目的:探讨Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病的效果。方法:回顾性分析2021年9月~2022年9月我院收治的80例退变性腰椎疾病患者的病历资料,根据患者治疗方式分为观察组(38例,男17例,女21例,年龄61.0...目的:探讨Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病的效果。方法:回顾性分析2021年9月~2022年9月我院收治的80例退变性腰椎疾病患者的病历资料,根据患者治疗方式分为观察组(38例,男17例,女21例,年龄61.0±4.9岁)和对照组(42例,男20例,女22例,年龄60.5±5.4岁),观察组患者采取Delta大通道内镜下Endo-PLIF治疗,对照组采取开放后路腰椎椎间融合术治疗,记录两组患者术中出血量、术后引流量、手术时间、手术切口长度、住院时间,比较患者并发症发生情况。于术前、术后1周、1个月、3个月、6个月使用视觉模拟量表(visual analogue scale,VAS)评分评估患者腰痛情况,并采用Oswestry功能障碍指数(Oswestry disability index,ODI)评估患者腰椎功能;使用改良Macnab标准对患者进行疗效评估。根据患者术后1年随访时的腰椎影像学复查结果,使用Bridwell椎间融合标准对患者手术节段融合情况进行评估。结果:观察组患者的术中出血量及术后引流量分别低于对照组(88.46±10.98mL vs 112.99±12.01mL、159.73±18.42mL vs 201.36±23.06mL,P<0.05),手术切口及住院时间分别短于对照组(1.54±0.36cm vs 5.43±1.01cm、6.79±1.22d vs 8.03±1.43d,P<0.05),手术时间长于对照组(162.33±19.57min vs 126.87±23.15min,P<0.05)。80例患者术后均获随访,随访时间15~40个月(19.0±6.3个月)。观察组患者术后1周、术后1个月的VAS评分分别为2.46±0.51分、1.21±0.38分,ODI分别为(17.84±4.15)%、(10.69±1.88)%,均低于对照组[VAS评分分别为3.68±0.62分、2.01±0.41分,ODI分别为(21.33±3.48)%、(12.33±2.17)%,均P<0.05],两组患者术后3个月、术后6个月的VAS评分比较无统计学差异(P>0.05)。观察组治疗优良率为92.11%,与对照组的85.71%比较无统计学意义(P=0.487)。两组患者融合分级比较,差异无统计学意义(Z=0.487,P=0.624)。观察组术后并发症发生率为5.26%,与对照组的9.52%比较无统计学差异(P=0.678)。结论:Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病效果良好,可以减少术中出血量,缩短手术切口和住院时间,更快改善患者术后短期内疼痛、腰椎功能,安全性较好。展开更多
Due to their high reliability and cost-efficiency,submarine pipelines are widely used in offshore oil and gas resource engineering.Due to the interaction of waves,currents,seabed,and pipeline structures,the soil aroun...Due to their high reliability and cost-efficiency,submarine pipelines are widely used in offshore oil and gas resource engineering.Due to the interaction of waves,currents,seabed,and pipeline structures,the soil around submarine pipelines is prone to local scour,severely affecting their operational safety.With the Yellow River Delta as the research area and based on the renormalized group(RNG)k-εturbulence model and Stokes fifth-order wave theory,this study solves the Navier-Stokes(N-S)equation using the finite difference method.The volume of fluid(VOF)method is used to describe the fluid-free surface,and a threedimensional numerical model of currents and waves-submarine pipeline-silty sandy seabed is established.The rationality of the numerical model is verified using a self-built waveflow flume.On this basis,in this study,the local scour development and characteristics of submarine pipelines in the Yellow River Delta silty sandy seabed in the prototype environment are explored and the influence of the presence of pipelines on hydrodynamic features such as surrounding flow field,shear stress,and turbulence intensity is analyzed.The results indicate that(1)local scour around submarine pipelines can be divided into three stages:rapid scour,slow scour,and stable scour.The maximum scour depth occurs directly below the pipeline,and the shape of the scour pits is asymmetric.(2)As the water depth decreases and the pipeline suspension height increases,the scour becomes more intense.(3)When currents go through a pipeline,a clear stagnation point is formed in front of the pipeline,and the flow velocity is positively correlated with the depth of scour.This study can provide a valuable reference for the protection of submarine pipelines in this area.展开更多
Deltaic sedimentary systems form the most favorable hydrocarbon reservoirs in continental faulted lacustrine basins,and their types and controlling factors directly affect the distribution of hydrocarbons.The systemat...Deltaic sedimentary systems form the most favorable hydrocarbon reservoirs in continental faulted lacustrine basins,and their types and controlling factors directly affect the distribution of hydrocarbons.The systematic study of typical modern delta deposition provides significant guidance regarding the distribution of oil and gas reservoirs in the subsurface.For this reason,the Heima River delta in Qinghai Lake,which features multiple sediment sources and clear sedimentary evolution stages,was selected for this research.A detailed study of the sedimentology and architectural characteristics of the Heimahe delta in Qinghai Lake was conducted.A total of 4 types of gravel facies,4 types of sand facies,and 2 types of mud facies were identified.This study also focuses on recognizing the architectural elements within channels and bars.The delta plain features debris-flow,switched,and migrated channels and vertical and bilateral aggradation bars.The delta front features migrated and filled channels and bilateral and lateral aggradation bars.Twenty-two representative outcrop sections were selected.Detailed observation and analysis of these sections revealed three stages:the progradation to aggradation(PA)stage,in which the deposits show evidence of sigmoid-type and coarse-grained sedimentation;the retrogradation(R)stage,which is characterized by imbricated regression;and the aggradation to progradation and degradation(APD)stage,which is characterized by a terraced-stepping,progression stacking pattern.Based on the integrated analysis of the sedimentary environment,outcrop lithofacies associations,architecture stacking patterns,fossils and bioclasts,we identified diverse depositional associations and constructed a sedimentary evolution model of the depositional system in this area.We suggest that the depositional system transitioned from an early single-provenance gravel-rich fan delta to a multi-provenance mud-rich delta and that two factors mainly controlled the transition:the southern boundary fault activity and lake level variations.The contemporaneous activity of the fault increased the accommodation in the low-stand systems tract,which resulted in continuous coarse-sediment deposition.展开更多
Per-and polyfluoroalkyl substances(PFASs)are emerging persistent organic pollutants(POPs).In this study,47 surface sediment samples were collected from the Yellow River Delta wetland(YRDW)to investigate the occurrence...Per-and polyfluoroalkyl substances(PFASs)are emerging persistent organic pollutants(POPs).In this study,47 surface sediment samples were collected from the Yellow River Delta wetland(YRDW)to investigate the occurrence,spatial distribution,potential sources,and ecological risks of PFASs.Twenty-three out of 26 targeted PFASs were detected in surface sediment samples from the YRDW,with totalΣ23PFASs concentrations ranging from 0.23 to 16.30 ng g^(-1) dw and a median value of 2.27 ng g^(-1) dw.Perfluorooctanoic acid(PFOA),perfluorobutanoic acid(PFBA)and perfluorooctanesulfonic acid(PFOS)were the main contaminants.The detection frequency and concentration of perfluoroalkyl carboxylic acids(PFCAs)were higher than those of perfluoroal-kanesulfonic acids(PFSAs),while those of long-chain PFASs were higher than those of short-chain PFASs.The emerging PFASs substitutes were dominated by 6:2 chlorinated polyfluoroalkyl ether sulfonic acid(6:2 Cl-PFESA).The distribution of PFASs is significantly influenced by the total organic carbon content in the sediments.The concentration of PFASs seems to be related to human activities,with high concentration levels of PFASs near locations such as beaches and villages.By using a positive matrix factorization model,the potential sources of PFASs in the region were identified as metal plating mist inhibitor and fluoropolymer manufacturing sources,metal plating industry and firefighting foam and textile treatment sources,and food packaging material sources.The risk assessment indicated that PFASs in YRDW sediments do not pose a significant ecological risk to benthic organisms in the region overall,but PFOA and PFOS exert a low to moderate risk at individual stations.展开更多
文摘目的:探讨Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病的效果。方法:回顾性分析2021年9月~2022年9月我院收治的80例退变性腰椎疾病患者的病历资料,根据患者治疗方式分为观察组(38例,男17例,女21例,年龄61.0±4.9岁)和对照组(42例,男20例,女22例,年龄60.5±5.4岁),观察组患者采取Delta大通道内镜下Endo-PLIF治疗,对照组采取开放后路腰椎椎间融合术治疗,记录两组患者术中出血量、术后引流量、手术时间、手术切口长度、住院时间,比较患者并发症发生情况。于术前、术后1周、1个月、3个月、6个月使用视觉模拟量表(visual analogue scale,VAS)评分评估患者腰痛情况,并采用Oswestry功能障碍指数(Oswestry disability index,ODI)评估患者腰椎功能;使用改良Macnab标准对患者进行疗效评估。根据患者术后1年随访时的腰椎影像学复查结果,使用Bridwell椎间融合标准对患者手术节段融合情况进行评估。结果:观察组患者的术中出血量及术后引流量分别低于对照组(88.46±10.98mL vs 112.99±12.01mL、159.73±18.42mL vs 201.36±23.06mL,P<0.05),手术切口及住院时间分别短于对照组(1.54±0.36cm vs 5.43±1.01cm、6.79±1.22d vs 8.03±1.43d,P<0.05),手术时间长于对照组(162.33±19.57min vs 126.87±23.15min,P<0.05)。80例患者术后均获随访,随访时间15~40个月(19.0±6.3个月)。观察组患者术后1周、术后1个月的VAS评分分别为2.46±0.51分、1.21±0.38分,ODI分别为(17.84±4.15)%、(10.69±1.88)%,均低于对照组[VAS评分分别为3.68±0.62分、2.01±0.41分,ODI分别为(21.33±3.48)%、(12.33±2.17)%,均P<0.05],两组患者术后3个月、术后6个月的VAS评分比较无统计学差异(P>0.05)。观察组治疗优良率为92.11%,与对照组的85.71%比较无统计学意义(P=0.487)。两组患者融合分级比较,差异无统计学意义(Z=0.487,P=0.624)。观察组术后并发症发生率为5.26%,与对照组的9.52%比较无统计学差异(P=0.678)。结论:Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病效果良好,可以减少术中出血量,缩短手术切口和住院时间,更快改善患者术后短期内疼痛、腰椎功能,安全性较好。
基金China Postdoctoral Science Foundation,Grant/Award Number:2023M731999National Natural Science Foundation of China,Grant/Award Number:52301326。
文摘Due to their high reliability and cost-efficiency,submarine pipelines are widely used in offshore oil and gas resource engineering.Due to the interaction of waves,currents,seabed,and pipeline structures,the soil around submarine pipelines is prone to local scour,severely affecting their operational safety.With the Yellow River Delta as the research area and based on the renormalized group(RNG)k-εturbulence model and Stokes fifth-order wave theory,this study solves the Navier-Stokes(N-S)equation using the finite difference method.The volume of fluid(VOF)method is used to describe the fluid-free surface,and a threedimensional numerical model of currents and waves-submarine pipeline-silty sandy seabed is established.The rationality of the numerical model is verified using a self-built waveflow flume.On this basis,in this study,the local scour development and characteristics of submarine pipelines in the Yellow River Delta silty sandy seabed in the prototype environment are explored and the influence of the presence of pipelines on hydrodynamic features such as surrounding flow field,shear stress,and turbulence intensity is analyzed.The results indicate that(1)local scour around submarine pipelines can be divided into three stages:rapid scour,slow scour,and stable scour.The maximum scour depth occurs directly below the pipeline,and the shape of the scour pits is asymmetric.(2)As the water depth decreases and the pipeline suspension height increases,the scour becomes more intense.(3)When currents go through a pipeline,a clear stagnation point is formed in front of the pipeline,and the flow velocity is positively correlated with the depth of scour.This study can provide a valuable reference for the protection of submarine pipelines in this area.
基金co-funded by the Natural Science Foundation of China(Grant Nos.42172112 and 42272124)Fundamental Research Funds for the Central Universities(No.2-9-2019-100)Major State Science and Technology Research Program(Nos.2016ZX05024-002 and 2017ZX05001-002).
文摘Deltaic sedimentary systems form the most favorable hydrocarbon reservoirs in continental faulted lacustrine basins,and their types and controlling factors directly affect the distribution of hydrocarbons.The systematic study of typical modern delta deposition provides significant guidance regarding the distribution of oil and gas reservoirs in the subsurface.For this reason,the Heima River delta in Qinghai Lake,which features multiple sediment sources and clear sedimentary evolution stages,was selected for this research.A detailed study of the sedimentology and architectural characteristics of the Heimahe delta in Qinghai Lake was conducted.A total of 4 types of gravel facies,4 types of sand facies,and 2 types of mud facies were identified.This study also focuses on recognizing the architectural elements within channels and bars.The delta plain features debris-flow,switched,and migrated channels and vertical and bilateral aggradation bars.The delta front features migrated and filled channels and bilateral and lateral aggradation bars.Twenty-two representative outcrop sections were selected.Detailed observation and analysis of these sections revealed three stages:the progradation to aggradation(PA)stage,in which the deposits show evidence of sigmoid-type and coarse-grained sedimentation;the retrogradation(R)stage,which is characterized by imbricated regression;and the aggradation to progradation and degradation(APD)stage,which is characterized by a terraced-stepping,progression stacking pattern.Based on the integrated analysis of the sedimentary environment,outcrop lithofacies associations,architecture stacking patterns,fossils and bioclasts,we identified diverse depositional associations and constructed a sedimentary evolution model of the depositional system in this area.We suggest that the depositional system transitioned from an early single-provenance gravel-rich fan delta to a multi-provenance mud-rich delta and that two factors mainly controlled the transition:the southern boundary fault activity and lake level variations.The contemporaneous activity of the fault increased the accommodation in the low-stand systems tract,which resulted in continuous coarse-sediment deposition.
基金financially supported by the National Natural Science Foundation of China(NSFC)(No.42377217)the Cooperation Fund between Dongying City and Universities(No.SXHZ-2023-02-6).
文摘Per-and polyfluoroalkyl substances(PFASs)are emerging persistent organic pollutants(POPs).In this study,47 surface sediment samples were collected from the Yellow River Delta wetland(YRDW)to investigate the occurrence,spatial distribution,potential sources,and ecological risks of PFASs.Twenty-three out of 26 targeted PFASs were detected in surface sediment samples from the YRDW,with totalΣ23PFASs concentrations ranging from 0.23 to 16.30 ng g^(-1) dw and a median value of 2.27 ng g^(-1) dw.Perfluorooctanoic acid(PFOA),perfluorobutanoic acid(PFBA)and perfluorooctanesulfonic acid(PFOS)were the main contaminants.The detection frequency and concentration of perfluoroalkyl carboxylic acids(PFCAs)were higher than those of perfluoroal-kanesulfonic acids(PFSAs),while those of long-chain PFASs were higher than those of short-chain PFASs.The emerging PFASs substitutes were dominated by 6:2 chlorinated polyfluoroalkyl ether sulfonic acid(6:2 Cl-PFESA).The distribution of PFASs is significantly influenced by the total organic carbon content in the sediments.The concentration of PFASs seems to be related to human activities,with high concentration levels of PFASs near locations such as beaches and villages.By using a positive matrix factorization model,the potential sources of PFASs in the region were identified as metal plating mist inhibitor and fluoropolymer manufacturing sources,metal plating industry and firefighting foam and textile treatment sources,and food packaging material sources.The risk assessment indicated that PFASs in YRDW sediments do not pose a significant ecological risk to benthic organisms in the region overall,but PFOA and PFOS exert a low to moderate risk at individual stations.