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Nosing process of empty and foam-filled circular metal tubes on semispherical die by theoretical and experimental investigations 被引量:1
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作者 Seyed Ghaem AMIRHOSSEINI Abbas NIKNEJAD Nader SETOUDEH 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2017年第9期1976-1988,共13页
Nosing process of circular metal tubes in empty and polyurethane foam-filled conditions on a semispherical rigid die was analyzed by theoretical and experimental methods.A new theoretical model of plastic deformation ... Nosing process of circular metal tubes in empty and polyurethane foam-filled conditions on a semispherical rigid die was analyzed by theoretical and experimental methods.A new theoretical model of plastic deformation of circular metal tubes was demonstrated during the nosing process on a rigid semispherical die.Based on the analytical model,some theoretical relations were calculated to estimate instantaneous forming load and dissipated energy of empty and foam-filled circular metal tubes versus axial displacement.Some circular brazen and aluminum tubes were prepared and shaped into semispherical nosed nozzles to verify the present theory.Comparison of theoretical predictions and the corresponding experimental measurements reveals that predicted load?displacement and dissipated energy?displacement diagrams by theoretical formulas have a good correlation with the corresponding experimental curves and it proves verity of the theory.Also,the present theory shows that dissipated energy and axial load of empty tubes depend on material type,wall thickness and diameter of the tubes and they are independent of tube initial length.Furthermore,the experimental results show that the presence of polyethylene Teflon-constraints increases ultimate axial displacement of the forming process. 展开更多
关键词 plastic deformation nosing process dissipated energy circular tube NOZZLE axial load axial displacement
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Diagnosing gastrointestinal illnesses using fecal headspacevolatile organic compounds 被引量:5
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作者 Daniel K Chan Cadman L Leggett Kenneth K Wang 《World Journal of Gastroenterology》 SCIE CAS 2016年第4期1639-1649,共11页
Volatile organic compounds(VOCs) emitted from stool are the components of the smell of stool representing the end products of microbial activity and metabolism that can be used to diagnose disease. Despite the abundan... Volatile organic compounds(VOCs) emitted from stool are the components of the smell of stool representing the end products of microbial activity and metabolism that can be used to diagnose disease. Despite the abundance of hydrogen, carbon dioxide, and methane that have already been identified in human flatus, the small portion of trace gases making up the VOCs emitted from stool include organic acids, alcohols, esters, heterocyclic compounds, aldehydes, ketones, and alkanes, among others. These are the gases that vary among individuals in sickness and in health, in dietary changes, and in gut microbial activity. Electronic nose devices are analytical and pattern recognition platforms that can utilize mass spectrometry or electrochemical sensors to detect these VOCs in gas samples. When paired with machine-learning and pattern recognition algorithms, this can identify patterns of VOCs, and thus patterns of smell, that can be used to identify disease states. In this review, we provide a clinical background of VOC identification, electronic nose development, and review gastroenterology applications toward diagnosing disease by the volatile headspace analysis of stool. 展开更多
关键词 Electronic NOSE Volatile organic compounds FECES Mass spectrometry Odors
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Current trends and future orientation in diagnosing lung pathologies:A systematic survey
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作者 Tamim M.Al-Hasan Mohammad Noorizadeh +2 位作者 Faycal Bensaali Nader Meskin Ali Ait Hssain 《Intelligent Medicine》 2025年第1期23-36,共14页
Lung diseases pose a significant threat to public health worldwide,resulting in a substantial number of fatalities.Diseases such as chronic obstructive pulmonary disease and lung cancer constitute two of the three dea... Lung diseases pose a significant threat to public health worldwide,resulting in a substantial number of fatalities.Diseases such as chronic obstructive pulmonary disease and lung cancer constitute two of the three deadliest diseases worldwide,contributing to over 3 million deaths annually.This study offered a comparative analysis of different diagnostic techniques used for lung pathologies from an engineering standpoint.The review concentrated on intelligent detection methods,including electronic nose,computer vision(CV),or image processing,and biosensors such as graphene-field effect transistor(FET).The E-nose-based detection technique uses electronic sensors to recognize volatile organic compounds(VOCs)in the exhaled breath.These VOCs can aid in the diagnosis of lung pathologies such as pneumonia.The CV processing method involves the application of advanced imaging techniques and machine learning algorithms to scrutinize and diagnose lung pathologies and ventilatorassociated pneumonia(VAP).Lastly,biosensors employ the exceptional properties of these materials to identify specific biomarkers in biological samples.This information can be used to diagnose lung pathologies and VAP.This study examined the current state-of-the-art methods and offers a comprehensive analysis of their advantages and disadvantages from an engineering perspective.The study underscored the potential of these techniques to enhance the diagnosis of lung pathologies and VAP and presents the advances in the field of smart biomedical applications.Additionally,it emphasized the necessity for further research to optimize their performance and clinical usefulness. 展开更多
关键词 Biosensors Bio-signal processing Electronic nose Lung disease Nosocomial infections Ventilator-associated pneumonia
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NOSES手术与传统腹腔镜手术治疗左结直肠癌的回顾性对照研究 被引量:1
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作者 刘亚飞 李晓阳 +2 位作者 孙培胜 许春苗 闫争强 《罕少疾病杂志》 2025年第3期133-134,共2页
目的 比较经自然腔道取标本手术(NOSES)与传统腹腔镜手术治疗左结直肠癌患者的临床疗效差异。方法 回顾性分析2018年4月至2022年4月本院收治的95例左结直肠癌患者,按照不同手术方式分为NOSES组(49例,采用NOSES术治疗)和腹腔镜组(46例,... 目的 比较经自然腔道取标本手术(NOSES)与传统腹腔镜手术治疗左结直肠癌患者的临床疗效差异。方法 回顾性分析2018年4月至2022年4月本院收治的95例左结直肠癌患者,按照不同手术方式分为NOSES组(49例,采用NOSES术治疗)和腹腔镜组(46例,采用传统腹腔镜手术治疗),比较两组患者手术相关指标(手术时间、术中出血量、低位直肠癌.保肛率、淋巴结清扫数目)、术后恢复情况(排气时间、进流质时间、拔尿管时间、住院时间)和并发症发生率。结果 NOSES组手术时间长于腹腔镜组(P<005),术中出血量少于腹腔镜组(P<005),低位直肠癌保肛率高于.腹腔镜组(P<005),两组在淋巴结清扫数目比较无显著差异(.P>005);NOSES组术后排气时间、进流质时间、拔尿管时间及住院时间均短于腹腔镜组(P<005);NOSES组术后并发症发生率为612%,腹腔镜组为1087%,两组比较无显著差异(P>005)。结论 采用NOSES手术治疗左结直肠癌安全可行,具有术中出血量少,低位直肠癌保肛率高,术后恢复快等显著优势,值得临床推广应用。 展开更多
关键词 NOSES 腹腔镜手术 左结直肠癌 并发症
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探讨经自然腔道标本移除(NOSES)术对结直肠癌临床效果、胃肠功能产生的影响 被引量:4
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作者 梁旭 董倩倩 +2 位作者 崔永欣 智会 连加玉 《罕少疾病杂志》 2025年第2期140-142,共3页
目的 观察对结直肠癌患者给予经自然腔道标本移除(NOSES)术的临床效果及对其胃肠功能的影响。方法 选取2021年11月至2022年11月期间本院结直肠外科收治结直肠癌患者112例纳入基础研究,根据患者就诊顺序将其分成对照组和观察组各56例。... 目的 观察对结直肠癌患者给予经自然腔道标本移除(NOSES)术的临床效果及对其胃肠功能的影响。方法 选取2021年11月至2022年11月期间本院结直肠外科收治结直肠癌患者112例纳入基础研究,根据患者就诊顺序将其分成对照组和观察组各56例。其中对照组以传统开腹直肠癌术作为治疗方案,观察组以NOSES术作为治疗方案。比较两组临床效果、不同阶段应激反应、机体炎症、胃肠功能、肛门功能及生活质量的影响。结果 观察组治疗有效率94.64%显著高于对照组的82.14%(P<0.05)。两组术前MDA、SOD、ROS数值无显著差异(P>0.05);观察组术后3d MDA、ROS均低于对照组,SOD高于对照组(P<0.05)。两组术前CRP、IL-6、TNF-α数值无显著差异(P>0.05);观察组术后3d CRP、IL-6、TNF-α均低于对照组(P<0.05)。两组术前胃泌素、胃动素数值无显著差异(P>0.05);观察组术后3d胃泌素、胃动素均高于对照组(P<0.05)。两组术前Saito功能问卷评分无显著差异(P>0.05);观察组术后3个月Saito功能问卷各维度评分均低于对照组(P<0.05)。两组术前国际生命质量评分无显著差异(P>0.05);观察组术后3个月国际生命质量各维度评分均高于对照组(P<0.05)。结论 对结直肠癌患者给予NOSES术效果切实,其对患者术后应激反应及机体炎症影响较低,有助于胃肠功能及肛门功能的恢复,该术式可作为结直肠癌疾病的有效治疗方案,值得推广。 展开更多
关键词 NOSE术 结直肠癌 临床效果 胃肠功能 生活质量
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鼻内镜术后症状和体征改变对慢性鼻窦炎伴鼻息肉术后1年内复发风险的预测价值 被引量:1
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作者 俞紫薇 陈旭东 +2 位作者 王耀文 李春林 程鹏 《中国耳鼻咽喉头颈外科》 2025年第7期464-467,共4页
目的探究慢性鼻窦炎伴鼻息肉(CRSwNP)患者鼻内镜术后症状和体征改变,并分析症状和体征改变对CRSwNP患者术后1年内复发风险的预测价值。方法对2020年1月~2023年2月期间在宁波大学附属第一医院接受鼻内镜手术治疗的120例CRSwNP患者的临床... 目的探究慢性鼻窦炎伴鼻息肉(CRSwNP)患者鼻内镜术后症状和体征改变,并分析症状和体征改变对CRSwNP患者术后1年内复发风险的预测价值。方法对2020年1月~2023年2月期间在宁波大学附属第一医院接受鼻内镜手术治疗的120例CRSwNP患者的临床资料进行回顾性分析,根据术后1年内是否复发分为复发组(n=46)和未复发组(n=74)。比较两组的症状、体征及临床资料,采用多因素Logistic回归分析CRSwNP术后复发的危险因素并使用受试者工作特征(ROC)曲线进行术后复发的预测分析。结果术后3、6、12个月,未复发组的视觉模拟量表(VAS)评分、鼻腔鼻窦结局测试22条(SNOT-22)评分、Lund-Kennedy内镜评分(LKS)均低于复发组(P<0.05);随时间的延长,复发组患者VAS、SNOT-22、LKS呈现降低后升高的趋势,于术后3个月达到最低(P<0.05);未复发组随时间的延长VAS、SNOT-22、LKS评分逐渐降低(P<0.05)。多因素Logistic分析显示,术后3个月的VAS、SNOT-22及LKS高,多发性鼻息肉、有变应性鼻炎以及组织Eos数目升高均为鼻内镜术后复发的危险因素(P<0.05)。ROC曲线分析结果显示,术后3个月VAS、SNOT-22、LKS单独及联合术后1年内复发风险的曲线下面积(AUC)分别为0.774、0.802、0.855、0.896,联合评估效能优于单独检测(P<0.05)。结论CRSwNP患者鼻内镜术后复发患者表现为术后3个月开始VAS、SNOT-22及LKS增加趋势,且术后3个月的VAS、SNOT-22及LKS与鼻内镜术后复发密切相关,可作为术后复发的参考指标。 展开更多
关键词 内窥镜检查(Endoscopy) 鼻疾病(Nose Diseases) 体征和症状(Signs and Symptoms) 窦炎(Sinusitis) 鼻息肉(Nasal Polyps) 复发(Recidivism) 危险因素(Risk Factors)
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腹腔镜下NOSES手术与小切口手术治疗结直肠癌的效果对比
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作者 吴茂松 袁堂斌 《当代临床医刊》 2025年第1期73-74,共2页
目的对比结直肠癌治疗中腹腔镜下小切口手术与经自然腔道取标本(NOSES)手术的效果。方法选取本院结直肠癌患者90例纳入研究,按手术取标本方法分两组各45例。对照组经小切口取标本,观察组经自然腔道取标本,分析两组围术期指标、疼痛程度... 目的对比结直肠癌治疗中腹腔镜下小切口手术与经自然腔道取标本(NOSES)手术的效果。方法选取本院结直肠癌患者90例纳入研究,按手术取标本方法分两组各45例。对照组经小切口取标本,观察组经自然腔道取标本,分析两组围术期指标、疼痛程度、肛肠动力学指标、胃肠激素、炎性因子、术后并发症发生率。结果观察组腹部切口总长短于对照组,手术时间长于对照组,术后首次下地活动、排气、排便时间均短于对照组,(P<0.05)。术后1d、2d、3d的NRS评分、MSP均低于对照组(P<0.05),GAS、MTL水平均高于对照组(P<0.05),NEUT、WBC、CRP、PCT水平、术后并发症发生率低于对照组(P<0.05)。结论结直肠癌治疗中腹腔镜下NOSES手术效果较小切口手术好。 展开更多
关键词 结直肠癌 腹腔镜下 小切口手术 NOSES手术 疼痛程度
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My Good Friend
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作者 夏同鹏 张超 《中学生英语》 2025年第29期6-6,共1页
Kong Weili is my classmate and she is my good friend,either①•She is thirteen years old this year.She isn’t very tall,and her eyes,nose and mouth are very small,but I think she looks very beautiful.
关键词 EYES BEAUTY NOSE FRIEND classmate HEIGHT MOUTH kong weili
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Dogs
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作者 黄刚 张超(指导) 《中学生英语》 2025年第13期7-7,共1页
I love dogs because they are so friendly and lovely.With bright eyes,dogs can see things in the dark.Their noses are very sensitive,and this helps them find things easily.My pet dog is named Dahu.He is white with long... I love dogs because they are so friendly and lovely.With bright eyes,dogs can see things in the dark.Their noses are very sensitive,and this helps them find things easily.My pet dog is named Dahu.He is white with long ears.Every day when I come back home from school,he runs to me happily and wags his tail.We often play games together.He likes to chase a ball,and I throw the ball far,then he runs quickly to bring it back. 展开更多
关键词 friendly PETS chase balland sensitivity DOGS APPEARANCE find things noses
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Design and testing of a full-scale variable-camber leading edge based on a composite compliant skin and an open-kinematic-chain mechanism
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作者 Zhigang WANG Xiasheng SUN +4 位作者 Yu YANG Jin ZHOU Chunpeng LI Daochun LI Jinwu XIANG 《Chinese Journal of Aeronautics》 2025年第12期245-262,共18页
Climate change has prompted the aviation industry to reduce greenhouse gas emissions.Variable-camber leading edges,with their adaptable aerodynamic shapes,hold significant potential for laminar flow wings and contribu... Climate change has prompted the aviation industry to reduce greenhouse gas emissions.Variable-camber leading edges,with their adaptable aerodynamic shapes,hold significant potential for laminar flow wings and contribute to greener aviation.In response to this need,this paper proposes a design optimization method for a variable-camber leading edge featuring an outer variablethickness composite compliant skin and an inner open-kinematic-chain mechanism.The optimization methodology employs a fiber continuity model based on a ply-drop sequence,a guiding sequence and a thickness sequence to describe the variable-thickness composite compliant skin structure,enabling direct generation of a composite layup sequence that meets fiber continuity criteria.Additionally,the design methodology for the inner open kinematic chain considers the rigidflexible coupling effect and analyzes the number of driving ribs along the span-wise direction.Finally,a full-scale physical prototype for a large-scale civil aircraft is developed and experimented in the FL-10 wind tunnel,demonstrating that the variable-camber leading edge can smoothly and precisely achieve its target shape and hold its final profile under the corresponding aerodynamic loads,thereby validating the proposed design methodology. 展开更多
关键词 Compliant skin Intelligent structures Morphing leading edge Optimization Smart droop nose
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A practical formula for penetration depth of rigid projectiles into rock and concrete considering the non-scaling effect
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作者 Xiaohan Zhang Tianhan Xu Zhen Wang 《Defence Technology(防务技术)》 2025年第11期98-111,共14页
The non-scaling effect on the penetration depth of rigid projectiles is an important issue that must be considered when extending the results of scaled experiments to prototype scenes.In this study,the evolution of th... The non-scaling effect on the penetration depth of rigid projectiles is an important issue that must be considered when extending the results of scaled experiments to prototype scenes.In this study,the evolution of the stress and strain of the target under penetration was analyzed.Expressions for the penetration resistance and penetration depth were obtained based on the conservation equation and continuity condition of the target.The penetration coefficients that characterize the nose shape,target resistance,and non-scaling effect were defined.Simplified calculation methods for the coefficients within the range of rigid projectile penetration were developed.Two methods for estimating the target parameters are proposed.The results show that the non-scaling effect is related to the failure process of the target and depends on the ratio of cavity radius to comminuted region radius.The nose shape coefficient can be approximated as a linear function of the length-to-diameter ratio of the nose.The noseshape coefficient of a flat-nosed projectile is 0.57.The caliber coefficient is related to the projectile diameter and reflects the non-scaling effect,which increases with the projectile diameter.A practical formula for calculating the penetration depth of rigid projectiles considering the non-scaling effect is also proposed.This formula is in good agreement with penetration experiments on rock and concrete. 展开更多
关键词 Penetration depth Rigid projectile Non-scaling effect Nose shape coefficient Caliber coefficient
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经肛覆膜支架治疗直肠癌NOSES术后吻合口狭窄1例
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作者 党永林 秦静 +3 位作者 彭震 张自飞 贾云飞 张征 《西藏医药》 2025年第5期193-194,共2页
1病例简介患者女性,85岁,藏族,因“发现大便带血10天”入院。既往体健,无烟酒嗜好,否认肿瘤家族史。查体:直肠指检:距肛门4cm可触及一肿物,退指套见血染。查腹部增强CT:考虑直肠癌。肠镜检查(图1):距肛门约3~10cm可见环周约2/3黏膜不规... 1病例简介患者女性,85岁,藏族,因“发现大便带血10天”入院。既往体健,无烟酒嗜好,否认肿瘤家族史。查体:直肠指检:距肛门4cm可触及一肿物,退指套见血染。查腹部增强CT:考虑直肠癌。肠镜检查(图1):距肛门约3~10cm可见环周约2/3黏膜不规则隆起,突向管腔,镜身尚可通过。肠镜活组织病检提示高分化腺癌。完善术前准备后于2024-3-8行腹腔镜下直肠NOSES术;术后病理(图2):直肠隆起型高分化腺癌,癌灶最大径4cm,侵及粘膜下层;上下切缘及环周切缘阴性;神经、脉管未见癌侵犯;癌结节:未见;肿瘤出芽:0个/20倍视野,(Bd1级);免疫组化:MLH1(+)、MSH2(+)、MSH6(+)、PMS2(+),符合pMMR;Ki-6790%、GSTΠ(3+)、TOPOⅡ:Ⅲ级、P53(+)突变型表达。术后诊断:直肠恶性肿瘤(高分化腺癌pT1N0M0Ⅰ期)。 展开更多
关键词 腹腔镜 吻合口狭窄 NOSES术 直肠癌
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Dynamic response and wear analysis of a swing nose crossing in heavy haul railways
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作者 Enhui Zhang Chung Lun Pun +1 位作者 Alvin Hiew Wenyi Yan 《Railway Engineering Science》 2025年第2期192-215,共24页
Swing nose crossings(SNXs)have been widely used in heavy haul railways to create a smoother load transfer and hence reduced impact load.However,the current design of SNXs hasn’t been fully examined under heavy haul o... Swing nose crossings(SNXs)have been widely used in heavy haul railways to create a smoother load transfer and hence reduced impact load.However,the current design of SNXs hasn’t been fully examined under heavy haul operating conditions.Additionally,maintenance guidelines for SNX wear-related issues in Australian heavy haul railways are relatively lacking.As such,this study aims to investigate the dynamic response of the wheel-rail contact and analyse the wear performance of an SNX currently used in Australian heavy haul railways.Dynamic implicit-explicit finite element analysis was conducted to simulate the wheel-rail contact along the SNX.The distribution of the wear intensity over the SNX was identified by using a local contact-based wear model.The influence of various scenarios on wear was also explored.The results verify the improved dynamic performance of the SNX,as the increased contact force after load transfer remains below 1.2 times the static load.The findings also indicate that the decrease in relative height and increase in nose rail inclination result in greater wear on the nose rail.Notably,the SNX considered in the current study exhibits better wear performance when used with moderately worn wheels. 展开更多
关键词 WEAR Heavy haul railways Swing nose crossing Finite element method Wheel-rail contact
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Non-Neural 3D Nasal Reconstruction:A Sparse Landmark Algorithmic Approach for Medical Applications
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作者 Nguyen Khac Toan Ho Nguyen Anh Tuan Nguyen Truong Thinh 《Computer Modeling in Engineering & Sciences》 2025年第5期1273-1295,共23页
This paper presents a novel method for reconstructing a highly accurate 3D nose model of the human from 2D images and pre-marked landmarks based on algorithmic methods.The study focuses on the reconstruction of a 3D n... This paper presents a novel method for reconstructing a highly accurate 3D nose model of the human from 2D images and pre-marked landmarks based on algorithmic methods.The study focuses on the reconstruction of a 3D nose model tailored for applications in healthcare and cosmetic surgery.The approach leverages advanced image processing techniques,3D Morphable Models(3DMM),and deformation techniques to overcome the limita-tions of deep learning models,particularly addressing the interpretability issues commonly encountered in medical applications.The proposed method estimates the 3D coordinates of landmark points using a 3D structure estimation algorithm.Sub-landmarks are extracted through image processing techniques and interpolation.The initial surface is generated using a 3DMM,though its accuracy remains limited.To enhance precision,deformation techniques are applied,utilizing the coordinates of 76 identified landmarks and sub-landmarks.The resulting 3D nose model is constructed based on algorithmic methods and pre-marked landmarks.Evaluation of the 3D model is conducted by comparing landmark distances and shape similarity with expert-determined ground truth on 30 Vietnamese volunteers aged 18 to 47,all of whom were either preparing for or required nasal surgery.Experimental results demonstrate a strong agreement between the reconstructed 3D model and the ground truth.The method achieved a mean landmark distance error of 0.631 mm and a shape error of 1.738 mm,demonstrating its potential for medical applications. 展开更多
关键词 Nose reconstruction 3D reconstruction medical applications algorithmic reconstruction enhanced 3D model
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双荷包吻合法在腹腔镜直肠癌NOSES手术中的应用
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作者 吴章强 高绍丽 +2 位作者 方跃君 王建军 姚叶锋 《中文科技期刊数据库(文摘版)医药卫生》 2025年第9期014-020,共7页
比较双荷包吻合法与单荷包吻合方法腹腔镜直肠癌NOSES手术的临床疗效及预后的差异。方法 回顾性分析在浙江金华广福肿瘤医院进行腹腔镜直肠癌根治术的36名患者。患者被分为两组:双荷包吻合法腹腔镜直肠癌NOSES手术组(双荷包组,15例),单... 比较双荷包吻合法与单荷包吻合方法腹腔镜直肠癌NOSES手术的临床疗效及预后的差异。方法 回顾性分析在浙江金华广福肿瘤医院进行腹腔镜直肠癌根治术的36名患者。患者被分为两组:双荷包吻合法腹腔镜直肠癌NOSES手术组(双荷包组,15例),单荷包吻合法腹腔镜直肠癌NOSES手术组(单荷包组,21例)。评估两组患者的基线特征、围手术期指标、手术并发症、术后恢复情况、住院费用以及预后之间的差异。结果 两组患者的性别具有显著性差异(P=0.028)。围手术期指标方面,与单荷包组相比,双荷包组吻合重建时间(55.20minvs.39.52min,P=0.006)显著增加,但术中出血量(30mlvs.100ml,P=0.006)和淋巴结清扫数量(13.14枚vs.18.57枚,P=0.049)明显降低。两组患者的手术并发症和术后恢复情况均无显著性差异(P>0.05),但是与单荷包组相比,双荷包组的住院总天数(18.40天vs.20.67天)和住院费用(43,127.26元vs.46,855.49元)分别下降了10.98%、7.96%。结果 显示,两组患者的复发率(6.7%vs.0)和总生存期(23.78个月vs.20.87个月)均无显著性差异(P>0.05)。结论 在DRGs付费制度下,腹腔镜直肠癌NOSES手术使用双荷包吻合法是安全可行的,还可以减轻患者经济负担,促进医疗资源再分配,节省国家医保基金。 展开更多
关键词 直肠癌 腹腔镜手术 NOSES 双荷包吻合法
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腹腔镜直肠癌前切除术经造口切口取标本术式的近期疗效
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作者 张骏 康健 《中国现代普通外科进展》 2025年第9期743-746,共4页
探讨腹腔镜直肠癌前切除术经造口切口取标本(造口借道NOSES)术式临床应用的安全性及有效性。选取2021年11月—2024年11月北京丰台右安门医院普通外科收治的直肠癌患者,收集病历资料进行回顾性分析。按照标本取出方式分为两组,观察组即... 探讨腹腔镜直肠癌前切除术经造口切口取标本(造口借道NOSES)术式临床应用的安全性及有效性。选取2021年11月—2024年11月北京丰台右安门医院普通外科收治的直肠癌患者,收集病历资料进行回顾性分析。按照标本取出方式分为两组,观察组即造口借道NOSES组,对照组即常规切口取标本组。比较两组相关临床指标的差异。观察组56例、对照组42例,两组基线资料差异无统计学意义(P>0.05)。两组围手术期均无死亡病例发生。观察组在手术时间、可视切口长度、术后第1天疼痛评分、术后第2天疼痛评分方面优于对照组,差异有统计学意义(P<0.05)。两组在术中出血量、淋巴结清扫数目、术后排气时间、术后进食时间、术后第3天疼痛评分、术后并发症发生率方面差异无统计学意义(P>0.05)。腹腔镜直肠癌前切除术经造口切口取标本(造口借道NOSES)术式可以缩短手术时间、减少腹部切口、减轻切口早期疼痛、降低患者创伤,且并发症发生率并未增加,证实手术安全可行,且手术易操作、方便推广,临床上具有良好的应用价值。 展开更多
关键词 腹腔镜 直肠癌前切除术 经造口切口取标本 造口借道NOSES
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结直肠肿瘤经自然腔道取标本手术的技术发展与应用现状
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作者 齐峰 邰智慧 《医学诊断》 2025年第1期86-91,共6页
经自然腔道取标本手术(Natural Orifice Specimen Extraction Surgery, NOSES)避免了腹壁的辅助切口,有极佳的微创效果。与传统腹腔镜手术相比,NOSES在确保彻底切除肿瘤的同时也最大限度地保留了腹壁原有的功能,规避了与腹壁切口相关的... 经自然腔道取标本手术(Natural Orifice Specimen Extraction Surgery, NOSES)避免了腹壁的辅助切口,有极佳的微创效果。与传统腹腔镜手术相比,NOSES在确保彻底切除肿瘤的同时也最大限度地保留了腹壁原有的功能,规避了与腹壁切口相关的并发症,具有术后恢复快、疼痛轻、美容效果好以及术后并发症少等优点。文章综合分析了近年来有关文献的研究成果与报道,深入探讨了经自然腔道取标本手术(NOSES)在结直肠癌领域的发展历程、主要分类、适应症与禁忌症、优点与争议等方面,旨在为临床应用提供参考。Natural Orifice Specimen Extraction Surgery (NOSES) eliminates the need for auxiliary abdominal wall incisions, offering exceptional minimally invasive outcomes. Compared to traditional laparoscopic surgery, NOSES ensures complete tumor removal while preserving the abdominal wall’s natural function to the greatest extent, thus sidestepping complications linked to abdominal wall incisions. It boasts advantages such as swift postoperative recovery, minimal pain, excellent cosmetic results, and fewer postoperative complications. This article thoroughly analyzes recent research findings and relevant literature reports, delving into the evolution, primary classifications, indications, contraindications, strengths, and controversies of NOSES in colorectal cancer. The aim is to offer a reference for clinical application. 展开更多
关键词 NOSES (经自然腔道取标本手术) 结直肠癌 微创手术 腹腔镜手术 治疗进展
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DRGs下的腹腔镜结直肠癌NOSES手术改进 被引量:13
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作者 白东晓 李磊 +4 位作者 郭志朋 武亚超 王雁军 黄天臣 肖建安 《中国肿瘤临床》 CAS CSCD 北大核心 2023年第7期352-355,共4页
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
关键词 DRGS 结直肠癌 NOSES 改进手术 控费
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“白鼻子病”貉血清、被毛微量元素铜、锌、铁、硒测定方法的建立及应用 被引量:9
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作者 侯志军 魏韬 +6 位作者 邢明伟 柴洪亮 张彦龙 王荻 刘志平 邹琦 华育平 《中国兽医学报》 CAS CSCD 北大核心 2010年第5期685-689,共5页
貉"白鼻子"病是貉的一种新发疾病,多数学者认为其为营养代谢性疾病,发病可能和某些微量元素的缺乏有关,但现在没有得到证实。本研究在尝试建立用火焰原子吸收光谱法和荧光吸收光谱法测定貉血清、被毛中铜、锌、铁、硒的方法... 貉"白鼻子"病是貉的一种新发疾病,多数学者认为其为营养代谢性疾病,发病可能和某些微量元素的缺乏有关,但现在没有得到证实。本研究在尝试建立用火焰原子吸收光谱法和荧光吸收光谱法测定貉血清、被毛中铜、锌、铁、硒的方法的基础上,测定了患"白鼻子"病貉及健康貉血清、被毛中铜、锌、铁、硒的含量。"白鼻子"病貉血清铜、锌、铁、硒的含量分别为(592.78±110.37)μg/L、(2.019±0.177)mg/L、(28.410±2.826)mg/L、(166.771±38.661)ng/L,和正常貉相比((709.84±76.56)μg/L、(4.759±1.925)mg/L、(42.352±23.197)mg/L、(303.92±59.527)ng/L),其血清铜、锌、铁、硒含量降低且存在显著差异(P=0.002、P=0.00、P=0.0495、P=0.00)。"白鼻子"病貉被毛铜、锌、铁、硒的含量分别为(17.66±3.61)μg/g、201.43μg/g、(227.59±143.279)μg/g、(797.429±384.43)ng/g,和正常貉相比((16.93±2.86)μg/g、(158.10±31.5)μg/g、(179.613±90.683)μg/g、(612.67±272.410)ng/g),其被毛锌、硒含量降低且存在显著差异(P=0.0495,P=0.045),铜、铁含量降低但显著不差异(P=0.395,P=0.236)。试验结果表明貉"白鼻子"病的发病和其铜、锌、铁、硒的代谢异常有关。 展开更多
关键词 WHITE NOSE disease
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经自然腔道取标本完全腹腔镜下结直肠癌根治术的研究 被引量:30
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作者 赵丹 陈杰 +2 位作者 丁成明 贾泽明 彭健 《中国内镜杂志》 北大核心 2017年第12期36-40,共5页
目的通过观察经自然腔道(NOSE)取标本完全腹腔镜下结直肠癌根治术术中和术后生活质量情况,探讨该技术的可行性及临床疗效。方法纳入2015年4月-2017年6月符合NOSE法条件的40例结直肠癌患者,随机分为对照组(传统腹腔镜)和NOSE组,每组20例... 目的通过观察经自然腔道(NOSE)取标本完全腹腔镜下结直肠癌根治术术中和术后生活质量情况,探讨该技术的可行性及临床疗效。方法纳入2015年4月-2017年6月符合NOSE法条件的40例结直肠癌患者,随机分为对照组(传统腹腔镜)和NOSE组,每组20例。观察分析两组患者的术中情况和术后生活质量。结果所有患者均按照预期目标完成手术,无中转其他手术方式者。两组患者均无术后并发症发生。两组患者的手术时间和术中出血量差异有统计学意义(P<0.05),住院时间差异无统计学意义(P>0.05),NOSE组术后生活质量评分(SF-36量表)在躯体功能、疼痛、角色、认知情况及整体健康状况5个维度上优于对照组,差异有统计学意义(P<0.05)。结论 NOSE法完全腹腔镜下结直肠癌根治术具有整体健康状况好、日常工作和生活受限少、躯体功能和角色功能恢复快等优点,因而对符合条件的患者可推广应用。 展开更多
关键词 NOSE法 免腹部切口 完全腹腔镜技术 结直肠癌
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