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单侧双通道内镜下椎间盘切除术与经皮内镜椎间孔入路椎间盘切除术治疗钙化型腰椎间盘突出症的对比研究 被引量:11
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作者 李稳超 李红卫 +5 位作者 朱广晔 周宇 郭宏 李亚浩 姜宏 俞鹏飞 《中医正骨》 2023年第10期1-6,共6页
目的:比较单侧双通道内镜(unilateral biportal endoscopy,UBE)下椎间盘切除术与经皮内镜椎间孔入路椎间盘切除术(percutaneous endoscopic transforaminal discectomy,PETD)治疗钙化型腰椎间盘突出症的疗效和安全性。方法:收集2020年1... 目的:比较单侧双通道内镜(unilateral biportal endoscopy,UBE)下椎间盘切除术与经皮内镜椎间孔入路椎间盘切除术(percutaneous endoscopic transforaminal discectomy,PETD)治疗钙化型腰椎间盘突出症的疗效和安全性。方法:收集2020年1月至2022年1月收治的60例钙化型腰椎间盘突出症患者的病例资料,其中30例采用UBE下椎间盘切除术治疗(UBE组)、30例采用PETD治疗(PETD组)。比较2组患者的手术时间、术中X线透视次数、隐性失血量、住院时间、末次随访时腰痛视觉模拟量表(visual analogue scale,VAS)评分、末次随访时腿痛VAS评分、末次随访时Oswestry功能障碍指数(Oswestry disability index,ODI)、基于改良MacNab标准评定的综合疗效及并发症发生情况。结果:2组患者隐性失血量、住院时间、末次随访时腰痛VAS评分、末次随访时腿痛VAS评分的组间差异均无统计学意义[隐性失血量:(398.23±155.41)mL,(374.26±155.41)mL,t=-0.642,P=0.523;住院时间:(6.00,2.50)d,(6.00,2.00)d,Z=-0.323,P=0.747;末次随访时腰痛VAS评分:(1.00,1.00)分,(1.00,1.00)分,Z=-0.248,P=0.804;末次随访时腿痛VAS评分:(2.00,1.00)分,(2.00,0.00)分,Z=-0.907,P=0.364];与PETD组相比,UBE组的手术时间更短、术中X线透视次数更少、末次随访时ODI更低[手术时间:(66.67±7.34)min,(70.77±5.31)min,t=-2.480,P=0.016;术中X线透视次数:(4.00,0.00)次,(9.00,2.25)次,Z=-6.802,P=0.000;末次随访时ODI:(11.00,3.25)%,(13.25,2.00)%,Z=-4.570,P=0.000]。2组综合疗效的差异无统计学意义(Z=-0.108,P=0.914)。UBE组1例术中发生硬脊膜撕裂、2例术后下肢皮肤感觉障碍加重、2例发生切口疝,PETD组1例术中发生硬脊膜撕裂、3例术后下肢皮肤感觉障碍加重,经对症处理后均顺利出院,2组患者并发症发生率的差异无统计学意义(P=1.000)。结论:应用UBE下椎间盘切除术与PETD治疗钙化型腰椎间盘突出症的疗效和安全性相当,但UBE技术在减少术中X线透视次数、缩短手术时间方面具有一定优势。 展开更多
关键词 椎间盘移位 腰椎 椎间盘切除术 内窥镜 临床试验
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Signal analysis and processing for random binary phase coded pulse radar 被引量:2
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作者 SunGuangmin LiuGuosui guhong 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2004年第4期520-524,共5页
The application of the random binary phase coded signal in the CW radar system has been limited by the difficulty to isolate the transmission and reception signal. In order to make use of the random binary phase coded... The application of the random binary phase coded signal in the CW radar system has been limited by the difficulty to isolate the transmission and reception signal. In order to make use of the random binary phase coded signal, the random binary phase coded pulse radar (RBPC-PR) system has been studied. First, the average ambiguity function (AAF) of the RBPC-PR signal has been analyzed. Then, a statistical method of reducing the range sidelobe (RSL) is presented. Finally, a signal processing scheme of the RBPC-PR is devdoped. The simulation results show that by using the scheme, the jamming immunity of the system, the resolution and accuracy of distance and velocity have been improved, and the distance and velocity vagueness caused by periods can also be removed. The RSL can be reduced over 30 dB by the statistical average method, thus the probability ambiguity caused by random noise can be avoided. 展开更多
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