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1.
Gene ; 736: 144420, 2020 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-32007585

RESUMO

Leptin has been proved to play critical roles in energy metabolism, body weight regulation, food intake, reproduction and immunity in mammals. However, its roles are still largely unclear in fish. Here, we report two leptin genes (lepA and lepB) from the Northern snakehead (Channa argus) and their transcriptions in response to different feeding status. The snakehead lepA is 781 bp in length and contains a 480 bp open reading frame (ORF) encoding a 159-aa protein, while the snakehead lepB is 553 bp in length and contains a 477 bp ORF encoding a 158-aa protein. Multi-sequences alignment, three-dimensional (3D) model prediction, syntenic and genomic comparison, and phylogenetic analysis confirm two leptin genes are widely existing in teleost. Tissue distribution revealed that the two leptin genes exhibit different patterns. In a post-prandial experiment, the hepatic lepA and brain lepB showed a similar transcription pattern. In a long-term (2-week) fasting and refeeding experiment, the hepatic lepA and brain lepB showed a similar transcription change pattern induced by food deprivation stimulation but differential changes after refeeding. These findings suggest snakehead lepA and lepB are differential both in tissue distribution and molecular functions, and they might play as an important regulator in energy metabolism and food intake in fish, respectively.

2.
Artigo em Inglês | MEDLINE | ID: mdl-32011245

RESUMO

Timely detection of abrupt anomalies is crucial for real-time monitoring and security of modern systems producing high-dimensional data. With this goal, we propose effective and scalable algorithms. Proposed algorithms are nonparametric as both the nominal and anomalous multivariate data distributions are assumed unknown. We extract useful univariate summary statistics and perform anomaly detection in a single-dimensional space. We model anomalies as persistent outliers and propose to detect them via a cumulative sum-like algorithm. In case the observed data have a low intrinsic dimensionality, we find a submanifold in which the nominal data are embedded and evaluate whether the sequentially acquired data persistently deviate from the nominal submanifold. Further, in the general case, we determine an acceptance region for nominal data via Geometric Entropy Minimization and evaluate whether the sequentially observed data persistently fall outside the acceptance region. We provide an asymptotic lower bound and an asymptotic approximation for the average false alarm period of the proposed algorithm. Moreover, we provide a sufficient condition to asymptotically guarantee that the decision statistic of the proposed algorithm does not diverge in the absence of anomalies. Simulations illustrate the effectiveness of the proposed schemes in quick and accurate anomaly detection in high-dimensional settings.

3.
Science ; 367(6478): 688-694, 2020 02 07.
Artigo em Inglês | MEDLINE | ID: mdl-32029629

RESUMO

Synapses between engram cells are believed to be substrates for memory storage, and the weakening or loss of these synapses leads to the forgetting of related memories. We found engulfment of synaptic components by microglia in the hippocampi of healthy adult mice. Depletion of microglia or inhibition of microglial phagocytosis prevented forgetting and the dissociation of engram cells. By introducing CD55 to inhibit complement pathways, specifically in engram cells, we further demonstrated that microglia regulated forgetting in a complement- and activity-dependent manner. Additionally, microglia were involved in both neurogenesis-related and neurogenesis-unrelated memory degradation. Together, our findings revealed complement-dependent synapse elimination by microglia as a mechanism underlying the forgetting of remote memories.

4.
Med Sci Monit ; 26: e920389, 2020 Feb 09.
Artigo em Inglês | MEDLINE | ID: mdl-32036379

RESUMO

BACKGROUND This study aimed to investigate the effects of the 6-nitroindazole compound and amino analog of ludartin, (11R)-13-(6-nitroindazole)-11,13-dihydroludartin (NDHL), on human prostate carcinoma cells in vitro and in mouse tumor xenografts in vivo. MATERIAL AND METHODS DU-145 and LNCaP human prostate carcinoma cells were cultured with increasing concentrations of NDHL. Cell viability was measured using the MTT assay, and cell apoptosis was measured by fluorescence flow cytometry. Mouse tumor xenografts were created by implanting 2×106 of DU-145 cells subcutaneously in the left flank. On the second day following DU-145 cell implantation, the mice in the treatment groups were injected intraperitoneally with 2, 5, and 10 mg/kg of NDHL. RESULTS Treatment of DU-145 and LNCaP cells with NDHL (range, 2.5-20.0 µM) significantly reduced cell proliferation in vitro (P<0.05). The proliferation rate of DU-145 and LNCaP cells was reduced to 27% and 24%, respectively, following treatment with 20.0 µM of NDHL. Treatment with NDHL significantly increased cell apoptosis and the formation of reactive oxygen species (ROS) formation in DU-145 cells at 48 h (P<0.05). NDHL significantly increased the proportion of DU-145 cells in the G1 phase of the cell cycle and significantly increased the expression of cyclin D1 and p21 (P<0.05). Treatment of the mice in the xenograft tumor model with NDHL significantly increased survival and suppressed tumor growth (P<0.02). CONCLUSIONS NDHL inhibited cell proliferation, increased apoptosis, and caused cell cycle arrest in human prostate carcinoma cells in vitro and inhibited mouse tumor xenograft growth in vivo.

5.
Clin Chim Acta ; 2020 Feb 04.
Artigo em Inglês | MEDLINE | ID: mdl-32032609

RESUMO

There is a lack of precise and clinical accessible model to predict the prognosis of hepatocellular carcinoma (HCC) in clinic practice currently. Here, an inclusive nomogram was developed by integrating genomic markers and clinicopathologic factors for predicting the outcome of patients with HCC. A total of 365 samples of HCC were obtained from the Cancer Genome Atlas (TCGA) database. The LASSO analysis was carried out to identify HCC-related mRNAs, and the multivariate Cox regression analysis was used to construct a genomic-clinicopathologic nomogram. As results, 9 mRNAs were finally identified as prognostic indicators, including RGCC, CDH15, XRN2, RAB3IL1, THEM4, PIF1, MANBA, FKTN and GABARAPL1, and used to establish a 9-mRNA classifier. Additionally, an inclusive nomogram was built up by combining the 9-mRNA classifier (P < 0.001) and clinicopathologic factors including age (P = 0.006) and metastasis (P < 0.001) to predict the mortality of HCC patients. Time-dependent receiver operating characteristic, index of concordance and calibration analyses indicated favorable accuracy of the model. Decision curve analysis suggested that appropriate intervention according to the established nomogram will bring net benefit when threshold probability was above 25%. The genomic-clinicopathologic model could be a reliable tool for predicting the mortality, helping determining the individualized treatment and probably improving HCC survival.

6.
J Colloid Interface Sci ; 564: 296-302, 2020 Mar 22.
Artigo em Inglês | MEDLINE | ID: mdl-31918197

RESUMO

Controlling micropore size is the core for synthesizing highly efficient adsorbents for gas adsorption and separation engineering. Porous carbon prepared by traditional methods usually lacks competitiveness due to the random micropore size or complex process. Herein, we report a novel strategy for synthesizing nitrogen doped carbons nanosheets (Cu-NDPCs) with unimodal ultra-micropore based on the metal-organic covalency and the anion regulated in situ copper template. The thickness of single Cu-NDPCs is about 4.2 nm. In the presence of Cl-, the porosity of Cu-NDPCs can be tuned at 4.1-4.8 Å by adjusting the pyrolysis temperature. Among them, Cu-NDPC-800 has unique carbon nanosheets networks structure, ultrahigh surface area (2150 m2 g-1), large micropore volume (0.92 cm3 g-1) and abundant surface N doping (5.33%). As an adsorbent, it exhibits superhigh C2H2, C2H6, C3H8 and CO2 uptakes (6.7, 7.0, 11.4 and 4.4 mmol g-1) and corresponding x/CH4 or CO2/N2 IAST selectivities (12.9, 17.8, 468.6, 4.3 and 17.1) under ambient conditions. Meanwhile, the Cu-NDPC-800 possesses excellent cyclic stability.

7.
J Agric Food Chem ; 68(4): 1101-1109, 2020 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-31904947

RESUMO

ε-Poly-l-lysine (ε-PL) consists of 25-35 lysine residues which are linked by an isopeptide bond formed by dehydration condensation of α-carboxyl and ε-amino groups and has good antibacterial activity and broad-spectrum inhibition range. However, there is no clear conclusion about the structure and antibacterial mechanism of ε-PL in aqueous solution. Herein, a high purity of ε-PL was prepared using Amberlite IRC-50 ion-exchange resin. Membrane filtration and dynamic light scattering were used to study the variations of ε-PL aggregation in aqueous solution with pH value. The conformational changes and antibacterial activities of ε-PL and carbamoylated ε-PL in different water environments were studied with circular dichroism (CD) and inhibition zone. The structural changes during the spray-drying process were determined by Fourier transform infrared spectroscopy. The results indicated that the side chain amino charge played a decisive role in the ε-PL conformation and aggregation. ε-PL exhibited the properties of a ß-sheet during spray drying from acidic liquids to solids. The cation enhanced the antibacterial activity of ε-PL but did not play a key role. Instead, the backbone of ε-PL might determine the mechanism of ε-PL antibacterial.

8.
J Mater Chem B ; 2020 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-31994589

RESUMO

Autophagy plays crucial roles in maintaining normal intracellular homeostasis. Molecular probes capable of monitoring lysosomal pH changes during autophagy are still highly required yet challenging to develop. Here, a lysosome-targeting fluorescent pH probe, RML, is presented by introducing a methylcarbitol unit as the lysosome-targeting group to rhodamine B, which is highly sensitive to pH changes. RML exhibits remarkable pH-dependent behavior at 583 nm with a fluorescent enhancement of more than 148-fold. The pKa value is determined as 4.96, and the linear response with pH changes from 4.50-5.70, which is favorable for lysosomal pH imaging. We also confirm that RML diffuses selectively into lysosomes using confocal fluorescence microscopy. Using RML, we have successfully visualized autophagy by monitoring the lysosomal pH changes.

9.
ACS Appl Mater Interfaces ; 12(4): 4638-4648, 2020 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-31903738

RESUMO

Three noncovalently fused-ring electron acceptors (FOC6-IC, FOC6-FIC, and FOC2C6-2FIC) are synthesized. Single crystals of FOC6-IC and FOC2C6-2FIC are prepared, and structure analyses reveal that the molecular backbone can be planarized via the formation of the intramolecular noncovalent interactions. These acceptor molecules can be packed closely in the solid state via π-π stacking and static interactions between the central phenylene unit and the terminal group with a distance of 3.3-3.4 Å. Besides, multiple intermolecular noncovalent interactions can be observed in the single crystal structure of the fluorinated acceptor FOC2C6-2FIC, which help increase the crystallinity of acceptors and the charge mobility of the blends. Photovoltaic devices based on FOC2C6-2FIC give a power conversion efficiency of 12.36%, higher than 12.08% for FOC6-FIC and 10.80% for FOC6-IC.

10.
Sensors (Basel) ; 20(1)2020 Jan 06.
Artigo em Inglês | MEDLINE | ID: mdl-31935949

RESUMO

Recently, deep learning methods are becomingincreasingly popular in the field of fault diagnosis and achieve great success. However, since the rotation speeds and load conditions of rotating machines are subject to change during operations, the distribution of labeled training dataset for intelligent fault diagnosis model is different from the distribution of unlabeled testing dataset, where domain shift occurs. The performance of the fault diagnosis may significantly degrade due to this domain shift problem. Unsupervised domain adaptation has been proposed to alleviate this problem by aligning the distribution between labeled source domain and unlabeled target domain. In this paper, we propose triplet loss guided adversarial domain adaptation method (TLADA) for bearing fault diagnosis by jointly aligning the data-level and class-level distribution. Data-level alignment is achieved using Wasserstein distance-based adversarial approach, and the discrepancy of distributions in feature space is further minimized at class level by the triplet loss. Unlike other center loss-based class-level alignment approaches, which hasto compute the class centers for each class and minimize the distance of same class center from different domain, the proposed TLADA method concatenates 2 mini-batches from source and target domain into a single mini-batch and imposes triplet loss to the whole mini-batch ignoring the domains. Therefore, the overhead of updating the class center is eliminated. The effectiveness of the proposed method is validated on CWRU dataset and Paderborn dataset through extensive transfer fault diagnosis experiments.

11.
Sensors (Basel) ; 20(2)2020 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-31936069

RESUMO

A miniature piezoresistive pressure sensor fabricated by temporary bonding technology was reported in this paper. The sensing membrane was formed on the device layer of an SOI (Silicon-On-Insulator) wafer, which was bonded to borosilicate glass (Borofloat 33, BF33) wafer for supporting before releasing with Cu-Cu bonding after boron doping and electrode patterning. The handle layer was bonded to another BF33 wafer after thinning and etching. Finally, the substrate BF33 wafer was thinned by chemical mechanical polishing (CMP) to reduce the total device thickness. The copper temporary bonding layer was removed by acid solution after dicing to release the sensing membrane. The chip area of the fabricated pressure sensor was of 1600 µm × 650 µm × 104 µm, and the size of a sensing membrane was of 100 µm × 100 µm × 2 µm. A higher sensitivity of 36 µV/(V∙kPa) in the range of 0-180 kPa was obtained. By further reducing the width, the fabricated miniature pressure sensor could be easily mounted in a medical catheter for the blood pressure measurement.

12.
Artigo em Inglês | MEDLINE | ID: mdl-31974744

RESUMO

PURPOSE: To compare the efficacy and safety of hepatic arterial infusion chemotherapy (HAIC) to transarterial chemoembolization/embolization (TACE/TAE) for the treatment of advanced hepatocellular carcinoma (HCC) with major portal vein tumor thrombosis (PVTT). MATERIALS AND METHODS: Forty-six patients with advanced HCC with major PVTT who underwent HAIC or TACE/TAE between April 2013 and April 2017 were included. In the HAIC group (n = 22), oxaliplatin (35-40 mg/m2 for 2 h) and 5-fluorouracil (600-800 mg/m2 for 22 h) on days 1-3 every 4 weeks were administered for a maximum of six serial courses. In the TACE/TAE group (n = 24), an emulsion of epirubicin (40-60 mg) and lipiodol was administered followed by particles (cTACE), or particles alone embolization (TAE). Overall survival (OS), tumor response according to mRECIST, progression-free survival (PFS), and adverse events were investigated. RESULTS: Median OS was 20.8 months in the HAIC group versus 4.0 months in the TACE/TAE group (P < 0.001; hazard ratio [HR], 0.17). The HAIC group showed higher tumor response rates than the TACE/TAE group (59.1% [13/22] vs. 22.7% [5/22]; P = 0.014) and a longer median PFS (9.6 vs. 1.5 months; P < 0.001; HR, 0.09). The Child-Pugh class (P = 0.007) and treatment method (P = 0.002) were independent risk factors of survival. The most frequent grade 3 or worse treatment-related adverse events were liver dysfunction (2 [9.1%] vs. 5 [20.8%]), hematological abnormalities (1 [4.5%] vs. 2 [8.3%]), and fever (1 [4.5%] vs. 4 [16.7%]). One treatment-related death due to acute liver failure occurred 3 days after TACE treatment. CONCLUSION: HAIC may significantly improve OS and provide better tumor control with mild side effects and preserved liver function in patients with advanced HCC with major PVTT compared to TACE/TAE treatment.

13.
Dent Mater ; 2020 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-31983468

RESUMO

OBJECTIVE: To evaluate and compare the viscoelastic properties of dentine and resin-based dental materials by bulk compressive test and the Burgers model. MATERIALS AND METHODS: Sound dentine, three resin composites as well as a resin-based cement were prepared into cylindrical specimens (n = 8). A bulk compressive creep test was applied with a constant load of 300 N (23.9 MPa) for 2 h, followed by another 2 h recovery. The maximum strain, creep stain, percentage of recovery and permanent set was measured using a linear variable displacement transducer. The viscoelastic properties were characterized via the Burgers model, and the instantaneous elastic, viscous as well as elastic delayed deformation were separated from the total strain. Data were analysed via ANOVA (or Welch's Test) and Tukey (or Games-Howell Test) with a significance level of 0.05. RESULTS: Sound dentine presented the lowest maximum strain, creep strain, permanent set and the highest percentage of recovery, followed by 3 resin composites with comparable parameters, while the cement showed a significantly higher maximum strain, permanent set and lower percentage of recovery (p < 0.001). The Burgers model presented acceptable fits for characterization viscoelastic processes of both dentine and resin-based dental materials. Viscous and elastic delayed strain of dentine was significantly lower than those for tested materials (p < 0.001) with the highest instantaneous elastic strain percentage. Similar viscous and delayed strain was found among the 4 resin-based materials (p > 0.05). SIGNIFICANCE: Sound dentine exhibited superior creep stability compared to resin-based dental materials. The viscous deformation in sound dentine could be ignored when loading parallel to dentine tubules.

14.
J Hazard Mater ; 386: 121991, 2020 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-31895997

RESUMO

One of the main challenges in cleaning crude oil-contaminated soil is the unknown adsorption mechanism between residual oil and soil. Herein, infrared spectrometer (IR) is used to detect the existence of dibutylphthalate (DBP) and pelargonamide on montmorillonite (MMT) surface. In addition, after the adsorption of DBP and pelargonamide on MMT, the bands in fingerprint region of the two IR spectra are almost identical, indicating coordination bonds were formed on the surface of MMT. X-ray photoelectron spectroscopy (XPS) is employed to detect the chemical environment of N, O and Al. The reverse migration of Al2p spectrum and forward migration of N1s and O1s spectra indicate the coordination adsorption of carbonyl and amine groups on MMT surface. Then, density functional theory (DFT) calculations are applied to make a further explanation of the bonding mechanisms of DBP and pelargonamide onto MMT surfaces. The result shows that there are two types of aluminum on the surface of MMT acting as Lewis acid sites in coordination adsorption, namely Al3+/Si4+ isomorphic substitutions and Al3+ adsorbed on MMT by means of electrostatic adsorption. Meanwhile, the oxygenium on the surface of MMT acts as Brønsted bases in hydrogen bonding adsorption.

15.
Chem Commun (Camb) ; 56(8): 1231-1234, 2020 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-31898706

RESUMO

This study demonstrates a novel method to quantify selective (1,4-NADH) and unselective products (1,2- and 1,6-NADH) in NADH regeneration using combined UV-Vis spectroscopy and biological assays. The validity of the proposed method was tested in the Pt/C promoted NAD+ hydrogenation using hydrogen as reducing agent.

17.
Mol Plant Microbe Interact ; : MPMI09190257R, 2020 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-31821091

RESUMO

In Arabidopsis, both pathogen invasion and benzothiadiazole (BTH) treatment activate the nonexpresser of pathogenesis-related genes 1 (NPR1)-mediated systemic acquired resistance, which provides broad-spectrum disease resistance to secondary pathogen infection. However, the BTH-induced resistance in Triticeae crops of wheat and barley seems to be accomplished through an NPR1-independent pathway. In the current investigation, we applied transcriptome analysis on barley transgenic lines overexpressing wheat wNPR1 (wNPR1-OE) and knocking down barley HvNPR1 (HvNPR1-Kd) to reveal the role of NPR1 during the BTH-induced resistance. Most of the previously designated barley chemical-induced (BCI) genes were upregulated in an NPR1-independent manner, whereas the expression levels of several pathogenesis-related (PR) genes were elevated upon BTH treatment only in wNPR1-OE. Two barley WRKY transcription factors, HvWRKY6 and HvWRKY70, were predicted and further validated as key regulators shared by the BTH-induced resistance and the NPR1-mediated acquired resistance. Wheat transgenic lines overexpressing HvWRKY6 and HvWRKY70 showed different degrees of enhanced resistance to Puccinia striiformis f. sp. tritici pathotype CYR32 and Blumeria graminis f. sp. tritici pathotype E20. In conclusion, the transcriptional changes of BTH-induced resistance in barley were initially profiled, and the identified key regulators would be valuable resources for the genetic improvement of broad-spectrum disease resistance in wheat.[Formula: see text] Copyright © 2020 The Author(s). This is an open access article distributed under the CC BY-NC-ND 4.0 International license.

18.
J Cell Mol Med ; 24(2): 1256-1267, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31808606

RESUMO

Autoimmune hepatitis (AIH) is a chronic liver disease due to autoimmune system attacks hepatocytes and causes inflammation and fibrosis. Intracellular signalling and miRNA may play an important role in regulation of liver injury. This study aimed to investigate the potential roles of microRNA 143 in a murine AIH model and a hepatocyte injury model. Murine AIH model was induced by hepatic antigen S100, and hepatocyte injury model was induced by LPS. Mice and AML12 cells were separated into six groups with or without the treatment of miRNA-143. Inflammation and fibrosis as well as gene expression were examined by different cellular and molecular techniques. The model was successfully established with the elevation of ALT and AST as well as inflammatory and fibrotic markers. Infection or transfection of mir-143 in mice or hepatocytes significantly attenuated the development of alleviation of hepatocyte injury. Moreover, the study demonstrated phosphorylation of TAK1-mediated miRNA-143 regulation of hepatic inflammation and fibrosis as well as hepatocyte injury. Our studies demonstrated a significant role of miRNA-143 in attenuation of liver injury in AIH mice and hepatocytes. miRNA-143 regulates inflammation and fibrosis through its regulation of TAK1 phosphorylation, which warrants TAK1 as a target for the development of new therapeutic strategy of autoimmune hepatitis.

19.
Reprod Toxicol ; 91: 27-34, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31698002

RESUMO

Heat stress (HS) is a notable risk factor for female reproductive performance. In particular, impaired oocyte maturation was thought to contribute largely to the HS-induced reproductive dysfunctions. In this study, we confirmed that oocytes undergoing GVBD were much susceptible to HS, and thus compromising subsequent embryonic development. Using N-acetyl-l-cysteine (NAC), we found supplementation of a relatively high dose NAC during in vitro maturation, can protect oocytes from HS-induced complications, and thus rescuing impaired embryonic development. Further analysis indicated that mechanisms responsible for protecting GVBD oocytes from HS by NAC may include: (1) reversing disorganized spindle assembly and inhibited extracellular signal-regulated kinase (ERK) signaling; (2) correcting erroneous H3K27me3 modification and dysregulated expression of imprinted genes; (3) alleviating increased intraoocyte reactive oxygen species accumulation and apoptosis initiation. Our study, focusing on the oocyte meiotic maturation, may provide a safe and promising strategy for protecting reproductive sows under environmental hyperthermal conditions.

20.
World Neurosurg ; 133: e26-e30, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31398523

RESUMO

OBJECTIVE: This study aims to report the clinical outcome of stand-alone lateral lumbar interbody fusion (LLIF) on recurrent disk herniation and to compare the outcome of stand-alone LLIF to that of conventional transforaminal lumbar interbody fusion (TLIF). METHODS: A retrospective study of 47 patients with recurrent disk herniation was included from January 2008 to October 2016. The inclusion criteria were 1) with recurrent disk herniation that needs revision surgery, 2) with only 1 previous percutaneous endoscopic lumbar diskectomy surgery, 3) underwent 1-level stand-alone LLIF or 1-level TLIF surgery, and 4) with follow-up more than 1 year. Patients were asked to complete the following questionnaires for outcome evaluation: visual analog scales (VAS) for both low back pain and leg pain, the Oswestry Disability Index (ODI), and the 12-item Short-Form Health Survey. RESULTS: Eighteen patients underwent stand-alone LLIF, and 29 patients underwent TLIF surgery. Radiographic analysis revealed a similar baseline and postoperative lumbar lordosis in both the LLIF and TLIF groups. Two weeks after surgery, the ODI and VAS scores showed a significant decrease in both groups. The TLIF group showed significantly larger postoperative VAS back pain after surgery (P = 0.03). For both VAS leg pain and ODI score during follow-up, no significance difference was found between the LLIF and TLIF groups. CONCLUSIONS: Stand-alone LLIF is a safe and effective approach with low morbidity and acceptable complication rates for patients with recurrent disk herniation after a previous percutaneous endoscopic lumbar diskectomy surgery. Compared with the TLIF procedure, LLIF could achieve a similar improvement of patient-reported outcome with a better VAS back pain score.


Assuntos
Discotomia Percutânea/métodos , Deslocamento do Disco Intervertebral/cirurgia , Vértebras Lombares/cirurgia , Neuroendoscopia/métodos , Reoperação/métodos , Idoso , Avaliação da Deficiência , Feminino , Humanos , Dor Lombar/etiologia , Masculino , Pessoa de Meia-Idade , Manejo da Dor , Complicações Pós-Operatórias/etiologia , Recidiva , Estudos Retrospectivos , Ciática/etiologia , Fusão Vertebral/métodos , Resultado do Tratamento
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