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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 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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CRTSⅢ型板式无砟轨道灌注孔病害整治和防治措施研究
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作者 时小梅 《河南科技》 2026年第2期68-72,共5页
【目的】随着高速铁路的快速发展,CRTSⅢ型板式无砟轨道应用越来越广泛。但由于设计、施工、养护、外部环境变化等各方面的原因,无砟轨道灌注孔病害问题时有发生,影响无砟道床的使用寿命和列车行车安全,有必要对无砟轨道灌注孔病害原因... 【目的】随着高速铁路的快速发展,CRTSⅢ型板式无砟轨道应用越来越广泛。但由于设计、施工、养护、外部环境变化等各方面的原因,无砟轨道灌注孔病害问题时有发生,影响无砟道床的使用寿命和列车行车安全,有必要对无砟轨道灌注孔病害原因进行科学分析。【方法】通过现场调查对CRTSⅢ型板式无砟轨道病害原因进行分析,并对既有工程及新建工程采取不同的应对措施。【结果】通过对病害采取预防措施,并持续优化改进施工工艺,优化施工环境,施工质量得到了提高。【结论】通过对无砟轨道灌注孔病害原因进行科学分析,有针对性地提出设计、施工过程中的防治措施及运营期病害治理方案,为无砟轨道使用安全提供技术支撑。 展开更多
关键词 高速铁路 无砟轨道 灌注孔 病害 治理方案
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磨牙-切牙釉质矿化不全诊疗策略研究进展
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作者 赵芳 王欣 +2 位作者 黄进伟 刘景平 徐赫 《口腔疾病防治》 2026年第3期292-301,共10页
磨牙-切牙釉质矿化不全(molar-incisor hypomineralization,MIH)是一种牙釉质发育缺陷性疾病,主要表现为第一恒磨牙和恒切牙的釉质矿化异常。由于矿化不充分,MIH患牙易发生牙体缺损和龋坏,进而继发牙齿敏感、咬合问题等。MIH诊断主要依... 磨牙-切牙釉质矿化不全(molar-incisor hypomineralization,MIH)是一种牙釉质发育缺陷性疾病,主要表现为第一恒磨牙和恒切牙的釉质矿化异常。由于矿化不充分,MIH患牙易发生牙体缺损和龋坏,进而继发牙齿敏感、咬合问题等。MIH诊断主要依据围产期及婴幼儿时期的相关病史、病损的牙位特征及病损轮廓。根据釉质缺损的范围及严重程度,MIH可分为轻型和重型。诊疗策略强调早期筛查、诊断和干预;预防为主,对症治疗,以及定期复查。轻型MIH主要表现为牙釉质的脱矿性白斑或色泽改变,通常不伴随釉质剥脱;治疗以预防龋坏和美学修复为主,常用方法包括再矿化、微研磨、树脂浸润治疗、漂白治疗、局部涂氟、窝沟封闭等。重型MIH通常表现为严重的脱矿性釉质白斑且伴有釉质剥脱,还可能伴随龋坏、牙齿敏感等;治疗主要为修复牙体缺损或对于无法保留的患牙拔除后正畸治疗等,但常需综合多种治疗方法以恢复牙齿及牙列的功能和美观。本文对MIH的诊疗策略研究进展进行综述,为临床诊疗提供参考。 展开更多
关键词 磨牙-切牙釉质矿化不全 牙釉质发育缺陷 第一恒磨牙 切牙 诊疗策略 龋病 牙体缺损 口腔健康
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GCr15钢滚子淬火后外观不良的改进措施
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作者 沈大伟 《热处理》 2026年第1期33-35,共3页
针对GCr15钢滚子经辊棒盐浴炉淬火后出现外观不良的问题,采用电子探针成分分析、金相显微观察等方法,探究滚子表面斑状物形成机制。结果表明:加热室前区温度低,致使炉气中CO发生析出反应(2CO→C+CO_(2));随后滚子表面进一步发生氧化反应... 针对GCr15钢滚子经辊棒盐浴炉淬火后出现外观不良的问题,采用电子探针成分分析、金相显微观察等方法,探究滚子表面斑状物形成机制。结果表明:加热室前区温度低,致使炉气中CO发生析出反应(2CO→C+CO_(2));随后滚子表面进一步发生氧化反应(3CO_(2)+4Fe→2Fe_(2)O_(3)+3C),生成的Fe_(2)O_(3)无法在炉内还原;其与前期析出的碳共同附着于滚子表面,最终形成斑状物。为此,通过将气氛由氮气+甲醇更换为氮气+丙烷,有效解决了滚子表面颜色不良的问题。 展开更多
关键词 盐浴炉淬火 颜色不良 气氛 GCR15钢 热处理
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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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再生水处理剂利用现状及环境风险分析
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作者 曹洁 查建宁 +4 位作者 吴军莲 刘林丽 刘益浩 杨成 张大鹏 《环境生态学》 2026年第2期181-186,共6页
本研究针对废酸制备再生水处理剂的利用现状与环境风险展开分析。目前流通的再生水处理剂仅对砷、铅、汞、镉、铬等重金属进行控制,研究发现,其氟化物及部分重金属(如镍、铜、锌等)的浸出浓度较高,相较于现行水质相关标准存在不同程度... 本研究针对废酸制备再生水处理剂的利用现状与环境风险展开分析。目前流通的再生水处理剂仅对砷、铅、汞、镉、铬等重金属进行控制,研究发现,其氟化物及部分重金属(如镍、铜、锌等)的浸出浓度较高,相较于现行水质相关标准存在不同程度的超标。本研究进一步探讨了再生水处理剂潜在环境风险的产生因素,包括现行水处理剂产品标准有害成分控制体系存在结构性缺陷,难以识别和管控潜在环境风险;目前通用的水处理剂再生技术存在缺陷,难以有效去除复杂污染物;再生水处理剂源头管控存在缺口,入厂接收环节控制不规范,有害成分未得到有效去除。基于以上分析,本研究提出了相关建议,包括推动相关产品标准体系的完善、高效协同去除技术的推广、入厂分析制度的强化执行、再生水处理剂生命周期环境管理框架的完善。 展开更多
关键词 再生水处理剂 废酸 环境风险 技术缺陷 重金属
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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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