目的:探究右侧腋窝-双侧乳晕入路达芬奇机器人甲状腺切除术的安全性及短期疗效。方法:回顾性分析2018年1月至2021年6月就诊于中国人民解放军联勤保障部队第九四〇医院普通外科并确诊为甲状腺癌行甲状腺切除术的185例患者。其中行达芬奇...目的:探究右侧腋窝-双侧乳晕入路达芬奇机器人甲状腺切除术的安全性及短期疗效。方法:回顾性分析2018年1月至2021年6月就诊于中国人民解放军联勤保障部队第九四〇医院普通外科并确诊为甲状腺癌行甲状腺切除术的185例患者。其中行达芬奇机器人辅助手术(机器人组)的患者87例,行传统开放手术(传统手术组)的患者98例,随访资料截取至术后3月。比较两组患者的手术时间、术中出血量、术中神经损伤率、术中甲状旁腺损伤率、中央区淋巴结清扫情况、引流天数、引流液总量、切口并发症发生率、术后疼痛评分、术后3月术区感觉、术后3月美容评分等指标。结果:两组患者在肿瘤位置、肿瘤直径、性别、体重指数、中央区淋巴结清扫情况、引流天数、引流液总量、神经损伤率、切口并发症发生率以及术后72 h疼痛评分上差异无统计学意义(P>0.05),机器人组较传统手术组在年龄[(38.60±10.00) vs (45.95±10.79)岁]、手术时间[(178.80±43.58) vs (136.19±43.22)min]、术中出血量[(27.01±21.81) vs (36.84±30.31)mL]、甲状旁腺损伤率(26.44%vs 42.86%)、术后24 h疼痛评分[(3.33±0.58) vs (4.47±0.68)分]、术后48 h疼痛评分[(1.62±0.58) vs (2.19±0.73)分]、术后3月颈部感觉异常率(3.45%vs 11.22%)、术后3月美容评分[(8.60±1.08) vs (5.39±1.12)分]上两组差异有统计学意义(P<0.05)。结论:右侧腋窝-双侧乳晕入路达芬奇机器人甲状腺切除术在一定条件下是安全有效的,在降低术中出血量及甲状旁腺的损伤率上可能更具有优势,并且术后患者疼痛程度低、美容效果好。展开更多
Palygorskite(PG)adsorbent with superior adsorption property and ion-exchange ability is highly desired in the field of dye removal.However,it generates high amounts of precipitation due to the granular form,resulting ...Palygorskite(PG)adsorbent with superior adsorption property and ion-exchange ability is highly desired in the field of dye removal.However,it generates high amounts of precipitation due to the granular form,resulting in secondary pollution after adsorption.Herein,the novel high porosity PG-based nanofibers that are easy for operating and retrieving have been fabricated using effective solution blowing and subsequent calcination.The obtained highly efficient adsorption nanofibers exhibit large specific surface area about 170.50 m^(2)/g with average diameter from 243 nm to 365 nm.Based on the abovementioned nanofibrous structure and negatively charged PG,the solution blowing of PG-based nanofibers(SBPNs)showed high adsorption capacity for methylene blue(MB)(112.36 mg/g).In addition,the adsorption of SBPNs is well described by the Langmuir isotherm model.This work provides new SBPNs forming process for the fields of dye removal,which may achieve the production of PG adsorbents at the industrial level.展开更多
文摘目的:探究右侧腋窝-双侧乳晕入路达芬奇机器人甲状腺切除术的安全性及短期疗效。方法:回顾性分析2018年1月至2021年6月就诊于中国人民解放军联勤保障部队第九四〇医院普通外科并确诊为甲状腺癌行甲状腺切除术的185例患者。其中行达芬奇机器人辅助手术(机器人组)的患者87例,行传统开放手术(传统手术组)的患者98例,随访资料截取至术后3月。比较两组患者的手术时间、术中出血量、术中神经损伤率、术中甲状旁腺损伤率、中央区淋巴结清扫情况、引流天数、引流液总量、切口并发症发生率、术后疼痛评分、术后3月术区感觉、术后3月美容评分等指标。结果:两组患者在肿瘤位置、肿瘤直径、性别、体重指数、中央区淋巴结清扫情况、引流天数、引流液总量、神经损伤率、切口并发症发生率以及术后72 h疼痛评分上差异无统计学意义(P>0.05),机器人组较传统手术组在年龄[(38.60±10.00) vs (45.95±10.79)岁]、手术时间[(178.80±43.58) vs (136.19±43.22)min]、术中出血量[(27.01±21.81) vs (36.84±30.31)mL]、甲状旁腺损伤率(26.44%vs 42.86%)、术后24 h疼痛评分[(3.33±0.58) vs (4.47±0.68)分]、术后48 h疼痛评分[(1.62±0.58) vs (2.19±0.73)分]、术后3月颈部感觉异常率(3.45%vs 11.22%)、术后3月美容评分[(8.60±1.08) vs (5.39±1.12)分]上两组差异有统计学意义(P<0.05)。结论:右侧腋窝-双侧乳晕入路达芬奇机器人甲状腺切除术在一定条件下是安全有效的,在降低术中出血量及甲状旁腺的损伤率上可能更具有优势,并且术后患者疼痛程度低、美容效果好。
基金National Natural Science Foundation of China(No.51473121)Science and Technology Plans of Tianjin,China(No.20YDTPJC03180)National Undergraduate Training Programs for Innovation and Entrepreneurship,China(No.202010058069)。
文摘Palygorskite(PG)adsorbent with superior adsorption property and ion-exchange ability is highly desired in the field of dye removal.However,it generates high amounts of precipitation due to the granular form,resulting in secondary pollution after adsorption.Herein,the novel high porosity PG-based nanofibers that are easy for operating and retrieving have been fabricated using effective solution blowing and subsequent calcination.The obtained highly efficient adsorption nanofibers exhibit large specific surface area about 170.50 m^(2)/g with average diameter from 243 nm to 365 nm.Based on the abovementioned nanofibrous structure and negatively charged PG,the solution blowing of PG-based nanofibers(SBPNs)showed high adsorption capacity for methylene blue(MB)(112.36 mg/g).In addition,the adsorption of SBPNs is well described by the Langmuir isotherm model.This work provides new SBPNs forming process for the fields of dye removal,which may achieve the production of PG adsorbents at the industrial level.
