BACKGROUND Jackstone is a rare entity of calculi in urinary tracts and has the characteristic appearance resembling toy jacks.They are nearly always reported to occur in the urinary bladder,we first report a rare case...BACKGROUND Jackstone is a rare entity of calculi in urinary tracts and has the characteristic appearance resembling toy jacks.They are nearly always reported to occur in the urinary bladder,we first report a rare case of jackstone located in the obstructed renal calyx.CASE SUMMARY We report a 46-year-old man presenting with intermittent,painless gross hematuria and left flank pain.Urinary computed tomography revealed staghorn stones and secondary hydronephrosis.A jackstone with radiating branches was found in one of the dilated renal calyx.Percutaneous nephrolithotomy was performed and endoscopic images were recorded during the operation.Postoperative stone composition analysis revealed it as calcium oxalate monohydrate stones.CONCLUSION Jackstones can occur in the renal collecting system besides the bladder.The unique appearance and imaging manifestations are the most important factors in the diagnosis of jackstones,and further exploration of the formation mechanism is required.展开更多
BACKGROUND Urothelial encrusted pyelo-ureteritis disease is an infrequent condition and there is no unified surgical treatment and reference standard to consult.We have used a minimally invasive endoscopic method to t...BACKGROUND Urothelial encrusted pyelo-ureteritis disease is an infrequent condition and there is no unified surgical treatment and reference standard to consult.We have used a minimally invasive endoscopic method to treat three such cases,which yielded excellent results.CASE SUMMARY The first case was a 45-year-old man who had unilateral ureteropelvic junction(UPJ)atresia and contralateral stenosis and was treated by double endoscopic surgery using an anterograde percutaneous nephroscope coupled with a rigid retrograde ureteroscope.The second case was a 12-year-old boy who received a percutaneous nephroscopy on one side and a percutaneous nephroscopy with a rigid ureteroscope on the other side due to the presence of bilateral UPJ stenosis.The third case was a 32-year-old woman with bilateral lower ureteral stricture treated using a rigid retrograde ureteroscope.Endoscopic surgeries were successfully performed on all the three patients.Varying degrees of encrustation and erosion of the urothelium were observed during the operation.The calcified layer composition analysis showed magnesium ammonium phosphate or carbonate apatite.Two patients achieved a good prognosis.CONCLUSION Minimally invasive endoscopic treatment for urothelial encrusted pyelo-ureteritis disease can yield better results.展开更多
Background：Urolithiasis in pediatric population is a serious problem with the incidence increased these years.In the management of larger stones （diameters 〉2 cm）,percutaneous nephrolithotomy （PCNL） is considere...Background：Urolithiasis in pediatric population is a serious problem with the incidence increased these years.In the management of larger stones （diameters 〉2 cm）,percutaneous nephrolithotomy （PCNL） is considered to be the gold standard.This study aimed to investigate the efficacy and safety of mini-PCNL under total ultrasonography in patients aged 〈3 years.Methods：We reviewed 68 patients （80 renal units） aged 〈3 years between August 2006 and December 2014 in Peking University People＆#39;s Hospital and Beijing Tsinghua Changung Hospital,including 36 renal units with a single stone,6 with staghom stones,14 with upper ureteral stones,and 24 with multiple stones.The mean age of the patients was 24.2 months （range 6-36 months）,and the mean maximum stone diameter was 19.2 mm （range 10-35 mm）.The puncture site selection and tract dilation were guided by Doppler ultrasonography solely.All procedures were performed using 12-16 Fr tracts.Stones were fragrnented using pneumatic lithotripsy and a holmium laser with an 8/9.8 Fr rigid ureteroscope.Results：Fifty-six patients with unilateral stones underwent a single session procedure,and 12 patients with bilateral stones underwent two procedures.The mean time to establish access was 2.8 min （range 1.8-5.0 min）,the mean operative time was 36.5 min （range 20-88 min）,the mean decrease in hemoglobin concentration was 8.9 g/L （2-15 g/L）,and the stone-free rate （SFR） at hospital discharge was 94.0%.The mean postoperative hospital stay was 7.1 days （range 3-13 days）.Postprocedure complications included fever （〉38.5℃） in five patients and reactive pleural effusion in one patient.Blood loss requiring transfusion,sepsis,adjacent organ injury,and kidney loss were not observed.Conclusions：This study indicated that ultrasound-guided mini-PCNL is feasible and safe in patients aged 〈3 years,without major complications or radiation exposure.展开更多
Scanning electron microscopy,X-ray diffraction,a neutral salt spray test,and electrochemical methods were applied to observe the microstructure and test the corrosion resistance of hot-dip galvanized steel before and ...Scanning electron microscopy,X-ray diffraction,a neutral salt spray test,and electrochemical methods were applied to observe the microstructure and test the corrosion resistance of hot-dip galvanized steel before and after the addition of La and Ce.La/Ce mixture existed in the form of(La,Ce)Zn13 on the coated surface,decreased the coating thickness and accelerated the zinc dendritic growth.The corrosion current density of Zn-0.1La-0.1Ce coating was 63%less than that of pure Zn coating.This phenomenon can be explained that La/Ce mixture inhibited the transformation of Zn5(OH)8Cl2·H2O into Zn5(CO3)2(OH)6 or ZnO,reduced the time for appearance of red rust,and thus enhanced the stability of corrosion products and delayed the oxidation and corrosion processes of galvanized coating.La/Ce mixture improved the corrosion resistance compared to a single La or a single Ce addition.A competitive relationship between La and Ce was observed in the corrosion resistance improvement of hot-dip galvanized steel.展开更多
The pre-reduced Bayan Obo ferroniobium（FeNb）ore concentrate block was taken as raw materials for studying the physical properties of niobium-enriched slag and changes in niobium recovery rate.In addition,the dephosp...The pre-reduced Bayan Obo ferroniobium（FeNb）ore concentrate block was taken as raw materials for studying the physical properties of niobium-enriched slag and changes in niobium recovery rate.In addition,the dephosphorization rate of the slag under different melting-separation conditions was investigated using the melting-separation test.The research results demonstrate that（i）the niobium recovery rate and dephosphorization rate of the slag decrease with the increase in melting-separation temperature;（ii）the niobium recovery rate of the slag initially increases and then decreases with increase in basicity and time;and（iii）the dephosphorization rate of the slag increases with the increase in basicity and time.When the test was performed under the conditions of basicity of 0.6-0.7,time of 7-10min,and temperature of 1400-1450°C,the niobium recovery rate and dephosphorization rate are over 96%and 95%,respectively.By scanning electron microscopy,it is observed that niobium mainly exists in the form of calcium and titanium silicate within the slag phase,with uneven distribution.展开更多
To the Editor： Percutaneous nephrolithotomy （PCNL） is first-line therapy for ＂staghorn＂ stones. A multi-access approach is the mainstay of treatment in many cases because the stone burden is high. Finding feasibl...To the Editor： Percutaneous nephrolithotomy （PCNL） is first-line therapy for ＂staghorn＂ stones. A multi-access approach is the mainstay of treatment in many cases because the stone burden is high. Finding feasible parameters to predict the outcome of treatment for staghorn stones is important. The factors that can affect PCNL are controversial. Several parameters, such as the infundibular-pelvic angle （IPA）, upper-lower calyx angle （ULCA）, infundibular length （IL）, and infundibular width （IW） were important to affect the result of the operation. Whether the objective parameters in computed tomography （CT） can predict success through a particular approach has not been evaluated. This study investigated if the anatomy of the collecting system could improve the outcome in selected patients according to pretreatment images.展开更多
文摘BACKGROUND Jackstone is a rare entity of calculi in urinary tracts and has the characteristic appearance resembling toy jacks.They are nearly always reported to occur in the urinary bladder,we first report a rare case of jackstone located in the obstructed renal calyx.CASE SUMMARY We report a 46-year-old man presenting with intermittent,painless gross hematuria and left flank pain.Urinary computed tomography revealed staghorn stones and secondary hydronephrosis.A jackstone with radiating branches was found in one of the dilated renal calyx.Percutaneous nephrolithotomy was performed and endoscopic images were recorded during the operation.Postoperative stone composition analysis revealed it as calcium oxalate monohydrate stones.CONCLUSION Jackstones can occur in the renal collecting system besides the bladder.The unique appearance and imaging manifestations are the most important factors in the diagnosis of jackstones,and further exploration of the formation mechanism is required.
基金Projects(N182503033N172502003)supported by the Fundamental Research Funds for the Central Universities,China+1 种基金Project(2018M640258)supported by Postdoctoral Research Foundation of ChinaProject(GUIKE AA18118030)supported by Guangxi Innovation-driven Development Program,China。
基金The authors are grateful for the financial supports from the Fundamental Research Funds for the Central Universities,China(N182503033,N172502003)Postdoctoral Research Foundation of China(2018M640258)+1 种基金the National Natural Science Foundation of China(51804070)Guangxi Innovation-driven Development Program,China(GUIKE AA18118030).
基金financial supports from the National Natural Science Foundation of China(Nos.52004062,52074084,51804070)the Natural Science Foundation of Liaoning Province of China(No.2020-MS-084)the Guangxi Innovation-Driven Development Program,China(No.GUIKE AA18118030)。
文摘BACKGROUND Urothelial encrusted pyelo-ureteritis disease is an infrequent condition and there is no unified surgical treatment and reference standard to consult.We have used a minimally invasive endoscopic method to treat three such cases,which yielded excellent results.CASE SUMMARY The first case was a 45-year-old man who had unilateral ureteropelvic junction(UPJ)atresia and contralateral stenosis and was treated by double endoscopic surgery using an anterograde percutaneous nephroscope coupled with a rigid retrograde ureteroscope.The second case was a 12-year-old boy who received a percutaneous nephroscopy on one side and a percutaneous nephroscopy with a rigid ureteroscope on the other side due to the presence of bilateral UPJ stenosis.The third case was a 32-year-old woman with bilateral lower ureteral stricture treated using a rigid retrograde ureteroscope.Endoscopic surgeries were successfully performed on all the three patients.Varying degrees of encrustation and erosion of the urothelium were observed during the operation.The calcified layer composition analysis showed magnesium ammonium phosphate or carbonate apatite.Two patients achieved a good prognosis.CONCLUSION Minimally invasive endoscopic treatment for urothelial encrusted pyelo-ureteritis disease can yield better results.
文摘Background：Urolithiasis in pediatric population is a serious problem with the incidence increased these years.In the management of larger stones （diameters 〉2 cm）,percutaneous nephrolithotomy （PCNL） is considered to be the gold standard.This study aimed to investigate the efficacy and safety of mini-PCNL under total ultrasonography in patients aged 〈3 years.Methods：We reviewed 68 patients （80 renal units） aged 〈3 years between August 2006 and December 2014 in Peking University People＆#39;s Hospital and Beijing Tsinghua Changung Hospital,including 36 renal units with a single stone,6 with staghom stones,14 with upper ureteral stones,and 24 with multiple stones.The mean age of the patients was 24.2 months （range 6-36 months）,and the mean maximum stone diameter was 19.2 mm （range 10-35 mm）.The puncture site selection and tract dilation were guided by Doppler ultrasonography solely.All procedures were performed using 12-16 Fr tracts.Stones were fragrnented using pneumatic lithotripsy and a holmium laser with an 8/9.8 Fr rigid ureteroscope.Results：Fifty-six patients with unilateral stones underwent a single session procedure,and 12 patients with bilateral stones underwent two procedures.The mean time to establish access was 2.8 min （range 1.8-5.0 min）,the mean operative time was 36.5 min （range 20-88 min）,the mean decrease in hemoglobin concentration was 8.9 g/L （2-15 g/L）,and the stone-free rate （SFR） at hospital discharge was 94.0%.The mean postoperative hospital stay was 7.1 days （range 3-13 days）.Postprocedure complications included fever （〉38.5℃） in five patients and reactive pleural effusion in one patient.Blood loss requiring transfusion,sepsis,adjacent organ injury,and kidney loss were not observed.Conclusions：This study indicated that ultrasound-guided mini-PCNL is feasible and safe in patients aged 〈3 years,without major complications or radiation exposure.
基金This work was supported by the National Key Research and Development Program of China(Grant No.2017YFB0702100)the State Key Laboratory of Baiyunobo Rare Earth Resource Researches and Comprehensive Utilization(2018Z2001).The authors gratefully acknowledge support for materials analysis and research from Instrumental Analysis and Research Center of Shanghai University.
文摘Scanning electron microscopy,X-ray diffraction,a neutral salt spray test,and electrochemical methods were applied to observe the microstructure and test the corrosion resistance of hot-dip galvanized steel before and after the addition of La and Ce.La/Ce mixture existed in the form of(La,Ce)Zn13 on the coated surface,decreased the coating thickness and accelerated the zinc dendritic growth.The corrosion current density of Zn-0.1La-0.1Ce coating was 63%less than that of pure Zn coating.This phenomenon can be explained that La/Ce mixture inhibited the transformation of Zn5(OH)8Cl2·H2O into Zn5(CO3)2(OH)6 or ZnO,reduced the time for appearance of red rust,and thus enhanced the stability of corrosion products and delayed the oxidation and corrosion processes of galvanized coating.La/Ce mixture improved the corrosion resistance compared to a single La or a single Ce addition.A competitive relationship between La and Ce was observed in the corrosion resistance improvement of hot-dip galvanized steel.
基金financially supported by the National Science and Technology Support Program (2008BAB32087)
文摘The pre-reduced Bayan Obo ferroniobium（FeNb）ore concentrate block was taken as raw materials for studying the physical properties of niobium-enriched slag and changes in niobium recovery rate.In addition,the dephosphorization rate of the slag under different melting-separation conditions was investigated using the melting-separation test.The research results demonstrate that（i）the niobium recovery rate and dephosphorization rate of the slag decrease with the increase in melting-separation temperature;（ii）the niobium recovery rate of the slag initially increases and then decreases with increase in basicity and time;and（iii）the dephosphorization rate of the slag increases with the increase in basicity and time.When the test was performed under the conditions of basicity of 0.6-0.7,time of 7-10min,and temperature of 1400-1450°C,the niobium recovery rate and dephosphorization rate are over 96%and 95%,respectively.By scanning electron microscopy,it is observed that niobium mainly exists in the form of calcium and titanium silicate within the slag phase,with uneven distribution.
文摘To the Editor： Percutaneous nephrolithotomy （PCNL） is first-line therapy for ＂staghorn＂ stones. A multi-access approach is the mainstay of treatment in many cases because the stone burden is high. Finding feasible parameters to predict the outcome of treatment for staghorn stones is important. The factors that can affect PCNL are controversial. Several parameters, such as the infundibular-pelvic angle （IPA）, upper-lower calyx angle （ULCA）, infundibular length （IL）, and infundibular width （IW） were important to affect the result of the operation. Whether the objective parameters in computed tomography （CT） can predict success through a particular approach has not been evaluated. This study investigated if the anatomy of the collecting system could improve the outcome in selected patients according to pretreatment images.
