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早期近端胃癌行腹腔镜辅助下近端胃切除双通路吻合术的短期手术疗效观察 被引量:22
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作者 罗德胜 徐宏涛 +5 位作者 章平禄 胡平 曹海波 郑晶晶 吴丹 孙政 《中国内镜杂志》 2020年第1期1-8,共8页
目的为评估早期近端胃癌保功能手术的可行性与益处,比较早期胃癌患者行腹腔镜辅助近端胃切除双通道吻合术与腹腔镜辅助全胃切除Roux-en-Y消化道重建术的短期手术效果。方法选取2016年5月-2018年5月29例早期近端胃癌患者接受近端胃切除... 目的为评估早期近端胃癌保功能手术的可行性与益处,比较早期胃癌患者行腹腔镜辅助近端胃切除双通道吻合术与腹腔镜辅助全胃切除Roux-en-Y消化道重建术的短期手术效果。方法选取2016年5月-2018年5月29例早期近端胃癌患者接受近端胃切除双通道吻合术;同时选取该院2015年6月以来行全胃切除Roux-en-Y消化道重建术的早期近端胃癌患者,做人口统计学信息、合并症、肿瘤特征和TNM分期配对,对两组患者的围术期和短期手术结果进行比较。结果两组患者的术后病理学特征相近,两组患者均无中转开腹及均未出现术中并发症,两组患者手术时间、术中出血量、术后肛门首次排气时间、首次进食时间及术后住院时间比较,差异均无统计学意义,双通道组淋巴结清扫量(16.73±5.68)枚明显少于全胃切除组(21.43±4.09)枚,两组比较,差异有统计学意义(P=0.023)。每组患者均无吻合口瘘、吻合口出血、反流性食管炎、切口感染及淋巴瘘的记录,两组患者并发症发生率和围术期炎症反应比较,差异无统计学意义。术后随访3个月发现,较之全胃切除Roux-en-Y消化道重建术患者,近端胃切除双通道吻合术患者生活满意度高,两组患者术后体重均较术前下降,其中全胃切除组患者术后体重下降较双通道组比例更高,两组比较,差异有统计学意义(P<0.05);两组患者术前和术后1个月血红蛋白比较,差异无统计学意义,术后2和3个月随访结果显示,双通道组血红蛋白量较全胃切除组高,两组比较,差异有统计学意义(P<0.05);在术前、术后1及2个月,两组患者的血清白蛋白量比较,差异无统计学意义,术后3个月时,双通道组患者血清白蛋白量(41.45±3.68)g/L明显高于全胃切除组(38.45±4.96)g/L,差异有统计学意义(P=0.035)。结论早期近端胃癌行腹腔镜辅助下近端胃切除双通道吻合术有较好的可行性和安全性,近期疗效满意,与全胃切除组比较,双通路术式不增加围术期并发症的发生率,而患者术后营养状况更好,术后体重下降率更低。 展开更多
关键词 早期近端胃癌 腔镜辅助 近端胃切除 双通路吻合 手术效果
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Research on droplet formation and dripping behavior during the electroslag remelting process 被引量:2
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作者 Yu-long cao Yan-wu Dong +3 位作者 Zhou-hua Jiang hai-bo cao Dong Hou Qian-long Feng 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2016年第4期399-407,共9页
A better understanding of droplet formation and dripping behavior would be useful in the efficient removal of impurity elements and nonmetallic inclusions from liquid metals. In the present work, we developed a transp... A better understanding of droplet formation and dripping behavior would be useful in the efficient removal of impurity elements and nonmetallic inclusions from liquid metals. In the present work, we developed a transparent experimental apparatus to study the mechanisms of droplet formation and the effects of filling ratio on droplet behavior during the electroslag remelting(ESR) process. A high-speed camera was used to clearly observe, at small time scales, the droplet formation and dripping phenomenon at the slag/metal interface during a stable ESR process. The results illustrate that a two-stage process for droplet formation and dripping occurs during the ESR process and that the droplet diameter exhibits a parabolic distribution with increasing filling ratio because of the different shape and thermal state of the electrode tip. This work also confirms that a relatively large filling ratio reduces electricity consumption and improves ingot quality. 展开更多
关键词 electroslag remelting droplets DRIPPING physical simulation
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Effects of current path on structure and segregation during electroslag remelting process of Inconel 718 alloy with same power input 被引量:1
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作者 Fu-bin Liu hai-bo cao +2 位作者 Hua-bing Li Zhou-hua Jiang Xin Geng 《Journal of Iron and Steel Research(International)》 SCIE EI CSCD 2021年第12期1574-1581,共8页
Current-conductive mold was recently developed to extend electroslag remelting(ESR)functions to overcome some solidification defects by changing the current path.The macrostructures,microstructures,macrosegregation,an... Current-conductive mold was recently developed to extend electroslag remelting(ESR)functions to overcome some solidification defects by changing the current path.The macrostructures,microstructures,macrosegregation,and microsegregation of the Inconel 718 ingots produced by the custom laboratory-scale ESR furnace under different current paths(the classical ESR and the single power,and two circuits ESR process with current-conductive mold(ESR-STCCM))with the same power input were compared and investigated.The results indicate that when the ingot was produced during ESR and ESR-STCCM processes,at the same power input,the pool depth was 104 and 90 mm,respectively.A flatter and shallower molten pool was obtained during ESR-STCCM process.Moreover,compared with a classical ESR ingot,the cooling rate of the centerline of ESR-STCCM ingot was increased from 12.7 to 16.7 K min^(−1).The increased cooling rates caused by decreased melting rate and thinner slag skin reduced the growth angle of columnar crystal to the vertical axis and the secondary dendrite arm spacing.Furthermore,the macrosegregation and microsegregation of segregation elements for ESR-STCCM process were dramatically reduced compared with ESR process.The average volume fraction of Laves phase was reduced from 7.39%to 6.14%,and the segregation of Nb in Laves phase was significantly reduced. 展开更多
关键词 Electroslag remelting Current path STRUCTURE SEGREGATION Inconel 718 alloy Current-conductive mold
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Effect of slag composition on elements oxidation behavior of GH984G superalloy for electroslag remelting withdrawal process
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作者 Fu-bin Liu Jun-zhe Gao +6 位作者 hai-bo cao Hua-bing Li Zhou-hua Jiang Xin Geng Cong-peng Kang Kui Chen Rui-dong An 《Journal of Iron and Steel Research(International)》 SCIE EI CSCD 2022年第5期761-771,共11页
The composition of a slag system has been shown to be particularly important and influential for the new technology of electroslag remelting withdrawal process.The oxidation of the GH984G alloy elements,in contact wit... The composition of a slag system has been shown to be particularly important and influential for the new technology of electroslag remelting withdrawal process.The oxidation of the GH984G alloy elements,in contact with different contents of CaF_(2)–CaO–Al_(2)O_(3)–MgO–TiO_(2)–SiO_(2)in various slag systems,has been investigated in the present study by performing slag–metal equilibrium experiments and ion and molecule coexistence theory analysis.The results show that CaF_(2)and MgO have only a minor effect on the oxidation rates of Al and Ti in the GH984G superalloys.However,it was found that SiO_(2)would intensify the oxidation degree of Al and Ti,and Al was found to become easier oxidized than Ti.Moreover,CaO was found to reduce the activity of SiO_(2)and,thereby,also the oxidation degree of Al and Ti.Also,TiO_(2)was found to reduce the oxidation rate of Ti and instead increase the oxidation rate of Al.Finally,the effect of Al_(2)O_(3)on the oxidation of Al and Ti was observed to be opposite to that of TiO_(2).The calculated results were found to be in good agreement with experimental measurements.Moreover,viscosity experiments showed that CaO would rapidly increase the viscosity of the slag at low temperatures,and that the viscosity of the slag would increase with an increase in SiO_(2)content. 展开更多
关键词 Electroslag remelting withdrawal SLAG GH984G superalloy Oxidation rate VISCOSITY
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