manipulative,parasitic,aggressive,cold,cruel,and self-serving.In addition to analyzing relational dysfunction in each disorder,this paper presents three relational case studies(BPD-couple 展开更多
关键词 DYSFUNCTION PERSONALITY DISORDERS Cluster B BORDERLINE narcissistic ANTISOCIAL relationships
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卵巢交界性浆黏液性肿瘤临床病理研究
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作者 李玉梅 黄伟 +1 位作者 吴晓媚 范思格 《诊断病理学杂志》 2019年第7期445-450,共6页
目的探讨卵巢交界性浆黏液性肿瘤(SMBT)的临床病理特点。方法回顾性分析9例卵巢SMBT的临床病理资料,选取同期卵巢交界性浆液性肿瘤(SBT) 39例及黏液性肿瘤(MBT) 32例进行对比分析。结果 9例SMBT患者年龄21~69岁(中位年龄30岁),肿瘤大体... 目的探讨卵巢交界性浆黏液性肿瘤(SMBT)的临床病理特点。方法回顾性分析9例卵巢SMBT的临床病理资料,选取同期卵巢交界性浆液性肿瘤(SBT) 39例及黏液性肿瘤(MBT) 32例进行对比分析。结果 9例SMBT患者年龄21~69岁(中位年龄30岁),肿瘤大体呈囊性,直径3~13 cm,囊内含褐色或淡黄色脓液样黏液,囊内壁可见乳头状赘生物,直径0. 3~3. 5 cm。9例中,7例单侧,2例双侧,3例囊壁或乳头间质出现钙化(33%),4例病变伴随同侧卵巢子宫内膜异位(44%)。镜下8例SMBT以复杂的、纤维化、水肿性的乳头结构为特征,其中1例局部出现微乳头状结构,1例以微腺体增生为特征,表面衬覆多种细胞类型,包括黏液、浆液、中性细胞(indifferent cell)、透明、鳞状、鞋钉样或嗜酸性细胞。所有肿瘤的间质及腺腔内均见多量中性粒细胞浸润。8例FIGO分期Ⅰ期,1例FIGO分期Ⅱ期(伴同侧输卵管种植),术后随访8~84个月,无复发或进展。SMBT与SBT、MBT比较,三者发病年龄、术前血CA125、血CA199、病变侧别无差异(P值均>0. 05)。三者是否伴有子宫内膜异位症及钙化差异性显著(P<0. 01)。结论卵巢SMBT以乳头状或微腺体增生样结构为特征,形态与SBT有一定重叠。而对于其组织起源、分子特征及预后尚需进一步研究明确。 展开更多
关键词 交界性 浆黏液性肿瘤 浆液性肿瘤 黏液性肿瘤
鲁西南地区边缘型小城镇规划策略研究——以曹县梁堤头镇总体规划为例 预览
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作者 赵虎 李恺仑 《山东建筑大学学报》 2019年第3期16-22,49共8页
鲁西南地区边缘型小城镇在山东省小城镇发展格局中具有典型的代表性,对其开展规划策略研究将为山东省新型城镇化和乡村战略落实提供参考和借鉴。文章利用鲁西南地区180个边缘型小城镇的经济社会统计数据,从规模、产业和空间分布分析其... 鲁西南地区边缘型小城镇在山东省小城镇发展格局中具有典型的代表性,对其开展规划策略研究将为山东省新型城镇化和乡村战略落实提供参考和借鉴。文章利用鲁西南地区180个边缘型小城镇的经济社会统计数据,从规模、产业和空间分布分析其发展特征,通过调整规划策略引导方向,进一步探索了此类型小城镇规划策略应对内容的变化,结合时代背景和发展趋势,将此类型小城镇的规划策略导向调整为“问题—规律—目标”3个方面,而规划策略应对内容主要体现在“规模—产业—空间—设施”4个方面,以菏泽曹县梁堤头镇总体规划为例,对规划策略导向和应对进行了应用研究。 展开更多
关键词 边缘型 小城镇规划 规划策略
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乳腺叶状肿瘤MRI形态及功能表现与病理对照分析 预览
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作者 谢东 李强 +6 位作者 康巍 唐琪 刘丽东 朱旭娜 赵欣 陈军 张卫 《广西医学》 CAS 2019年第10期1219-1222,共4页
目的 探讨乳腺叶状肿瘤(BPTs)MRI形态和功能表现,及其与病理对照分析结果,以提高乳腺叶状肿瘤的诊断水平。方法 回顾性分析13例BPTs患者的临床及MRI影像学资料,并与病理结果进行对照。结果 13例患者中,术前MRI诊断为BPTs8例,纤维腺瘤4例... 目的 探讨乳腺叶状肿瘤(BPTs)MRI形态和功能表现,及其与病理对照分析结果,以提高乳腺叶状肿瘤的诊断水平。方法 回顾性分析13例BPTs患者的临床及MRI影像学资料,并与病理结果进行对照。结果 13例患者中,术前MRI诊断为BPTs8例,纤维腺瘤4例,脂肪肉瘤1例,准确率为61.5%(8/13)。BPTs的T1加权成像(T1WI)表现为较低信号,2例良性、4例交界性及2例恶性BPTs瘤体内有不规则小片状、裂隙状更低信号区,其余均表现为均匀信号;T2加权成像(T2WI)表现为较高信号,除2例良性BPTs信号均匀外,其余BPTs瘤体内可见线样分隔呈稍低信号,瘤体内T1WI所见不规则小片状、裂隙状更低信号区在T2WI表现为更高信号区。扩散加权成像(DWI)序列均表现为等或稍高信号,良性BPTs表观弥散系数(ADC)值为(1.33~2.59)×10^-3mm^2/s,交界性BPTsADC值为(1.21~2.83)×10^-3mm^2/s,恶性BPTsADC值为(0.81~2.41)×10^-3mm^2/s。2例良性、1例交界性BPTs的时间-信号曲线为Ⅰ型曲线,5例良性、2例交界性、1例恶性BPTs为Ⅱ型曲线,1例交界性、1例恶性BPTs部分为Ⅱ型、部分为Ⅲ型曲线。6例良性、2例交界性BPTs为边缘光滑型,其余为局部边缘不规则型。结论 MRI检查显示BPTs肿瘤边缘大部分光滑,仅交界性及恶性BPTs部分边缘不规则,T2WI脂肪抑制序列呈高信号,其内见分隔,增强扫描时间-信号曲线以平台型及上升型为主,DWI序列大多未见扩散受限。 展开更多
关键词 乳腺叶状肿瘤 良性 交界性 恶性 鉴别诊断 加权成像 表观弥散系数 磁共振成像 形态 病理
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Prediction of biventricular repair by echocardiography in borderline ventricle
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作者 Xiao-Jing Ma Guo-Ying Huang 《中华医学杂志:英文版》 SCIE CAS CSCD 2019年第17期2105-2108,共4页
Objective: In recent years, attempting the biventricular pathway or biventricular conversions in patients with borderline ventricle has become a hot topic. However, inappropriate pursuit of biventricular repair in bor... Objective: In recent years, attempting the biventricular pathway or biventricular conversions in patients with borderline ventricle has become a hot topic. However, inappropriate pursuit of biventricular repair in borderline candidates will lead to adverse clinical outcomes. Therefore, it is important to accurately assess the degree of ventricular development before operation and whether it can tolerate biventricular repair. This review evaluated ventricular development using echocardiography for a better prediction of biventricular repair in borderline ventricle. Data sources: Articles from January 1, 1990 to April 1, 2019 on biventricular repair in borderline ventricle were accessed from PubMed, using keywords including "borderline ventricle,""congenital heart disease,""CHD,""echocardiography," and "biventricular repair." Study selection: Original articles and critical reviews relevant to the review’s theme were selected. Results: Borderline left ventricle (LV):(1) Critical aortic stenosis: the Rhodes score, Congenital Heart Surgeons Society regression equation and another new scoring system was proposed to predict the feasibility of biventricular repair.(2) Aortic arch hypoplasia: the LV size and the diameter of aortic and mitral valve (MV) annulus should be taken into considerations for biventricular repair.(3) Right-dominant unbalanced atrioventricular septal defect (AVSD): atrioventricular valve index (AVVI), left ventricular inflow index (LVII), and right ventricle (RV)/LV inflow angle were the echocardiographic indices for biventricular repair. Borderline RV:(1) pulmonary atresia/intact ventricular septum (PA/IVS): the diameter z-score of tricuspid valve (TV) annulus, ratio of TV to MV diameter, RV inlet length z-score, RV area z-score, RV development index, and RV-TV index, etc. Less objective but more practical description is to classify the RV as tripartite, bipartite, and unipartite. The presence or absence of RV sinusoids, RV dependent coronary circulation, and the degree of tricuspid regurgitation 展开更多
关键词 BORDERLINE VENTRICLE CONGENITAL HEART disease ECHOCARDIOGRAPHY BIVENTRICULAR repair
地域与人文生态视野下的西北边患研究——以唐宋时期为核心 预览
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作者 孙佳琪 《陇东学院学报》 2019年第4期36-40,共5页
纵观中国古代的边患问题,我们发现对中原王朝造成毁灭性打击,或直接摧毁中原王朝取而代之的政治、军事势力,多来自北方草原地区和东北边疆地区。西北民族政权虽然也时常侵扰中原王朝的西北边疆,但却始终无法动摇中原王朝的统治根基,引... 纵观中国古代的边患问题,我们发现对中原王朝造成毁灭性打击,或直接摧毁中原王朝取而代之的政治、军事势力,多来自北方草原地区和东北边疆地区。西北民族政权虽然也时常侵扰中原王朝的西北边疆,但却始终无法动摇中原王朝的统治根基,引起中原王朝统治阶级的恐惧。这不仅是因为西北地区环境恶劣、交通不便、民族分散、人口有限,而且与这里经济结构相对完备,民族性格比较温和,对中原地区的索取和敲诈的欲望较低有很大关系。 展开更多
关键词 地域 人文 西北 边患
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国门与道路:边界的分化、整合与超越——基于新疆霍尔果斯口岸的人类学研究 预览 被引量:1
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作者 赵萱 《云南民族大学学报:哲学社会科学版》 北大核心 2018年第4期66-74,共9页
中哈边界一直是霍尔果斯口岸自我标定和形象塑造最重要的城市标签,但地图上标识的、清晰的边界线与国门却和日常生活中所感知到的边界形貌存在巨大的差异和矛盾。通过对霍尔果斯改革开放以来不同时期、不同区域的4座国门及其道路的田野... 中哈边界一直是霍尔果斯口岸自我标定和形象塑造最重要的城市标签,但地图上标识的、清晰的边界线与国门却和日常生活中所感知到的边界形貌存在巨大的差异和矛盾。通过对霍尔果斯改革开放以来不同时期、不同区域的4座国门及其道路的田野调查研究证明,经济、政治、社会、文化等边界的不同内涵通由市政开发与经济功能分化得以整合,进而与领土边界叠合而成一条更为完整、统一的边界。在这一过程中,边界不断经历移动、消失、再生、分化甚至超越领土约束,而人类学视野下国家边界所具有的多主体性、过程性与制度性等特征在日常生活中不断实践与展演。 展开更多
关键词 霍尔果斯 边界 口岸 民族国家 人类学
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Complex posttraumatic stress disorder:The need to consolidate a distinct clinical syndrome or to reevaluate features of psychiatric disorders following interpersonal trauma? 预览
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作者 Evangelia Giourou Maria Skokou +3 位作者 Stuart P Andrew Konstantina Alexopoulou Philippos Gourzis Eleni Jelastopulu 《世界精神病学杂志》 2018年第1期12-19,共8页
Complex posttraumatic stress disorder(Complex PTSD)has been recently proposed as a distinct clinical entity in the WHO International Classification of Diseases,11th version,due to be published,two decades after its fi... Complex posttraumatic stress disorder(Complex PTSD)has been recently proposed as a distinct clinical entity in the WHO International Classification of Diseases,11th version,due to be published,two decades after its first initiation.It is described as an enhanced version of the current definition of PTSD,with clinical features of PTSD plus three additional clusters of symptoms namely emotional dysregulation,negative self-cognitions and interpersonal hardship,thus resembling the clinical features commonly encountered in borderline personality disorder(BPD).Complex PTSD is related to complex trauma which is defined by its threatening and entrapping context,generally interpersonal in nature.In this manuscript,we review the current findings related to traumatic events predisposing the above-mentioned disorders as well as the biological correlates surrounding them,along with their clinical features.Furthermore,we suggest that besides the present distinct clinical diagnoses(PTSD;Complex PTSD;BPD),there is a cluster of these comorbid disorders,that follow a continuum of trauma and biological severity on a spectrum of common or similar clinical features and should be treated as such.More studies are needed to confirm or reject this hypothesis,particularly in clinical terms and how they correlate to clinical entities’biological background,endorsing a shift from the phenomenologically only classification of psychiatric disorders towards a more biologically validated classification. 展开更多
关键词 COMPLEX POSTTRAUMATIC STRESS DISORDER POSTTRAUMATIC STRESS DISORDER BORDERLINE personality DISORDER TRAUMA COMPLEX TRAUMA
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边缘型人格障碍患者自杀意念特征及危险因素分析 预览
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作者 郑艳华 《中国继续医学教育》 2018年第30期115-117,共3页
目的探讨边缘性人格障碍患者自杀意念特征以及危险因素的分析.方法选取自我院2017年1-12月精神卫生科收治的确诊为边缘型人格障碍的患者85例作为研究对象.选用Buss-Perry攻击量表、汉密顿抑郁量表和Beck自杀意念量表对患者进行测试.结... 目的探讨边缘性人格障碍患者自杀意念特征以及危险因素的分析.方法选取自我院2017年1-12月精神卫生科收治的确诊为边缘型人格障碍的患者85例作为研究对象.选用Buss-Perry攻击量表、汉密顿抑郁量表和Beck自杀意念量表对患者进行测试.结果85边缘型人格障碍患者中,男性占37例(43.5%),女性占48例(56.5%),并且85例边缘型人格障碍患者中有80例(94.1%)存在自杀意念.结论边缘型人格障碍的患者会出现强烈的自杀意念,掌握好影响边缘型人格障碍患者自杀意念的危险因素,减少自杀风险. 展开更多
关键词 边缘型 人格障碍 自杀意念 特征 危险因素 分析
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论边地土司与中国疆界的形成
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作者 刘祥学 《中国边疆史地研究》 CSSCI 北大核心 2018年第3期124-136,215共14页
分布于西南与华南边疆民族地区的土司,历来是中央王朝笼络、羁縻的对象。长期以来,边地土司出于自身利益,对中央王朝或叛或附,无不深刻影响到边疆的安宁与稳定。虽然土司本身具有较强的割据性,但在中国西南与华南边疆地区,一些边地土司... 分布于西南与华南边疆民族地区的土司,历来是中央王朝笼络、羁縻的对象。长期以来,边地土司出于自身利益,对中央王朝或叛或附,无不深刻影响到边疆的安宁与稳定。虽然土司本身具有较强的割据性,但在中国西南与华南边疆地区,一些边地土司出于强烈的华夏向心力,主动内附,积极捍御疆界,为西南与华南边地一带疆界的最终形成与固化,发挥了十分重要的历史作用。 展开更多
关键词 边地土司 民族地区 心理边疆 边界 历史贡献
Intraoperative frozen section diagnosis of bile duct margin for extrahepatic cholangiocarcinoma 预览
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作者 Takayuki Shiraki Hajime Kuroda +3 位作者 Atsuko Takada Yoshimasa Nakazato Keiichi Kubota Yasuo Imai 《世界胃肠病学杂志:英文版》 SCIE CAS 2018年第12期1332-1342,共11页
AIM To evaluate the usefulness of frozen section diagnosis(FSD)of bile duct margins during surgery for extrahepatic cholangiocarcinoma(CCA).METHODS We retrospectively analyzed 74 consecutive patients who underwent sur... AIM To evaluate the usefulness of frozen section diagnosis(FSD)of bile duct margins during surgery for extrahepatic cholangiocarcinoma(CCA).METHODS We retrospectively analyzed 74 consecutive patients who underwent surgery for extrahepatic CCA from 2012 to 2017,during which FSD of bile duct margins was performed.They consisted of 40 distant and 34 perihilar CCAs(45 and 55 bile duct margins,respectively).The diagnosis was classified into three categories:negative,borderline(biliary intraepithelial neoplasia-1 and 2,and indefinite for neoplasia),or positive.FSD in the epithelial layer,subepithelial layer,and total layer was compared with corresponding permanent section diagnosis(PSD)postoperatively.Then,association between FSD and local recurrence was analyzed with special reference to borderline.RESULTS Analysis of 100 duct margins revealed that concordance rate between FSD and PSD was 68.0%in the total layer,69.0%in the epithelial layer,and 98.0%in the subepithelial layer.The extent of remaining biliary epithelium was comparable between FSD and PSD,and more than half of the margins lost>50%of the entire epithelium,suggesting low quality of the samples.In FSD,the rate of negative margins decreased and that of borderline and positive margins increased according to the extent of the remaining epithelium.Diagnostic discordance between FSD and PSD was observed in 31 epithelial layers and two subepithelial layers.Alteration from borderline to negative was the most frequent(20 of the 31 epithelial layers).Patients with positive margin in the total and epithelial layers by FSD demonstrated a significantly worse local recurrence-free survival(RFS)compared with patients with borderline and negative margins,which revealed comparable local RFS.Patients with borderline and negative margins in the epithelial layer by PSD also revealed comparable local RFS.These results suggested that epithelial borderline might be regarded substantially as negative.When classifying the status of the epithelial layer either as negative or positi 展开更多
关键词 Cholangiocarcinoma BILE DUCT cancer Frozen SECTION DIAGNOSIS Permanent SECTION DIAGNOSIS BILE DUCT MARGIN Biliary intraepithelial NEOPLASIA Dysplasia Indefinite for NEOPLASIA Borderline lesion Local recurrence
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迈向“共建共治共享”的中国社区治理 预览 被引量:1
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作者 李斌 《中南大学学报:社会科学版》 CSSCI 北大核心 2018年第6期140-146,共7页
尽管在学术领域,社区存在“实体”论与“虚无”论的概念争辩,但是在中国的实务领域,社区一直是行政管理单元。这客观上需要社区治理理论转向以社区行动为特色的干预主义。近二十年来中国社区存在“碎片化”发展的态势,针对此现象,党的... 尽管在学术领域,社区存在“实体”论与“虚无”论的概念争辩,但是在中国的实务领域,社区一直是行政管理单元。这客观上需要社区治理理论转向以社区行动为特色的干预主义。近二十年来中国社区存在“碎片化”发展的态势,针对此现象,党的十八大报告提出“党委领导、政府负责、社会协同、公众参与、法治保障”的治理体制,以纠正基层社区的碎片化现象。经过五年多的运行,尽管一些社区获得了一些典型经验,但总体来看,碎片化困境并没有改变。认为要落实党的十九大提出的“共建共治共享”社区治理目标,需要确定政府民政部门作为督察与执行机构,以落实相关社区治理任务。如此,社区治理的“社会化、法治化、智能化、专业化”目标才能够得以实现。 展开更多
关键词 社区边界 碎片化 社区治理行动 社区治理机制 共建共治共享
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界限类偏瘤型麻风误诊1例
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作者 管洁 李红宾 +4 位作者 黄云丽 董天祥 强明月 杨斐 王开琴 《中国皮肤性病学杂志》 CSCD 北大核心 2018年第5期600-602,共3页
患者男,52岁。左手麻木4年,全身丘疹、斑块、结节、双侧脱眉1年,左手畸形3个月。皮损组织病理:表皮萎缩变薄,表皮下无浸润带,真皮层见结节性或弥漫性组织细胞浸润,血管周围及附属器周围见灶性淋巴细胞,抗酸染色阳性。诊断:界... 患者男,52岁。左手麻木4年,全身丘疹、斑块、结节、双侧脱眉1年,左手畸形3个月。皮损组织病理:表皮萎缩变薄,表皮下无浸润带,真皮层见结节性或弥漫性组织细胞浸润,血管周围及附属器周围见灶性淋巴细胞,抗酸染色阳性。诊断:界限类偏瘤型麻风。 展开更多
关键词 麻风 界限类 偏瘤型 误诊
卵巢浆液性交界性肿瘤的MRI表现与病理对照分析
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作者 张宏江 王波 +3 位作者 陈瑜晖 刘玲艳 康泽 吴昆华 《实用放射学杂志》 北大核心 2018年第12期1901-1903,共3页
目的探讨卵巢浆液性交界性肿瘤(SBOT)的MRI表现特点。方法回顾性分析经病理证实的11例SBOT的I临床资料及MRI表现,并与手术所见及病理进行对照。结果ll例病例中,双侧5例,单侧6例,肿瘤最大径4.4~20.7cm;依据SBOT的MRI形态学表现,分为表面... 目的探讨卵巢浆液性交界性肿瘤(SBOT)的MRI表现特点。方法回顾性分析经病理证实的11例SBOT的I临床资料及MRI表现,并与手术所见及病理进行对照。结果ll例病例中,双侧5例,单侧6例,肿瘤最大径4.4~20.7cm;依据SBOT的MRI形态学表现,分为表面乳头状和囊性乳头状2个亚型;依据乳头状结构的生长方式,分为内生性和外生性。乳头状结构伴内部纤细分支为SBOT的特征性影像学表现,乳头状结构表现为分叶状稍长T1长T2信号,内部纤细分支呈长T1短T2信号;增强扫描乳头状结构明显强化,而内部分支轻度强化。结论乳头状结构伴内部纤细分支为SBOT特征性MRI表现,为该病的诊断及鉴别诊断提供依据;依据肿瘤的MRI形态学及乳头状结构生长方式进行分型,为该病的治疗及预后提供参考信息。 展开更多
关键词 磁共振成像 卵巢 浆液性 交界性
A new three-step procedure for pancreatic head carcinoma with invasion of superior mesenteric artery 预览
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作者 Rui Tang Jia-Hong Dong 《国际肝胆胰疾病杂志:英文版》 SCIE CAS CSCD 2018年第4期286-289,共4页
Pancreatic head carcinoma is characterized by high malignancy and a low survival rate and its mortality ranks fourth for malignant tumors with a 5-year survival rate of only 5%[1].Treatment of this cancer relies on su... Pancreatic head carcinoma is characterized by high malignancy and a low survival rate and its mortality ranks fourth for malignant tumors with a 5-year survival rate of only 5%[1].Treatment of this cancer relies on surgical resection.However,the resection rate is only about 20%,because majority of the patients are classified as unresectable when diagnosed due to distant metastasis or vascular involvement,especially the invasion of superior mesenteric artery(SMA).Local tumor recurrence often occurs in the tissues between the uncinated process and the SMA.Recently,a proportion of these unresectable patients were classified as borderline resectable according to whether the involved vessels could be excised and reconstructed when a more aggressive surgical approach was attempted.However,meta-analysis showed that pancreatectomy in combination with one-stage arterial resection results in dismal short and long-term outcomes compared to those patients without arterial resection[2].The optimal treatment for patients with borderline resectable pancreatic carcinoma remains under investigation. 展开更多
关键词 SMA BORDERLINE resectable according
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乳腺叶状肿瘤良恶性的超声图像特点分析 预览
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作者 曹艺敏 周少萍 +1 位作者 胡田 李静 《医学综述》 2018年第24期4970-4973,共4页
目的回顾性分析良性、交界性、恶性乳腺叶状肿瘤的二维灰阶超声图像和彩色多普勒血流图像表现特点,探讨超声在乳腺叶状肿瘤诊断中的价值。方法以2016年1月至2017年6月武汉科技大学附属普仁医院收治的107例乳腺叶状肿瘤(单乳单发病灶)患... 目的回顾性分析良性、交界性、恶性乳腺叶状肿瘤的二维灰阶超声图像和彩色多普勒血流图像表现特点,探讨超声在乳腺叶状肿瘤诊断中的价值。方法以2016年1月至2017年6月武汉科技大学附属普仁医院收治的107例乳腺叶状肿瘤(单乳单发病灶)患者为研究对象,观察良性、交界性、恶性乳腺叶状肿瘤的二维灰阶超声图像、彩色多普勒血流图像差异。结果107个病灶中,良性、交界性、恶性乳腺叶状肿瘤分别为45个、33个和29个。良性、交界性、恶性乳腺叶状肿瘤的肿瘤大小、肿瘤形状、肿瘤生长、肿瘤边缘、后方回声、是否钙化比较,差异无统计学意义(P>0.05);良性肿瘤肿瘤边界清晰、内部回声均匀比例显著高于交界性肿瘤和恶性肿瘤(P<0.05),交界性肿瘤边界清晰、内部回声均匀比例显著高于恶性肿瘤(P<0.05)。彩色多普勒血流图像显示,107个乳腺叶状肿瘤,29个(27.10%)为0~Ⅰ级血流信号,78个(72.90%)为Ⅱ~Ⅲ级血流信号,且良性、交界性、恶性肿瘤的彩色多普勒血流分级比较,差异无统计学意义(P>0.05)。结论良恶性乳腺叶状肿瘤的超声图像,在肿瘤边界是否清晰、内部回声是否均匀等方面表现出一定的差异,肿瘤边界清晰度和内部回声均匀性可能为乳腺叶状肿瘤良恶性鉴别的重要依据。 展开更多
关键词 乳腺叶状肿瘤 良性 恶性 交界性 二维灰阶超声 彩色多普勒
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卵巢上皮性交界性肿瘤的诊疗现状
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作者 刘杰 《中国基层医药》 CAS 2017年第6期951-954,共4页
卵巢交界性肿瘤是一组具有低度潜能恶变的特殊病理类型的卵巢肿瘤,具有发病年龄轻、确诊时多为早期、病程进展缓慢、预后较好等特点。主要病理类型为浆液性和黏液性肿瘤。治疗以手术为主,一般行全面分期手术,年轻患者可行保留生育功... 卵巢交界性肿瘤是一组具有低度潜能恶变的特殊病理类型的卵巢肿瘤,具有发病年龄轻、确诊时多为早期、病程进展缓慢、预后较好等特点。主要病理类型为浆液性和黏液性肿瘤。治疗以手术为主,一般行全面分期手术,年轻患者可行保留生育功能的手术。早期和低危卵巢上皮性交界性肿瘤患者术后无需辅助治疗,但有远期复发可能,需长期随访。 展开更多
关键词 卵巢肿瘤 交界性 治疗
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