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腔镜辅助手术与开放手术治疗cN0期甲状腺乳头状癌的对比 被引量:16
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作者 王宇 李崔伟 +7 位作者 史潇 史荣亮 渠宁 马奔 徐伟博 王玉龙 朱永学 嵇庆海 《中国肿瘤临床》 CAS CSCD 北大核心 2019年第20期1051-1055,共5页
目的:比较胸骨切迹入路腔镜辅助下甲状腺手术(minimally invasive video-assisted thyroidectomy,MIVAT)与传统开放手术(open thyroid surgery,OTS)治疗临床淋巴结阴性(clinically node-negative,cN0)甲状腺乳头状癌(papillary thyroid ... 目的:比较胸骨切迹入路腔镜辅助下甲状腺手术(minimally invasive video-assisted thyroidectomy,MIVAT)与传统开放手术(open thyroid surgery,OTS)治疗临床淋巴结阴性(clinically node-negative,cN0)甲状腺乳头状癌(papillary thyroid carcinoma,PTC)的彻底性、安全性以及术后美容效果的差异。方法:收集2012年1月至2017年12月间复旦大学附属肿瘤医院行胸骨切迹入路MIVAT的80例cN0期PTC患者,并根据1:2比例使用随机数法抽取160例同期行OTS的PTC患者。患者手术方式为腺叶切除/全甲切除术+预防性中央区淋巴结清扫术。采用χ~2检验、Kaplan-Meier生存分析与Log-rank检验对比两种手术方式的差异。结果:MIVAT组的平均手术时间长于OTS组(P=0.003),但住院时间明显缩短(P<0.001)。手术疗效方面,MIVAT组与OTS组患者的术后复发率、淋巴结清扫数目以及淋巴结转移数目的差异均无统计学意义(均P>0.05)。手术安全性方面,两种术式术后发生喉返神经损伤、术后血肿和感染等并发症的发生率相近(均P>0.05)。两组患者术后的改良版温哥华瘢痕量表(Vancouver scar scale,VSS)评分亦无显著性差异(P=0.288),但MIVAT组相比OTS组可以显著缩短颈部瘢痕长度(P<0.001)。结论:对于cN0期PTC而言,MIVAT在手术的疗效、安全性上与OTS无明显区别,尽管MIVAT的改良VSS瘢痕评分与OTS类似,但胸骨切迹入路MIVAT可以显著减少颈部切口长度,具有一定的美容效果,同时由于切口位置更低,容易遮盖,美容效果更好。因此,经胸骨切迹入路MI-VAT可在临床实践中进一步推广。 展开更多
关键词 甲状腺乳头状癌 腔镜辅助下甲状腺手术 疗效 安全性 美容效果
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A novel approach for the composition design of high-entropy fluorite oxides with low thermal conductivity
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作者 Guangjin Chen cuiwei li +5 位作者 Huaiming Jia Yuwei Zhang Bo Gong Xue li Tianyu liu Kepi Chen 《Journal of Advanced Ceramics》 SCIE EI CAS CSCD 2024年第9期1369-1381,共13页
High-entropy fluorite oxides(HEFOs)show significant potential for thermal protection applications due to their advantageous combination of low thermal conductivity and high Yong’s modulus.However,the factors influenc... High-entropy fluorite oxides(HEFOs)show significant potential for thermal protection applications due to their advantageous combination of low thermal conductivity and high Yong’s modulus.However,the factors influencing its formation have not been well studied,and a systematic method for compositional design has not yet been established.In this paper,the effects of oxygen vacancy concentration(O_(vac))and mean cation radius(r¯)on formability of HEFOs were investigated to develop a compositional design approach.The results indicate that an appropriate r¯and Ovac is crucial for promoting the formability of single-phase(Ca_(x)Ce_(y1)Zr_(y2)Hf_(z)Sn_(z)Ti_(z))O_(2−δ)HEFOs.High mass/size disorder and an appropriate Ovac(10%)result in(Ca_(0.2)Ce_(0.1)4Zr_(0.1)2Hf_(0.18)Sn_(0.18)Ti_(0.18))O_(2−δ)exhibiting the lowest thermal conductivity of 1.24 W·m^(−1)·K^(−1).Building upon these insights and employing a valence combination strategy,three new single-phase HEFOs with low thermal conductivity were successfully designed and synthesized,namely,(La0.28Y0.28Ce0.18Zr0.18W0.08)O2−δ,(La_(_(0.3))Y_(_(0.3))Ce_(0.2)Nb_(0.1)Ta_(0.1))O_(2−δ),and(Yb_(0.52)Ce_(0.12)Zr_(0.12)Sn_(0.12)Nb_(0.12))O_(2−δ).This design approach will provide a valuable reference for the design of other high-entropy oxides. 展开更多
关键词 composition design high-entropy fluorite oxides oxygen vacancy phonon scattering thermal conductivity
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Facile fabrication of cordierite-based porous ceramics with magnetic properties
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作者 Hao li cuiwei li +5 位作者 Huaiming JIA Guangjin CHEN Siyuan li Kepi CHEN Chang-An WANG liang QIAO 《Journal of Advanced Ceramics》 SCIE EI CAS CSCD 2022年第10期1583-1595,共13页
In this paper,cordierite-based porous ceramics with magnetic properties have been firstly in-situ synthesized by using MgO,Al_(2)O_(3),and SiO_(2) powders as raw materials and Fe_(3)O_(4) as a functional additive.Comb... In this paper,cordierite-based porous ceramics with magnetic properties have been firstly in-situ synthesized by using MgO,Al_(2)O_(3),and SiO_(2) powders as raw materials and Fe_(3)O_(4) as a functional additive.Combining with the foam freeze casting method,near net size fabrication(total linear shrinkage<2.86%)of the magnetic porous materials was realized by adjusting the amount of Fe_(3)O_(4).The porosity,compressive strength,and saturation magnetization of the prepared materials were 83.9%-87.8%,1.51-2.65 MPa,and 1.2-5.8 emu/g,respectively.The phase composition and microstructure evolutions during sintering were investigated briefly.The results showed that the synthesis temperature of cordierite was lowered about 100℃ due to the addition of Fe_(3)O_(4).Except for the main phase-cordierite,Mg-Al-Fe spinel and α-Fe_(2)O_(3) also existed in the final materials.The lattice parameters of the Mg-Al-Fe spinel and the amount of α-Fe_(2)O_(3) changed obviously with the change in the sintering temperature and Fe_(3)O_(4) amount,which mainly influenced the magnetic properties of the prepared materials.Thus,a facile fabrication method of the cordierite-based porous ceramics with the magnetic properties has been put forward in this paper. 展开更多
关键词 porous cordierite ceramics phase composition MICROSTRUCTURE magnetic property
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