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可视化椎间孔成形技术治疗腰椎侧隐窝狭窄症 被引量:1
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作者 李毅力 孙宜保 +3 位作者 杨勇 梅伟 代耀军 王申 《中国内镜杂志》 2022年第1期24-30,共7页
目的分析可视化椎间孔成形技术治疗腰椎侧隐窝狭窄症的临床效果及手术技巧。方法回顾性分析2018年1月-2019年1月52例行经皮内镜椎间孔入路椎间孔扩大成形腰椎侧隐窝减压术治疗的腰椎侧隐窝狭窄症患者的临床资料。其中,男30例,女22例,年... 目的分析可视化椎间孔成形技术治疗腰椎侧隐窝狭窄症的临床效果及手术技巧。方法回顾性分析2018年1月-2019年1月52例行经皮内镜椎间孔入路椎间孔扩大成形腰椎侧隐窝减压术治疗的腰椎侧隐窝狭窄症患者的临床资料。其中,男30例,女22例,年龄63~77岁,平均(69.10±10.70)岁。记录手术时间及手术并发症,使用视觉模拟评分(VAS)和Oswestry功能障碍指数(ODI)评价手术效果,依据健康调查量表36(SF-36)评价患者生活质量,采用骨性侧隐窝角和软性侧隐窝角评估减压程度,末次随访时采用MacNab标准评估临床疗效。结果手术时间为36~58 min,平均(43.60±17.10)min,所有患者均获得24~33个月的随访,平均(26.70±6.80)个月。术后1、3、6和12个月及末次随访时下肢痛VAS(F=259.16,P=0.000)及ODI(F=162.06,P=0.000)均较术前有明显改善。末次随访时SF-36评分为(65.94±8.75)分,较术前的(35.35±11.85)分明显提高,差异有统计学意义(P=0.000)。术后骨性侧隐窝角为(32.62±4.67)°,软性侧隐窝角为(28.31±5.57)°,均较术前的(17.90±6.28)°和(15.02±6.52)°增大,差异均有统计学意义(P=0.000)。末次随访时,MacNab标准评估为优39例、良10例、可3例,优良率为94.23%。结论可视化椎间孔成形技术治疗腰椎侧隐窝狭窄症临床疗效好,对脊柱稳定性影响小,是安全、有效的微创治疗术式,值得在临床推广应用。 展开更多
关键词 可视化 椎间孔成形 侧隐窝狭窄症 内镜 椎间孔入路
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Effect of V and Sn on microstructure and mechanical properties of gray cast iron
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作者 yi-li li Rui-run Chen +6 位作者 Qi Wang Wen-chao Cao Xin-xiu Wang Yuan Xia Guo-ping Zhou Ying-dong Qu Guang-long li 《China Foundry》 SCIE CAS 2022年第5期427-434,共8页
The cylinder liner is one of the important parts of a diesel engine.Gray cast iron is the main material for manufacturing cylinder liners due to its good casting performance,convenient processing performance,good wear... The cylinder liner is one of the important parts of a diesel engine.Gray cast iron is the main material for manufacturing cylinder liners due to its good casting performance,convenient processing performance,good wear resistance and low cost.In the present work,the effects of vanadium(V)and tin(Sn)on the microstructure and properties of gray cast iron were studied.Results show that increasing the contents of V and Sn can not only refine the graphite,but also reduce the pearlite lamellar space.The graphite size and lamellar spacing of pearlite are firstly reduced and then increased.Pearlite quantity reaches over 98%after adding V and Sn.Adding V and Sn can promote the precipitation and solid solution strengthening of gray cast iron,so as to improve the mechanical properties.The Brinell hardness reaches the peak of 424 HB at the contents of 0.21wt.%V and 0.06wt.%Sn,and the sample containing 0.11wt.%V and 0.08wt.%Sn shows the highest compressive strength and tensile strength of 1,699 MPa and 515 MPa,respectively.The main strengthening mechanism comes from the solid solution strengthening and fine grain strengthening of V and Sn. 展开更多
关键词 V SN gray cast iron cylinder liner MICROSTRUCTURE mechanical properties
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