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糖肾气血汤辅助治疗临床期糖尿病肾病患者60例
糖尿病肾病(DN)是糖尿病(DM)常见的微血管并发症,也是糖尿病患者主要的死亡原因之一,延缓或阻止DN的进展,具有重要的临床意义.自1997年11月-2001年10月我们采用中西医结合的方法治疗临床期DN60例,并与单用西药治疗的34例作对照,现报告如下.
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Objective:The study is a prospective, open, randomized multicenter phase III clinical trial with two arms that aims to elucidate superiority of D2 plus No.14v lymph node dissection in comparison with standard D2 surgery in patients with curable distal gastric cancer staged cT4N+M0. hTe primary endpoint is overall survival secondary endpoint is disease-free survival. Each treatment arm includes 255 patients, providing an expected hazard ratio of 0.6.Methods:A prospective, open, randomized multicenter phase III clinical trial was designed to elucidate superiority of D2 plus No.14v lymph node dissection in improving overall survival with regard to standard D2 surgery in patients with curable distal gastric cancer staged cT4N+M0. hTe study is a multi-institutional prospective randomized controlled trial, with participating institutions including 20 specialized centers. Treatment methodsEnrolled patients are randomized to 14v- (arm A) or to 14v + (arm B).Results:End points the primary endpoint is overall survival secondary endpoint is disease-free survival.Conclusion:Results are unifnished.
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p16基因表达与Wilms瘤病理分型和临床分期关系的研究
目的与方法:为探Wilms瘤中p16基因表达与肿瘤病理分型和临床分期之间的关系,应用免疫组织化学SP方法,对52例Wilms瘤及7例肿瘤周围正常肾组织(对照)手术标本中p16基因的表达情况进行检测.结果:52例wilms瘤中有16例p16基因表达阳性,阳性率为30.8%,其中预后良好型p16基因表达阳性率为37.2%(16/43),预后差者为0%(0/9),均明显低于正常对照100%(7/7),差异具有显著的统计学意义(P<0.05).在Ⅰ、Ⅱ、Ⅲ、Ⅳ临床期中,p16表达阳性率以Ⅰ期高,逐步递减,分别为47.6%(10/21)、37.5%(3/8)、28.6% (2/7)、6.3%(1/16).结论:Wilms瘤中p16基因表达与肿瘤病理分型和临床分期存在联系,p16基因失活似是Wilms瘤发生发展中的晚期事件.