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An overview on the distributed internal model approach and its applications
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作者 Youfeng Su He Cai Jie Huang 《Control Theory and Technology》 EI CSCD 2024年第3期345-359,共15页
The cooperative output regulation problem has been studied by two approaches:the distributed observer(DO)approach and the distributed internal model(DIM)approach,respectively.Each of these two approaches has its own m... The cooperative output regulation problem has been studied by two approaches:the distributed observer(DO)approach and the distributed internal model(DIM)approach,respectively.Each of these two approaches has its own merits and weaknesses.Recently,we presented an overview on the cooperative output regulation problem by the DO approach.This paper further surveys the cooperative output regulation problem by the DIM approach.We first summarize the constructions and the roles of two different versions of the internal models:the distributed p-copy internal model and the distributed canonical internal model.Then,we describe an integrated framework that combines the DO approach and the DIM approach.Extensions and variants of the DIM and their applications will also be highlighted. 展开更多
关键词 Cooperative output regulation Distributed p-copy internal model Distributed canonical internal model Integrated approach
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Evaluation and integration of normalization approaches and internal reference genes in real-time quantitative reverse transcription PCR in liver tissues of db/db mice
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作者 LI Kai-ji TIAN Zeng-you +2 位作者 TIAN Jing-rui MEN Xiu-li WU Jing 《中国病理生理杂志》 CAS CSCD 北大核心 2016年第11期2106-2112,共7页
AIM:Normalizing the results of real-time quantitative reverse transcription polymerase chain reaction(RT-q PCR)is essential for the accuracy of analysis.Commonly used approaches include input nucleic acid standardizat... AIM:Normalizing the results of real-time quantitative reverse transcription polymerase chain reaction(RT-q PCR)is essential for the accuracy of analysis.Commonly used approaches include input nucleic acid standardization(ΔCt method),normalization against a single internal reference gene(ΔΔCt method),and geometric averaging of multiple reference gene abundance using statistical software.We evaluated these approaches in the liver of db/db mice,a typical model of fatty liver disease.METHODS:Seven reference genes,β-actin(ACTB),eukaryotic initiation factor(e IF)5,glyceraldehyde-3-phosphate dehydrogenase(GAPDH),hydroxymethylbilane synthase(HMBS),hypoxanthineguanine phosphoribosyltransferase(HPRT)1,polymerase(RNA)II(DNA directed)polypeptide A(Polr2A)and ribosomal protein P〈0(RPLP〈0),were evaluated using software of ge Norm and Norm Finder.Hepatic lipogenesis genes,such as thyroid hormone-responsive protein(Thrsp),stearoyl-Co A desaturase(SCD)1,sterol regulatory element-binding protein(SREBP)1c and fatty acid synthase(FAS),were used as target genes of interest.RESULTS:The expression levels of all target genes and GAPDH were significantly elevated(P〈0.05)in db/db mouse livers by theΔCt method.ACTB and HMBS were the most stable genes calculated by the software of ge Norm.Norm Finder analysis indicated that ACTB was the most stable gene,and the best combination of 2 genes was GAPDH and RPLP〈0.Normalization against a single internal reference gene of ACTB or RPLP〈0,the geometric mean of ACTB and HMBS,or GAPDH and RPLP〈0 showed similar results that the expression levels of Thrsp,SCD1 and FAS,but not SREBP1 c increased(P〈0.05)in the liver of db/db mice.CONCLUSION:TheΔCt approach ensures a meaningful and biologically significant appraisal of gene expression.Use of the software like ge Norm or Norm Finder should be integrated withΔCt method. 展开更多
关键词 Real-time quantitative reverse transcription PCR Normalization approaches internal reference genes db/db mice
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The Self-inspections(Internal Audits)Process as a Part of the Pharmaceutical Quality System:Formation of a Risk-Based Approach to Internal Audits Planning
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作者 Valeriy Nikityuk Tetiana Karamavrova V.Lebedynets 《Journal of Pharmacy and Pharmacology》 2019年第7期385-397,共13页
The quality system of any modern pharmaceutical company is the pharmaceutical quality system(PQS),which extends the GMP standards to all stages of the medicinal productslife cycle,from pharmaceutical development to it... The quality system of any modern pharmaceutical company is the pharmaceutical quality system(PQS),which extends the GMP standards to all stages of the medicinal productslife cycle,from pharmaceutical development to its withdrawal from production.The principal difference between PQS and GxP rules from other quality systems is that the medicinal product,its safety and efficacy is put at the forefront.At the same time,PQS implies a process approach to all components that should be aimed at achieving the main goal—ensuring and guaranteeing the quality of the medicinal product for the end user(patient)—and should be based on the quality risk management system.An integral part of PQS,as well as the GxP rules adopted in the European Union and PIC/S,is a process for self-inspections and/or quality audits,which regularly appraises the effectiveness and applicability of the PQS.This publication is dedicated to the definition of self-inspections(internal audits)as one of the PQS’s processes.The article defines the main standard stages and develops a model of a risk-based approach to the self-inspections’planning in relation to processes of the pharmaceutical quality system. 展开更多
关键词 Medicinal products PQS SELF-INSPECTION internal audit quality RISK management risk-based approach
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Clinical Experience of Treating Thoracolumbar Burst Fracture by Posterior Approach and Anterolateral Spinal Canal Decompression Combined with Injured Vertebra Internal Fixation
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作者 HUANGYuanhong 《外文科技期刊数据库(文摘版)医药卫生》 2022年第3期076-080,共5页
Objective: to study and analyze the clinical value of posterolateral anterior spinal canal decompression combined with injured vertebral internal fixation in the treatment of thoracolumbar burst fracture. Methods: for... Objective: to study and analyze the clinical value of posterolateral anterior spinal canal decompression combined with injured vertebral internal fixation in the treatment of thoracolumbar burst fracture. Methods: forty patients with thoracolumbar burst fractures admitted to our hospital from April 2018 to December 2020 were randomly divided into study group and control group with 20 cases in each group. The control group was treated with short-segment minimally invasive internal fixation combined with injured vertebral bone graft, and the study group was treated with posterior approach anterior spinal canal decompression combined with injured vertebral internal fixation. The perioperative conditions, postoperative vertebral height, endplate angle and bony fusion of the two groups were evaluated and compared. Results: the operation time of the study group was shorter than that of the control group, and the amount of hemorrhage was less than that of the control group. At the stage of 12 months after operation, the height of the vertebral body in the study group was higher than that of the control group, and the endplate angle was smaller than that of the control group. The difference was statistically significant (P < 0.05). There was no significant difference in the osseous fusion between the two groups (P > 0.05). Conclusion: posterior anterolateral spinal canal decompression combined with internal fixation for thoracolumbar burst fractures has less intraoperative bleeding, which can reduce the risk of vertebral height loss and vertebral deformity on the basis of ensuring the effect of bony fusion. 展开更多
关键词 posterior approach anterolateral approach decompression of spinal canal internal fixation of injured vertebra thoracolumbar burst fracture
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The application of internal suspension technique in retroperitoneal robot-assisted laparoscopic partial nephrectomy with a new robotic system KangDuo Surgical Robot-01:Initial experience 被引量:3
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作者 Silu Chen Shubo Fan +8 位作者 Hua Guan Kunlin Yang Zhihua Li Shengwei Xiong Xiang Wang Zhenyu Li Cheng Shen Liqun Zhou Xuesong Li 《Asian Journal of Urology》 CSCD 2023年第4期482-487,共6页
Objective To assess the feasibility of internal suspension technique in retroperitoneal robot-assisted laparoscopic partial nephrectomy(rRAPN)with a new robotic platform called KangDuo Surgical Robot-01(KD-SR-01)syste... Objective To assess the feasibility of internal suspension technique in retroperitoneal robot-assisted laparoscopic partial nephrectomy(rRAPN)with a new robotic platform called KangDuo Surgical Robot-01(KD-SR-01)system(Suzhou KangDuo Robot Co.,Ltd.,Suzhou,China)and discuss its surgical technique.Methods A 44-year-old male patient was admitted with a 2.5 cm tumor on dorsolateral upper pole of the left kidney.The R.E.N.A.L.nephrometry score of this patient was 4x.This patient underwent rRAPN with KD-SR-01.The perinephric fat between the tumor and Gerota's fascia was preserved,which was used for internal suspension traction during tumor resection.Postoperative follow-up data were collected.Results The surgery was successfully carried out with a duration of 127 min,in which the docking time was 6 min 25 s and console time was 60 min.The warm ischemia time was 19 min 53 s,and the estimated blood loss was 0 mL.The pathological histology showed a pathological tumor stage 1a clear cell renal cell carcinoma,with a negative surgical margin.The World Health Organization/International Society of Urological Pathology(WHO/ISUP)grade of this patient was Grade 2.No recurrence was observed during the 6-month follow-up.Conclusion Internal suspension in rRAPN is feasible and effective with use of the new robotic system KD-SR-01. 展开更多
关键词 KangDuo Surgical Robot-01 internal suspension Partial nephrectomy Retroperitoneal approach
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On Translation Approaches of International Treaties from English to Chinese-A Case Study of CISG
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作者 厉骁宇 《海外英语》 2012年第7X期285-286,共2页
With the acceleration of the process of globalization and the more important role China is playing on international stage,both our economic systems and our notions of right and system of law should and had to be impro... With the acceleration of the process of globalization and the more important role China is playing on international stage,both our economic systems and our notions of right and system of law should and had to be improved to attune to new conditions.In this process,many laws and customs including international treaties need to be translated from English to Chinese to make it convenient for scholars,researchers and legal workers and practitioners in law to study and practice.However,theoretical research on legal translation,especially from the perspective of standards of the translation of treaties,still lags behind. 展开更多
关键词 internATIONAL treaties CISG TRANSLATION approachES
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Teaching“International Business Contracts”Based on Production-Oriented Approach
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作者 HU Xuefeng 《Sino-US English Teaching》 2022年第11期389-394,共6页
Production-Oriented Approach(POA)is a new concept of foreign language teaching proposed by Professor Wen Qiufang of Bejing Foreign Studies University.Initially designed for teaching foreign languages in lower grades i... Production-Oriented Approach(POA)is a new concept of foreign language teaching proposed by Professor Wen Qiufang of Bejing Foreign Studies University.Initially designed for teaching foreign languages in lower grades in domestic universities,its application has now been gradually expanded to more subjects and has been repeatedly proven to be effective after active experiments by some university teachers.In this paper,the author attempts to apply the production-oriented method to the teaching of intemational business contracts,and take one of the units as an example to demonstrate the teaching design and teaching process. 展开更多
关键词 Production-Oriented approach(POA) international business contracts
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Contribution of International and Comparative Approach to the Policy and Practice of Teacher Education
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作者 Xinwei Bian 《Journal of Contemporary Educational Research》 2021年第11期67-74,共8页
This study intends to identify the value and pitfalls of international and comparative approach for the policy and practice of teacher education.The structure of this article proceeds as follows:the first section focu... This study intends to identify the value and pitfalls of international and comparative approach for the policy and practice of teacher education.The structure of this article proceeds as follows:the first section focuses on explaining the meaning and the values of international and comparative approach;based on previous discussions,the second section makes a more in-depth analysis of the values of international and comparative approach to teacher education from five key themes;the final section of this article proposes and interprets the drawbacks of international and comparative approach in teacher education. 展开更多
关键词 international and comparative approach international and comparative education Teacher education Policy and practice of teacher education
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The posterior Pilon fracture: treatment and results via a posterolateral approach 被引量:2
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作者 黄若昆 谢鸣 +3 位作者 方真华 肖志宏 赵晶晶 李静 《中国矫形外科杂志》 CAS CSCD 北大核心 2014年第8期673-677,共5页
[Objective]This study was designed to describe the fracture patterns and early results of operations of posterior Pilon fractures through a posterolateral approach.[Method]This study consisted of 14 cases,10 males and... [Objective]This study was designed to describe the fracture patterns and early results of operations of posterior Pilon fractures through a posterolateral approach.[Method]This study consisted of 14 cases,10 males and 4 females with the mean age of 47 years(range,28-63 years).The causes were traffic accident in 2,falling in 6 and sprain injuries in 6 cases.The duration from injury to operation was 7-14 days.Including 12 cases combined with distal fibula fracture and3 cases with medial malleolus fracture.There were 3 posterior dislocation fracture.All cases were treated with open reduction and internal fixation(ORIF).[Result]A consistent fracture pattern was identified with a primary,inferiorly posterior Pilon fracture that likely occur through a combined rotational and axial load mechanism.The average duration of follow-up was 26(range,24-37)months.The postoperation average of American Orthopedic Foot Ankle Society score(AOFAS)was 92points which was much higher than before operation.Anatomical reduction were obtained in all cases.Two complications(1wound superficial infection and 1 sural cutaneous nerve injury)were all managed nonoperatively.[Conclusion]Posterior Pilon fractures form a consistent pattern.They can be successfully managed through a posterolateral approach with direct reduction and buttress fixation of articular fragments. 展开更多
关键词 后外侧入路 后Pilon骨折 内固定
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高超声速进气道内收缩基准流场的残差网络智能预测方法
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作者 杨孔强 熊冰 +2 位作者 范晓樯 王翼 唐啸 《国防科技大学学报》 北大核心 2026年第1期28-39,共12页
为了提高内转式进气道的设计效率,实现对内收缩基准流场的快速预测,采用准均匀B样条方法实现内收缩基准流场的参数化设计,提出了基于深度学习残差神经网络架构的流场预测模型。结合峰值信噪比、结构相似性指数等图像质量评估方法,对预... 为了提高内转式进气道的设计效率,实现对内收缩基准流场的快速预测,采用准均匀B样条方法实现内收缩基准流场的参数化设计,提出了基于深度学习残差神经网络架构的流场预测模型。结合峰值信噪比、结构相似性指数等图像质量评估方法,对预测流场进行定量评价,并从中提取壁面特性分布、激波形态等关键流场特性,以实现基于基准流场几何参数快速获取流场云图和特性参数分布的目标。研究结果表明,所构建的流场快速预测模型精度较高,其整体平均峰值信噪比为42.51 dB,平均结构相似性指数为0.9973,且能有效地从预测结果中提取流场的关键特性与参数分布,为内收缩基准流场的快速设计与优化提供有力支持。 展开更多
关键词 高超声速 内收缩 基准流场 参数方法 流场预测 残差神经网络
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国外商务英语研究进展分析(2001—2024)
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作者 李称鑫 李琳 《北京第二外国语学院学报》 北大核心 2026年第1期128-141,共14页
本研究基于Web of Science 数据库,运用文本挖掘法,考察了2001—2024年SSCI来源期刊发表的725篇商务英语研究论文中的热点话题、发展脉络、代表性理论和研究方法,梳理了国外商务英语的研究进展。研究发现,国外商务英语研究主要聚焦五大... 本研究基于Web of Science 数据库,运用文本挖掘法,考察了2001—2024年SSCI来源期刊发表的725篇商务英语研究论文中的热点话题、发展脉络、代表性理论和研究方法,梳理了国外商务英语的研究进展。研究发现,国外商务英语研究主要聚焦五大主题,即商务英语教学、企业对外话语、企业内部沟通、世界通用语和商务话语语言特征与计量分析;发展脉络呈现五波发展浪潮,包括商务语境中的话语策略(2001—2005)、跨文化商务交流与基于需求的教学(2006—2010)、世界通用语与企业话语治理(2011—2015)、跨国公司话语与专业化教学(2016—2020)、数字语境与数据驱动下的商务话语与教学(2021—2024)。代表性理论包括跨文化商务交际、互文性与体裁分析和修辞学理论。在研究方法上,以实证研究方法为主,非实证研究方法多为观点总结和理论建构。希望本研究有助于厘清国际商务英语研究脉络,并对国内相关研究及教学具有一定启示作用。 展开更多
关键词 国外商务英语 研究进展 主题领域 代表性理论 研究方法 文本挖掘法
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美国学生全球胜任力评价:维度、方式及启示
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作者 马语晗 张蓉 《基础教育参考》 2026年第1期59-68,共10页
全球胜任力又称国际理解素养,评价作为其培育过程中的关键环节,发挥着导向、鉴定、调控与改进的核心作用。美国在学生全球胜任力评价领域积淀了扎实的理论基础与丰富的实践经验,其评价维度聚焦知识、技能、态度与价值观三大核心要素,在... 全球胜任力又称国际理解素养,评价作为其培育过程中的关键环节,发挥着导向、鉴定、调控与改进的核心作用。美国在学生全球胜任力评价领域积淀了扎实的理论基础与丰富的实践经验,其评价维度聚焦知识、技能、态度与价值观三大核心要素,在模块逻辑、关系逻辑与实践逻辑等理念指引下构建了多种理论模型;注重结果性评价与表现性评价的融合,呈现出情境化、综合化的鲜明特征。当前我国学生国际理解素养评价尚处于探索阶段,可借鉴国际先进经验,通过推进评价维度的本土化建构、评价方式的科学化设计及评价团队的专业化培育,逐步建立兼具国际视野又符合本土需求的国际理解素养评价体系,为培养学生全球胜任力提供科学支撑。 展开更多
关键词 全球胜任力 国际理解素养 评价维度 评价方式 价值观基础教育
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改良与常规后外侧入路复位固定三踝骨折比较
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作者 王新国 曹华 +2 位作者 郭强 程慧 李安澜 《中国矫形外科杂志》 北大核心 2026年第4期319-324,共6页
[目的]比较改良与常规后外侧入路开放复位内固定治疗三踝骨折的临床疗效。[方法]回顾分析2015年9月—2023年4月开放复位内固定治疗三踝骨折的84例患者资料。根据术前医患沟通结果,43例采用改良后外侧入路(改良组),另外41例采用常规后外... [目的]比较改良与常规后外侧入路开放复位内固定治疗三踝骨折的临床疗效。[方法]回顾分析2015年9月—2023年4月开放复位内固定治疗三踝骨折的84例患者资料。根据术前医患沟通结果,43例采用改良后外侧入路(改良组),另外41例采用常规后外侧入路(常规组)。对比两组围手术期、随访与影像指标。[结果]改良组手术时间[min,(100.5±12.9)vs(115.3±7.5),P<0.001]、切口长度[cm,(10.0±1.3)vs(11.0±1.8),P=0.004]、术中失血量[mL,(111.3±18.0)vs(132.7±11.5),P<0.001]均显著优于常规组。两组下地行走时间、切口愈合等级、住院时间、早期并发症的差异无统计学意义(P>0.05)。随时间推移,两组VAS评分、AOFAS评分、背伸-跖屈ROM均显著改善(P<0.05)。术后1个月,改良组的VAS评分[分,(2.1±1.4)vs(3.0±1.5),P=0.006]、AOFAS评分[分,(60.7±5.0)vs(56.4±5.5),P<0.001]和背伸-跖屈ROM[°,(10.5±1.8)vs(9.6±2.0),P=0.033]均显著优于常规组。随访期间,改良组不良事件发生率显著低于常规组(9.3%vs 26.8%,P=0.036)。影像检查表明,改良组术后即刻后踝骨折块移位显著小于常规组[mm,(0.6±0.4)vs(0.8±0.5),P=0.046],相应时间点两组间其他影像指标的差异均无统计学意义(P>0.05)。[结论]改良与常规后外侧入路开放复位内固定三踝骨折的远期疗效相当,但改良入路在减轻患者术后早期疼痛、改善功能以及降低随访不良事件方面明显优于常规后外侧入路。 展开更多
关键词 踝关节 三踝骨折 开放复位内固定 改良后外侧入路 常规后外侧入路
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分层海水中的同心弧形结构水动力特性分析
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作者 蒋维 李长杰 +4 位作者 林菲 许洁 杨韬略 王凯 翟振峰 《船舶力学》 北大核心 2026年第2期192-203,共12页
随着海上风电的快速发展,风机基础结构的防护问题具有重要的工程意义。基于分层海水中的水波绕射理论,本文采用特征函数展开法,推导波浪作用于同心弧形结构的解析解,计算表面波与内波的无量纲波浪载荷及最大波面分布。结果表明,双层弧... 随着海上风电的快速发展,风机基础结构的防护问题具有重要的工程意义。基于分层海水中的水波绕射理论,本文采用特征函数展开法,推导波浪作用于同心弧形结构的解析解,计算表面波与内波的无量纲波浪载荷及最大波面分布。结果表明,双层弧形结构相较于单层结构具有更优的消浪性能。在分层海水中,表面波与内波对结构产生的无量纲载荷量级相当,内波影响不可忽视。波浪入射角、水深、透空率、弧形张角及半径比等参数均会影响波浪载荷特性。合理选择透空率与张角可进一步优化消浪效果与建造成本。 展开更多
关键词 分层海水 表面波与内波 特征函数展开法 波浪绕射
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Based on the Features of E-Approach and I-Approach Discuss and Analyze the SLA
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作者 张序娅 《海外英语》 2012年第2X期100-101,共2页
Externalized approach and Internalized approach are two approaches to the study of languages. Understanding the features of two approaches is indispensable to discuss and analyze the acquisition of second language. An... Externalized approach and Internalized approach are two approaches to the study of languages. Understanding the features of two approaches is indispensable to discuss and analyze the acquisition of second language. And universal grammar which is closely related to the two approaches plays an important role in the acquisition of second language. Three accesses to universal grammar in L2 learning are explicitly described to state the second language is acquired. 展开更多
关键词 Externalized approach internalized approach Univer
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耳后横断耳道入路治疗髁突骨折的临床回顾性分析
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作者 张嘉翔 高羽 +2 位作者 Sadam Ahmed Elayah 刘磊 陈金龙 《口腔疾病防治》 2026年第3期246-254,共9页
目的探讨耳后横断耳道入路应用于髁突头及颈部骨折的安全性及有效性,为临床提供参考。方法本研究已通过单位医学伦理委员会审查批准,并获得患者知情同意。对2024年3月—10月采用耳后横断耳道入路治疗的髁突头及颈部骨折患者的临床资料... 目的探讨耳后横断耳道入路应用于髁突头及颈部骨折的安全性及有效性,为临床提供参考。方法本研究已通过单位医学伦理委员会审查批准,并获得患者知情同意。对2024年3月—10月采用耳后横断耳道入路治疗的髁突头及颈部骨折患者的临床资料进行回顾性分析。术后随访至少3个月,进行临床和影像学检查,评估以下指标:面神经功能、颞区麻木、血肿、感染、涎瘘、张口度、咬合紊乱、下颌运动功能、关节疼痛、关节弹响、外耳道狭窄、听力功能受损、手术瘢痕隐蔽性和骨折术后复位固定效果等。结果共纳入16例患者,其中单侧骨折10例,双侧骨折6例。髁突头骨折18侧,髁突颈部骨折4侧。术后面神经House-Brackmann分级评估皆为I级正常。术后第1天,3侧出现颞区麻木,均可自发缓解。所有病例术后均未出现血肿、感染和涎瘘。张口受限得到改善(术前14例张口受限vs.术后3例张口受限)。所有患者未发生咬合紊乱,术后下颌运动功能均恢复良好,表现为运动范围恢复且不伴疼痛。术后3个月内未出现颞下颌关节弹响。1例瘢痕体质患者出现进行性外耳道狭窄(管腔直径缩窄至2 mm),并伴传导性听力下降,经扩张治疗后恢复。所有患者对瘢痕隐蔽效果表示满意。影像学检查显示骨折复位固定良好,未见钛板松动或螺钉松动。结论耳后横断耳道入路治疗髁突骨折面神经损伤及涎瘘形成等风险较低,瘢痕隐蔽,疗效确切,患者接受度高。但需警惕外耳道狭窄,尤其是瘢痕体质患者。 展开更多
关键词 下颌骨骨折 髁突骨折 切开复位内固定 耳后横断耳道入路 面神经损伤 颞区麻木 切口隐蔽性 病例系列研究
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腓骨后外侧入路下内固定术和经腓骨入路下螺钉内固定术治疗旋后外旋型Ⅳ度踝关节骨折的临床效果比较
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作者 徐希仕 孙振毅 +1 位作者 吴迅达 顾怀志 《中外医药研究》 2026年第2期46-48,共3页
目的:比较腓骨后外侧入路下内固定术与经腓骨入路螺钉下内固定术治疗旋后外旋型Ⅳ度踝关节骨折的效果。方法:选取2023年1月—2024年12月如东县人民医院收治的旋后外旋型Ⅳ度踝关节骨折患者90例,采用随机数字表法分为螺钉组(经腓骨入路... 目的:比较腓骨后外侧入路下内固定术与经腓骨入路螺钉下内固定术治疗旋后外旋型Ⅳ度踝关节骨折的效果。方法:选取2023年1月—2024年12月如东县人民医院收治的旋后外旋型Ⅳ度踝关节骨折患者90例,采用随机数字表法分为螺钉组(经腓骨入路下螺钉内固定术)与外侧组(腓骨后外侧入路下内固定术),每组45例,比较两组临床治疗效果。结果:外侧组骨折愈合总优良率较螺钉组更高(P=0.024);外侧组关节功能总优良率较螺钉组更高(P=0.027);相较于螺钉组,外侧组术中出血量更少(P<0.001),手术切口更小(P<0.001),手术时间、住院时间及骨折愈合时间更短(P<0.001);外侧组并发症总发生率较螺钉组更低(P=0.026)。结论:相较于经腓骨入路下螺钉内固定术,应用腓骨后外侧入路内固定术治疗旋后外旋型Ⅳ度踝关节骨折,能够有效促进骨折愈合,提高关节功能,改善围术期相关指标,且并发症较少。 展开更多
关键词 腓骨后外侧入路下内固定术 经腓骨入路下螺钉内固定术 旋后外旋型Ⅳ度踝关节骨折
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经Wiltse入路伤椎椎弓根螺钉翘拨复位内固定治疗中青年胸腰段脊椎骨折的疗效观察
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作者 王多福 杨虎 王翔 《中国医药指南》 2026年第2期118-120,共3页
目的观察经椎旁肌间隙(Wiltse)入路伤椎椎弓根螺钉翘拨复位内固定治疗中青年胸腰段脊椎骨折的临床疗效。方法以随机数字表法对2022年2月至2024年6月核工业四一七医院治疗的96例中青年胸腰段脊椎骨折患者进行分组,对照组(n=48)采用经皮... 目的观察经椎旁肌间隙(Wiltse)入路伤椎椎弓根螺钉翘拨复位内固定治疗中青年胸腰段脊椎骨折的临床疗效。方法以随机数字表法对2022年2月至2024年6月核工业四一七医院治疗的96例中青年胸腰段脊椎骨折患者进行分组,对照组(n=48)采用经皮椎弓根置钉治疗,观察组(n=48)采用经Wiltse入路伤椎椎弓根螺钉翘拨复位内固定治疗,对比两组手术相关指标、疼痛程度、影像学指标和并发症情况。结果与对照组相比,观察组术中出血量较多、透视次数较少,手术用时和住院天数较短,术后1 d、3 d和术后1周的VAS评分较低(P<0.05)。两组术前、术后即刻、术后6个月的Cobb角和伤椎前缘高度及并发症总发生率对比,差异均无统计学意义(P>0.05)。结论对中青年胸腰段脊椎骨折患者实施经Wiltse入路伤椎椎弓根螺钉翘拨复位内固定治疗的效果与经皮椎弓根置钉治疗相当,均可恢复脊椎解剖结构,具有良好的安全性,但经Wiltse入路伤椎椎弓根螺钉翘拨复位内固定治疗的术中透视次数较少,手术用时和住院时间较短,且可明显减轻患者术后疼痛。 展开更多
关键词 胸腰段脊椎骨折 经椎旁肌间隙入路 经皮入路 椎弓根置钉内固定
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