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腹腔镜下全结肠系膜切除对右半结肠癌根治术患者手术效果及恢复情况的影响 被引量:39
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作者 王甲南 卢涛 +2 位作者 崔大炜 杨清波 赖承治 《中国内镜杂志》 2020年第3期38-42,共5页
目的探讨腹腔镜下全结肠系膜切除(CME)对右半结肠癌患者的手术效果及恢复情况的影响。方法选取2015年1月-2017年12月右半结肠癌患者70例,依据随机数字表分为腹腔镜组和开腹组,每组35例。腹腔镜组行腹腔镜下CME治疗,开腹组行开腹CME手术... 目的探讨腹腔镜下全结肠系膜切除(CME)对右半结肠癌患者的手术效果及恢复情况的影响。方法选取2015年1月-2017年12月右半结肠癌患者70例,依据随机数字表分为腹腔镜组和开腹组,每组35例。腹腔镜组行腹腔镜下CME治疗,开腹组行开腹CME手术治疗,比较两组患者的治疗结果及恢复情况。结果两组患者术后皮质醇(COR)、促肾上腺皮质激素(ACTH)、肾上腺素(E)均明显高于术前,腹腔镜组术后COR、ACTH、E明显低于开腹组,差异均有统计学意义(P<0.05);两组患者的手术时间、淋巴结清扫数和复发率比较,差异均无统计学意义(P>0.05),腹腔镜组术中出血量、排气时间、下床时间、住院时间和并发症率明显少于开腹组,差异均有统计学意义(P<0.05)。结论腹腔镜下CME与开腹术式的治疗效果一致,且可有效减少患者的手术创伤、减轻应激反应,有利于减少患者术后并发症、缩短术后恢复时间,对于右半结肠癌患者应优先选择腹腔镜CME术式进行治疗。 展开更多
关键词 腹腔镜下全结肠系膜切除 右半结肠癌根治术 疗效 术后恢复
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Effect of Al_(3)Zr particles on hot-compression behavior and processing map for Al-Cu-Li based alloys at elevated temperatures 被引量:7
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作者 qing-bo yang Yan-jun DENG +3 位作者 Mou yang Zhi-qing ZHANG Wei-guo LI Qing LIU 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2020年第4期872-882,共11页
The influence of Al3Zr particles on the hot compression behavior and processing map(PM)of Al-Cu-Li based alloys under isothermal plane-strain compression in the temperature range of 400-500℃and at the strain rates of... The influence of Al3Zr particles on the hot compression behavior and processing map(PM)of Al-Cu-Li based alloys under isothermal plane-strain compression in the temperature range of 400-500℃and at the strain rates of 0.01-10 s^-1 was investigated.The corresponding microstructure was analyzed using optical microscopy(OM),electron back-scattered diffraction(EBSD)and transmission electron microscope(TEM).The results showed that dynamic recovery(DRV)played a greater role than dynamic recrystallization(DRX)in dynamic softening.At low temperatures,the Al3Zr particles were the significant barriers to inhibit DRV and DRX grain growth.When the temperature reached 500℃,the Al3Zr particles readily spread along grain boundaries just like a necklace due to the dissolution of Al3Zr particles and rapid diffusion of Zr through grain boundary,resulting in generating the macroscopic cracks and forming an instability domain at 490-500℃,0.01 s^-1 in the PM. 展开更多
关键词 Al-Cu-Li based alloy Al_(3)Zr particle hot compression processing map
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Improvement of microstructure and mechanical properties of Al−Cu−Li−Mg−Zn alloys through water-cooling centrifugal casting technique
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作者 qing-bo yang Wen-jing SHI +4 位作者 Wen LIU Miao WANG Wen-bo WANG Li-na JIA Hu ZHANG 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS 2024年第11期3486-3503,共18页
The microstructure and mechanical properties of as-cast Al−Cu−Li−Mg−Zn alloys fabricated by conventional gravity casting and centrifugal casting techniques combined with rapid solidification were investigated.Experime... The microstructure and mechanical properties of as-cast Al−Cu−Li−Mg−Zn alloys fabricated by conventional gravity casting and centrifugal casting techniques combined with rapid solidification were investigated.Experimental results demonstrated that compared with the gravity casting technique,the water-cooling centrifugal casting technique significantly reduces porosity,refinesα(Al)grains and secondary phases,modifies the morphology of secondary phases,and mitigates both macro-and micro-segregation.These improvements arise from the synergistic effects of the vigorous backflow,centrifugal field,vibration and rapid solidification.Porosity and coarse plate-like Al13Fe4/Al7Cu2Fe phase result in the fracture before the gravity-cast alloy reaches the yield point.The centrifugal-cast alloy,however,exhibits an ultra-high yield strength of 292.0 MPa and a moderate elongation of 6.1%.This high yield strength is attributed to solid solution strengthening(SSS)of 225.3 MPa,and grain boundary strengthening(GBS)of 35.7 MPa.Li contributes the most to SSS with a scaling factor of 7.9 MPa·wt.%^(-1).The elongation of the centrifugal-cast alloy can be effectively enhanced by reducing the porosity and segregation behavior,refining the microstructure and changing the morphology of secondary phases. 展开更多
关键词 Al−Cu−Li−Mg−Zn alloy water-cooling centrifugal casting microstructure mechanical properties segregation behavior
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