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Three-dimensional-printed individualized porous implants:A new“implant-bone”interface fusion concept for large bone defect treatment 被引量:16
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作者 Teng Zhang Qingguang Wei +17 位作者 Hua Zhou Zehao Jing Xiaoguang Liu Yufeng Zheng Hong Cai Feng Wei Liang Jiang Miao Yu Yan Cheng Daoyang Fan Wenhao Zhou Xinhong Lin Huijie Leng Jian Li Xinyu Li Caimei Wang Yun Tian Zhongjun Liu 《Bioactive Materials》 SCIE 2021年第11期3659-3670,共12页
Bone defect repairs are based on bone graft fusion or replacement.Current large bone defect treatments are inadequate and lack of reliable technology.Therefore,we aimed to investigate a simple technique using three-di... Bone defect repairs are based on bone graft fusion or replacement.Current large bone defect treatments are inadequate and lack of reliable technology.Therefore,we aimed to investigate a simple technique using three-dimensional(3D)-printed individualized porous implants without any bone grafts,osteoinductive agents,or surface biofunctionalization to treat large bone defects,and systematically study its long-term therapeutic effects and osseointegration characteristics.Twenty-six patients with large bone defects caused by tumor,infection,or trauma received treatment with individualized porous implants;among them,three typical cases underwent a detailed study.Additionally,a large segmental femur defect sheep model was used to study the osseointegration characteristics.Immediate and long-term biomechanical stability was achieved,and the animal study revealed that the bone grew into the pores with gradual remodeling,resulting in a long-term mechanically stable implant-bone complex.Advantages of 3D-printed microporous implants for the repair of bone defects included 1)that the stabilization devices were immediately designed and constructed to achieve early postoperative mobility,and 2)that osseointegration between the host bone and implants was achieved without bone grafting.Our osseointegration method,in which the“implant-bone”interface fusion concept was used instead of“bone-bone”fusion,subverts the traditional idea of osseointegration. 展开更多
关键词 Three-dimensional-printed porous implants Large bone defect treatment “Implant-bone”interface fusion Osseointegration
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Analysis of Reinforcement Techniques for Newly Built Tunnel Defects
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作者 Yike Wei 《Journal of Architectural Research and Development》 2025年第1期1-7,共7页
Newly built tunnels often encounter a series of defects within the first few years of operation.If not promptly addressed and reinforced,these defects threaten the tunnel's durability and stability and bring sever... Newly built tunnels often encounter a series of defects within the first few years of operation.If not promptly addressed and reinforced,these defects threaten the tunnel's durability and stability and bring severe challenges to its safe operation.This study aims to explore reinforcement techniques for addressing defects in newly built tunnels.The research begins with an analysis of common defects found in newly built tunnels,followed by a case study of the Jinfeng Tunnel in Chongqing,examining the post-construction defects.The actual reinforcement strategies and methods employed for the tunnel are then discussed.Finally,based on the research findings,this study provides insights and references for tunnel operation and construction units in China,aiming to enhance the overall quality of tunnel engineering in the country,align with sustainable development goals,and promote further improvements at a macro level. 展开更多
关键词 Newly built tunnels defect treatment and reinforcement Initial support deformation Lining cracking
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Treatment design of geological defects in dam foundation of Jinping I hydropower station 被引量:1
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作者 Shengwu Song Xuemin Feng +1 位作者 Hongling Rao Hanhuai Zheng 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2013年第5期342-349,共8页
Jinping I hydropower station is one of the most challenging projects in China due to its highest arch dam and complex geological conditions for construction.After geological investigation into the dam foundation,a few... Jinping I hydropower station is one of the most challenging projects in China due to its highest arch dam and complex geological conditions for construction.After geological investigation into the dam foundation,a few large-scale weak discontinuities are observed.The rock masses in the left dam foundation are intensively unloaded,approximately to the depth of 150–300 m.These serious geological defects lead to a geological asymmetry on the left and right banks,and thus some major diffculties of dam construction are encountered.In this paper,the influences of geological defects on the project are analyzed,followed by the concepts and methods of treatment design.Based on the analysis,the treatment methods of the weak rock masses and discontinuities are carefully determined,including the concrete cushion,concrete replacement grids,and consolidation grouting.They work together to enhance the strength and integrity of the dam foundation.Evaluations and calibrations through geo-mechanical model tests in combination with feld monitoring results in early impoundment period show that the arch dam and its foundation are roughly stable,suggesting that the treatment designs are reasonable and effective.The proposed treatment methods and concepts in the context can be helpful for similar complex rock projects. 展开更多
关键词 Geological defects treatment design Concrete cushion Concrete replacement grids Consolidation grouting Performance evaluation Jinping I hydropower station
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Creation of surface defects on carbon nanofibers by steam treatment 被引量:1
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作者 Zhengfeng Shao Min Pang +2 位作者 Wei Xia Martin Muhler Changhai Liang 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2013年第5期804-810,共7页
A direct strategy for the creation of defects on carbon nanofibers (CNFs) has been developed by steam treatment.Nitrogen physisorption,XRD,Raman spectra,SEM and TEM analyses proved the existence of the new defects on ... A direct strategy for the creation of defects on carbon nanofibers (CNFs) has been developed by steam treatment.Nitrogen physisorption,XRD,Raman spectra,SEM and TEM analyses proved the existence of the new defects on CNFs.BET surface area of CNFs after steam treatment was enhanced from 20 to 378 m2/g.Pd catalysts supported on CNFs were also prepared by colloidal deposition method.The different activity of Pd/CNFs catalysts in the partial hydrogenation of phenylacetylene further demonstrated the diverse surfaces of CNFs could be formed by steam treatment. 展开更多
关键词 carbon nanofibers surface defects steam treatment PALLADIUM
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MOXIBUSTION TREATMENT OF CUTANEOUS DEFECT
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作者 熊毕文 程棕鹏 《World Journal of Acupuncture-Moxibustion》 1999年第4期54-56,共3页
In the present paper, 32 cases of cutaneous defect were treated by using warm moxibustion. After 6 weeks’ treatment, 22 cases were cured, with the shortest cure duration being 12 days and the longest being 27 days; 6... In the present paper, 32 cases of cutaneous defect were treated by using warm moxibustion. After 6 weeks’ treatment, 22 cases were cured, with the shortest cure duration being 12 days and the longest being 27 days; 6 cases were markedly effective and 4 cases were effective. Of the 28 cases in the control group who were treated with routine medicated dressing, 6 were cured, 13 had marked improvement and 9 had improvement, with the shortest cure duration being 18 days and the longest being 36 days. Statistical analysis shows a significant difference between the two groups in the effective rate, indicating that moxibustion therapy is of an advantage in the duration of treatment and therapeutic effect. 展开更多
关键词 CUTANEOUS defect MOXIBUSTION treatment
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Treatment of Chronic Periodontal Defects with Tissue Engineering: A Pilot Study in Dogs
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作者 Min-Kui LIN Fu-Hua YAN~Δ Xin ZHAO Kai LUO(Department of Periodontology, College of Stomatology, Fujian Medical University, Fuzhou 350002, China) 《生物医学工程学杂志》 EI CAS CSCD 北大核心 2005年第S1期67-68,共2页
关键词 treatment of Chronic Periodontal defects with Tissue Engineering A Pilot Study in Dogs
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Treatment of large defect of abdominal wall after tumors resection by transposition of tissue flaps with pedicle
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作者 张如明 《外科研究与新技术》 2003年第2期98-98,共1页
Objective To report evaluat of division region of abdominal wall large defect after tumors resection and repair methods by tissue flaps with pedicle. Methods Form October 1992 to September 2001, 8 cases large abdomina... Objective To report evaluat of division region of abdominal wall large defect after tumors resection and repair methods by tissue flaps with pedicle. Methods Form October 1992 to September 2001, 8 cases large abdominal wall defect after malignant tumors resection(10 × 10 cm-32 cm×32 cm) were reviewed. The defectcontributed:Ⅰ region, 2 cases; twin-Ⅱ region, 2; Ⅲ region, 2; Ⅰ and Ⅱ region of one side, 1 and total abdominal wall,one case, The tissue flaps of transposition included: gracilis myocutaneous flaps, 4; retus abdominal myocutaneous flaps, 2; external abdominal obligue musculo-fascia flaps, 2; latissimus dorsi muscle, tensor fasciae latae muscle and retus femoris muscle flaps each, 1. One patient used MycroMesh also. Results In the course of peroperation, the incisions of 8 cases healed in first time; total tissue flaps survived and all pateints started exercise left the bed in 3 weeks. All 8 patients were followed up average of 2 years and 5 months: the success rate of reconstruction 展开更多
关键词 of treatment of large defect of abdominal wall after tumors resection by transposition of tissue flaps with pedicle
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The clinical characteristics and treatment of head trauma patients with skull defect
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作者 柯连蔚 《外科研究与新技术》 2011年第3期202-202,共1页
Objective To investigate the clinical characteristics and therapeutic of head trauma patients with skull defect. Methods A retrospective study of clinical data of 47 brain injury patients with skull defect in our hosp... Objective To investigate the clinical characteristics and therapeutic of head trauma patients with skull defect. Methods A retrospective study of clinical data of 47 brain injury patients with skull defect in our hospital from Janary 1993 to Janary 2009 was performed. Results Compared with 展开更多
关键词 HEAD The clinical characteristics and treatment of head trauma patients with skull defect
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A Grain Boundary Defect Model for ZnO Ceramic Varistors by Deep Heat Treatment
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作者 陈志雄 林国淙 +1 位作者 付刚 唐大海 《广州师院学报(自然科学版)》 1998年第11期47-55,共9页
TheleakagecurentofZnOvaristorwithexcelentlynonlinearvoltageampere(V-I)characteristicsincreasesgradualyundert... TheleakagecurentofZnOvaristorwithexcelentlynonlinearvoltageampere(V-I)characteristicsincreasesgradualyunderthelongdurationl... 展开更多
关键词 氧化锌压敏陶瓷 高温 晶界缺陷模型
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Laser-induced Damage of 355 nm High-reflective Mirror Caused by Nanoscale Defect 被引量:1
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作者 张东平 ZHU Maodong +7 位作者 LI Yan ZHANG Weili CAI Xingmin YE Fan LIANG Guangxing ZHENG Zhuanghao FAN Ping 夏志林 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS 2017年第5期1057-1060,共4页
Al2O3/SiO2 multilayer high-reflective(HR) mirrors at 355 nm were prepared by electron beam evaporation, and post-irradiated with Ar/O mixture plasma. The surface defect density, reflective spectra, and laser-induced... Al2O3/SiO2 multilayer high-reflective(HR) mirrors at 355 nm were prepared by electron beam evaporation, and post-irradiated with Ar/O mixture plasma. The surface defect density, reflective spectra, and laser-induced damage characteristics were measured using optical microscopy, spectrophotometry, a damage testing system, and scanning electron microscopy(SEM), respectively. The results indicated that moderate-time of irradiation enhanced the laser-induced damage threshold(LIDT) of the mirror, but prolonged irradiation produced surface defects, resulting in LIDT degradation. LIDT of the mirrors initially increased and subsequently decreased with the plasma processing time. SEM damage morphologies of the mirrors revealed that nanoscale absorbing defects in sub-layers was one of the key factors limiting the improvement of LIDT in 355 nm HR mirror. 展开更多
关键词 laser-induced damage plasma treatment defect
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Mechanical properties,microstructure and surface quality of Al-1.2Mg-0.6Si-0.2Cu alloy after solution heat treatment 被引量:4
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作者 Li-Zhen Yan Yong-An Zhang +5 位作者 Bai-Qing Xiong Xi-Wu Li Zhi-Hui Li Hong-Wei Liu Shu-Hui Huang Gang Zhao 《Rare Metals》 SCIE EI CAS CSCD 2017年第7期550-555,共6页
The effect of solution heat treatment (SHT) on mechanical properties, microstructure and surface quality of Al-1.2Mg-0.6Si-0.2Cu-0.6Zn alloy was investigated by tensile test, Erichsen test, surface topography, scann... The effect of solution heat treatment (SHT) on mechanical properties, microstructure and surface quality of Al-1.2Mg-0.6Si-0.2Cu-0.6Zn alloy was investigated by tensile test, Erichsen test, surface topography, scanning electron microscope (SEM) and electron back-scattered diffraction (EBSD). The results indicate that with the increase in SHT temperature, yield strength and cupping test value (IE) of the sheets increase greatly and reach a peak value, then decrease. Meanwhile, intermetallic com- pounds dissolve into matrix gradually. The grains grow up as SHT temperature increases, and abnormal grain growth leads to the surface defects after solution-treated above 560 ~C. Considering mechanical properties, IE value, residual phases, grain size and surface quality of the sheets, SHT temperature for the alloy should not be higher than 550 ℃. 展开更多
关键词 AI-Mg-Si alloy Solution heat treatment Surface defects Mechanical properties MICROSTRUCTURE
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Analysis of the causes of the outer surface folding defects in N80-Q oil country tubular goods
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作者 PAN Dagang CAI Haiyan TAN Zhunli YU Jie 《Baosteel Technical Research》 CAS 2011年第1期56-59,共4页
The causes to the outer surface folding defects in N80-Q oil country tubular goods (OCTG) were investigated through the observation of the defects' morphology, microstructure and the analysis of the chemical compos... The causes to the outer surface folding defects in N80-Q oil country tubular goods (OCTG) were investigated through the observation of the defects' morphology, microstructure and the analysis of the chemical compositions. It is believed that the defect was resulted from the intrinsic flaws that originally existed on the billet; they were extended and oxidized during the following reheating and rolling processes. With more strict quality control and inspection of the billet, the defect can be prevented effectively from occurring. 展开更多
关键词 OCTG defect ROLLING MICROSTRUCTURE heat treatment
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Effect of microstructure and defects on the magnetostriction of<110> oriented TDT-110 alloys
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作者 Haijun Tang Xuexu Gao Wei Wu Maocai Zhang Shouzeng Zhou 《Journal of University of Science and Technology Beijing》 CSCD 2008年第1期53-57,共5页
〈110〉 oriented rods of TbDyFe giant magnetostrictive alloys have been prepared with the help of the zone melting directional solidification technique with a high temperature gradient. To acquire optimal magnetostric... 〈110〉 oriented rods of TbDyFe giant magnetostrictive alloys have been prepared with the help of the zone melting directional solidification technique with a high temperature gradient. To acquire optimal magnetostrictive properties at low magnetic field, the TbDyFe alloys have been heat-treated at different temperatures and cooled at different rates. The relationships between the proc- ess of the heat treatment, microstructure, defects, and magnetostrictive properties of the TbDyFe materials have been studied. 2008 University of Science and Technology Beijing. All rights reserved. 展开更多
关键词 TbDyFe heat treatment MICROSTRUCTURE defect MAGNETOSTRICTION
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The sequential treatment of extensive mandibular ameloblastoma
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作者 Ruixiu Cheng Xingmao Fu +4 位作者 Jianhui Ma Shuliang Li Jie Yu Kun Yan Yang Xue 《Case Reports in Clinical Medicine》 2013年第8期484-489,共6页
Ameloblastoma is the most frequent odontogenic tumor of the jaw. If not treated, ameloblastoma can gain an enormous size and cause severe facial disfigurement and functional impairment. Here we report two patients aff... Ameloblastoma is the most frequent odontogenic tumor of the jaw. If not treated, ameloblastoma can gain an enormous size and cause severe facial disfigurement and functional impairment. Here we report two patients afflicted with extensive mandibular ameloblastoma (sized in 23 cm × 18 cm × 17 cm and 15 cm × 12 cm × 10 cm, respectively). Both the patients received the same sequential treatment including radical tumor resection, simultaneous reconstruction with fibula free flap graft, vertical distraction osteogenesis on the fibula graft, placement of endosseous dental implants, and final pros-thodontic rehabilitation. It took about 15 months to finish the entire course of treatment. And after the four-year follow-up, neither soft tissue related, nor hard tissue related problems were observed. Satisfactory facial symmetry, chewing and speech functions of the patients were restored. So this sequential treatment for extensive mandibular ameloblastoma can obtain an excellent effect by the shortest time and the lowest economical cost. Furthermore, the series also can be used to reconstruct giant mandibular defects caused by different reasons. 展开更多
关键词 AMELOBLASTOMA MANDIBULAR defect FIBULA FLAP SEQUENTIAL treatment
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Surgical Treatment of Anomalous Pulmonary Venous Drainage:Report of 127 cases
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作者 朱平 卢聪 +8 位作者 庄建 吴若彬 肖学钧 郑少忆 陈寄梅 范瑞新 郭惠明 刘菁 黄劲松 《South China Journal of Cardiology》 CAS 2008年第4期166-171,共6页
Objectives We did a retrospective study to summarize the surgical experience of anomalous pulmonary venous drainage (APVD) correction and discuss effective way of improving the surgical outcome. Methods From January 1... Objectives We did a retrospective study to summarize the surgical experience of anomalous pulmonary venous drainage (APVD) correction and discuss effective way of improving the surgical outcome. Methods From January 1985 to May 2008, 127 patients [56 men and 71 women, aged 14-55 years with an average of (26.79±10.62) years] with APVD underwent surgical treatments. Among them, 13 patients had simple partial APVD with intact atrial septum, 104 patients had partial APVD with atrial septal defect and 10 patients had total APVD. Seventy-one patients of them accompanied with other cardiac anomalies which were also corrected in their operations. Results One early operative death due to severe low cardiac output syndrome (LCOS) developed postoperatively, which resulted in a mortality rate of 0.78%. Among other patients, 10 patients complicated with LCOS, 11 patients with arrhythmia, 7 patients with acute renal failure and 4 patients with poor wound healing, all discharged from hospital after treatment. Postoperative echocardiography reexamination revealed 1 case of mild residual shunt in atrial septum but without pulmonary vein stenosis. Conclusion For right atrial and ventricle enlarged patients with or without pulmonary hypertension, surgeons should be vigilance of accompanied APVD whether atrial septal defects exist or not. As long as no contraindications are found, surgical treatment should be performed once accurate diagnosis is obtained. 展开更多
关键词 partial anomalous pulmonary venous drainage total anomalous pulmonary venous drainage surgical treatment atrial septal defect
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阴囊坏疽皮肤缺损修复策略
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作者 杜震 向鹏 +4 位作者 陈山 许莲姬 张君毅 马涛 乔庐东 《临床泌尿外科杂志》 2025年第2期128-130,135,共4页
目的:探讨阴囊坏疽所致皮肤局部缺损的分型及其修复策略。方法:回顾性分析2014年11月—2023年7月北京同仁医院泌尿外科收治的21例阴囊坏疽患者临床资料。患者均为男性,平均年龄(57.8±21.1)岁,平均发病时间(5.3±4.4)d。依据皮... 目的:探讨阴囊坏疽所致皮肤局部缺损的分型及其修复策略。方法:回顾性分析2014年11月—2023年7月北京同仁医院泌尿外科收治的21例阴囊坏疽患者临床资料。患者均为男性,平均年龄(57.8±21.1)岁,平均发病时间(5.3±4.4)d。依据皮肤缺损范围进行分型,Ⅰ型:单纯阴囊皮肤缺损小于50%;Ⅱ型:单纯阴囊皮肤缺损大于50%;Ⅲ型:合并阴茎皮肤缺损;Ⅳ型:合并耻骨上皮肤缺损;Ⅴ型:合并肛周皮肤缺损。根据皮肤缺损的分型选择不同的修复方案。术后观察伤口、皮瓣愈合及并发症发生率。结果:21例患者,住院天数3~64 d,中位34 d;随访6~36个月,中位17个月。Ⅰ型16例,直接拉拢缝合。Ⅱ型2例,单侧睾丸切除后缝合。Ⅲ型2例,1例仅合并阴茎腹侧皮肤缺损,右侧阴部内动脉穿支皮瓣修复;1例合并阴茎全周皮肤缺损,阴囊创面单侧睾丸切除后缝合,右下肢局部带蒂皮瓣转移修复阴茎缺损。Ⅳ型1例,阴囊创面单侧睾丸切除后缝合,耻骨上局部皮瓣旋转修复耻骨上缺损。术后20例均恢复顺利,1例出现皮瓣远端局限性坏死,行清创术后一期缝合,术后恢复顺利。1例术后10 d出现单侧附睾炎,经抗感染治疗2周后治愈。结论:我们依据皮肤缺损范围的不同对阴囊坏疽所致皮肤缺损进行的分型,并根据分型选择不同的修复方案,在临床上操作方便、安全可行。 展开更多
关键词 阴囊坏疽 负压辅助愈合治疗系统 皮肤缺损 局部皮瓣
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正畸治疗联合树脂修复前牙牙体缺损患者的疗效观察 被引量:1
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作者 陈敏 夏莉 +1 位作者 朱荣媛 王欣雨 《中国医疗美容》 2025年第3期68-72,共5页
目的探讨正畸治疗联合树脂修复在前牙牙体缺损患者中的临床疗效。方法选取2022年9月至2024年9月泰州市第四人民医院收治的56例前牙牙体缺损患者为研究对象,根据治疗方式的不同将其分为两组,其中对照组28例患者采用树脂修复治疗,观察组2... 目的探讨正畸治疗联合树脂修复在前牙牙体缺损患者中的临床疗效。方法选取2022年9月至2024年9月泰州市第四人民医院收治的56例前牙牙体缺损患者为研究对象,根据治疗方式的不同将其分为两组,其中对照组28例患者采用树脂修复治疗,观察组28例患者联合使用正畸治疗。比较两组患者的牙齿美观度、牙周指标以及牙髓活力。结果治疗后2个月时,观察组患者牙齿美学指数指标评分均低于对照组,差异有统计学意义(P<0.05)。观察组患者根尖周指数、牙周探诊深度、临床附着水平均低于对照组,差异有统计学意义(P<0.05);且该组患者牙髓活力显著高于对照组,差异有统计学意义(P<0.05)。结论正畸治疗联合树脂修复可提高前牙牙体缺损患者的牙齿美观度,有效改善牙周、牙髓状况,值得推广。 展开更多
关键词 正畸治疗 树脂修复 前牙牙体缺损 牙齿美观度 牙周状态 牙髓活力
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石墨烯基导热膜研究进展
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作者 李慧君 张晴 +2 位作者 黄坤 裴嵩峰 任文才 《新型炭材料(中英文)》 北大核心 2025年第3期540-552,共13页
随着电子设备的小型化和高度集成化,设备运行时的热量聚集和温度分布不均等问题严重影响着系统的可靠性和稳定性,制约着电子技术的发展。高性能石墨烯基导热膜凭借自身高面内热导率的特点,可将局部热点的热量高效扩展至更大的传热面积... 随着电子设备的小型化和高度集成化,设备运行时的热量聚集和温度分布不均等问题严重影响着系统的可靠性和稳定性,制约着电子技术的发展。高性能石墨烯基导热膜凭借自身高面内热导率的特点,可将局部热点的热量高效扩展至更大的传热面积来提升散热效率、降低器件运行温度,是重要的电子设备热管理材料。本综述分析了石墨烯膜结构与导热性能的关系,介绍了石墨烯基导热膜的主要制备方法,讨论了石墨烯前驱体,制膜工艺以及热处理过程对石墨烯膜缺陷结构的调控和修复机制,总结了当前提高石墨烯膜热导率的主要方法和研究进展,探讨了当前石墨烯导热膜技术发展的主要挑战和未来发展方向。 展开更多
关键词 石墨烯膜 热导率 热处理 缺陷结构 热管理
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探讨肩关节前向不稳合并肩盂唇缺损患者预后与治疗方案相关性
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作者 时长江 潘玉军 +2 位作者 张健 关晨炜 徐丛 《中国科技论文在线精品论文》 2025年第2期402-405,共4页
目的:分析肩关节前向不稳合并肩盂唇缺损患者预后与治疗方案之间的相关性。方法:选取60例2020年1月至2023年12月接受治疗的肩关节前向不稳合并肩盂唇缺损患者,回顾性分析患者一般资料,比较采用不同治疗方式的患者预后情况,分析影响患者... 目的:分析肩关节前向不稳合并肩盂唇缺损患者预后与治疗方案之间的相关性。方法:选取60例2020年1月至2023年12月接受治疗的肩关节前向不稳合并肩盂唇缺损患者,回顾性分析患者一般资料,比较采用不同治疗方式的患者预后情况,分析影响患者不良预后的相关因素。结果:关节镜下手术、开放式手术、关节镜复合切开手术优良率均高于保守治疗(P<0.05),关节镜下手术、开放式手术、关节镜复合切开手术优良率差异无统计学意义(P>0.05)。预后不良组与预后良好组患者性别、年龄、损伤机制差异无统计学意义(P>0.05),两组首次脱位年龄、术前脱位次数、Bankart损伤范围、Hill-Sachs损伤差异有统计学意义(P<0.05)。多因素logistic回归分析结果表明患者不良预后影响因素包括首次脱位年龄、术前脱位次数、Bankart损伤范围及Hill-Sachs损伤(P<0.05)。患者不良预后与治疗方案之间存在相关性,与关节镜下手术、开放式手术、关节镜复合切开手术存在负相关性,与保守治疗存在正相关性(P<0.05)。结论:肩关节前向不稳合并肩盂唇缺损患者预后与治疗方案存在关联,影响患者预后的相关因素包括首次脱位年龄、术前脱位次数、Bankart损伤范围及Hill-Sachs损伤,临床应根据患者实际情况合理选择治疗方案以促进其预后改善。 展开更多
关键词 外科学 肩关节前向不稳 肩盂唇缺损 治疗方案 预后影响因素
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全膝关节置换术胫骨内侧骨缺损最新治疗进展
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作者 张圣军 宗同岩 《青岛医药卫生》 2025年第4期313-316,共4页
全膝关节置换术(TKA)是治疗终末期膝关节疾病的比较有效方法,但胫骨内侧骨缺损的处理是当前TKA面临的重要挑战。合理正确地处理胫骨内侧的骨缺损对于保证假体稳定性、恢复膝关节功能及提高患者术后生活质量是至关重要的。本文结合近年... 全膝关节置换术(TKA)是治疗终末期膝关节疾病的比较有效方法,但胫骨内侧骨缺损的处理是当前TKA面临的重要挑战。合理正确地处理胫骨内侧的骨缺损对于保证假体稳定性、恢复膝关节功能及提高患者术后生活质量是至关重要的。本文结合近年来的诸多相关研究,对TKA中胫骨内侧骨缺损的分类、评估方法及治疗进展进行系统的阐述,旨在为临床医生提供参考。 展开更多
关键词 全膝关节置换术 胫骨内侧骨缺损 治疗进展
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