目的探讨行腹腔镜下右半结肠癌根治术患者消化道重建时使用倒刺线关闭共同开口及加固吻合口的有效性和安全性。方法选择2021年1月至2022年12月于河南省肿瘤医院行右半结肠癌根治术患者82例为研究对象。根据术中消化道重建方法将患者分...目的探讨行腹腔镜下右半结肠癌根治术患者消化道重建时使用倒刺线关闭共同开口及加固吻合口的有效性和安全性。方法选择2021年1月至2022年12月于河南省肿瘤医院行右半结肠癌根治术患者82例为研究对象。根据术中消化道重建方法将患者分为对照组(n=40)和观察组(n=42)。对照组患者术中使用直线切割闭合器关闭共同开口,吻合口不加固;观察组患者术中使用倒刺线关闭共同开口及加固吻合口。比较2组患者消化道重建时间、使用钉仓的数量、术中出血量等手术相关指标,比较2组患者术后排气时间、术后住院时间和手术前后24 h血红蛋白(Hb)差值;记录并比较2组患者术后并发症发生率。结果观察组患者消化道重建时间长于对照组,使用钉仓数少于对照组(P<0.05);2组患者术中出血量比较差异无统计学意义(P>0.05)。2组患者术后排气时间、术后住院时间比较差异无统计学意义(P>0.05)。观察组患者手术前后24 h Hb差值小于对照组(P<0.05)。对照组和观察组患者术后并发症发生率分别为7.1%(3/42)和12.5%(5/40),2组患者并发症发生率比较差异无统计学意义(χ^(2)=0.799,P>0.05)。结论使用倒刺线关闭共同开口及加固吻合口是一种安全、可行且止血效果较好的消化道重建方法。展开更多
Karst environmental issues have become one of the hot spots in contemporary international geological research. The same problem of water shortage is one of the hot spots of global concern. The peak-cluster depression ...Karst environmental issues have become one of the hot spots in contemporary international geological research. The same problem of water shortage is one of the hot spots of global concern. The peak-cluster depression basins in southwest of Guangxi is an important water connotation and ecological barrier areas in the Pearl River Basin of China. Thus, studying the spatial and temporal variations and the influencing factors of its water yield services is critical to achieve the sustainable development of water resources and ecological environmental protection in this region. As such, this paper uses the Integrated Valuation of Ecosystem Services and Tradeoffs(InVEST) model to assess the spatial and temporal variabilities of water yield services and its trends in the peak-cluster depression basins in southwest of Guangxi from 2000 to 2020. This work also integrates precipitation(Pre), reference evapotranspiration(ET), temperature(Tem), digital elevation model(DEM), slope, normalized difference vegetation index(NDVI), land use/land cover(LULC) and soil type to reveal the main factors that influence water yield services with the help of Geodetector. Results show that: 1) in time scale,the total annual water yield in the study area show a fluctuating and increasing trend from 2000 to 2020, with a growth rate of 7.3753 × 10^(8)m^(3)/yr, and its multi-year average water yield was 538.07 mm;2) in spatial pattern, with high yield areas mainly distributed in the south of the study area(mainly including Shangsi County, Pingxiang City, Ningming County, Longzhou County and Jingxi County), and low yield areas mainly distributed in Baise City and Nanning City;3) the dominant factor of water yield within karst and non-karst landforms is not necessarily controlled by precipitation, and the explanation degree of DEM factors in karst areas is significantly higher than that in non-karst areas;4) amongst the climatic factors, Pre, ET and Tem are dominant in the spatial pattern of region water yield capacity. among which Pre has the highest explanatory power for the spatial heterogeneity of annual water production, with q values above0.8, and each driver showed a significant interaction on the spatial distribution of water yield, with Pre exhibiting the strongest interaction with LULC.展开更多
文摘目的探讨行腹腔镜下右半结肠癌根治术患者消化道重建时使用倒刺线关闭共同开口及加固吻合口的有效性和安全性。方法选择2021年1月至2022年12月于河南省肿瘤医院行右半结肠癌根治术患者82例为研究对象。根据术中消化道重建方法将患者分为对照组(n=40)和观察组(n=42)。对照组患者术中使用直线切割闭合器关闭共同开口,吻合口不加固;观察组患者术中使用倒刺线关闭共同开口及加固吻合口。比较2组患者消化道重建时间、使用钉仓的数量、术中出血量等手术相关指标,比较2组患者术后排气时间、术后住院时间和手术前后24 h血红蛋白(Hb)差值;记录并比较2组患者术后并发症发生率。结果观察组患者消化道重建时间长于对照组,使用钉仓数少于对照组(P<0.05);2组患者术中出血量比较差异无统计学意义(P>0.05)。2组患者术后排气时间、术后住院时间比较差异无统计学意义(P>0.05)。观察组患者手术前后24 h Hb差值小于对照组(P<0.05)。对照组和观察组患者术后并发症发生率分别为7.1%(3/42)和12.5%(5/40),2组患者并发症发生率比较差异无统计学意义(χ^(2)=0.799,P>0.05)。结论使用倒刺线关闭共同开口及加固吻合口是一种安全、可行且止血效果较好的消化道重建方法。
基金Under the auspices of National Natural Science Foundation of China (No. 42061020)Natural Science Foundation of Guangxi Zhuang Autonomous Region (No. 2018JJA150135)+3 种基金Guangxi Key Research and Development Program (No. AA18118038)Science and Technology Department of Guangxi Zhuang Autonomous Region (No. 2019AC20088)The Program of Improving the Basic Research Ability of Young and Middle-aged Teachers in Guangxi Universities (No. 2021KY0431)High Level Talent Introduction Project of Beibu Gulf University (No. 2019KYQD28)。
文摘Karst environmental issues have become one of the hot spots in contemporary international geological research. The same problem of water shortage is one of the hot spots of global concern. The peak-cluster depression basins in southwest of Guangxi is an important water connotation and ecological barrier areas in the Pearl River Basin of China. Thus, studying the spatial and temporal variations and the influencing factors of its water yield services is critical to achieve the sustainable development of water resources and ecological environmental protection in this region. As such, this paper uses the Integrated Valuation of Ecosystem Services and Tradeoffs(InVEST) model to assess the spatial and temporal variabilities of water yield services and its trends in the peak-cluster depression basins in southwest of Guangxi from 2000 to 2020. This work also integrates precipitation(Pre), reference evapotranspiration(ET), temperature(Tem), digital elevation model(DEM), slope, normalized difference vegetation index(NDVI), land use/land cover(LULC) and soil type to reveal the main factors that influence water yield services with the help of Geodetector. Results show that: 1) in time scale,the total annual water yield in the study area show a fluctuating and increasing trend from 2000 to 2020, with a growth rate of 7.3753 × 10^(8)m^(3)/yr, and its multi-year average water yield was 538.07 mm;2) in spatial pattern, with high yield areas mainly distributed in the south of the study area(mainly including Shangsi County, Pingxiang City, Ningming County, Longzhou County and Jingxi County), and low yield areas mainly distributed in Baise City and Nanning City;3) the dominant factor of water yield within karst and non-karst landforms is not necessarily controlled by precipitation, and the explanation degree of DEM factors in karst areas is significantly higher than that in non-karst areas;4) amongst the climatic factors, Pre, ET and Tem are dominant in the spatial pattern of region water yield capacity. among which Pre has the highest explanatory power for the spatial heterogeneity of annual water production, with q values above0.8, and each driver showed a significant interaction on the spatial distribution of water yield, with Pre exhibiting the strongest interaction with LULC.
