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Liu XJ, Cui ZJ, Zhang ST, Su WG, Meng QN, Guo PF, Wei AZ, Zhou J, Wang CY, Zou SB, Sun JL, Wang X. [Meta-analysis of the effects of triamcinolone acetonide alone and in combination with 5-fluorouracil for treating keloids]. Zhonghua Shao Shang Za Zhi 2021; 36:1191-1198. [PMID: 33379856 DOI: 10.3760/cma.j.cn501120-20190930-00390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To compare the efficacy and safety of triamcinolone acetonide (TA) alone and in combination with 5-fluorouracil (5-FU) for treating keloids using meta-analysis. Methods: Databases including PubMed, Embase, and Cochrane Library were retrieved with the search terms of " triamcinolone acetonide, 5-fluorouracil, glucocorticoid, fluorouracil, keloid, scar, TAC, 5-FU, hypertrophic scar " and databases including Chinese Journal Full-Text Database, Chinese Biomedical Database, and Wanfang Data were retrieved with the search terms of ",, 5-,," in Chinese to obtain the publicly published randomized controlled trials about the effects of TA alone and in combination with 5-fluorouracil for treating keloids from the establishment of each database to august 2019. The outcome indexes included effective proportion of treatment, incidence proportion of adverse reactions, and recurrence proportion of keloids. RevMan 5.3 and Stata 14.0 statistical software were used to conduct a meta-analysis of eligible studies. Results: A total of 1 326 patients with keloids were included in 14 studies, including 668 patients in TA+ 5-fluorouracil group whose keloids were injected with TA and 5-fluorouracil and 658 patients in TA alone group whose keloids were injected with TA alone. A total of 7 articles achieved 1 to 3 points in modified Jadad score, while 7 articles achieved 4 to 7 points in modified Jadad score. Patients in TA+ 5-fluorouracil group had a higher effective proportion of treatment than that of TA alone group (relative risk=1.28, 95% confidence interval=1.16-1.41, P<0.01). Subgroup analysis showed that the quality of the included literature and ethnic factors might be the source of heterogeneity in effective proportion of treatment. Patients in TA+ 5-fluorouracil group had a lower incidence proportion of adverse reactions than that of TA alone group (relative risk=0.44, 95% confidence interval=0.25-0.75, P<0.01). Patients in TA+ 5-fluorouracil group had a lower recurrence proportion of keloids than that of TA alone group (relative risk=0.25, 95% confidence interval=0.14-0.44, P<0.01). There was no publication bias in incidence proportion of adverse reactions (P>0.05), while the effective proportion of treatment and recurrence proportion of keloids had publication bias (P<0.05). Conclusions: TA combined with 5-fluorouracil is more effective than TA alone for treating keloids, with less incidence of adverse reactions and recurrence.
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Affiliation(s)
- X J Liu
- Department of Burns and Repair Reconstruction, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China
| | - Z J Cui
- Department of Burns and Repair Reconstruction, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China
| | - S T Zhang
- Department of Burns and Repair Reconstruction, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China
| | - W G Su
- Department of Burns and Repair Reconstruction, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China
| | - Q N Meng
- Department of Burns and Repair Reconstruction, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China
| | - P F Guo
- Department of Burns and Repair Reconstruction, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China
| | - A Z Wei
- Department of Burns and Repair Reconstruction, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China
| | - J Zhou
- Department of Burns and Repair Reconstruction, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China
| | - C Y Wang
- Department of Burns and Repair Reconstruction, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China
| | - S B Zou
- Department of Burns and Repair Reconstruction, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China
| | - J L Sun
- Department of Burns and Repair Reconstruction, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China
| | - X Wang
- Department of Burns and Repair Reconstruction, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China
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Fang L, Wang J, Dai WC, Liang B, Chen HM, Fu XW, Zheng BB, Lei J, Huang CW, Zou SB. Laparoscopic transcystic common bile duct exploration: surgical indications and procedure strategies. Surg Endosc 2018; 32:4742-4748. [PMID: 30298446 DOI: 10.1007/s00464-018-6195-z] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2018] [Accepted: 04/20/2018] [Indexed: 01/02/2023]
Abstract
BACKGROUND LTCBDE combined with or without modified techniques is safe and efficacious for the management of gallstones and concomitant, even large, common bile duct (CBD) stones. METHODS To describe the surgical indications and procedure strategies of laparoscopic transcystic common bile duct exploration (LTCBDE), a retrospective analysis of 205 patients with concomitant gallstones and CBD stones treated using LTCBDE between June 2008 and June 2015 was performed. Clinical data on disease characteristics, methods for cystic duct incision and CBD stone extraction (with or without laser lithotripsy), and surgical outcomes were collected and reviewed. RESULTS CBD stones were successfully cleared in all patients. No patient was converted to choledochotomy or laparotomy. The cystic duct diameter ranged 3-8 mm, and 85 patients with cystic duct diameter ≥ 5 mm. The mean time for CBD stone extraction was 25.3 min, with the operative time ranged from 63 to 170 min. Lithotripsy was used in 74 (36.1%) patients among which 26 patients with cystic duct diameter ≥ 5 mm. Estimated blood loss during surgery was 10-120 ml per patient, and no intra-operative blood transfusions were needed. The mean postoperative hospital stay was 5.1 (range 3-7) days, and postoperative complications developed in seven patients. No bile duct injury, stricture, remnant, recurrent stones, or other adverse events were observed during the mean follow-up of 8 months. CONCLUSIONS Based on preoperative MRCP and intra-operative IOC findings about cystic duct diameter, the diameter of CBD, CBD stone size, we summarized and proposed the surgical indications and suitable techniques and strategies during LTCBDE.
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Affiliation(s)
- L Fang
- Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Nanchang University, Mingde Road No. 1, Nanchang, 330000, Jiangxi, China.
| | - J Wang
- Department of Hepatobiliary Surgery, The Third Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
| | - W C Dai
- Department of General Surgery, Yili Friendship Hospital, Yili, Xinjiang, China
| | - B Liang
- Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Nanchang University, Mingde Road No. 1, Nanchang, 330000, Jiangxi, China
| | - H M Chen
- Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Nanchang University, Mingde Road No. 1, Nanchang, 330000, Jiangxi, China
| | - X W Fu
- Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Nanchang University, Mingde Road No. 1, Nanchang, 330000, Jiangxi, China
| | - B B Zheng
- Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Nanchang University, Mingde Road No. 1, Nanchang, 330000, Jiangxi, China
| | - J Lei
- Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Nanchang University, Mingde Road No. 1, Nanchang, 330000, Jiangxi, China
| | - C W Huang
- Department of Hepatobiliary Surgery, The People's Hospital of Jiangxi, Nanchang, Jiangxi, China
| | - S B Zou
- Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Nanchang University, Mingde Road No. 1, Nanchang, 330000, Jiangxi, China
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Chen LY, Xu T, Zou SB, Kang HG. [Techniques of quantitative measurement of intracellular free Ca2+ concentration]. Zhongguo Yi Liao Qi Xie Za Zhi 2000; 24:349-356. [PMID: 12583258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
For individual cell, calcium is a signal of life and death and many functions are mediated by it. The development of new fluorescence dye and imaging technique have greatly promoted the research in the field of cellular calcium signal transduction path.
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Affiliation(s)
- L Y Chen
- Huazhong University of Science and Technology, Institute of Biophysics and Biochemistry
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