CT、MRI对良恶性甲状腺结节的鉴别价值

本文探讨了计算机断层扫描（CT）、磁共振成像（MRI）对良恶性甲状腺结节的鉴别价值。方法：选取2015年3月至2018年3月本院收治的甲状腺结节患者150例，依据病理结果分为恶性48例、良性102例，所有患者均给予CT、MRI检查，分析CT、MRI对良恶性甲状腺结节的鉴别价值。结果发现，MRI总病灶、形态不规则、边界不清/毛糙、信号/密度不均检出率明显高于CT，MRI钙化灶检出率明显低于CT，差异有统计学意义（P<0.05），CT、MRI淋巴结转移检出率比较，差异无统计学意义（P>0.05）；在鉴别良恶性甲状腺结节的敏感度、特异度、准确度中，CT为79.17%、74.51%、76.00%，MRI为83.33%、80.39%、81.33%，CT联合MRI为95.83%、96.08%、96.00%，CT联合MRI明显高于CT、MRI，差异有统计学意义（P<0.05）。说明CT、MRI可作为鉴别良恶性甲状腺结节的重要方法，CT对钙化灶有较高的分辨能力，MRI对软组织及小病灶有较高的分辨能力，CT联合MRI可有效提高其鉴别价值。     

A study for quality evaluation of Taxilli Herba from different hosts based on fingerprint-activity relationship modeling and multivariate statistical analysis

In this study, a fingerprint-activity relationship modeling between chemical fingerprints and antirheumatic activity was established, and multivariate statistical analysis was used to evaluate the quality of Taxilli Herba (TH) from different hosts. Characteristic fingerprints of 20 batches of TH samples were generated by high-performance liquid chromatography coupled with triple quadrupole-time of flight tandem mass spectrometry (HPLC-Triple TOF-MS/MS), and the similarity analysis was calculated based on thirteen common characteristic peaks by hierarchical clustering analysis (HCA). Subsequently, nine efficacy markers were discovered by combining fingerprints and antirheumatic activity through grey correlation analysis (GCA) and bivariate correlation analysis (BCA). Meanwhile, the content of 5 constituents in 9 markers was determined by high-performance liquid chromatography coupled with triple quadrupole-linear ion trap tandem mass spectrometry (HPLC-QTRAP-MS/MS). The comprehensive quality of TH was assessed using multivariate statistical analysis, including principal components analysis (PCA) and technique for order preference by similarity to ideal solution (TOPSIS). The results showed that a high dose of TH extract could markedly ameliorate arthritis damage compared to other doses, with flavonoids playing an important role in the antirheumatic activity. The comprehensive quality of samples from Morus alba L. (SS) was superior to those from Liquidambar formosana Hance (FXS). The present study will demonstrate the markers associated with efficacy, and provide an applicable strategy for more comprehensive quality control and evaluation of TH.     

Microcalorimetric investigation of influence of cancerogenic and anticancerogenic compounds on nuclear chromatin of tumor cells

The influence of mitoxantron (M) and benz(a)pyrene (BP) on chromatin DNA in composition of spleen and liver tissues and cells of BALB/c mice were studied using a high-sensitive differential scanning microcalorimeter. It was established that BP can cause a) the specific breaks in inactive chromatin DNA chain and unfolding of the whole domain (a loop of chromatin) which should lead to uncontrolled genome activation; b) the breaks in the DNA double-helix creating short duplexes.M at low doses, interacting with naked linker DNA of tumor restores the chromatin structure, at high doses or at repeated injections,M causes the disturbance of chromatin structure.     

颈部肿块细针吸取细胞学诊断

2000—2002年进行颈部肿块细针吸取细胞学检查共600例，有病理组织学证实138例，其中恶性病变66例。淋巴结、甲状腺各占60．10％、23．50％。细胞学阳性158例，占26．33％，可疑恶性32例，占5．33％。和术后病理组织学诊断对照。恶性病变符合率80．30％，良性病变符合率为93．06％，总符合率为86．96％。敏感率(阳性 可疑)淋巴结、甲状腺分别为96．29％和90．00％。本文对假阳性、假阴性病例进行了分析。     

Inhibitory effect of the adenovirus type 5 E1A protein expressed in the yeast system

The human adenovirus type 5 E1A, a tumor- suppressor gene[1], codes for two major related proteins of 243 amino acids (12S) and 289 amino acids (13S) by al-ternative splicing in two exons[2]. Studies have been shown that E1A can regulate expression of many genes and cell cycle[3]. Both in vitro and in vivo experiments indicated that E1A could induce tumor cells differentia-tion, convert tumor cells into an epithelial phenotype, in-hibit tumor cell growth and metastasis and strongly en-ha…     

Inhibitory effect of the adenovirus type 5 E1A protein expressed in the yeast system of the human tumor cell growth

Adenovirus 5 type E1A as a tumor suppressor gene can inhibit tumor growth and enhance the censitivity of chemotherapy and radiotherapy.E1A have the ability to integrate into the host genome,resulting in long-time expres-sion that induces Rb gene inactivation and animal cells im-mortalization.This prompted us to select the E1A protein for treatment of cancer in order to overcome the limitations of E1A gene therapy.Thus,we firstly comstructed E1A eu-caryotic expression vector (pPIC9/E1A),transformated the pichia pastoris yeast cells(GS115) and screened the high-expressing recombinant strains.The positive yeast strains were cultured in the shake flask,and induced for 3d.The crude E1A protein was purified using two steps of col-umu chromatography on HiTrap Q and HiTrap SP.The pu-rified E1A protein was identified by SDS-PAGE and Western blot.E1A protein was mostly located at cellular unclear when Cheriot delivered E1A protein into cells.The analysis in vitro indicated that the E1A protein arrested LN686 cell cycle at G2/M phase,and significantly inhibited the growth of LN686 tumor cells.The current studies firstly provided an experimental basis to further develop E1A protein for tumor treatment.     

顺铂联合白细胞介素-2治疗恶性胸腔积液32例

目的：探讨胸腔注入顺铂（DDP）联合白细胞介素-2（IL-2）治疗恶性胸腔积液疗效。方法：58例患者均病理确诊为恶性胸腔积液，随机分为二组，治疗组（32例）在胸腔内注入DDP，白细胞介素-2，对照组（26例）在胸腔内注A．DDP，两组均在1周及2周后各重复注药1次，共3次，观察疗效，毒副反应及生活质量。结果：治疗组总有效率为84．4％，对照组57．7％，差异有显著性（P〈0．015）。治疗组Kamofsky评分〉70分者较对照组有显著提高（P〈0．05），两组在毒性反应上无显著性差异（P〉0．05）。结论：顺铂白介素-2胸腔灌注能有效控制恶性胸腔积液，毒副作用少，联合疗效肯定。     

槲皮素抗癌作用的分子机制

槲皮素是已知最强的抗癌剂之一。从分子水平的角度阐述了其抗癌作用机制的研究进展。其中包括结合雌激素受体，下调变异的P53蛋白，阻滞细胞周期，抑制酪氨酸激酶，促进凋亡，阻遏热休克蛋白和抑制Ras的表达等等。随着其分子机制的深入研究，可以为临床治疗提供更好的理论依据。     

老年恶性肿瘤病人化疗中的静脉保护289例

总结289例老年恶性肿瘤病人化疗中的静脉保护，化疗前的准备工作对静脉保护极为重要．同时，掌握好给药顺序，选择好静脉，加强巡视，及时排除输液中的故障，严格无菌操作，对化疗中的静脉炎及药物外漏起到了预防作用．并对3例静脉炎及5例药物外漏给予相应的对症处理，无局部组织溃疡、坏死等并发症，从而顺利完成了老年恶性肿瘤病人的全程静脉化疗，延长了病人的生存期，提高了治愈率．     

超声激活血卟啉对在体艾氏腹水肉瘤的抑制

利用频率为2.0 MHz,强度为5.0 W/cm2的超声激活血卟啉对在体小鼠艾氏腹水瘤细胞 进行了抑癌作用研究.通过对一次和多次处理的肿瘤体积和重量变化趋势的研究,发现声动力疗法 对艾氏腹水瘤细胞增殖有显著抑制作用,且多次处理比一次处理效果更为明显.