目的:分析和总结自体股骨头结构植骨重建髋臼辅助全髋关节置换术(total hip arthroplasty,THA)治疗改良Crowe TypeⅣB型成人髋关节发育不良性脱位(developmental dysplasia of the hip,DDH)患者的临床疗效。方法:按照改良Crowe分型,选...目的:分析和总结自体股骨头结构植骨重建髋臼辅助全髋关节置换术(total hip arthroplasty,THA)治疗改良Crowe TypeⅣB型成人髋关节发育不良性脱位(developmental dysplasia of the hip,DDH)患者的临床疗效。方法:按照改良Crowe分型,选取山东大学齐鲁医院德州医院关节外科2015年8月至2023年3月收治的TypeⅣB型DDH患者26例,其中男25例,女1例,采用自体股骨头结构植骨重建髋臼辅助THA,记录患者手术时间、术中失血量、术中术后输血量、术后血红蛋白、手术相关并发症和骨愈合时间等,并行骨盆正位X线片了解假体位置、假体骨长入、假体松动以及骨愈合情况等,采用视觉模拟评分表(visual analogue scale,VAS)评价髋关节的疼痛不适,采用髋关节Harris评分和Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)来评价髋关节功能及临床疗效。结果:所有患者的平均随访时间(9.73±8.35)个月,术中出血平均为(715.38±143.37) mL,术中平均输血(415.38±282.41) mL,手术时间平均为(118.62±18.27) min,术后平均输血为(192.31±236.51) mL。所有患者转子下骨端、自体股骨头和假臼之间均骨愈合良好。髋关节VAS评分从术前6.73±0.45,至术后末次随访时VAS评分1.73±0.53,差异有统计学意义(P=0.000),髋关节活动度均较术前明显改善,髋关节Harris评分从术前24.27±1.66,至术后末次随访时Harris评分74.77±2.89,差异有统计学意义(P=0.000),WOMAC术前术后评分分别为130.08±5.72和67.85±3.23,差异均有统计学意义(P=0.000)。结论:自体股骨头结构植骨重建髋臼辅助THA治疗改良Crowe TypeⅣB型DDH,具有操作相对简单、固定牢固、手术相对安全和疗效确切的优点。展开更多
Electrical properties are important physical parameters of natural gas hydrate,and,specifically,resistivity has been widely used in the quantitative estimation of hydrate saturation.There are three main methods to stu...Electrical properties are important physical parameters of natural gas hydrate,and,specifically,resistivity has been widely used in the quantitative estimation of hydrate saturation.There are three main methods to study the electrical properties of gas hydrate-bearing sediments:experimental laboratory measurements,numerical simulation,and resistivity logging.Experimental measurements can be divided into three categories:normal electrical measurement,complex resistivity measurement,and electrical resistivity tomography.Experimental measurements show that the resistivity of hydrate-bearing sediment is affected by many factors,and its distribution as well as the hydrate saturation is not uniform;there is a distinct non-Archie phenomenon.The numerical method can simulate the resistivity of sediments by changing the hydrate occurrence state,saturation,distribution,etc.However,it needs to be combined with X-ray CT,nuclear magnetic resonance,and other imaging techniques to characterize the porous characteristics of the hydrate-bearing sediments.Resistivity well logging can easily identify hydrate layers based on their significantly higher resistivity than the background,but the field data of the hydrate layer also has a serious non-Archie phenomenon.Therefore,more experimental measurements and numerical simulation studies are needed to correct the parameters of Archie’s formula.展开更多
基金the financial support provided by the National Natural Science Foundation of China(Grant Nos.42174133 and 41676032)China Geological Survey(Grant No.DD20190234)。
文摘Electrical properties are important physical parameters of natural gas hydrate,and,specifically,resistivity has been widely used in the quantitative estimation of hydrate saturation.There are three main methods to study the electrical properties of gas hydrate-bearing sediments:experimental laboratory measurements,numerical simulation,and resistivity logging.Experimental measurements can be divided into three categories:normal electrical measurement,complex resistivity measurement,and electrical resistivity tomography.Experimental measurements show that the resistivity of hydrate-bearing sediment is affected by many factors,and its distribution as well as the hydrate saturation is not uniform;there is a distinct non-Archie phenomenon.The numerical method can simulate the resistivity of sediments by changing the hydrate occurrence state,saturation,distribution,etc.However,it needs to be combined with X-ray CT,nuclear magnetic resonance,and other imaging techniques to characterize the porous characteristics of the hydrate-bearing sediments.Resistivity well logging can easily identify hydrate layers based on their significantly higher resistivity than the background,but the field data of the hydrate layer also has a serious non-Archie phenomenon.Therefore,more experimental measurements and numerical simulation studies are needed to correct the parameters of Archie’s formula.
