目的:比较Fuji IX GP玻璃离子水门汀、3M ESPE Filtek^(TM) Bulk Fill Flowable树脂、VOCO Polofil Supra树脂及Beautiful Flow Plus F03树脂修复根面龋的临床疗效。方法:选取后牙根面龋患者128例(422颗患牙),按照充填修复材料分为A组(F...目的:比较Fuji IX GP玻璃离子水门汀、3M ESPE Filtek^(TM) Bulk Fill Flowable树脂、VOCO Polofil Supra树脂及Beautiful Flow Plus F03树脂修复根面龋的临床疗效。方法:选取后牙根面龋患者128例(422颗患牙),按照充填修复材料分为A组(Fuji IX GP玻璃离子水门汀修复)34例、B组(3M ESPE Filtek^(TM) Bulk Fill Flowable树脂修复)29例、C组(VOCO Polofil Supra树脂修复)35例、D组(Beautiful Flow Plus F03树脂修复)30例。手术治疗后随访6个月,比较4组患者牙髓活力、材料密合性、充填物表面磨损及充填物完好性情况。结果:术后6个月,4组患者牙髓活力均正常。A组、B组、C组、D组材料密合性好的患牙占比分别为75.49%、90.74%、88.57%、97.20%,A组低于B组、C组、D组,差异均有统计学意义(P<0.05);B组与D组、C组与D组比较,差异均有统计学意义(P<0.05),B、C组之间差异无统计学意义(P>0.05)。A组、B组、C组、D组充填物表面无磨损的患牙占比分别为77.45%、95.37%、94.29%、99.07%,A组占比低于B组、C组及D组,差异均有统计学意义(P<0.05);B组与C组、B组与D组、C组与D组间比较,差异均无统计学意义(P>0.05)。A组、B组、C组、D组充填物完好的患牙占比分别为91.18%、97.22%、97.14%、99.07%,A组占比低于D组,差异有统计学意义(P<0.05)。其他组之间比较,差异均无统计学意义(P>0.05)。结论:4种材料对牙髓活力均无影响,树脂类材料在密合性、表面磨损情况以及完好性上均优于Fuji IX GP玻璃离子水门汀。三种树脂类材料中Beautiful Flow Plus F03在密闭性方面优于其他两种树脂。展开更多
Objective To investigate the correlation between the hemodynamic pattern of non-culprit vessel stenosis and long-term vessel-oriented composite outcome(VOcO)in patients with acute ST-segment elevation myocardial infar...Objective To investigate the correlation between the hemodynamic pattern of non-culprit vessel stenosis and long-term vessel-oriented composite outcome(VOcO)in patients with acute ST-segment elevation myocardial infarction(STEMI).Methods From January 2019 to December 2021,233 consecutive patients with STEMI and non-culprit vessel stenosis were prospectively enrolled at Shanghai East Hospital.The median followup duration was 3.9 years.The 367 non-culprit vessels of the 233 patients were divided into the VOCO group(33 vessels,9.0%)and the non-VOCO group(334 vessels,91.0%).Parameters pertaining to the hemodynamic pattern of non-culprit vessel stenosis between the two groups were compared.Receiver operating characteristic(ROC)curvesswereused to assess the correlation between hemodynamic pattern and VoCO,and Cox multivariate regression and logistic multivariate regression analyses were applied to identify independent predictors of VOCO.Results The 233 enrolled patients were aged(62.5±12.9)years,with 193 males(82.8%).In the VOCO group,the maximum quantitative flow ratio(QFR)decreased within 20 mm of the QFR-assessed segment,the difference in QFR across the entire vessel,the length of functionally significant vessel,and the maximum gradient of QFR decrease(dQFR/dsmax)were significantly greater than those in the non-VOCO group.ROC curve analysis showed that the optimal threshold for predicting VOCO using dQFR/dsmax was 0.0096(area under the curve:0.691,95%CI:0.606-0.775,P<0.001).Multivariable Cox regression analysis revealed that dQFR/dsmax was an independent predictor of VOCO(HR=1.199,95%CI:1.070-1.343,P=0.002).When anatomical and functional stenosis severities were included in the model,a high pullback pressure gradient(PPG)index(HR=1.572,95%CI:1.052-2.351,P=0.027)emerged as an independent predictor of VOCO.Multivariable logistic regression analysis revealed that a low PPG index(OR=2.851,95%CI:1.945-4.178,P<0.001)was an independent predictor of QFR≤0.80 without long-term VOCO.Conclusion In patients with STEMI,localized hemodynamic patterns of coronary artery stenosis,characterized by high dQFR/dsmax and high PPG index,are associated with longterm VOCO.展开更多
文摘目的:比较Fuji IX GP玻璃离子水门汀、3M ESPE Filtek^(TM) Bulk Fill Flowable树脂、VOCO Polofil Supra树脂及Beautiful Flow Plus F03树脂修复根面龋的临床疗效。方法:选取后牙根面龋患者128例(422颗患牙),按照充填修复材料分为A组(Fuji IX GP玻璃离子水门汀修复)34例、B组(3M ESPE Filtek^(TM) Bulk Fill Flowable树脂修复)29例、C组(VOCO Polofil Supra树脂修复)35例、D组(Beautiful Flow Plus F03树脂修复)30例。手术治疗后随访6个月,比较4组患者牙髓活力、材料密合性、充填物表面磨损及充填物完好性情况。结果:术后6个月,4组患者牙髓活力均正常。A组、B组、C组、D组材料密合性好的患牙占比分别为75.49%、90.74%、88.57%、97.20%,A组低于B组、C组、D组,差异均有统计学意义(P<0.05);B组与D组、C组与D组比较,差异均有统计学意义(P<0.05),B、C组之间差异无统计学意义(P>0.05)。A组、B组、C组、D组充填物表面无磨损的患牙占比分别为77.45%、95.37%、94.29%、99.07%,A组占比低于B组、C组及D组,差异均有统计学意义(P<0.05);B组与C组、B组与D组、C组与D组间比较,差异均无统计学意义(P>0.05)。A组、B组、C组、D组充填物完好的患牙占比分别为91.18%、97.22%、97.14%、99.07%,A组占比低于D组,差异有统计学意义(P<0.05)。其他组之间比较,差异均无统计学意义(P>0.05)。结论:4种材料对牙髓活力均无影响,树脂类材料在密合性、表面磨损情况以及完好性上均优于Fuji IX GP玻璃离子水门汀。三种树脂类材料中Beautiful Flow Plus F03在密闭性方面优于其他两种树脂。
文摘Objective To investigate the correlation between the hemodynamic pattern of non-culprit vessel stenosis and long-term vessel-oriented composite outcome(VOcO)in patients with acute ST-segment elevation myocardial infarction(STEMI).Methods From January 2019 to December 2021,233 consecutive patients with STEMI and non-culprit vessel stenosis were prospectively enrolled at Shanghai East Hospital.The median followup duration was 3.9 years.The 367 non-culprit vessels of the 233 patients were divided into the VOCO group(33 vessels,9.0%)and the non-VOCO group(334 vessels,91.0%).Parameters pertaining to the hemodynamic pattern of non-culprit vessel stenosis between the two groups were compared.Receiver operating characteristic(ROC)curvesswereused to assess the correlation between hemodynamic pattern and VoCO,and Cox multivariate regression and logistic multivariate regression analyses were applied to identify independent predictors of VOCO.Results The 233 enrolled patients were aged(62.5±12.9)years,with 193 males(82.8%).In the VOCO group,the maximum quantitative flow ratio(QFR)decreased within 20 mm of the QFR-assessed segment,the difference in QFR across the entire vessel,the length of functionally significant vessel,and the maximum gradient of QFR decrease(dQFR/dsmax)were significantly greater than those in the non-VOCO group.ROC curve analysis showed that the optimal threshold for predicting VOCO using dQFR/dsmax was 0.0096(area under the curve:0.691,95%CI:0.606-0.775,P<0.001).Multivariable Cox regression analysis revealed that dQFR/dsmax was an independent predictor of VOCO(HR=1.199,95%CI:1.070-1.343,P=0.002).When anatomical and functional stenosis severities were included in the model,a high pullback pressure gradient(PPG)index(HR=1.572,95%CI:1.052-2.351,P=0.027)emerged as an independent predictor of VOCO.Multivariable logistic regression analysis revealed that a low PPG index(OR=2.851,95%CI:1.945-4.178,P<0.001)was an independent predictor of QFR≤0.80 without long-term VOCO.Conclusion In patients with STEMI,localized hemodynamic patterns of coronary artery stenosis,characterized by high dQFR/dsmax and high PPG index,are associated with longterm VOCO.
