目的:探讨在(疾病)诊断相关分类(diagnosis related groups,DRGs)形势下,腹腔镜结直肠癌经自然腔道取标本(NOSES)手术方式改进及其可行性。方法:回顾性分析安阳市肿瘤医院2019年2月至2021年2月实施DRGs的42例改进后的腹腔镜结直肠癌NOSE...目的:探讨在(疾病)诊断相关分类(diagnosis related groups,DRGs)形势下,腹腔镜结直肠癌经自然腔道取标本(NOSES)手术方式改进及其可行性。方法:回顾性分析安阳市肿瘤医院2019年2月至2021年2月实施DRGs的42例改进后的腹腔镜结直肠癌NOSES术,并与同期进行常规腹腔镜结直肠癌手术的238例患者在费用、治疗结果、并发症等方面相比较。结果:NOSES改进组42例患者DRGs控费成功率为95.2%(40/42),与常规腹腔镜组在DRGs费用及近期并发症发生率方面无显著性差异(P>0.05)。结论:腹腔镜结直肠癌NOSES改进手术可以达到DRGs费用标准,手术安全可靠,应用双7号丝线代替部分直线切割闭合器是可行的。展开更多
In this paper,a hybrid electronic noses’system(HENS)based on MOS-SAW detection units intended for lung cancer diagnosis is proposed.The MOS gas sensors are used to detect the VOC molecules with low molecular weight(L...In this paper,a hybrid electronic noses’system(HENS)based on MOS-SAW detection units intended for lung cancer diagnosis is proposed.The MOS gas sensors are used to detect the VOC molecules with low molecular weight(LMW),and the SAW sensors are adopted for the detection of VOC with high molecular weight(HMW).Thus,the novel combination of these two kinds of gas sensors provides higher sensitivities to more of VOC species in breath than that of using only a single kind of sensor.The signals from MOS-SAW detection units are then recognized by a multi-model diagnosis method.Applying four algorithms,six models were established for diagnosis and tested by leave-one-out cross-validation method.The model by artificial neural network(ANN)was selected as the best model to analyze breath samples.89 clinical samples were tested with MOS-SAW ANN diagnostic model,which takes the features derived from both the MOS and SAW sensors.It shows the highest sensitivity of 93.62%,and the highest selectivity of 83.37%.The study shows that,promisingly,our HENS is effective during screening of lung cancer patients,especially among the people of high risk.展开更多
Objective To summarize the experiences of treating secondary,cartilaginous oblique deviated noses and explore an effective technique to improve the clinical efficacy. Methods Through open approach,anterior and inferio...Objective To summarize the experiences of treating secondary,cartilaginous oblique deviated noses and explore an effective technique to improve the clinical efficacy. Methods Through open approach,anterior and inferior margin of quadrangular cartilage was展开更多
目的结直肠癌是全球常见的恶性肿瘤之一,经自然腔道取标本手术(NOSES)作为一种微创手术,近年来在结直肠癌的治疗中得到了广泛的应用.然而,对于NOSES手术的国际研究现状尚未有系统的文献计量学分析.方法本研究利用Web of Science Core Co...目的结直肠癌是全球常见的恶性肿瘤之一,经自然腔道取标本手术(NOSES)作为一种微创手术,近年来在结直肠癌的治疗中得到了广泛的应用.然而,对于NOSES手术的国际研究现状尚未有系统的文献计量学分析.方法本研究利用Web of Science Core Collection数据库,对2000年至2023年间发表的关于结直肠肿瘤NOSES手术的文章进行检索,使用Bibliometrix文献计量学方法,通过对国家、机构、期刊、作者和关键词进行分析.结果本研究共纳入了316篇文献,其中2022年的最高发文量达到了44篇.中国在该领域中扮演着主要的贡献者角色,尤其是中国医学科学院&北京协和医学院,其发表的文献数量高达50篇.此外,美国的期刊《Surgical Endoscopy and Other Interventional Techniques》刊文量最多.通过聚类分析,发现研究热点仍然是NOSES技术在结直肠癌手术的应用,而中国仍然是NOSES研究的主要中心.结论本研究系统总结了2000~2023年结直肠肿瘤NOSES手术的研究成果,对全球范围内的研究趋势进行了描述,中国在引领该领域研究的发展中发挥着重要的作用.NOSES手术的技术进步和临床应用将是未来研究的重点.展开更多
文摘目的:探讨在(疾病)诊断相关分类(diagnosis related groups,DRGs)形势下,腹腔镜结直肠癌经自然腔道取标本(NOSES)手术方式改进及其可行性。方法:回顾性分析安阳市肿瘤医院2019年2月至2021年2月实施DRGs的42例改进后的腹腔镜结直肠癌NOSES术,并与同期进行常规腹腔镜结直肠癌手术的238例患者在费用、治疗结果、并发症等方面相比较。结果:NOSES改进组42例患者DRGs控费成功率为95.2%(40/42),与常规腹腔镜组在DRGs费用及近期并发症发生率方面无显著性差异(P>0.05)。结论:腹腔镜结直肠癌NOSES改进手术可以达到DRGs费用标准,手术安全可靠,应用双7号丝线代替部分直线切割闭合器是可行的。
基金This work was supported by the National Natural Science Foundation of China(Grant No.81027003).
文摘In this paper,a hybrid electronic noses’system(HENS)based on MOS-SAW detection units intended for lung cancer diagnosis is proposed.The MOS gas sensors are used to detect the VOC molecules with low molecular weight(LMW),and the SAW sensors are adopted for the detection of VOC with high molecular weight(HMW).Thus,the novel combination of these two kinds of gas sensors provides higher sensitivities to more of VOC species in breath than that of using only a single kind of sensor.The signals from MOS-SAW detection units are then recognized by a multi-model diagnosis method.Applying four algorithms,six models were established for diagnosis and tested by leave-one-out cross-validation method.The model by artificial neural network(ANN)was selected as the best model to analyze breath samples.89 clinical samples were tested with MOS-SAW ANN diagnostic model,which takes the features derived from both the MOS and SAW sensors.It shows the highest sensitivity of 93.62%,and the highest selectivity of 83.37%.The study shows that,promisingly,our HENS is effective during screening of lung cancer patients,especially among the people of high risk.
文摘Objective To summarize the experiences of treating secondary,cartilaginous oblique deviated noses and explore an effective technique to improve the clinical efficacy. Methods Through open approach,anterior and inferior margin of quadrangular cartilage was
文摘目的结直肠癌是全球常见的恶性肿瘤之一,经自然腔道取标本手术(NOSES)作为一种微创手术,近年来在结直肠癌的治疗中得到了广泛的应用.然而,对于NOSES手术的国际研究现状尚未有系统的文献计量学分析.方法本研究利用Web of Science Core Collection数据库,对2000年至2023年间发表的关于结直肠肿瘤NOSES手术的文章进行检索,使用Bibliometrix文献计量学方法,通过对国家、机构、期刊、作者和关键词进行分析.结果本研究共纳入了316篇文献,其中2022年的最高发文量达到了44篇.中国在该领域中扮演着主要的贡献者角色,尤其是中国医学科学院&北京协和医学院,其发表的文献数量高达50篇.此外,美国的期刊《Surgical Endoscopy and Other Interventional Techniques》刊文量最多.通过聚类分析,发现研究热点仍然是NOSES技术在结直肠癌手术的应用,而中国仍然是NOSES研究的主要中心.结论本研究系统总结了2000~2023年结直肠肿瘤NOSES手术的研究成果,对全球范围内的研究趋势进行了描述,中国在引领该领域研究的发展中发挥着重要的作用.NOSES手术的技术进步和临床应用将是未来研究的重点.
