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Research and optimization on laminated steel tube column-concrete beam joints with outer stiffening ring 被引量:2
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作者 NIE JianGuo WANG YuHang TAO MuXuan 《Science China(Technological Sciences)》 SCIE EI CAS 2013年第5期1282-1293,共12页
In practical design,the joints with outer stiffening ring were used to connect concrete beams and laminated steel tube columns.The seismic behavior of joints with outer stiffening ring with various types was studied b... In practical design,the joints with outer stiffening ring were used to connect concrete beams and laminated steel tube columns.The seismic behavior of joints with outer stiffening ring with various types was studied based on experiments.The bearing capacity,rigidity,ductility,energy dissipation capacity,deformation property and strain distribution of the joints with outer stiffening ring with various types were comprehensively evaluated based on the test results of three specimens under quasistatic cyclic loading and finite element analysis.The test results showed that the failure mode,hysteretic behavior,bearing capacity and rigidity degradation of the joints with outer stiffening ring with various types were nearly identical.Furthermore,the strain distribution of the outer stiffening ring of the three joints was nearly the same.The detailing recommendation for the outer strengthening rings was proposed for the concrete beam-laminated steel tube column joints with outer stiffening ring,in order to ensure the good seismic capacity of the joints. 展开更多
关键词 laminated steel tube column-concrete beam joint outer stiffening ring quasi-static test OPTIMIZATION
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与Overlap引导管配套的对接胃管在食管空肠吻合术中的应用价值
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作者 陈新华 杨植景 +12 位作者 许传金 陈粤泓 黄慧琳 李至铄 林填 赵明利 陈韬 陈豪 梁延锐 朱满生 胡彦锋 李国新 余江 《中华胃肠外科杂志》 CSCD 北大核心 2023年第10期986-989,共4页
目的探讨作者团队自主研发的与Overlap引导管(OGT管)配套的对接胃管(JNT胃管)在腹腔镜全胃切除OGT-overlap食管空肠吻合术中的应用价值。方法采用描述性病例系列研究方法, 回顾性收集2022年8—10月南方医科大学南方医院普通外科收治的2... 目的探讨作者团队自主研发的与Overlap引导管(OGT管)配套的对接胃管(JNT胃管)在腹腔镜全胃切除OGT-overlap食管空肠吻合术中的应用价值。方法采用描述性病例系列研究方法, 回顾性收集2022年8—10月南方医科大学南方医院普通外科收治的20例行腹腔镜全胃切除、JNT胃管对接引导OGT-overlap(JNT-OGT-overlap)食管空肠吻合胃癌患者的临床病理资料。观察指标包括:(1)手术情况:总手术时间、食管空肠吻合时间、JNT胃管置入完成时间、OGT与JNT胃管对接完成时间、钉砧插入食管一次性成功率、食管黏膜损伤发生率、术中并发症发生率;(2)术后情况:吻合口相关并发症、总并发症及并发症分级、术后早期恢复情况、术后住院天数、围手术期非计划二次手术率、围手术期死亡;(3)随访情况。采用门诊和电话方式进行随访, 了解患者术后吻合口梗阻及反流情况。随访时间截至2022年11月。结果 (1)手术情况:食管空肠吻合时间为15(5.0)min, JNT胃管置入完成时间为14(12)s, OGT与JNT胃管对接完成的时间为55(15)s, 钉砧插入食管一次性成功率为95.0%。既无中转开腹/中转联合开胸, 也无中转其他食管空肠吻合方式。术中无食管假道形成或者钉砧戳破食管等并发症。术中胃镜检查未发现JNT管损伤食管黏膜的情况。(2)术后情况:术后出现并发症4例(20.0%), 3例为Clavien-DindoⅡ级, 1例为Clavien-DindoⅢa级。术后首次进食全流质食物时间为4.0(1.0)d, 首次进食半流质食物时间为6.0(3.0)d, 拔除腹腔引流管时间为7.0(2.0)d, 住院时间为10(2.0)d。无术后吻合口并发症发生。无非计划二次手术、无围手术期死亡病例。(3)随访情况:20例患者均获得随访, 随访时间为术后1个月。随访期间, 20例患者均未发生吻合口狭窄或者非计划再次住院。结论 JNT胃管应用于腹腔镜全胃切除OGT-overlap食管空肠吻合术中安全、可行, 提高手术效率, 但还需前瞻性、大样本量、随机对照研究进一步验证。 展开更多
关键词 胃肿瘤 胃上部 全胃切除术 Overlap吻合 Overlap guiding tube(OGT) Joint nasogastric tube for Pairing OGT(JNT) 自主研发
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