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Key-Hole技术治疗无明显影像学压迫的颈神经根性疼痛15例
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作者 刘国萍 曾范晓 +1 位作者 姜强 曹奇 《中南医学科学杂志》 2026年第1期75-78,共4页
目的观察经皮颈后路脊柱内镜下Key-Hole开窗探查减压术,治疗15例无明显影像学压迫的顽固性颈神经根性疼痛的疗效。方法回顾性分析经皮颈后路脊柱内镜下Key-Hole开窗探查减压术治疗无明显影像学压迫的顽固性颈神经根性疼痛患者15例临床... 目的观察经皮颈后路脊柱内镜下Key-Hole开窗探查减压术,治疗15例无明显影像学压迫的顽固性颈神经根性疼痛的疗效。方法回顾性分析经皮颈后路脊柱内镜下Key-Hole开窗探查减压术治疗无明显影像学压迫的顽固性颈神经根性疼痛患者15例临床资料。观察患者手术时间、住院时间和术中出血量;采用视觉模拟评分法(VAS)、日本骨科协会(JOA)评分、颈椎关节活动度(ROM)和椎间隙高度评估手术效果。按照改良MacNab标准评定术后疗效优良率。结果15例患者手术时间(77.47±7.88)min,住院时间(7.73±1.94)天,术中出血量(22.67±4.78)mL。术后不同时间点VAS评分较术前均明显降低,而JOA评分明显升高(P<0.05);术后末次随访与术前的椎间隙高度、ROM差异均无显著性(P>0.05)。术后疗效优良率为86.7%。结论经皮颈后路脊柱内镜下Key-Hole技术具有手术时间短、创伤小、疗效显著等优点,可作为无明显影像学压迫的顽固性颈神经根性疼痛的一种微创的治疗手段。 展开更多
关键词 内窥镜 key-hole技术 颈椎 颈神经根性疼痛
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远外侧Key-hole技术治疗中央型颈椎间盘突出症的疗效
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作者 孟震宇 薛静波 +4 位作者 李学林 徐准 谭菁华 谢勇 晏怡果 《中南大学学报(医学版)》 北大核心 2025年第8期1408-1417,共10页
目的:中央型颈椎间盘突出初期患者临床表现较轻,但当脊髓因髓核组织的压迫进一步发生水肿变性时,临床表现则更为严重,常出现四肢肌力减退,甚至出现大小便功能障碍、双下肢痉挛性瘫痪、呼吸困难等神经损伤症状。脊柱内镜Key-hole技术目... 目的:中央型颈椎间盘突出初期患者临床表现较轻,但当脊髓因髓核组织的压迫进一步发生水肿变性时,临床表现则更为严重,常出现四肢肌力减退,甚至出现大小便功能障碍、双下肢痉挛性瘫痪、呼吸困难等神经损伤症状。脊柱内镜Key-hole技术目前常应用于治疗神经根型颈椎病,且疗效尚佳。本研究旨在对远外侧Key-hole技术治疗中央型颈椎间盘突出症患者的技术要点和疗效进行分析与总结,为临床治疗中央型颈椎间盘突出症提供借鉴。方法:采用远外侧Key-hole技术治疗的中央型颈椎间盘突出症8例患者为实验组,同时期行颈前路椎间盘切除内固定术(anterior cervical diskectomy and fusion,ACDF)的单节段颈椎间盘突出症的8例患者为对照组。收集2组患者的性别、年龄、术中出血量、切口长度、住院时间等资料,采用疼痛视觉模拟量表(Visual Analogue Scale,VAS)和日本骨科学会(Japanese Orthopaedic Association,JOA)评分评估颈椎疼痛程度,颈椎功能障碍指数(neck disability index,NDI)评估颈椎功能障碍程度。采用影像学资料中的椎间隙高度指数(disc height index,DHI)、颈椎Cobb角、手术节段Cobb角评估颈椎的生理曲度和稳定性。结果:与对照组比较,实验组术中出血量较小、手术切口长度和住院时间均较短(均P<0.05);2组手术时长的差异无统计学意义(P>0.05)。2组术后VAS评分和NDI均显著低于术前,JOA评分均显著高于术前(均P<0.05);术前2组间VAS、JOA评分及NDI的差异均无统计学意义(均P>0.05);术后实验组的VAS评分和NDI均显著低于对照组,JOA评分显著高于对照组(均P<0.05)。实验组手术前后DHI的差异无统计学意义(P>0.05),对照组的术后DHI显著高于术前(P<0.05);术前2组间DHI的差异无统计学意义(P>0.05),术后实验组DHI显著低于对照组(P<0.05)。2组内和组间颈椎Cobb角的差异均无统计学意义(均P>0.05);对照组术后手术节段Cobb角显著大于术前(P<0.05),其余的手术节段Cobb角差异均无统计学意义(均P>0.05)。结论:远外侧Key-hole技术在治疗中央型颈椎间盘突出症中具有减少术中出血量、缩短切口长度和住院时间、减轻术后疼痛的优点,且短期内不会影响颈椎的生理曲度和稳定性,适合临床应用。 展开更多
关键词 远外侧key-hole技术 中央型 颈椎间盘突出症 脊柱内镜 颈前路椎间盘切除内固定术
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Physician Attitudes About Ultrasound-Guided Procedures 被引量:1
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作者 Emma Barry Sanyukta Deshmukh +4 位作者 Vivian Zhang Antoan Koshar Haider Butt Kenneth Rowe Siamak Moayedi 《iRADIOLOGY》 2025年第1期72-78,共7页
Background:We aimed to study physician attitudes toward ultrasound-guided procedures and possible improvements.We hypothesized that the usage of ultrasound in procedures may be limited by a high barrier of entry and t... Background:We aimed to study physician attitudes toward ultrasound-guided procedures and possible improvements.We hypothesized that the usage of ultrasound in procedures may be limited by a high barrier of entry and that most physicians would choose to adopt software that provides real-time image guidance if accessible.Methods:A voluntary,cross-sectional survey of physicians at a single site was conducted using a five-point Likert scale.Data analysis included both descriptive and inferential statistical analyses and stratified by categorical descriptors,including variables of formal training,years of experience,and specialty of practice.Results:One hundred sixteen physicians responded to the survey.The majority disagreed that there was a steep learning curve(57.5%)and that they need more time to identify structures under ultrasound(85.0%).Overall attitudes were mixed about the use of additional software to improve ease of use,but most(55.4%)had positive opinions toward the addition of real-time 3D reconstruction.Respondents without formal training were significantly more likely to agree that additional software would improve ease of ultrasound-guided procedures(p=0.0389).Radiologists were significantly more likely to perceive a steeper learning curve and less likely to advocate for supplemental software compared to emergency medicine physicians,surgeons,or anesthesiologists.Conclusions:Surveyed physicians demonstrated comfort with ultrasound-guided procedures and a mixed stance toward the use of additional software to assist with procedures.Those without formal training had significantly more positive attitudes toward the use of additional technology to augment ultrasound-guided procedures,suggesting a knowledge gap that may benefit from such technology. 展开更多
关键词 ATTITUDE education PHYSICIANS TRAINING ULTRASONOGRAPHY ultrasound-guided procedures
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颈椎后路脊柱内镜下Key-Hole技术治疗神经根型颈椎病 被引量:1
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作者 陈太声 刘雄 《颈腰痛杂志》 2025年第2期280-285,共6页
目的探讨运用颈后入脊柱微创内镜下Key-Hole技术治疗神经根型颈椎病(CSR)的治疗疗效。方法随机选取81例诊断CSR且进行手术治疗的患者,其中行颈椎前路椎间盘切除减压植骨融合术(ACDF)患者45例,Key-Hole患者36例,两组患者在病程、性别、... 目的探讨运用颈后入脊柱微创内镜下Key-Hole技术治疗神经根型颈椎病(CSR)的治疗疗效。方法随机选取81例诊断CSR且进行手术治疗的患者,其中行颈椎前路椎间盘切除减压植骨融合术(ACDF)患者45例,Key-Hole患者36例,两组患者在病程、性别、年龄、损伤节段方面无差别,评估两组患者术前术后疼痛视觉模拟评分(VAS)、日本骨科协会(JOA)评分、颈椎功能障碍指数(NDI),统计两组患者手术时长、住院天数、住院费用。结果所有患者术程顺利,无脊髓损伤,术前两组患者的VAS评分、JOA评分、NDI功能指数无明显差异,随访1个月后Key-Hole组患者较ACDF组患者的VAS评分、JOA评分、NDI功能指数明显改善,随访1年后两组患者的VAS评分、JOA评分、NDI功能指数无明显差异;两组患者手术时长无明显差异,Key-Hole组患者首次下床时间较ACDF组患者明显提前,Key-Hole组患者的住院天数及住院费用较ACDF组患者明显下降。结论Key-hole较ACDF可明显改善CSR患者的VAS评分、JOA评分、NDI功能指数,且长期效果无明显差异,且Key-Hole组患者较ACDF组患者住院费用明显降低,住院时间明显减少。 展开更多
关键词 神经根型颈椎病 脊柱内镜key-hole ACDF 脊柱微创 治疗疗效 治疗费用
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Correction:Efficacy of Intravenous Treprostinil in High-Risk Single Ventricle Patients Undergoing Glenn Procedure
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作者 Xiaofeng Wang Xingwei Chen +4 位作者 Shilin Wang Xia Li Zhongyuan Lu Wenlong Wang Xu Wang 《Congenital Heart Disease》 2025年第3期401-402,共2页
In the article“Efficacy of Intravenous Treprostinil in High-Risk Single Ventricle Patients Undergoing Glenn Procedure”by Xiaofeng Wang,Xingwei Chen,Shilin Wang,Xia Li,Zhongyuan Lu,Wenlong Wang,Xu Wang(Congenital Hea... In the article“Efficacy of Intravenous Treprostinil in High-Risk Single Ventricle Patients Undergoing Glenn Procedure”by Xiaofeng Wang,Xingwei Chen,Shilin Wang,Xia Li,Zhongyuan Lu,Wenlong Wang,Xu Wang(Congenital Heart Disease,2024,vol.19,no.5,pp.489-498.DOI:10.32604/chd.2024.054441,URL:https://www.techscience.com/chd/v19n5/59166). 展开更多
关键词 intravenous treprostinil glenn procedure high risk single ventricle patients Glenn procedure
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Application of the modified Byars staged procedure for severe hypospadias repair
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作者 Qi-Gen Xie Ting-Ting Xue +4 位作者 Xu-Ren Chen Zhao-Ying Li Zhe Xu Zuo-Qing Li Peng Luo 《Asian Journal of Andrology》 2025年第1期65-71,共7页
This study aimed to introduce a modified Byars staged procedure and investigate its application value in patients with severe hypospadias.We retrospectively analyzed the clinical data of patients with severe hypospadi... This study aimed to introduce a modified Byars staged procedure and investigate its application value in patients with severe hypospadias.We retrospectively analyzed the clinical data of patients with severe hypospadias admitted to the First Affiliated Hospital of Sun Yat-sen University(Guangzhou,China)between October 2012 and October 2022.In total,31 patients underwent the conventional Byars procedure(conventional group),and 45 patients underwent the modified Byars staged procedure(modified group).Our modified strategy was built upon the standard Byars procedure by incorporating glansplasty during the first stage and employing a Y-shaped flap in conjunction with a glandular tunnel for urethroplasty during the second stage.Notably,there were no statistically significant differences in the preoperative baseline characteristics,duration of surgery,amount of blood loss,or occurrence of postoperative complications,including urethral fistula,stricture and diverticulum,or penile curvature,between the conventional and modified groups.However,there was a significantly lower incidence of coronal sulcus fistula(0 vs 16.1%,P=0.02)and glans dehiscence(0 vs 12.9%,P=0.02)in the surgical group than that in the conventional group.In addition,the modified group exhibited a notably greater rate of normotopic urethral opening(100.0%vs 83.9%,P=0.01)and a higher mean score on the Hypospadias Objective Penile Evaluation(HOPE;mean±standard error of mean:8.6±0.2 vs 7.9±0.3,P=0.02)than did the conventional group.In conclusion,the modified Byars staged procedure significantly reduced the risks of glans dehiscence and coronal sulcus fistula.Consequently,it offers a promising approach for achieving favorable penile esthetics,thereby providing a reliable therapeutic option for severe hypospadias. 展开更多
关键词 byars glans dehiscence severe hypospadias staged procedure TUNNEL URETHROPLASTY
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Epidemiology and risk of pulmonary complications following hepatobiliary surgical procedures:A retrospective study
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作者 Hui-Jie Meng Zhong-Hao Chen +4 位作者 Guang-Meng Nie Zhao-Shuai Ji Yu-Jie Wang Yong-Fang Hu Jing Tang 《World Journal of Gastrointestinal Surgery》 2025年第9期251-261,共11页
BACKGROUND Postoperative pulmonary complications(PPCs)are the most common complications following major upper abdominal surgeries,particularly hepatobiliary procedures,and significantly compromise surgical outcomes an... BACKGROUND Postoperative pulmonary complications(PPCs)are the most common complications following major upper abdominal surgeries,particularly hepatobiliary procedures,and significantly compromise surgical outcomes and patients’quality of life.Although the adoption of laparoscopy has lowered their incidence,PPCs remain a frequent and serious concern after hepatobiliary surgery.Existing research on risk factors specific to hepatobiliary surgeries is limited,particularly regarding the epidemiology and risk factors of PPCs in liver and gallbladder surgeries in China.Therefore,this study aimed to investigate the risk factors for PPCs in a large hepatobiliary center.AIM To identify the incidence and risk factors for PPCs following hepatobiliary surgery based on perioperative variables.METHODS Retrospective data were collected from patients who underwent liver,gallbladder,or pancreatic surgery at a hepatobiliary center in China between May 2023 and December 2023.We retrospectively reviewed comprehensive medical records to extract demographic and hospital admission information for determining PPC incidence.Statistically significant variables were initially screened through univariate analysis,followed by binary logistic regression modeling to identify independent predictors of PPCs.Hospitalization expenditures and duration of stay were further contrasted across the study cohorts.RESULTS This study included 1941 patients who underwent liver,gallbladder,or pancreatic surgery,of whom 78 developed PPCs,resulting in an incidence rate of 4.02%.Logistic regression analysis revealed two independent predictors of PPCs in hepatobiliary surgery patients:Age≥75 year(odds ratio=8.350,95%CI:3.521-19.798,P<0.001)and prolonged anesthesia(odds ratio=1.052,95%CI:1.015-1.091,P=0.006).Patients with PPCs had significantly elevated healthcare resource utilization,including higher total hospitalization costs,increased medication expenses,longer hospital stays,and extended postoperative admissions(all P<0.001).CONCLUSION Age≥75 years and prolonged anesthesia emerged as independent predictors of PPCs following hepatobiliary surgery.These complications were correlated with protracted hospitalization and increased healthcare costs. 展开更多
关键词 Postoperative pulmonary complications Hepatobiliary surgical procedures Risk factors Retrospective study EPIDEMIOLOGY
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Optimizing circumferential prolapsed hemorrhoid surgery:Transverse incision with longitudinal ligation procedure delivers superior radicality compared to Milligan-Morgan technique
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作者 Xin-Bo Song Yan-Zhi Wang +7 位作者 Yan-Mei Wang Hong Sun Jia-Nan Li Huang-Fu Ma Xin Li Ting-Ting Sui Rui-Han Liu Li-Xia Lai 《World Journal of Gastroenterology》 2025年第39期153-160,共8页
BACKGROUND Circumferential prolapsed hemorrhoids(CPHs)necessitate surgical intervention.While Milligan-Morgan hemorrhoidectomy(MMH)remains widely used,it compromises functional preservation and associates with signifi... BACKGROUND Circumferential prolapsed hemorrhoids(CPHs)necessitate surgical intervention.While Milligan-Morgan hemorrhoidectomy(MMH)remains widely used,it compromises functional preservation and associates with significant post-operative pain,edema,and delayed healing in severe CPH cases.To address these limitations,our research team innovatively proposed the transverse incision with longitudinal ligation procedure(TILL).This novel technique utilizes targeted transverse incisions and longitudinal pedicle ligation to optimize complete resection while preserving anal anatomy and function.METHODS A total of 180 patients were retrospectively reviewed in China.The patients were divided into two groups of 90 based on the surgical methods.The treatment group underwent the TILL procedure,while the control group underwent MMH.The main observation index was the evaluation of clinical efficacy after wound healing.Secondary outcomes included the recurrence rate and wound healing time.Safety measurements were also evaluated.RESULTS The TILL group showed a significant difference compared to the MMH group(P=0.022),indicating better overall treatment effects.The time for wound healing in the TILL group was shorter than that in the MMH group(P=0.001).Compared to those who underwent MMH,those who underwent TILL experienced significantly reduced postoperative pain,with lower average scores for anal edema and anal stenosis(both P<0.05).CONCLUSION TILL demonstrates superior efficacy to MMH for advanced CPH,reducing recovery times and postoperative pain,edema,and stenosis while preserving anal function. 展开更多
关键词 Circumferential prolapsed hemorrhoid Milligan-Morgan hemorrhoidectomy Transverse incision with longitudinal ligation procedure Efficacy Anal function
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Refractory ventricular fibrillation caused by coronary insufficiency after Bentall procedure: A case report
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作者 Min Zhu Miao-Miao Tang Rong-Hua Zhou 《World Journal of Clinical Cases》 2025年第23期112-118,共7页
BACKGROUND In open heart surgery requiring cardiopulmonary bypass(CPB),ventricular fibrillation(VF)is common,but refractory recurrent VF is uncommon but perilous.CASE SUMMARY This article reports a 58-year-old male pa... BACKGROUND In open heart surgery requiring cardiopulmonary bypass(CPB),ventricular fibrillation(VF)is common,but refractory recurrent VF is uncommon but perilous.CASE SUMMARY This article reports a 58-year-old male patient with an ascending aortic aneurysm who presented for a Bentall procedure and subsequently experienced multiple occurrences of unexplained VF after weaning from CPB.The recurrent episodes of VF in this case were felt to be related to coronary insufficiency after reconstruction of the aortic root.Coronary artery bypass grafting(CABG)of the proximal right coronary artery and the left anterior descending artery successfully resolved VF.Finally,this patient was safely transferred to the postoperative intensive care unit,and was discharged successfully after subsequent supportive treatment.CONCLUSION In aortic root replacement,coronary insufficiency is a potential cause of VF episodes and should be considered in the differential diagnosis.CABG is the sole effective treatment for VF caused by coronary insufficiency. 展开更多
关键词 Refractory ventricular fibrillation Bentall procedure Coronary insufficiency Cardiopulmonary bypass Coronary artery bypass grafting Case report
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Transverse incision with longitudinal ligation procedure:Innovation,pitfalls,and clinical perspectives
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作者 Hong-Wei Hua Jiong Wu 《World Journal of Gastroenterology》 2025年第48期194-197,共4页
The transverse incision with longitudinal ligation(TILL)procedure is a new method for treating circumferential prolapsed hemorrhoids.A study by Song et al found TILL to be better than the traditional Milligan-Morgan h... The transverse incision with longitudinal ligation(TILL)procedure is a new method for treating circumferential prolapsed hemorrhoids.A study by Song et al found TILL to be better than the traditional Milligan-Morgan hemorrhoidectomy for short-term results,showing less pain,quicker healing,and lower risk of anal stenosis.TILL reduces tissue tension and controls blood supply,allowing effective removal of diseased tissue while maintaining anal function and structure.However,the study's limitations,including its retrospective,single-center design,small sample size,and short follow-up,restrict the findings'generalizability and ability to assess long-term outcomes like recurrence.Larger,multicenter trials are needed for a thorough evaluation and wider clinical adoption of TILL. 展开更多
关键词 Transverse incision with longitudinal ligation procedure Milligan-Morgan hemorrhoidectomy Circumferential prolapsed hemorrhoids Methodology Proctology Clinical perspectives
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Advances and challenges in peroral endoscopic myotomy:Safety,precision,and post-procedure management
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作者 Grigorios Christodoulidis Kyriaki Tsagkidou +1 位作者 Konstantinos Eleftherios Koumarelas Marina Nektaria Kouliou 《World Journal of Gastroenterology》 2025年第5期1-6,共6页
Peroral endoscopic myotomy(POEM)has revolutionized the treatment of upper gastrointestinal tract motility disorders,particularly achalasia.This editorial explores the efficacy,safety,and challenges of POEM,emphasizing... Peroral endoscopic myotomy(POEM)has revolutionized the treatment of upper gastrointestinal tract motility disorders,particularly achalasia.This editorial explores the efficacy,safety,and challenges of POEM,emphasizing its role as a primary treatment with excellent long-term outcomes and minimal adverse events.The evolution of POEM underscores the need for precision in myotomy techniques and the importance of interdisciplinary collaboration,especially regar-ding anesthetic considerations.Despite significant advances,challenges remain in standardizing safety protocols and managing complications.As POEM appli-cations expand,precision endoscopy continues to enhance therapeutic outcomes,promising a transformative impact on gastrointestinal motility disorder manage-ment. 展开更多
关键词 Peroral endoscopic myotomy Complications after peroral endoscopic myoto-my procedural safety Interdisciplinary collaboration Adverse events Therapeutic out-comes
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Research on the “Practical Jurisprudence” Teaching System in China’s Civil Procedure Law: With A Focus on the Cultivation of the Juris Master (for Non-Law Graduates)
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作者 Tang Dongchu Liu Yuhao 《Contemporary Social Sciences》 2025年第2期138-155,共18页
Practical jurisprudence is a completely new proposition in legal education and research.The introduction of the concept of“practical jurisprudence”in the teaching of the Civil Procedure Law of the People’s Republic... Practical jurisprudence is a completely new proposition in legal education and research.The introduction of the concept of“practical jurisprudence”in the teaching of the Civil Procedure Law of the People’s Republic of China(the“Civil Procedure Law”)is a major innovation in terms of values and methodology.Practical jurisprudence focuses more on practical issues,Chinese characteristics,and major needs,while strengthening the practical nature of the Civil Procedure Law.China’s traditional education system for juris masters(for non-law graduates)(“non-law JMs”)emphasizes the development of foundational legal theoretical knowledge.However,it has not fully achieved its goal of cultivating interdisciplinary and practical legal professionals.Therefore,the traditional education system for the Civil Procedure Law needs reconstruction and supplementation through the practical jurisprudence teaching system in the following areas:(a)System composition:The focus should be on the eight tertiary subsystems under the two secondary subsystems—“the knowledge teaching system and the practical teaching system”of practical jurisprudence in the Civil Procedure Law,as well as the management of their interrelationships.(b)Credit structure:The proportion of credits for“practical teaching and training”should be increased.(c)Practical ability requirements:Legal professionals should be cultivated according to the standards for juris masters(for law graduates)as stipulated by the Law of the People’s Republic of China on Academic Degrees.(d)Practice evaluation:“Formalization of the evaluations,”“homogeneity of the evaluators,”and“reliance on written formats”should be avoided. 展开更多
关键词 practical jurisprudence teaching system civil procedure law practical teaching system knowledge teaching system Juris Masters(for non-law graduates)
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Triple procedure for management of traumatic aphakia,glaucoma and mydriasis
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作者 Bin Chen Yan-Ting Li Yun-Feng Lu 《International Journal of Ophthalmology(English edition)》 2025年第8期1603-1605,共3页
Dear Editor,We report a relatively safe and effective triple procedure for traumatic aphakia,glaucoma,and mydriasis.Blunt eye trauma can lead to various anterior-and posterior-segment conditions[1],that often occur si... Dear Editor,We report a relatively safe and effective triple procedure for traumatic aphakia,glaucoma,and mydriasis.Blunt eye trauma can lead to various anterior-and posterior-segment conditions[1],that often occur simultaneously.Closed-globe injuries can damage one or more ocular structures. 展开更多
关键词 GLAUCOMA traumatic aphakia closed globe injuries MYDRIASIS triple procedure anterior segment conditions ocular structures posterior segment conditions
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Selective procedure for the instant identification of cellular apoptosis induced by natural products
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作者 Ying-Yu Cui 《World Journal of Methodology》 2025年第3期108-113,共6页
BACKGROUND Recently,the identification of cell apoptosis induced by natural products has become research hotspot and frontier in the biopharmaceutical and food industries under the umbrella of global green development... BACKGROUND Recently,the identification of cell apoptosis induced by natural products has become research hotspot and frontier in the biopharmaceutical and food industries under the umbrella of global green development worldwide.Traditionally,cell apoptosis is identified using morphological,biochemical,and cell cycle experiments,which is time consuming,and experimental materials are not from the same group,and it is very hard to ensure the identity and veracity of results of former and latter experiments.AIM To establish a selective,instant,and practical protocol to identify cell apoptosis induced by natural products.METHODS A one transient cell processing procedure(OTCPP)was used to detect human colorectal cancer LoVo cell apoptosis after treatment with Pinus massoniana bark extract(PMBE)at the morphological,biochemical,and cell cycle levels.The methods used included treatment with DNA gel electrophoresis,fluorescence microscopy,and flow cytometry.RESULTS In PMBE-treated LoVo cells,we observed a DNA ladder on gel electrophoresis and fluorescence microscopy revealed"nuclear shrinkage,chromatin condensation or fragmentation".In addition,flow cytometry showed an"obvious apoptosis curve".Thus OTCPP achieved synchronous detection of the morphology,biochemistry,cell cycle,and the DNA content of the cells.CONCLUSION OTCPP can quickly identify apoptosis and measure the apoptosis rate,thereby unifying qualitative and quantitative analysis. 展开更多
关键词 Apoptosis identification Fluorescence microscopy DNA gel electrophoresis Flow cytometry Pinus massoniana bark extract One transient cell processing procedure
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Search for Dispersed Repeats in Oryza sativa Genome Using Iterative Procedure Method
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作者 Valentina RUDENKO Eugene KOROTKOV 《Rice science》 2025年第4期472-474,共3页
In this study,we searched for dispersed repeats(DRs)in the rice(Oryza sativa)genome using the iterative procedure(IP)method.The results revealed that the O.sativa genome contained 79 DR families,comprising 992739 DNA ... In this study,we searched for dispersed repeats(DRs)in the rice(Oryza sativa)genome using the iterative procedure(IP)method.The results revealed that the O.sativa genome contained 79 DR families,comprising 992739 DNA repeats,of which 496762 and 495977 were identified on the forward and reverse DNA strands,respectively.The detected DRs were,on average,374 bp in length and occupied 66.4%of the O.sativa genome.Totally 61%of DRs,identified by the IP method,overlapped with previously annotated dispersed repeats(ADRs)detected using the Extensive De Novo TE Annotator(EDTA)pipeline. 展开更多
关键词 Oryza sativa genome dna repeatsof iterative procedure annotated dispersed repeats dispersed repeats drs de novo TE annotator dispersed repeats
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Standard Operating Procedure of Houttuynia cordata Thunb.Plastic Greenhouse Cultivation 被引量:1
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作者 钟军 戴林建 《Agricultural Science & Technology》 CAS 2016年第7期1571-1576,共6页
This standard operating procedure stipulated the natural condition of pro- ducing area, cultivation technique, disease and pest control, harvest, quality stan- dard, packaging, transportation and storage of H. cordata... This standard operating procedure stipulated the natural condition of pro- ducing area, cultivation technique, disease and pest control, harvest, quality stan- dard, packaging, transportation and storage of H. cordata, in order to provide a ba- sis for the standard cultivation of H. cordata. 展开更多
关键词 Houttuynia cordata l'hunb Plastic Greenhouse Standardization produc- tion Standard Operating procedure
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微创Key-Hole手术与开放ACDF手术治疗神经根型颈椎病的疗效对比 被引量:2
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作者 陶志强 周龙殿 +2 位作者 吴康盛 吴庭胜 范少勇 《基层医学论坛》 2021年第25期3600-3602,共3页
目的对比微创脊柱内镜下颈椎后路开窗减压髓核摘除术(Key-Hole)与开放颈椎前路椎间盘切除减压术(ACDF)治疗神经根型颈椎病(CSR)的疗效。方法选择2019年1—12月我院治疗的60例CSR患者,按随机数字表法将其分为2组各30例。对照组采用开放A... 目的对比微创脊柱内镜下颈椎后路开窗减压髓核摘除术(Key-Hole)与开放颈椎前路椎间盘切除减压术(ACDF)治疗神经根型颈椎病(CSR)的疗效。方法选择2019年1—12月我院治疗的60例CSR患者,按随机数字表法将其分为2组各30例。对照组采用开放ACDF手术治疗,观察组采用微创Key-hole手术治疗,比较2组临床指标、疼痛程度及邻近节段活动度。结果观察组卧床及住院时间短于对照组,术中出血量少于对照组,术后视觉模拟评分法(VAS)评分及邻近上位、下位节段活动度低于对照组,日本骨科协会评估(JOA)评分高于对照组,均有统计学差异(P<0.05)。结论CSR患者采用微创Key-hole手术治疗是安全可行的,损伤小、疼痛轻,可满足患者早日下床活动,减少邻近关节退变,保护颈椎结构功能。 展开更多
关键词 神经根型颈椎病 微创key-hole手术 开放ACDF手术 疗效对比
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颈椎Key-hole技术与颈前路Zero-P系统治疗神经根型颈椎病的病例对照研究 被引量:12
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作者 王放 李杰 +4 位作者 刁攀 李锋涛 王栋 李浩鹏 贺西京 《中国骨伤》 CAS CSCD 2021年第1期33-39,共7页
目的:探讨脊柱内镜下颈后路开窗减压髓核摘除术(Key-hole)和颈前路零切迹椎间植骨融合内固定系统(zero profile intervertebral fusion system,Zero-P)治疗单节段神经根型颈椎病(cervical spondylotic radiculopathy,CSR)的短期临床疗... 目的:探讨脊柱内镜下颈后路开窗减压髓核摘除术(Key-hole)和颈前路零切迹椎间植骨融合内固定系统(zero profile intervertebral fusion system,Zero-P)治疗单节段神经根型颈椎病(cervical spondylotic radiculopathy,CSR)的短期临床疗效。方法:回顾性分析2017年1月至2020年1月因神经根型颈椎病行手术治疗的45例患者,根据不同的手术方式分为Key-hole组和Zero-P组,其中Key-hole组21例(男12例,女9例),随访时间10~22(13.2±2.3)个月;Zero-P组24例(男14例,女10例),随访时间10~23(12.7±1.9)个月。比较两组手术的围手术期情况(手术切口长度、术中出血量、手术时间、住院时间、并发症情况等),分别于术前和术后即刻及末次随访时拍摄颈椎正侧位X线片评价颈椎曲度,并根据手术前后疼痛视觉模拟评分(visual analogue scale,VAS),Oswestry功能障碍指数(Oswestry Disability Index,ODI)以及颈椎日本骨科协会(Japanese Orthopaedic Association,JOA)评分来评价临床疗效。结果:Key-hole组与Zero-P组手术切口长度、术中出血量、手术时间、末次随访Cobb角度及术后即刻VAS评分分别为(1.2±0.2)cm,(5.3±0.3)cm;(35.3±9.7)ml,(120.2±13.5)ml;(56.4±11.3)min,(90.6±12.6)min;(3.2±3.9)°,(7.3±3.8)°;(2.8±1.2)分,(3.8±1.1)分;Zero-P组均大于Key-hole组(P<0.05)。两组患者住院时间、ODI及JOA评分组间比较差异无统计学意义(P>0.05)。术后随访Key-hole组出现1例神经刺激症状经保守治疗缓解,2例因颈椎间盘突出复发再次手术治疗后好转;Zero-P组出现2例神经刺激症状,2例咽部不适,1例硬脊膜撕裂,均经保守治疗缓解。结论:颈椎Key-hole技术与颈前路Zero-P系统治疗神经根型颈椎病疗效相近,Key-hole技术在切口长度、术中出血、手术时间上有一定优势,是一种安全、有效、可以深度推广和运用的颈椎手术方式。 展开更多
关键词 颈椎病 外科手术 内窥镜 脊柱融合术 减压术 外科
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O型臂导航辅助经皮内镜下Key-hole术式治疗神经根型颈椎病的临床疗效 被引量:8
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作者 潘才成 覃梁圣 +3 位作者 黄珩 贺庆 肖侃侃 卓祥龙 《中国脊柱脊髓杂志》 CAS CSCD 北大核心 2023年第6期523-529,共7页
目的:评价O型臂导航辅助经皮内镜下Key-hole术式治疗单节段神经根型颈椎病(cervical spondylotic radiculopathy,CSR)的临床疗效。方法:回顾性分析2018年9月~2020年6月在我院接受O型臂导航辅助经皮内镜下Key-hole术式治疗的单节段CSR患... 目的:评价O型臂导航辅助经皮内镜下Key-hole术式治疗单节段神经根型颈椎病(cervical spondylotic radiculopathy,CSR)的临床疗效。方法:回顾性分析2018年9月~2020年6月在我院接受O型臂导航辅助经皮内镜下Key-hole术式治疗的单节段CSR患者22例,其中男14例,女8例,年龄54.05±10.67岁(32~71岁);C5/6节段8例,C6/7节段13例,C7/T1节段1例。记录手术时间、术中出血量、术后住院时间及并发症情况;术前、术后3d及末次随访时采用视觉模拟评分量表(visual analogue scale,VAS)、颈部功能障碍指数(neck disability index,NDI)进行疼痛和功能评定,末次随访时根据改良Macnab标准评定疗效;术前、术后3d及末次随访时进行X线片、CT及MRI检查,测量手术节段椎间隙高度(disc height,DH)、下颈椎曲度(cervical spinal angle,CSA)及侧块关节平面切除率(facet resection rate,FRR)。结果:所有患者手术均顺利完成,随访时间36.85±5.83个月(25~44个月)。手术时间为120.32±33.92mins(76~209mins),术中出血量为14.86±12.67ml(2~50ml),术后住院时间为4.05±1.70d(2~9d)。手术并发症3例,其中1例术中C7神经根损伤致右肱三头肌肌力明显下降至2级,末次随访时肌力恢复至5级;1例术中发生椎动脉钳夹损伤出血,即刻使用凝胶海绵填塞止血,术后影像学显示无血肿形成,未诉特殊不适;1例术后出现轻度神经放射痛,经药物治疗后改善。与术前相比,术后3d、末次随访时颈痛VAS评分及NDI均得到显著改善(P<0.05);末次随访时改良MacNab标准评分优17例、良4例、可1例,优良率为95.5%。术前、术后3d及末次随访时DH分别为4.40±0.97mm、4.31±0.92mm及4.26±1.01mm,CSA分别为5.70°±16.94°、8.43°±15.59°及11.44°±13.80°,术前、术后3d及末次随访时DH及CSA相比较,差异均无统计学意义(P>0.05)。FRR为(27.12±16.62)%。结论:O型臂导航辅助经皮内镜下Key-hole术式治疗CSR安全有效,具有工作套管精准置入,降低手术损伤的优点。 展开更多
关键词 神经根型颈椎病 O型臂导航 脊柱内镜 key-hole术式
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应用key-hole技术治疗神经根型颈椎病的效果分析
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作者 邱军 杨洋 汤愈 《交通医学》 2024年第6期609-611,614,共4页
目的:分析key-hole技术在治疗神经根型颈椎病中的效果。方法:神经根型颈椎病患者68例,随机分为对照组和观察组各34例。对照组实施颈椎前路减压融合术,观察组采用key-hole技术在经皮椎间孔镜下实施颈椎后路减压手术。比较两组手术相关指... 目的:分析key-hole技术在治疗神经根型颈椎病中的效果。方法:神经根型颈椎病患者68例,随机分为对照组和观察组各34例。对照组实施颈椎前路减压融合术,观察组采用key-hole技术在经皮椎间孔镜下实施颈椎后路减压手术。比较两组手术相关指标、术后恢复时间、手术并发症、手术节段Cobb角和椎体高度、颈椎疼痛程度、颈椎功能及颈椎功能障碍。结果:观察组手术时间、术中出血量及切口长度分别为(133.65±7.21)min、(38.76±9.64)mL和(0.78±0.23)cm,小于对照组的(147.23±9.84)min、(128.52±21.39)mL和(5.49±1.46)cm(均P<0.001)。观察组术后引流时间、卧床时间、住院时间分别为(2.04±0.53)d、(4.21±0.79)d和(10.30±1.58)天,短于对照组的(2.89±0.66)d、(5.30±0.84)d和(12.59±1.92)d(均P<0.001)。观察组手术并发症总发生率0%,低于对照组的11.76%(P<0.05)。治疗后观察组手术节段的Cobb角、椎体高度分别为(22.08±1.84)°、(145.38±4.30)mm,低于对照组的(24.21±1.97)°和(150.46±5.42)mm(均P<0.001)。观察组颈椎疼痛评分、颈椎功能障碍指数分别为(2.49±0.70)分、(23.14±3.79)%,低于对照组的(3.32±0.84)分和(28.95±4.20)%,颈椎功能评分(14.18±1.29)分高于对照组的(12.26±1.43)分(均P<0.001)。结论:在神经根型颈椎病手术中应用key-hole技术实施经皮椎间孔镜下颈椎后路减压术,不仅能缩短手术用时,减轻手术创伤,加快术后康复,还能有效恢复颈椎生理曲度和高度,更好改善颈椎功能,解除颈椎疼痛和功能障碍。 展开更多
关键词 神经根型颈椎病 颈椎前路减压术 key-hole技术 椎间孔镜
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