AIM: To evaluate the effects of self-expanding metal stents (SEMS) in patients with malignant esophageal obstruction and to analyze their prognosis and complications. METHODS: Seventy-four metallic stents were placed ...AIM: To evaluate the effects of self-expanding metal stents (SEMS) in patients with malignant esophageal obstruction and to analyze their prognosis and complications. METHODS: Seventy-four metallic stents were placed under fluoroscopic guidance in 66 patients with esophageal obstruction secondary to carcinoma, of whom, 6 cases were complicated by fistula. RESULTS: After seventy-two stents were successfully used in 66 cases without any severe complications (technical successful rate was 97%), the dysphagia score improved from 3.3±0.6 to 0.8±0.5 (P<0.01), and life quality improved significantly in all these patients. All fistulae were sealed immediately after coated stents were inserted in the six patients. New stents were placed in two patients: the stent migrated more than 2 cm, in one patients and the stent slipped into stomach in the other. Minor bleeding was found only in 28 patients during the operation. Reobstruction was found in 12 patients, but was successfully cured under endoscopy. The survival rate was 78%, 57% and 11% for 6 mo, 1 year and 2 years respectively. CONCLUSION: Placement of SEMS is a simple, safe, quick and efficient surgical method for treating esophageal carcinoma obstruction. It may be used mainly as a palliative treatment of esophageal obstruction secondary to carcinoma.展开更多
Satellite-to-Satellite tricking (SST) data can be used to determine the orbits of spacecraft in two ways. One is combined orbit determination, which combines SST data with ground-based tracking data and exploits the ...Satellite-to-Satellite tricking (SST) data can be used to determine the orbits of spacecraft in two ways. One is combined orbit determination, which combines SST data with ground-based tracking data and exploits the enhanced tracking geometry. The other is the autonomous orbit determination, which uses only SST. The latter only fits some particular circumstances since it suffers the rank defect problem in other circumstances. The proof of this statement is presented. The nature of the problem is also investigated in order to find an effective solution. Several. methods of solution are discussed. The feasibility of the methods is demonstrated by their application to a simulation.展开更多
Asteroids are the most important small bodies in the solar system and the near-earth asteroids (NEAs) are of especial concern to the world. The reason is that they will make close approaches to the earth in the near f...Asteroids are the most important small bodies in the solar system and the near-earth asteroids (NEAs) are of especial concern to the world. The reason is that they will make close approaches to the earth in the near future. We use a reasonable dynamical model and an efficient computing method to calculate the orbits of over 160 Potentially Hazardous Asteroids (PHAs) for two centuries.展开更多
基金Supported by the National Medical Science and Technology Foundation during the 9th Five-Year Plan Period, No. 969070304
文摘AIM: To evaluate the effects of self-expanding metal stents (SEMS) in patients with malignant esophageal obstruction and to analyze their prognosis and complications. METHODS: Seventy-four metallic stents were placed under fluoroscopic guidance in 66 patients with esophageal obstruction secondary to carcinoma, of whom, 6 cases were complicated by fistula. RESULTS: After seventy-two stents were successfully used in 66 cases without any severe complications (technical successful rate was 97%), the dysphagia score improved from 3.3±0.6 to 0.8±0.5 (P<0.01), and life quality improved significantly in all these patients. All fistulae were sealed immediately after coated stents were inserted in the six patients. New stents were placed in two patients: the stent migrated more than 2 cm, in one patients and the stent slipped into stomach in the other. Minor bleeding was found only in 28 patients during the operation. Reobstruction was found in 12 patients, but was successfully cured under endoscopy. The survival rate was 78%, 57% and 11% for 6 mo, 1 year and 2 years respectively. CONCLUSION: Placement of SEMS is a simple, safe, quick and efficient surgical method for treating esophageal carcinoma obstruction. It may be used mainly as a palliative treatment of esophageal obstruction secondary to carcinoma.
文摘Satellite-to-Satellite tricking (SST) data can be used to determine the orbits of spacecraft in two ways. One is combined orbit determination, which combines SST data with ground-based tracking data and exploits the enhanced tracking geometry. The other is the autonomous orbit determination, which uses only SST. The latter only fits some particular circumstances since it suffers the rank defect problem in other circumstances. The proof of this statement is presented. The nature of the problem is also investigated in order to find an effective solution. Several. methods of solution are discussed. The feasibility of the methods is demonstrated by their application to a simulation.
基金Tfor wor wassupported by the National Natural Science Fotalations of China (Gran No. 19873020)theFoundation of the Postd
文摘Asteroids are the most important small bodies in the solar system and the near-earth asteroids (NEAs) are of especial concern to the world. The reason is that they will make close approaches to the earth in the near future. We use a reasonable dynamical model and an efficient computing method to calculate the orbits of over 160 Potentially Hazardous Asteroids (PHAs) for two centuries.
