Traditional means of cultivating seedlings can hardly meet the increasing requirements of landscaping.In view of development trend of landscaping,advantages of container cultivation were introduced,and application pro...Traditional means of cultivating seedlings can hardly meet the increasing requirements of landscaping.In view of development trend of landscaping,advantages of container cultivation were introduced,and application prospects of container cultivation explored.In addition,considering domestic container cultivation of seedlings,development trend of container seedlings was studied,corresponding suggestions were given to provide theoretical references for the study and development of container cultivation of seedlings in China.展开更多
文摘目的探讨腹腔镜根治性前列腺切除(laparoscopic radical prostatectomy,LRP)实施个体化神经保留技术的可行性和安全性。方法2012年6月~2018年6月,121例前列腺癌患者经多学科讨论,建议行神经保留手术。临床分期cT1期49例,cT2期72例。术前前列腺特异性抗原(prostate specific antigen,PSA)3.3~20(11.3±6.1)μg/L。活检Gleason评分5~8分,平均6.1分。先采用腹腔镜下完全筋膜内技术,再根据术前和术中快速病理结果,改行筋膜间或筋膜外技术。结果完全筋膜内技术101例(83%);由于术中见前列腺与周围筋膜粘连,可能存在肿瘤包膜外局部浸润而行冰冻切片检查20例,切缘阴性改为筋膜间技术13例(11%),切缘阳性转筋膜外技术7例(6%)。术后8例(7%)手术切缘阳性。随访6~71个月,平均33.6月,术后8~41个月生化复发15例(12%)。控尿率:术后拔除尿管即刻控尿85%(103/121),18例尿失禁患者术后6个月全部恢复。术后3个月、6个月勃起功能恢复到术前水平分别为42%(51/121)和57%(69/121)。结论腹腔镜实施个体化保留神经的LRP是安全可行的;根据术前和术中的临床评估,采用渐进式筋膜保留方法,能使肿瘤学和功能达到较理想效果。
文摘Traditional means of cultivating seedlings can hardly meet the increasing requirements of landscaping.In view of development trend of landscaping,advantages of container cultivation were introduced,and application prospects of container cultivation explored.In addition,considering domestic container cultivation of seedlings,development trend of container seedlings was studied,corresponding suggestions were given to provide theoretical references for the study and development of container cultivation of seedlings in China.