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An interlaminar damage shell model for typical composite structures
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作者 Jie ZHOU Zhen WU +1 位作者 Zhengliang LIU Xiaohui REN 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2024年第1期118-137,共20页
Using the plate/shell elements in commercial software,accurate analysis of interlaminar initial damage in typical composite structures is still a challenging issue.To propose an accurate and efficient model for analys... Using the plate/shell elements in commercial software,accurate analysis of interlaminar initial damage in typical composite structures is still a challenging issue.To propose an accurate and efficient model for analysis of interlaminar initial damage,the following work is carried out:(A)A higher-order theory is firstly proposed by introducing the local Legendre polynomials,and then a novel shell element containing initial damage prediction is developed,which can directly predict transverse shear stresses without any postprocessing methods.Unknown variables at each node are independent of number of layers,so the proposed model is more efficient than the 3D-FEM.(B)Compression experiment is carried out to verify the capability of the proposed model.The results obtained from the proposed model are in good agreement with experimental data.(C)Several examples have been analyzed to further assess the capability of the proposed model by comparing to the 3D-FEM results.Moreover,accuracy and efficiency have been evaluated in different damage criterion by comparing with the selected models.The numerical results show that the proposed model can well predict the initial interlaminar damage as well as other damage.Finally,the model is implemented with UEL subroutine,so that the present approach can be readily utilized to analyze the initial damage in typical composite structures. 展开更多
关键词 Compression experiment Finite element method Initial damage interlaminar stress Plate/shell element
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Catheter-Assisted Interlaminar Approach for Cervical Epidural Steroid Injection in Patient with Cervical Stenosis Caused by Ossification of Posterior Longitudinal Ligament: A Case Report
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作者 Yong-Hui Liu You-Wen Wu 《Case Reports in Clinical Medicine》 2024年第8期304-308,共5页
We present the case of a 64-year-old man with cervical ossification of the posterior longitudinal ligament (OPLL) experiencing chronic neck pain and radiculopathy for 6 months. A catheter-assisted interlaminar Cervica... We present the case of a 64-year-old man with cervical ossification of the posterior longitudinal ligament (OPLL) experiencing chronic neck pain and radiculopathy for 6 months. A catheter-assisted interlaminar Cervical Epidural Steroid Injection (CESI) was performed under fluoroscopic guidance, targeting the affected C2-C6 levels. Significant improvement was observed after this procedure, with decreased pain scores (visual analogue scale (VAS) 8 to 2) and improved mobility. This technique not only enhances the effectiveness of CESI but also reduces the likelihood of complications such as stroke or epidural hematoma and thus provides an alternative treatment option for patients with multiple stenotic levels who are unsuitable for surgery or are unresponsive to conservative therapy such as medication or physical therapy. 展开更多
关键词 Catheter-Assisted interlaminar Cervical Epidural Steroid Injection Ossification of Posterior Longitudinal Ligament Cervical Stenosis
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Analysis of interlaminar stress and nonlinear dynamic response for composite laminated plates with interfacial damage 被引量:1
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作者 F.H.Zhu .M.Fu 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 2008年第6期709-720,共12页
By considering the effect of interfacial damage and using the variation principle, three-dimensional nonlinear dynamic governing equations of the laminated plates with interfacial damage are derived based on the gener... By considering the effect of interfacial damage and using the variation principle, three-dimensional nonlinear dynamic governing equations of the laminated plates with interfacial damage are derived based on the general sixdegrees-of-freedom plate theory towards the accurate stress analysis. The solutions of interlaminar stress and nonlinear dynamic response for a simply supported laminated plate with interfacial damage are obtained by using the finite difference method, and the results are validated by comparison with the solution of nonlinear finite element method. In numerical calculations, the effects of interfacial damage on the stress in the interface and the nonlinear dynamic response of laminated plates are discussed. 展开更多
关键词 Laminated plates Geometric nonlinearity Accurate stress analysis Interfacial damage interlaminar stress Nonlinear dynamic response
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Assembling of low-dimensional aggregates with interlaminar electromagnetic synergy network for high-efficient microwave absorption 被引量:6
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作者 Fei Pan Xiaofen Wu +2 位作者 Dan Batalu Wei Lu Hongtao Guan 《Advanced Powder Materials》 2023年第2期82-91,共10页
Considering the risk of a sudden degeneration caused by the oxidation of MXenes in dielectric and microwave absorption properties,to enhance the oxidation resistance of multilayer MXenes can make them more applicable ... Considering the risk of a sudden degeneration caused by the oxidation of MXenes in dielectric and microwave absorption properties,to enhance the oxidation resistance of multilayer MXenes can make them more applicable as microwave absorbers than those with few-layer.However,there remains disadvantage in optimizing the poor impedance matching and inherent aggregation of multilayer MXenes via rational assembling.In the present study,a facile self-assembly process is conducted to obtain 2D MXenes/1D MnO_(2)/0D NiCo_(2)S_(4) assembled lowdimensional aggregate with hierarchical structure and interlaminar electromagnetic synergy network.In addition to bridging adjacent MXenes lamellas for the enhancement of internal electron transport,high-density MnO2 can also combine with NiCo2S4 to form an electromagnetic synergy network between lamellas,thus improving microwave attenuation.Though the modulation of components and assembled structures,it is achievable to effectively adjust and optimize the performance in impedance matching and microwave absorption.Given the thickness of 2.17 mm,the optimal reflection loss of59.23 dB,and the effective absorption bandwidth of 5.8 GHz are achieved.Moreover,the RCS simulations is performed to demonstrate its excellent performance.Thus,the present work contributes a facile method to the development of multi-layer MXenes based-MAs via interlaminar electromagnetic network design. 展开更多
关键词 Microwave absorption Ti_(3)C_(2)T_(x)MXenes MnO_(2) Low-dimensional aggregates interlaminar electromagnetic synergy
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MIXED MODES INTERLAMINAR FRACTURE TOUGHNESS OF CFRP LAMINATES TOUGHENED WITH CNF INTERLAYER
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作者 Masahiro Arai Tatsuya Sasaki +3 位作者 Satoshi Hirota Hiroaki Ito Ning Hu Marino Quaresimin 《Acta Mechanica Solida Sinica》 SCIE EI 2012年第3期321-330,共10页
In the present paper, the influence of carbon nanofiber on interlaminar fracture toughness of CFRP investigated using MMB(Mixed Mode Bending) tests. Vapor grown carbon fiber VGCF and VGCF-S, and multi-walled carbon ... In the present paper, the influence of carbon nanofiber on interlaminar fracture toughness of CFRP investigated using MMB(Mixed Mode Bending) tests. Vapor grown carbon fiber VGCF and VGCF-S, and multi-walled carbon nanotube MWNT-7 has been employed for the toughener of the interlayer on the CFRP laminates. In order to evaluate the fracture toughness and mixed mode ratio of it, double cantilever beam (DCB) tests, end notched fracture (ENF) tests and mixed mode bending (MMB) tests have been carried out. Boundary element analysis was applied to the CFRP model to compute the interlaminar fracture toughness, where extrapolation method was used to determine the fracture toughness and mixed mode ratio. The interlaminar fracture toughness and mixed mode ratio can be extrapolated by stress distribution in the vicinity of the crack tip of the CFRP laminate. It was found that the interlaminar fracture toughness of the CFRP laminates was improved inserting the interlayer made by carbon nanofiber especially in the region where shear mode deformation is dominant. 展开更多
关键词 CFRP laminate fracture toughness interlaminar crack boundary element method interlayer
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Selective growth of SiC nanowires in interlaminar matrix for improving in-plane strengths of laminated Carbon/Carbon composites
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作者 Qiang Song Qingliang Shen +1 位作者 Qiangang Fu Hejun Li 《Journal of Materials Science & Technology》 SCIE EI CAS CSCD 2019年第12期2799-2808,共10页
β-SiC nanowires(SiCNWs) were selectively grown in the interlaminar matrix with a volume fraction of0.65% by applying a pyrocarbon coating on carbon fibers, which realizes the proper reinforcement of C/C composites. T... β-SiC nanowires(SiCNWs) were selectively grown in the interlaminar matrix with a volume fraction of0.65% by applying a pyrocarbon coating on carbon fibers, which realizes the proper reinforcement of C/C composites. The thickness of the pyrocarbon is optimized to 0.5 μm based on the analysis of in-situ fiber strengths with the fracture mirror method. The pyrocarbon coating increased the in-situ fiber strength by^7% and prevent brittle fracture of the composites. Compared with C/C, the interlaminar shear and flexural strength of SiCNW-C/C(10.06 MPa and 162.44 MPa) increase by 158% and 57%. Incorporating SiCNWs changes the crystallite orientations and refines the crystallite size of pyrocarbon matrix. The functions of SiCNWs vary with their loading density. When SiCNWs are sufficient in the matrix, they help reinforcing and improving the critical failure stress of the matrix. When their density decreases to a certain degree, SiCNWs help changing the crystallite orientations of pyrocarbon and toughening the matrix. 展开更多
关键词 Carbon/carbon composites SiC nanowire interlaminar strength
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Carbon nanotube protected composite laminate subjected to lightning strike:Interlaminar film distribution investigation
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作者 Xianglin ZHANG Jikui ZHANG +1 位作者 Xiaoquan CHENG Wenjun HUANG 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2021年第2期620-628,共9页
A kind of interlaminar film with carbon nanotubes inserted into polyether ketone with cardo was used for lightning strike protection of composite laminates. The distribution of the interlaminar film was investigated b... A kind of interlaminar film with carbon nanotubes inserted into polyether ketone with cardo was used for lightning strike protection of composite laminates. The distribution of the interlaminar film was investigated by experimental and numerical methods. Artificial lightning strike tests were conducted for 12-film carbon nanotube and traditional surface silver coating protected specimens. Then corresponding finite element models(FEMs) were established to analyze the lightning strike effect and validated by the experimental results. Based on the FEMs, the number, distribution and thickness of interlaminar film were investigated in order to obtain equivalent protection effect with the traditional surface silver coating. The results show that only the first two layers were damaged for the surface silver coating protected specimen, while 5 layers were ablated for the 12-film protected specimen. Lightning strike damage area of the laminate protected with 5-film carbon nanotube is almost the same as that of the laminate protected with 12-film carbon nanotube. Compared with traditional surface silver coating protection, one film protection with thickness of 360 lm can make the laminate to obtain equivalent damage depth, 54.8% smaller damage area and 58% less additional weight. And reparability of the laminate is better than that of the laminate protected with 5 interlaminar films. 展开更多
关键词 Carbon nanotube Composite laminates DAMAGE interlaminar film Lightning strike protection
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Influence of voids on interlaminar shear strength of carbon/epoxy fabric laminates
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作者 ZHU Hong-yan LI Di-hong +2 位作者 ZHANG Dong-xing WU Bao-chang CHEN Yu-yong 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2009年第S02期470-475,共6页
The effects of voids(void content,void shape and size)on the interlaminar shear strength of[(±45)_(4)/(0,90)/(±45)_(2)]_(S) and [(±45)/0_(4)/(0,90)/0_(2)]_(S) composite laminates were investigated.Speci... The effects of voids(void content,void shape and size)on the interlaminar shear strength of[(±45)_(4)/(0,90)/(±45)_(2)]_(S) and [(±45)/0_(4)/(0,90)/0_(2)]_(S) composite laminates were investigated.Specimens with void contents in the range of 0.2%-8.0%for [(±45)_(4)/(0,90)/(±45)_(2)]_(S) and 0.2%-6.1%for[(±45)/0_(4)/(0,90)/0_(2)]_(S) were fabricated from carbon/epoxy fabric through varying autoclave pressures.The characteristics of the voids were studied by using optical image analysis to explain the interlaminar shear strength results.The influences of voids on the interlaminar shear strength of the two stacking sequences were compared in terms of the void content and size and shape of the void.The effect of voids on the initiation and propagation of interlaminar failure of both stacking sequence composites was found. 展开更多
关键词 carbon fibre reinforced polymer(CFRP)composite void content void size void shape interlaminar shears strength
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The Interlaminar Stress of Laminated Composite under Uniform Axial Deformation
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作者 Chuijin Yang Jubing Chen Shexu Zhao 《Modeling and Numerical Simulation of Material Science》 2013年第2期49-60,共12页
The interlaminar stresses are analyzed by combining the first shear theory with the layerwise theory method. And the plate subjected to a uniform axial strain is studied by the simplified displacement field. Using the... The interlaminar stresses are analyzed by combining the first shear theory with the layerwise theory method. And the plate subjected to a uniform axial strain is studied by the simplified displacement field. Using the simplified displacement field, the equations of finite element method is developed by the principle of virtual work. And the amount of calculation is reduced by using the linear element. Then, some numerical examples are given to verify the accuracy of the method and analyze the distribution of interlaminar stresses along y-axis and z-axis. The shapes of the stresses’ curves in the vicinity of the free edge are very different from the interior area. Moreover, the influence of the ply angle on the interlaminar stresses is analyzed for the plate [θ/-θ]s. It can be found that the shapes of the stresses along z-axis are similar when the angle is different, while the values of the interlaminar stresses are changed apparently with the ply angle. 展开更多
关键词 interlaminar Stresses FINITE ELEMENT Method LAMINATED Composite PLATE
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Interlaminar Fracture Toughness of Epoxy Glass Fiber Fly Ash Laminate Composite
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作者 Ajit Bhandakkar Niraj Kumar +1 位作者 R. C. Prasad Shankar M. L. Sastry 《Materials Sciences and Applications》 2014年第4期231-244,共14页
Epoxy glass fiber laminate composite (PMCs) are finding ever increasing applications in aerospace and automobile industries due to its high strength to weight ratio and resistance to aqueous environment. Additions of ... Epoxy glass fiber laminate composite (PMCs) are finding ever increasing applications in aerospace and automobile industries due to its high strength to weight ratio and resistance to aqueous environment. Additions of particulate reinforcements in the polymer matrix are reported to improve the Interlaminar Shear Strength and Interlaminar Fracture Toughness of the composites. In the present investigation, epoxy glass fiber laminate composites were processed using hand layup and vacuum bagging technique. The particulate reinforcement precipitator fly ash (25 - 45 μm) was added in the epoxy matrix by mechanical mixing up to 10 wt%. The effects of fly ash reinforcement on the mechanical properties and Interlaminar Fracture Toughness were studied before and after exposure to aqueous fog in a salt fog chamber at 45°C. In unexposed condition Mode I interlaminar fracture toughness of epoxy glass fiber laminate composite improved by the addition of fly ash reinforcement 10% (By weight) by 49.43% and when it was subjected to aqueous fog for 10 days the interlaminar fracture toughness improved 58.42%. Exposure to aqueous fog for 10 days causes plasticization of resin matrix and weakening of fiber/matrix interface results in improvement in interlaminar fracture toughness. The fracture surfaces were analyzed using scanning electron microscopy. 展开更多
关键词 interlaminar Fracture TOUGHNESS EPOXY Glass Fiber LAMINATE COMPOSITE FLY Ash
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Improvement of Interlaminar Fracture Properties of Out of Autoclave Manufactured Carbon Fiber Reinforced Polymers Using Multi-Walled Carbon Nanotubes
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作者 Dimoka Polyxeni Kostagiannakopoulou Christina +1 位作者 Masouras Athanasios Kostopoulos Vassilis 《World Journal of Mechanics》 2019年第6期147-162,共16页
The present study aims to the development of Out of Autoclave (OoA) Carbon Fiber Reinforced Polymers (CFRPs) with increased interlaminar fracture toughness by using MWCNTs. The introduction of MWCNTs into the structur... The present study aims to the development of Out of Autoclave (OoA) Carbon Fiber Reinforced Polymers (CFRPs) with increased interlaminar fracture toughness by using MWCNTs. The introduction of MWCNTs into the structure of CFRPs has been succeeded by using carbon nanotube-enriched sizing agent for the pretreatment of the fiber preform using an in-house developed methodology that can be easily scaled up. The positive effect of the proposed methodology on the interlaminar fracture toughness of the CFRP laminate was assessed by the increase of Mode I and Mode II interlaminar fracture toughness of the composites. Different wt% MWCNTs concentrations were used (namely 0.5%, 1%, 1.5% and 2.5%). It was found that the nanomodified composites exhibit a significant increase of the interlaminar critical strain energy release rate GIC and GIIC of the order of 103% and 62% respectively, in the case of 1.5 wt% MWCNTs weight content. Scanning Electron Microscopy (SEM) of the fracture surfaces of CFRP samples revealed the contribution and the associated synergistic mechanisms of MWCNTs to the increase of the crack propagation resistance in the case of nano-modified CFRPs compared to the reference material. 展开更多
关键词 Multi-Walled Carbon Nanotubes (MWCNTs) interlaminar Fracture TOUGHNESS Multi-Scale Composites (CFRPs) OUT of AUTOCLAVE (OoA)
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Effects of Carbon Nanotubes by Electrophoretic Deposition on Interlaminar Properties of Two Dimensional Carbon/carbon Composites
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作者 黎云玉 GUO Lingjun +2 位作者 LI Hejun MA Haili 宋强 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS 2017年第5期994-1000,共7页
Carbon nanotubes(CNTs) were deposited uniformly on carbon cloth by electrophoretic deposition(EPD). Thereafter, CNT-doped clothes were stacked and densified by pyrocarbon via chemical vapor infiltration to fabrica... Carbon nanotubes(CNTs) were deposited uniformly on carbon cloth by electrophoretic deposition(EPD). Thereafter, CNT-doped clothes were stacked and densified by pyrocarbon via chemical vapor infiltration to fabricate two-dimensional(2 D) carbon/carbon(C/C) composites. Effects of EPD CNTs on interlaminar shear performance and mode Ⅱ interlaminar fracture toughness(GⅡc) of 2 D C/C composites were investigated. Results showed that EPD CNTs were uniformly covered on carbon fibers, acting as a porous coating. Such a CNT coating can obviously enhance the interlaminar shear strength and GⅡc of 2 D C/C composites. With increaing EPD CNTs, the interlaminar shear strength and GⅡc of 2 D C/C composites increase greatly and then decrease, both of which run up to their maximum values, i e, 13.6 MPa and 436.0 J·m-2, when the content of EPD CNTs is 0.54 wt%, 2.27 and 1.45 times of the baseline. Such improvements in interlaminar performance of 2 D C/C composites are mainly beneficial from their increased cohesion of interlaminar matrix, which is caused not only by the direct reinforcing effect of EPD CNT network but also by the capacity of EPD CNTs to refine pyrocarbon matrix and induce multilayered microstructures that greatly increase the crack propagation resistance through "crack-blocking and-deflecting mechanisms". 展开更多
关键词 electrophoretic deposition carbon nanotube C/C composite interlaminar performance reinforcing mechanism
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Direct Assessment of Interlaminar Stresses in Composite Multilayered Plates Using a Layer-Wise Mixed Finite Element Model
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作者 Roberto S. Camicer Braian A. Desia Rodolfo A. Schwarz 《Journal of Civil Engineering and Architecture》 2016年第6期696-706,共11页
An accurate determination of intedaminar transversal stresses in composite multilayered plates, especially near free-edge, is of great importance in the study of inter-ply damage modes, mainly in the initiation and gr... An accurate determination of intedaminar transversal stresses in composite multilayered plates, especially near free-edge, is of great importance in the study of inter-ply damage modes, mainly in the initiation and growth of delamination. In this paper, interlaminar stresses are determined by layer-wise mixed finite element model. Each layer is analyzed as an isolated one where the displacement continuity is ensured by means of Lagrange multipliers (which represent the statics variables). This procedure allows the authors to work with any single plate model, obtaining the interlaminar stresses directly without loss of precision. The FSDT (first shear deformation theory) with transverse normal strain effects included is assumed in each layer, but Lagrange polynomials are used to describe the kinematic instead of Taylor's polynomial functions of the thickness coordinates, as is common. This expansion allows the authors to pose the interlaminar displacements compatibility simpler than the second one. The in-plane domain of the plate is discretized by four-node quadrilateral elements, both to the field of displacement and to the Lagrange multipliers. The mixed interpolation of tensorial components technique is applied to avoid the shear-locking in the finite element model. Several examples were carried out and the results have been satisfactorily compared with those available in the literature. 展开更多
关键词 interlaminar stresses multilayered plates mixed finite element Lagrange multipliers.
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Technical Nuances of Minimal Invasive Interlaminar Decompression in Lumbar Spinal Stenosis: The Role of Minimal Invasive Bilateral Approach
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作者 Nicola Montano Fabio Papacci +1 位作者 Fabrizio Pignotti Eduardo Fernandez 《Open Journal of Modern Neurosurgery》 2016年第2期61-67,共7页
We report a series of patients operated for one or multilevel lumbar spinal stenosis (with and without spondylolisthesis) using the minimal invasive bilateral interlaminar decompression. We discuss our results, compar... We report a series of patients operated for one or multilevel lumbar spinal stenosis (with and without spondylolisthesis) using the minimal invasive bilateral interlaminar decompression. We discuss our results, comparing this procedure (from a technical point of view) with the muscle-preserving interlaminar decompression (MILD) and the unilateral approach for bilateral decompression (ULBD). Clinical and outcome data of 62 consecutive patients were reviewed, using the Visual Analogue Scale for both low back pain (LBP) and legs pain and the Oswestry Disability Index (ODI) for the degree of disability. Mean age was 68.88 ± 9.54 years and mean follow-up (FU) was 16.38 ± 11.12 months. A statistically significant improvement of LBP, legs pain and ODI was globally observed. At latest FU, patients with multilevel lumbar spinal stenosis significantly improved all scores and patients with spondylolisthesis significantly decreased their disability. No major complications occurred. Two cerebrospinal fluid (CSF) collections were treated conservatively. No wound infection occurred. No progression of spondylolisthesis was observed. No reoperation was needed. Although efficacious in patients with lumbar spinal stenosis, MILD and ULBD can have both some limitations. MILD has been found to decrease lumbar function in multilevel decompression (increasing sagittal translation and lumbar lordosis probably due to the removal of half of the spinous processes) and ULBD shows some disadvantages due to the difficulty of manipulating instruments through a small portal and the inadequate decompression due to a minimal exposure. The minimal invasive bilateral interlaminar decompression (in this technique, the access is bilateral but the supraspinous and interspinous ligaments and the spinous processes are preserved) allows wide access (bilateral exposure) with minimal invasiveness and very low morbidity in patients with lumbar spinal stenosis at one or more levels. 展开更多
关键词 Lumbar Spinal Stenosis LAMINECTOMY SPINE SPONDYLOLISTHESIS Minimal Invasive Approach interlaminar Decompression
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Improving interlaminar fracture toughness of flax fiber/epoxy composites with chopped flax yarn interleaving 被引量:9
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作者 LI Yan WANG Di MA Hao 《Science China(Technological Sciences)》 SCIE EI CAS CSCD 2015年第10期1745-1752,共8页
In this research, unidirectional flax fabrics reinforced epoxy laminates were intedeaved with randomly oriented chopped flax yarns at various yarn lengths and contents. Mode I interlaminar fracture toughness of the la... In this research, unidirectional flax fabrics reinforced epoxy laminates were intedeaved with randomly oriented chopped flax yarns at various yarn lengths and contents. Mode I interlaminar fracture toughness of the laminates was evaluated via Double Cantilever Beam (DCB) tests. The results showed that Mode I interlaminar fracture toughness increased with the introduction of the chopped yarns. With moderate yarn length and content, the best toughening effect (31% improvement in Mode I inter- laminar fracture toughness) was achieved. It was observed with the aid of Scanning Electronic Microscopy (SEM) that the in- troduction of the chopped yarns resulted in more tortuous in-plane crack propagation paths as well as the "trans-layer" phe- nomenon and fiber bridging effect of both the unidirectional yams and the chopped yams. These hindered the growth of the crack and led to more energy dissipation during delamination progress. Excessive yam length or content would induce unstable crack propagation and thus weakened the toughening improvement. No remarkable change was found in the tensile properties and the Charpy impact strength for the interleaved laminates, which indicated that this interleaving method was effective on interlaminar toughening without sacrificing the comprehensive mechanical properties of the laminates. 展开更多
关键词 natural fiber reinforced composites interlaminar fracture toughness interlaminar toughening INTERLEAVING fiberbridging trans-layer effect
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经椎板间入路椎间孔镜与椎间盘镜治疗老年腰椎间盘突出症的临床疗效比较
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作者 王俊 万里 +2 位作者 李娜 李芬 解芳 《生物骨科材料与临床研究》 2025年第5期34-39,共6页
目的针对老年腰椎间盘突出症患者,对比评估经椎板间入路椎间孔镜术(percutaneous endoscopic interlaminar discectomy,PEID)与椎间盘镜技术(micro-endoscopic discectomy,MED)的疗效。方法回顾性分析2016年9月至2020年9月期间黄石市第... 目的针对老年腰椎间盘突出症患者,对比评估经椎板间入路椎间孔镜术(percutaneous endoscopic interlaminar discectomy,PEID)与椎间盘镜技术(micro-endoscopic discectomy,MED)的疗效。方法回顾性分析2016年9月至2020年9月期间黄石市第二医院收治的100例老年腰椎间盘突出症患者资料,依据手术方式分组:PEID组(经椎板间入路椎间孔镜术,n=50)和MED组(经椎间盘镜技术,n=50)。比较两组患者的术中参数(术中出血量、手术时间、术中透视次数)、术后恢复指标(住院天数、切口长度、卧床时间)、功能评分(手术前后疼痛视觉VAS评分、Oswestry残障指数ODI评分、腰椎功能JOA评分、腰椎疼痛NRS评分)及疗效指标(优良率、复发率、并发症);记录两组患者的椎间隙高度丢失及腰椎失稳的情况。结果随访时间为36~40个月,平均37.5个月。PEID组患者术中透视次数大于MED组,两组比较差异具有统计学意义(P<0.05);PEID组术中出血量、术后住院天数明显少于MED组(P<0.05),术后切口长度、术后卧床时间低于MED组(P<0.05),但手术时间长于MED组(P<0.05)。两组患者JOA、NRS和ODI评分术前比较差异无统计学意义(P>0.05);术后3年JOA及NRS较术前显著改善(P<0.05)。术后VAS评分及ODI评分与手术前比较,两组间均有明显改善,PEID组术后24 h及术后1周VAS评分较MED组改善更为明显(P<0.05),末次随访在两组间差异无统计学意义(P>0.05);按照改良MacNab疗效评定标准评定PEID组优良率98%,MED组为90%,两组比较差异无统计学意义(P>0.05);两组患者复发率比较,差异无统计学意义(P>0.05);PEID组的并发症发生率小显著低于MED组(P<0.05)。两组术后3年随访结果均发现手术节段不同程度的椎间隙高度丢失及腰椎失稳,PEID组相比于MED组更轻微(P<0.05)。结论相比于MED技术,PEID治疗老年腰椎间盘突出症具有创伤小、恢复快、临床疗效好、患者接受程度更高等优势。 展开更多
关键词 腰椎间盘突出症 老年 后路椎间盘镜 椎间孔镜 椎板间入路
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经皮内镜下椎板间入路椎间盘切除术对腰椎间盘突出症患者疼痛和腰椎功能的影响
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作者 曹立颖 姜明静 +5 位作者 林斌珍 尹小锋 钟南 陈春香 吴清华 陈开明 《中国内镜杂志》 2025年第3期46-52,共7页
目的探讨经皮内镜下椎板间入路椎间盘切除术(PEID)对腰椎间盘突出症(LDH)患者疼痛程度和腰椎功能的影响。方法选取2022年1月-2023年8月该院收治的L4/5节段LDH患者84例,根据治疗方法不同,将患者分为试验组(42例)和传统组(42例)。传统组... 目的探讨经皮内镜下椎板间入路椎间盘切除术(PEID)对腰椎间盘突出症(LDH)患者疼痛程度和腰椎功能的影响。方法选取2022年1月-2023年8月该院收治的L4/5节段LDH患者84例,根据治疗方法不同,将患者分为试验组(42例)和传统组(42例)。传统组行传统开放入路治疗,试验组采用PEID治疗。比较两组患者手术指标(住院时间、手术时间、卧床时间和术中透视次数)、白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)水平;采用视觉模拟评分法(VAS)评分和Oswestry功能障碍指数(ODI),评估患者腰部和下肢的疼痛程度和腰椎功能;比较两组患者临床满意度的优良率和并发症发生率。结果试验组住院时间和卧床时间明显短于传统组,透视次数明显多于传统组,手术时间明显长于传统组,差异均有统计学意义(P<0.05);治疗后,两组患者腰部和下肢疼痛VAS评分、ODI、IL-6和TNF-α明显低于治疗前,且试验组明显低于传统组,差异均有统计学意义(P<0.05);试验组和传统组优良率分别为88.10%和83.33%,差异无统计学意义(P>0.05);两组患者并发症总发生率比较,差异无统计学意义(P>0.05)。结论采用PEID治疗LDH,能有效地缓解神经压迫,减轻患者腰部和下肢的疼痛,促进腰椎功能恢复,利于患者术后康复。 展开更多
关键词 腰椎间盘突出症(LDH) 经皮内镜下椎板间入路椎间盘切除(PEID) 疼痛程度 腰椎功能
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PEID与PETD治疗L5-S1椎间盘突出症的近远期疗效探究
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作者 林斌珍 曹立颖 +6 位作者 尹小锋 陈开明 钟南 官奕云 吴清华 曾辉 李栋荣 《中外医学研究》 2025年第21期39-42,共4页
目的:探究经椎间孔入路脊柱内镜下髓核摘除术(PETD)与椎板间入路脊柱内镜下髓核摘除术(PEID)对L5-S1椎间盘突出症的近远期疗效。方法:回顾性分析2021年6月—2023年12月在龙岩市第二医院行手术治疗的80例椎间盘突出患者作为研究对象,按... 目的:探究经椎间孔入路脊柱内镜下髓核摘除术(PETD)与椎板间入路脊柱内镜下髓核摘除术(PEID)对L5-S1椎间盘突出症的近远期疗效。方法:回顾性分析2021年6月—2023年12月在龙岩市第二医院行手术治疗的80例椎间盘突出患者作为研究对象,按手术方法分为PEID组和PETD组,每组各40例。比较两组临床指标、术后1个月的近期疗效[疼痛数字评分量表(NRS)评分、腰椎功能障碍指数问卷(ODI)评分]、术后1年的远期疗效(改良MacNab优良率),统计两组并发症发生情况。结果:PEID组手术时间、出血量、透视次数均低于PETD组,差异有统计学意义(P<0.05);两组下床时间和术后住院时间比较,差异无统计学意义(P>0.05)。术前,两组NRS和ODI评分比较,差异无统计学意义(P>0.05);术后1个月,两组NRS较治疗前下降,ODI评分较治疗前上升,差异有统计学意义(P<0.05);两组NRS和ODI评分比较,差异无统计学意义(P>0.05)。术后1年,两组MacNab优良率比较,差异无统计学意义(P>0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:PEID与PETD治疗L5-S1椎间盘突出症近远期疗效相当,并发症发生情况相当,但PEID的手术时间更短、出血量更低以及透视次数更少。 展开更多
关键词 椎间盘突出症 经椎间孔入路脊柱内镜下髓核摘除术 椎板间入路脊柱内镜下髓核摘除术 远近期疗效
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含孔层合板非协调广义混合元模型的层间应力分析
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作者 卿光辉 王永钢 王燮 《机械强度》 北大核心 2025年第7期124-134,共11页
为了研究含孔复合材料层合板的孔边应力集中现象,分析孔边区域层间应力的分布特点。以广义混合变分原理为基础,建立不同铺层方式的含孔层合板广义混合有限元模型。将应力场变量分为层间应力和平面内应力,引入应力边界条件,保证层间应力... 为了研究含孔复合材料层合板的孔边应力集中现象,分析孔边区域层间应力的分布特点。以广义混合变分原理为基础,建立不同铺层方式的含孔层合板广义混合有限元模型。将应力场变量分为层间应力和平面内应力,引入应力边界条件,保证层间应力在层间连续、平面内应力在层间不连续的物理事实,分别从厚度方向和环向对层合板孔边的层间应力进行分析。数值表明,与有限元软件Abaqus的8节点三维实体非协调位移元结果做对照发现,利用非协调广义混合元得到的应力奇异性结果更加准确,层合板上、下表面的应力始终与实际情况保持一致。研究认为,相较于位移元,非协调广义混合元可以更有效地捕捉层间应力在层合板孔边的高应力梯度特性,为层合板的优化设计提供新思路。 展开更多
关键词 复合材料层合板 层间应力 非协调广义混合元 应力边界条件 应力奇异性
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经皮脊柱内镜经椎间孔入路与椎板间入路治疗腰椎间盘突出症的疗效及安全性分析
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作者 涂来勇 赵疆 +3 位作者 田峰 张恩丰 任周梁 王振斌 《中外医学研究》 2025年第28期80-83,共4页
目的:探讨经皮脊柱内镜经椎间孔入路与椎板间入路治疗腰椎间盘突出症(LDH)的疗效及安全性分析。方法:回顾性分析2019年1月—2021年12月新疆医科大学第四附属医院收治的583例经皮内窥镜下椎间盘切除术的LDH患者的临床资料,根据手术入路... 目的:探讨经皮脊柱内镜经椎间孔入路与椎板间入路治疗腰椎间盘突出症(LDH)的疗效及安全性分析。方法:回顾性分析2019年1月—2021年12月新疆医科大学第四附属医院收治的583例经皮内窥镜下椎间盘切除术的LDH患者的临床资料,根据手术入路不同将纳入患者分为PETD组和PEID组,其中PETD组(n=305)采用经皮椎间孔入路内窥镜下椎间盘切除术(PETD)治疗,PEID组(n=278)采用经皮椎板间入路内窥镜下椎间盘切除术(PEID)。比较两组手术相关指标,手术前、后视觉模拟评分(VAS)、改良Oswestry功能障碍指数问卷表(ODI)评分,并发症发生率以及治疗疗效。结果:PEID组手术时间短于PETD组,X线透视次数少于PETD组,差异有统计学意义(P<0.05);两组术后卧床时间、住院时间比较,差异无统计学意义(P>0.05);术后7 d、3个月、6个月,两组VAS评分、ODI评分均呈下降趋势,差异有统计学意义(P<0.05);两组并发症发生率、治疗优良率比较,差异无统计学意义(P>0.05)。结论:PETD和PEID术治疗LDH均能取得满意的疗效,能有效改善患者腰痛症状,促进腰椎功能恢复,且无严重并发症发生;但与PETD术比较,PEID术在缩短手术时间,减少X线透视方面更具优势;而PETD术可在局麻下实施,能避免全麻所致的麻醉风险;故应根据患者具体情况选择合理术式。 展开更多
关键词 腰椎间盘突出症 经皮内窥镜下椎间盘切除术 椎间孔入路 椎板间入路 疗效 安全性
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