期刊文献+
共找到3,648篇文章
< 1 2 183 >
每页显示 20 50 100
Exploration of multi-functional peptides with bioactive and flavorful properties in Inner Mongolian cheese by peptidomics and bioinformatics
1
作者 Yuqian Zheng Zhiyong Cui +8 位作者 Shengnan Wang Chengliang Qi Amin Zhang Xueqian Guo Shilong Zhao Yuan Liu Zhihai Gao Xinya Ma Wenli Wang 《Food Science and Human Wellness》 2025年第9期3461-3471,共11页
The naturally fermented Inner Mongolian cheese’s flavor and nutritional value make it a popular choice among customers.In this work,to create multi-functional peptides that have taste and biological activity,peptidom... The naturally fermented Inner Mongolian cheese’s flavor and nutritional value make it a popular choice among customers.In this work,to create multi-functional peptides that have taste and biological activity,peptidomics and bioinformatics were used to screen flavor peptides from Inner Mongolian cheese and further assess their antioxidant and angiotensin I-converting enzyme(ACE)inhibitory properties.According to sensory data,YH8 and IL7 had detectable bitter tastes with low thresholds of 0.03 and 0.06 mmol/L,respectively.With an umami threshold range of 0.24‒0.81 mmol/L,VQ6,FK13,HP13 and QT14 exhibited a range of flavors dominated by umami,including sweet,bitter,salty,sour and kokumi.Antioxidant activity wise,YH8,VQ6,HP13 and QT14 were well represented.The above-mentioned peptides all had some ACE inhibitory effect.The bitter peptide IL7(IC_(50)=0.08 mmol/L)had the highest level of ACE inhibitory activity,followed by YH8(IC_(50)=0.33 mmol/L).These multi-functional peptides,which have been assessed for bioactive and taste features in Inner Mongolian cheese,may have positive impacts on health and harmonize the cheese’s overall flavor.These results suggest that some flavor peptides produced in fermented foods might be with bioactivities while providing a basis for the exploration and application of multi-functional peptides. 展开更多
关键词 Inner Mongolian cheese multi-functional peptides Flavor peptides ANTIOXIDANTS ACE inhibitory Molecular docking
在线阅读 下载PDF
Corrigendum to“Multi-functional photonic spin Hall effect sensor controlled by phase transition”
2
作者 Jie Cheng Rui-Zhao Li +3 位作者 Cheng Cheng Ya-Lin Zhang Sheng-Li Liu Peng Dong 《Chinese Physics B》 2025年第9期671-671,共1页
Figure 6(a)in the paper[Chin.Phys.B 33074203(2024)]was incorrect due to editorial oversight.The correct figure is provided.This modification does not affect the result presented in the paper.
关键词 CORRIGENDUM photonic spin Hall effect multi-functional sensors phase transition sensing performance
原文传递
Multi-functional SiC/Al Composites for Aerospace Applications 被引量:74
3
作者 Cui Yan Wang Lifeng Ren Jianyue 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2008年第6期578-584,共7页
Multi-functional Al-matrix composites with high volume fraction (55%-57%) of SiC particles are produced with the new pressureless infiltration fabrication technology. X-ray detection and microscopic observation disp... Multi-functional Al-matrix composites with high volume fraction (55%-57%) of SiC particles are produced with the new pressureless infiltration fabrication technology. X-ray detection and microscopic observation display the composites which are macroscopically homogeneous without porosity. The investigation further reveals that the SiC/Al composites possess low density (2.94 g/cm^3), high elastic modulus (220 GPa), prominent thermal management function as a result of low coefficient of thermal expansion (8 × 10^4 K^-1) and high thermal conductivity (235 W/(m.K)) as well as unique preventability of resonance vibration. By adopting a series of developed techniques, the multi-functional SiC/Al composites have managed to be made into near-net-shape parts. Many kinds of precision components of space-based optomechanical structures and airborne optoelectronic platform have been turned out. Of them, several typical products are being under test in practices. 展开更多
关键词 COMPOSITES multi-function INFILTRATION SIC ALUMINUM aerospace applications
原文传递
Multi-functional sites catalysts based on post-synthetic modification of metal-organic frameworks 被引量:7
4
作者 Dingxuan Ma Baiyan Li Zhan Shi 《Chinese Chemical Letters》 SCIE CAS CSCD 2018年第6期827-830,共4页
Metal-organic frameworks(MOFs) are a unique class of porous crystalline materials that have shown promise for a wide range of applications. MOFs have been explored as a new type of heterogeneous catalytic materials,... Metal-organic frameworks(MOFs) are a unique class of porous crystalline materials that have shown promise for a wide range of applications. MOFs have been explored as a new type of heterogeneous catalytic materials, because of their high surface area, uniform and tunable pores, facile functionalization and incorporation of catalytic active sites. The use of multi-functional sites MOF materials as catalysts for synergistic catalysis and tandem reactions has attracted increasing attention. In this review, we aim to introduce the construction of bi-or multi-functional MOF catalysts with cooperative or cascade functions via post-synthetic modification(PSM). 展开更多
关键词 Metal-organic frameworks multi-functional sites CATALYSIS Post-synthetic modification
原文传递
Design of Drilling and Riveting Multi-functional End Effector for CFRP and Aluminum Components in Robotic Aircraft Assembly 被引量:6
5
作者 Zhang Lin Tian Wei +4 位作者 Li Dawei Hong Peng Li Zhenyu Zhou Weixue Liao Wenhe 《Transactions of Nanjing University of Aeronautics and Astronautics》 EI CSCD 2018年第3期529-538,共10页
To fulfill the demands for higher quality,efficiency and flexibility in aviation industry,a multi-functional end effector is designed to automate the drilling and riveting processes in assembling carbon fiber reinforc... To fulfill the demands for higher quality,efficiency and flexibility in aviation industry,a multi-functional end effector is designed to automate the drilling and riveting processes in assembling carbon fiber reinforced polymer(CFRP)and aluminum components for a robotic aircraft assembly system.To meet the specific functional requirements for blind rivet installation on CFRP and aluminum materials,additional modules are incorporated on the end effector aside of the basic processing modules for drilling.And all of these processing modules allow for a onestep-drilling-countersinking process,hole inspection,automatic rivet feed,rivet geometry check,sealant application,rivet insertion and installation.Besides,to guarantee the better quality of the hole drilled and joints riveted,several online detection and adjustment measures are applied to this end effector,including the reference detection and perpendicular calibration,which could effectively ensure the positioning precision and perpendicular accuracy as demanded.Finally,the test result shows that this end effector is capable of producing each hole to a positioning precision within ±0.5 mm,aperpendicular accuracy within 0.3°,a diameter tolerance of H8,and a countersink depth tolerance of±0.01 mm.Moreover,it could drill and rivet up to three joints per minute,with acceptable shearing and tensile strength. 展开更多
关键词 robotic aircraft assembly CFRP and aluminum components automatic drilling and riveting multi-functional end effector online detection and adjustment
在线阅读 下载PDF
Development of a novel multi-functional integrated bioconjugate effectively targeting K-Ras mutant pancreatic cancer 被引量:1
6
作者 Yang-Yang Wang Liang Li +4 位作者 Xiu-Jun Liu Qing-Fang Miao Yi Li Meng-Ran Zhang Yong-Su Zhen 《Journal of Pharmaceutical Analysis》 SCIE CAS CSCD 2022年第2期232-242,共11页
Folate receptor(FR)overexpression occurs in a variety of cancers,including pancreatic cancer.In addition,enhanced macropinocytosis exists in K-Ras mutant pancreatic cancer.Furthermore,the occurrence of intensive desmo... Folate receptor(FR)overexpression occurs in a variety of cancers,including pancreatic cancer.In addition,enhanced macropinocytosis exists in K-Ras mutant pancreatic cancer.Furthermore,the occurrence of intensive desmoplasia causes a hypoxic microenvironment in pancreatic cancer.In this study,a novel FR-directed,macropinocytosis-enhanced,and highly cytotoxic bioconjugate folate(F)-human serum albumin(HSA)-apoprotein of lidamycin(LDP)-active enediyne(AE)derived from lidamycin was designed and prepared.F-HSA-LDP-AE consisted of four moieties:F,HSA,LDP,and AE.F-HSA-LDP presented high binding efficiency with the FR and pancreatic cancer cells.Its uptake in wild-type cells was more extensive than in K-Ras mutant-type cells.By in vivo optical imaging,F-HSA-LDP displayed prominent tumor-specific biodistribution in pancreatic cancer xenograft-bearing mice,showing clear and lasting tumor localization for 360 h.In the MTT assay,F-HSA-LDP-AE demonstrated potent cytotoxicity in three types of pancreatic cancer cell lines.It also induced apoptosis and caused G2/M cell cycle arrest.F-HSALDP-AE markedly suppressed the tumor growth of AsPc-1 pancreatic cancer xenografts in athymic mice.At well-tolerated doses of 0.5 and 1 mg/kg,(i.v.,twice),the inhibition rates were 91.2%and 94.8%,respectively(P<0.01).The results of this study indicate that the F-HSA-LDP multi-functional bioconjugate might be effective for treating K-Ras mutant pancreatic cancer. 展开更多
关键词 Pancreatic cancer Folate receptor multi-functional Macropinocytosis-enhanced BIOCONJUGATE K-RAS PEGYLATION
暂未订购
Multi-functional photonic spin Hall effect sensor controlled by phase transition 被引量:1
7
作者 程杰 李瑞昭 +3 位作者 程骋 张亚林 刘胜利 董鹏 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第7期336-342,共7页
Photonic spin Hall effect(PSHE), as a novel physical effect in light–matter interaction, provides an effective metrological method for characterizing the tiny variation in refractive index(RI). In this work, we propo... Photonic spin Hall effect(PSHE), as a novel physical effect in light–matter interaction, provides an effective metrological method for characterizing the tiny variation in refractive index(RI). In this work, we propose a multi-functional PSHE sensor based on VO_(2), a material that can reveal the phase transition behavior. By applying thermal control, the mutual transformation into different phase states of VO_(2) can be realized, which contributes to the flexible switching between multiple RI sensing tasks. When VO_(2) is insulating, the ultrasensitive detection of glucose concentrations in human blood is achieved. When VO_(2) is in a mixed phase, the structure can be designed to distinguish between the normal cells and cancer cells through no-label and real-time monitoring. When VO_(2) is metallic, the proposed PSHE sensor can act as an RI indicator for gas analytes. Compared with other multi-functional sensing devices with the complex structures, our design consists of only one analyte and two VO_(2) layers, which is very simple and elegant. Therefore, the proposed VO_(2)-based PSHE sensor has outstanding advantages such as small size, high sensitivity, no-label, and real-time detection, providing a new approach for investigating tunable multi-functional sensors. 展开更多
关键词 photonic spin Hall effect multi-functional sensors phase transition sensing performance
原文传递
Multi-functional optical fiber sensor system based on a dense wavelength division multiplexer
8
作者 Yue-Xin Yin Zhifa Wu +4 位作者 Siwen Sun Liang Tian Xibin Wang Yuanda Wu Daming Zhang 《Chinese Physics B》 SCIE EI CAS CSCD 2019年第7期222-224,共3页
We propose a novel and efficient multi-functional optical fiber sensor system based on a dense wavelength division multiplexer(DWDM).This system consists of an optical fiber temperature sensor, an optical fiber strain... We propose a novel and efficient multi-functional optical fiber sensor system based on a dense wavelength division multiplexer(DWDM).This system consists of an optical fiber temperature sensor, an optical fiber strain sensor, and a 48-channel DWDM.This system can monitor temperature and strain changes at the same time.The ranges of these two sensors are from-20℃ to 100℃ and from-1000 με to 2000 με, respectively.The sensitivities of the temperature sensor and strain sensor are 0.03572 nm/℃ and 0.03808 nm/N, respectively.With the aid of a broadband source and spectrometer,different kinds and ranges of parameters in the environment can be monitored by using suitable sensors. 展开更多
关键词 DENSE wavelength DIVISION multiplexer(DWDM) planar LIGHTWAVE circuit multi-functional SENSOR optical fiber SENSOR system
原文传递
A design and application of compound multi-functional sensor in wood-based panel processing
9
作者 XU Kai-hong ZHOU Ding-guo 《Journal of Forestry Research》 SCIE CAS CSCD 2006年第4期319-322,共4页
A compound multi-functional sensor was designed by the study on the on-line testing technology of wood-based panels, and its properties of shape, functions, size, resistance to special environment were studied in deta... A compound multi-functional sensor was designed by the study on the on-line testing technology of wood-based panels, and its properties of shape, functions, size, resistance to special environment were studied in details. The operational principles of different sensors, technical flow of manufacturing, development of software systems of special functions, and the assessments of technical specification were also be introduced. This sensor adopted many new technologies, such as the applications of piezoresistant effect and heat sensitive effect can effectively measure the pressure and temperature, digital signal processing technology was used to extract and treat signals, and resist interference, encapsulation technology was used to keep the normal run of sensor under a harsh environment. Thus, the on-line compound multi-functional temperature/pressure sensor can be applied better to supervise the production of wood-based panels. All technical specifications of the compound multi-functional sensor were tested and the results met the requirements of the equipments. 展开更多
关键词 Wood-based panel processing multi-functional sensor Piezoresistant effect Heat sensitive effect
在线阅读 下载PDF
Quasi-distribution Appraisal about Finite Element Analysis of Multi-functional Structure Made of Honeycomb Sandwich Materials
10
作者 王一多 SHI Xiaofei +1 位作者 XI Ping LANG Haitao 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS 2018年第1期30-34,共5页
A new appraisal method(QDA, quasi-distribution appraisal) which could be used to evaluate the finite element analysis of multi-functional structure made of honeycomb sandwich materials is developed based on sub-sect... A new appraisal method(QDA, quasi-distribution appraisal) which could be used to evaluate the finite element analysis of multi-functional structure made of honeycomb sandwich materials is developed based on sub-section Bezier curve. It is established by simulating the distribution histogram data obtained from the numerical finite element analysis values of a satellite component with sub-section Bezier curve. Being dealt with area normalization method, the simulation curve could be regarded as a kind of probability density function(PDF), its mathematical expectation and the variance could be used to evaluate the result of finite element analysis. Numerical experiments have indicated that the QDA method demonstrates the intrinsic characteristics of the finite element analysis of multi-functional structure made of honeycomb sandwich materials, as an appraisal method, it is effective and feasible. 展开更多
关键词 honeycomb sandwich materials multi-functional structure quasi-distribution finite element analysis
原文传递
Considering calcium-binding proteins in invertebrates: multi-functional proteins that shape neuronal growth
11
作者 Charles R.Tessier 《Neural Regeneration Research》 SCIE CAS CSCD 2016年第2期208-209,共2页
Calcium is a critical second messenger molecule in all cells and is vital in neurons for synaptic transmission.Given this importance,calcium ions are tightly controlled by a host of molecular players including ion cha... Calcium is a critical second messenger molecule in all cells and is vital in neurons for synaptic transmission.Given this importance,calcium ions are tightly controlled by a host of molecular players including ion channels,sensors,and buffering proteins.Calcium can act directly by binding to signaling molecules or calcium’s effects can be indirect,for example by altering nuclear histones. 展开更多
关键词 Considering calcium-binding proteins in invertebrates multi-functional proteins that shape neuronal growth
暂未订购
Analysis of Dynamic Cross Response between Spindles in a Dual Spindle Type Multi-Functional Turning Machine
12
作者 Y. H. Choi S. T. Kim +1 位作者 T. Y. Seo K. H. Kim 《Journal of Power and Energy Engineering》 2013年第7期20-24,共5页
In order to meet increasing demand for higher productivity and flexibility, recently many kinds of multi-functional machine tools, which are capable of multiple machining functions or different kinds of machining proc... In order to meet increasing demand for higher productivity and flexibility, recently many kinds of multi-functional machine tools, which are capable of multiple machining functions or different kinds of machining processes on one machine, have been developed and widely used in manufacturing industries. In this study, a multi-functional turning lathe, which has two spindles and two turrets so that multiple turning operations and various machining processes could be performed simultaneously, has been developed. Furthermore, the equations of correlation between whole responses and cross responses of the two spindles have been derived to examine to what extent the two spindles affect each other’s vibrations. 展开更多
关键词 multi-functional LATHE Multi-Spindles Frequency RESPONSE CROSS RESPONSE FEM Structural ANALYSIS
暂未订购
Design and Development of a Multi-functional Laparoscopic Device
13
作者 Tugrul Tansug Elif Taskin +1 位作者 Eray Kurt Meltem Elitas 《Journal of Mechanics Engineering and Automation》 2019年第5期173-176,共4页
This study presents a design of a multifunctional laparoscopic appendectomy device that includes three surgical instruments commonly used in laparoscopic appendicitis surgeries:endoloop,endobag and scissors.It collect... This study presents a design of a multifunctional laparoscopic appendectomy device that includes three surgical instruments commonly used in laparoscopic appendicitis surgeries:endoloop,endobag and scissors.It collects these three independent surgical tools in a single laparoscopic appendectomy device.These days there is a trend of moving to multi-functional surgery devices during minimally invasive surgery.The main reasons behind the minimal invasive surgery are to avoid changing the devices several times during the operation,to reduce the time spent in operation,to increase the efficiency of the operation,to facilitate the follow-up of the camera and devices,and to leave trocars to be used for other surgical instruments.The multi-functional appendectomy device that,we present here,provides these benefits.The standard trocar entries are appropriate for its usage.The presented multifunctional laparoscopic appendectomy device offers more practical use in comparison to individual devices.On the other hand,development of these multi-functional surgery devices can be directly enhanced to the robotic surgery devices. 展开更多
关键词 Apendectomy multi-functional LAPAROSCOPY SOLIDWORKS SURGERY
暂未订购
Design and Development of a Forest Nursery, for the Enhancement of Multi-Functional Agriculture and for a Didactical Purpose
14
作者 Elena Valent Sirio Rossano Secondo Cividino +4 位作者 Marco Barbaro Luisa Dalla Costa Stefano Santi Simona Rainis Rino Gubiani 《Journal of Life Sciences》 2013年第8期892-900,共9页
The experimental idea of the present project was elaborated in order to create a structure where different categories and institutions could collaborate, with the common aim to develop a sustainable and profitable agr... The experimental idea of the present project was elaborated in order to create a structure where different categories and institutions could collaborate, with the common aim to develop a sustainable and profitable agriculture in mountain and marginal areas. The target was the recovering of an abandoned agricultural site, throughout its re-organisation, re-qualification and auto-sustainability, involving local citizens. This approach was based on three further broad functions such as environmental, economic and social purposes. This cooperation, that allows the capitalization of local knowledge and the forging of relationships between local and external sources of expertise, information and advice, is fundamental to the future of existing rural communities, in particular in mountain areas. The model proposed, with the elaboration of a management software and technical agronomic sheets, could be an incentive for the activities already present in that region and to stimulate new ones. The enhancing of the native ecological system, the biodiversity tutelage and the valorization of the knowledge of the territory is the basic requirement for the successful of any land management. 展开更多
关键词 Innovative sustainable and multi-functional agriculture recovering of disused agronomic areas biodiversity tutelage horticulture.
在线阅读 下载PDF
A Portable Multi-functional Real-time Digital Simulator Dedicated to Protective Relay Testing
15
作者 Liang Zhicheng Ma Xiandong +1 位作者 Wang Haixian Wang Like (Nanjing Automation Research Institute (NARI)) 《Electricity》 1998年第4期27-29,共3页
The paper intfoduces a PC-DSP based real-time digital simulator which is portable in size and aimed at the closed-loop testing of various types of protective relays for their design and application. The simulator can ... The paper intfoduces a PC-DSP based real-time digital simulator which is portable in size and aimed at the closed-loop testing of various types of protective relays for their design and application. The simulator can be widely used in not only concerning utilities but also manufacturers and research / certification institutes because of its many functions. The hardware architecture and software implementation of the simulator are described. The main features and functions of the simulator are also 展开更多
关键词 TIME A Portable multi-functional Real-time Digital Simulator Dedicated to Protective Relay Testing MMI
在线阅读 下载PDF
MULTI-FUNCTIONAL EQUIPMENT MAINTENANCE AGENT
16
《China Oil & Gas》 CAS 1997年第4期227-227,共1页
关键词 multi-functional EQUIPMENT MAINTENANCE AGENT
在线阅读 下载PDF
Quality and Efficiency of a Brain-Smart Electric Tractor Unit Operation Control Mechanism:Instant Information Interaction and Collaborative Task Management
17
作者 Zhenhao Luo Qingzhen Zhu +5 位作者 Mengnan Liu Chunjiang Zhao Zhenghe Song Zhijun Meng Bin Xie Changkai Wen 《Engineering》 2025年第9期217-228,共12页
Electric tractors(ETs)with mounted implements form operating units.There are significant differences in parameters such as shape,firmness,and moisture content of the soil in contact with the tractor and implements whe... Electric tractors(ETs)with mounted implements form operating units.There are significant differences in parameters such as shape,firmness,and moisture content of the soil in contact with the tractor and implements when working in complex terrains such as field stubble,waterlogged silt,and loose/firm terrain.These differentiated dynamics prevent cooperation between ETs and operating implements under independent control,resulting in poor quality operations and low energy efficiency.We propose a control mechanism for ETs and implements to achieve full life cycle management of collaborative control tasks,instantaneous intertask interaction,and a multitask synchronization mechanism.To address the internal redundant communication problems caused by traditional distributed microcontrol units,we break through the underlying technology of unit data processing and interaction and develop an integrated high-performance controller structure with high processing capacity and high-and low-speed communication interfaces.On the basis of hierarchical stepwise control theory,a hierarchical real-time operating system is designed.This system realizes a preemptive kernel response of computational tasks and competitive-collaborative synchronization among tasks;overcomes the low-latency response of collaborative control tasks,instantaneous information interaction,and multitask synchronization problems;and provides system-level support for deep collaborative operation control of units.To demonstrate and validate the proposed collaborative control mechanism,a plowing collaborative operation management strategy is designed and deployed.The experimental results show that the communication delay of collaborative tasks is as low as 83μs,the solution time of complex collaborative equations is as low as 46 ms,the mechanical efficiency of the ET is increased by 9.07%,the efficiency of the drive motor is increased by 9.72%,the stability of the operation speed is increased by 106.25%,and the stability of the plowing depth reaches 94.98%.Our work meets the hardware and software requirements for realizing complex collaborative control of ET units and improves the operational quality and operational energy efficiency in real vehicle demonstrations. 展开更多
关键词 Electric tractor Control mechanism Collaborative control Operating quality Energy savings
在线阅读 下载PDF
农用拖拉机发动机活塞环组匹配试验研究
18
作者 王升升 葛琰 +2 位作者 徐顺利 张重阳 周纪红 《农机化研究》 北大核心 2026年第1期260-267,共8页
在农用拖拉机装配的非道路用发动机的开发试验中,需要对影响其缸内燃烧特性的关键零部件——活塞环组进行针对性匹配研究,以满足功率密度高、热效率高、经济性高、可靠性高和排放水平低等设计特点。为此,以配套农用拖拉机的国四电控高... 在农用拖拉机装配的非道路用发动机的开发试验中,需要对影响其缸内燃烧特性的关键零部件——活塞环组进行针对性匹配研究,以满足功率密度高、热效率高、经济性高、可靠性高和排放水平低等设计特点。为此,以配套农用拖拉机的国四电控高压共轨柴油机为例,选择材料、表面处理、结构不同的3种方案的活塞环组,对比研究摩擦阻力矩、缸内爆发压力、曲轴箱窜气量、外特性燃油消耗率、机械效率和稳态排放等方面的特性,找出该类柴油机应选用的最佳配置型式。试验结果表明:采用球墨铸铁和合金钢材可以降低柴油机的摩擦阻力矩,提高燃油经济性;相比CCC采用CDC表面处理能够增加环组的耐磨性,减少曲轴箱窜气量;气环采用正扭曲梯形桶面环,能够有效增加缸内气体密封性,减少曲轴箱窜气量,但摩擦阻力矩也会相应增大,影响其机械效率;气环增加DLC涂层能进一步降低摩擦阻力矩,但会影响缸内气体的密封性,导致做功能力下降,油耗略微升高;油环的刮油刃高度降低,外圆面PVD处理和磷化处理,可以提高刮油能力,降低摩擦功耗,有效降低PM生成、减少机油消耗率和提高燃油经济性。 展开更多
关键词 农用拖拉机 非道路柴油机 活塞环组 匹配试验
在线阅读 下载PDF
Rul-tractor装置辅助经剑突下胸腔镜胸腺肿瘤切除术学习曲线分析 被引量:1
19
作者 鲍峰 车云 +1 位作者 元及 吴宗阳 《合肥医科大学学报》 2022年第2期200-205,共6页
目的评估在Rul-tractor装置辅助下,经剑突下胸腔镜胸腺肿瘤切除术的手术效果和学习曲线。方法纳入2019年1月至2020年5月武警安徽省总队医院胸外科29名前纵隔肿瘤患者,由年轻外科医生独立完成Rul-tractor装置辅助下剑突下胸腔镜胸腺肿瘤... 目的评估在Rul-tractor装置辅助下,经剑突下胸腔镜胸腺肿瘤切除术的手术效果和学习曲线。方法纳入2019年1月至2020年5月武警安徽省总队医院胸外科29名前纵隔肿瘤患者,由年轻外科医生独立完成Rul-tractor装置辅助下剑突下胸腔镜胸腺肿瘤切除手术。总结临床特点和手术结果,并以手术时间的累积和(CUSUM)值评价学习曲线。结果所有患者均接受全胸腺切除术,包括肿瘤R0切除,无中转至正中胸骨切开。如合并重症肌无力(Myasthenia gravis,MG)则需行前纵隔脂肪扩大清扫术,合并MG的患者有4例(13.8%);临床特点中肿瘤直径为2.6~7.0 cm,平均直径4.3±1.8 cm;位置较高骑跨于无名静脉的肿瘤18例(62.1%);术后组织学病理特征中胸腺瘤17例(59.0%)、胸腺囊肿9例(31.1%)、胸腺癌1例(3.3%)、胸腺增生1例(3.3%)、畸胎瘤1例(3.3%);手术时间70~150 min,平均时间(103.0±19.8)min,术中出血量15~100 mL,平均为(31.5±15.8)mL,带管时间1~5 d,平均(2.9±2.2)d,住院天数3~9 d,平均(5.4±2.1)d;术中术后并发症4例(13.8%),无肌无力危象发生;无术后死亡及复发病例。手术时间在19例后趋于下降平稳趋势。结论在Rul-tractor胸骨牵拉装置的辅助下实施剑突下胸腔镜胸腺肿瘤切除术,学习曲线约为19例,可被无丰富手术经验的年轻外科医生快速掌握,获得的手术结果可以接受。 展开更多
关键词 Rul-tractor装置 胸腺肿瘤 剑突下 手术结果 学习曲线
暂未订购
上一页 1 2 183 下一页 到第
使用帮助 返回顶部