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Multi-soliton solutions for the coupled modified nonlinear Schrdinger equations via Riemann–Hilbert approach 被引量:3
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作者 康周正 夏铁成 马茜 《Chinese Physics B》 SCIE EI CAS CSCD 2018年第7期171-178,共8页
The coupled modified nonlinear Schrodinger equations are under investigation in this work. Starting from analyzing the spectral problem of the Lax pair, a Riemann-Hilbert problem for the coupled modified nonlinear Sch... The coupled modified nonlinear Schrodinger equations are under investigation in this work. Starting from analyzing the spectral problem of the Lax pair, a Riemann-Hilbert problem for the coupled modified nonlinear Schrodinger equations is formulated. And then, through solving the obtained Riemann-Hilbert problem under the conditions of irregularity and reflectionless case, N-soliton solutions for the equations are presented. Furthermore, the localized structures and dynamic behaviors of the one-soliton solution are shown graphically. 展开更多
关键词 coupled modified nonlinear Schrodinger equations Riemann-Hilbert approach multi-soliton so-lutions
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A Hybrid Unit Commitment Approach Incorporating Modified Priority List with Charged System Search Methods 被引量:1
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作者 Yuan-Kang Wu Chih-Cheng Huang +1 位作者 Chun-Liang Lin Shih-Ming Chang 《Smart Grid and Renewable Energy》 2017年第6期178-194,共17页
This paper presents a new hybrid approach that combines Modified Priority List (MPL) with Charged System Search (CSS), termed MPL-CSS, to solve one of the most crucial power system’s operational optimization problems... This paper presents a new hybrid approach that combines Modified Priority List (MPL) with Charged System Search (CSS), termed MPL-CSS, to solve one of the most crucial power system’s operational optimization problems, known as unit commitment (UC) scheduling. The UC scheduling problem is a mixed-integer nonlinear problem, highly-dimensional and extremely constrained. Existing meta-heuristic UC solution methods have the problems of stopping at a local optimum and slow convergence when applied to large-scale, heavily-constrained UC applications. In the first step of the proposed method, initial hourly optimum solutions of UC are obtained by Modified Priority List (MPL);however, the obtained UC solution may still be possible to be further improved. Therefore, in the second step, the CSS is utilized to achieve higher quality solutions. The UC is formulated as mixed integer linear programming to ensure the tractability of the results. The proposed method is successfully applied to a popular test system up to 100 units generators for both 24-hr and 168-hr system. Computational results show that both solution cost and execution time are superior to those of published methods. 展开更多
关键词 A HYBRID Unit COMMITMENT approach Incorporating modified Priority List with CHARGED SYSTEM Search Methods
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Pseudospin symmetric solutions of the Dirac equation with the modified Rosen-Morse potential using Nikiforov-Uvarov method and supersymmetric quantum mechanics approach 被引量:1
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作者 陈文利 I B Okon 《Chinese Physics B》 SCIE EI CAS CSCD 2022年第5期107-112,共6页
Employing the Pekeris-type approximation to deal with the pseudo-centrifugal term,we analytically study the pseudospin symmetry of a Dirac nucleon subjected to equal scalar and vector modified Rosen-Morse potential in... Employing the Pekeris-type approximation to deal with the pseudo-centrifugal term,we analytically study the pseudospin symmetry of a Dirac nucleon subjected to equal scalar and vector modified Rosen-Morse potential including the spin-orbit coupling term by using the Nikiforov-Uvarov method and supersymmetric quantum mechanics approach.The complex eigenvalue equation and the total normalized wave functions expressed in terms of Jacobi polynomial with arbitrary spin-orbit coupling quantum number k are presented under the condition of pseudospin symmetry.The eigenvalue equations for both methods reproduce the same result to affirm the mathematical accuracy of analytical calculations.The numerical solutions obtained for different adjustable parameters produce degeneracies for some quantum number. 展开更多
关键词 Dirac equation modified Rosen-Morse potential Nikiforov-Uvarov method supersymmetric quantum mechanics approach
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Modified Concrete Using Polyethylene Terephthalate Plastic Waste as a Partial Replacement for Coarse Aggregate
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作者 Dodo Kayentao Moussa Tamboura +5 位作者 Antoine Padou Diarra Mah Fatoumata Traore Adama Coulibaly Aboubacar Sidiki Toure Mohamed L. O. Diawara Kélétigui Daou 《Open Journal of Applied Sciences》 2023年第6期896-909,共14页
The present work evaluated the properties of modified concrete using polyethylene terephthalate (PET) bottle waste as a partial replacement for coarse aggregate. Modified concrete samples were designed using a water/c... The present work evaluated the properties of modified concrete using polyethylene terephthalate (PET) bottle waste as a partial replacement for coarse aggregate. Modified concrete samples were designed using a water/cement (W/C) ratio of 0.50 and varying percentages of PET replacement (3%, 7%, 10%, and 15% by volume). Dreux Gorisse’s formulation approach was used to make the final products, and the mechanical properties of the samples were determined using Controlab presses. This modified concrete with PET chips has shown that with a 10% replacement of PET chips, the fresh density decreases by 3.56%, and the hardened state density decreases by 2.01%. The water absorption and thermal conductivity of the formulated concretes decreased. However, the results showed that the slump of these fresh concretes increased as the percentage of plastic aggregate replacement increased. Based on the results, incorporating PET aggregates into concrete contributes to good workability, and lightweight concrete structures, and provides some thermal comfort in concrete structures. 展开更多
关键词 PET Waste CONCRETE Dreux Gorisse approach Thermal Conductivity Mechanical Properties of modified Concrete
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Functional and clinical outcome with modified lateral approach total hip arthroplasty in stiff hips with ankylosing spondylitis 被引量:1
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作者 Mathew Kiran Jacob Pavan Kumar Reddy +3 位作者 Roncy Savio Kuruvilla Chandy Viruthapadavil John Pradeep Mathew Poonnoose Anil Thomas Oommen 《World Journal of Orthopedics》 2022年第8期714-724,共11页
BACKGROUND Ankylosing spondylitis at total hip arthroplasty(THA)has significant hip stiffness with flexion deformity,restricted mobility,and function.Range of movement(ROM)improvement with good functional outcome is s... BACKGROUND Ankylosing spondylitis at total hip arthroplasty(THA)has significant hip stiffness with flexion deformity,restricted mobility,and function.Range of movement(ROM)improvement with good functional outcome is seen following THA in these hips.The modified Hardinge approach without abductor compromise is helpful in these stiff hips with associated flexion deformity.AIM To assess improvement in ROM and functional outcomes with a modified lateral approach THA in ankylosing spondylitis with stiff hips.METHODS A total of 69 hips that underwent THA with a modified Hardinge approach in 40 patients were evaluated at a mean follow-up of 38.33 mo.All individuals ambulated with weight-bearing as tolerated and ROM exercises from the 1st postoperative day.Modified Harris hip score and ROM were assessed during follow-up.Quality of life assessments using the 36-item and 12-item short form health surveys were done along with clinical and functional outcomes at followup.SPSS 22.0 was used for statistical analysis.The correlation of ROM and functional score change was performed using Pearson’s correlation coefficient.RESULTS Sixty-nine hips with a significant decrease in ROM preoperatively with 32 clinically fused hips showed significant improvement in flexion range.The mean flexion in 69 hips improved from 29.35±31.38 degrees to 102.17±10.48 degrees.The mean difference of 72.82 with a P value<0.0001 was significant.In total,45 out of 69 hips had flexion deformity,with 13 hips having a deformity above 30 degrees.The flexion during the follow-up was below 90 degrees in 3 hips.Eleven hips had flexion of 90 degrees at follow-up,while the remaining 55 hips had flexion above 100 degrees.Modified Harris hip score improved from 17.03±6.02 to 90.66±7.23(P value<0.0001).The 36-item short form health survey at the follow-up indicated health status in 40 patients as excellent in 11,very good in 20,good in 5,fair in 3,and poor in 1.The mean mental health score was 84.10±11.58.Pain relief was good in all 69 hips.Altogether,28/40 patients(70%)had no pain,9 patients(22%)had occasional pain,and 3 patients(8%)had mild to moderate pain with unusual activity.Heterotopic ossification was seen in 21 hips with Brooker class 1 in 14 hips.CONCLUSION Modified Hardinge approach THA in ankylosing spondylitis with stiff hips with flexion deformity significantly improved ROM,Harris hip score,and quality of life indicated by the 36-item and 12-item short form health surveys. 展开更多
关键词 Ankylosing Spondylitis STIFF flexion deformity Harris hip score Hip range of movement 36-item short form health survey score Total hip arthroplasty modified Hardinge approach
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THE APPLICATIONS OF A MODIFIED NORMAL FORM APPROACH
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作者 张伟亿 Koncay Huseyin 叶敏 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI 2001年第7期802-807,共6页
The modified normal form approach presented by ZHANG Wei-yi, K Huseyin and CHEN Yu-shu is further extended and a different procedure is introduced which lends itself readily to symbolic calculations, like MAPLE. This ... The modified normal form approach presented by ZHANG Wei-yi, K Huseyin and CHEN Yu-shu is further extended and a different procedure is introduced which lends itself readily to symbolic calculations, like MAPLE. This provides a number of significant advantages over the previous approach, and facilitates the associated calculations. To illustrate the new approach, three examples are presented. 展开更多
关键词 nonlinear dynamical system modified normal form approach symbolic calculations
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Computer-Based Modelling of Network Functions for Linear Dynamic Circuits Using Modified Nodal Approach
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作者 Ali Bekir YILDIZ 《Computer Modeling in Engineering & Sciences》 SCIE EI 2017年第3期261-274,共14页
In this paper,a computer-based systematic and efficient formulation method is presented for obtaining the network functions of linear or linearized time-invariant dynamic circuits.The method employs the modified nodal... In this paper,a computer-based systematic and efficient formulation method is presented for obtaining the network functions of linear or linearized time-invariant dynamic circuits.The method employs the modified nodal approach to obtain the system equations.The technique is based on developing a matrix formulation for modelling network functions.By using both symbolic manipulation of algebraic expressions and numeric processes,the network functions are expressed with a matrix-based method.Application examples are given to illustrate the features of the method. 展开更多
关键词 Network FUNCTIONS modified NODAL approach modelling.
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Modified pararectus approach for treatment of atypical acetabular anterior wall fracture:A case report
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作者 Jun-Jie Wang Jiang-Dong Ni +4 位作者 De-Ye Song Mu-Liang Ding Jun Huang Guang-Xu He Wen-Zhao Li 《World Journal of Clinical Cases》 SCIE 2020年第12期2634-2640,共7页
BACKGROUND Acetabular anterior wall fracture with preservation of the pelvic brim is extremely rare.It is different from anterior wall fracture classified by Judet and Letournel.Few studies have reported cases treated... BACKGROUND Acetabular anterior wall fracture with preservation of the pelvic brim is extremely rare.It is different from anterior wall fracture classified by Judet and Letournel.Few studies have reported cases treated by open reduction and internal fixation via the Smith-Petersen or iliofemoral approach.CASE SUMMARY We report a 48-year-old Chinese woman who had difficulty moving her right hip from abduction and external rotation after falling from 3 m.Pelvic radiograph and three-dimensional reconstruction of computed tomography revealed acetabular anterior wall fractures combined with fractures of the anterior inferior iliac spine and the iliac wing but not involving the pelvic brim.First,the patient underwent interim management by closed reduction of the hip dislocation and skin traction for 6 d.Then,we used a modified pararectus approach for treatment to fix the acetabular fractures with a reconstruction plate and nonlocking T-shape plate.At the 9-mo follow-up,the patient could walk painlessly without necrosis of the femoral head or heterotopic ossification,and the X-rays and computed tomography scan reconstructions showed good bone union.CONCLUSION The modified pararectus approach described here can facilitate exposure,reduction,and osteosynthesis for atypical acetabular fracture with less invasiveness. 展开更多
关键词 ACETABULUM FRACTURE modified Pararectus approach Case report
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Estimation of groundwater flow system parameters using a modified Kalman filter approach
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《Global Geology》 1998年第1期120-120,共1页
关键词 FLOW Estimation of groundwater flow system parameters using a modified Kalman filter approach
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Modified surgical techniques in total en bloc spondylectomy for thoracic and lumbar tumors with a single posterior approach
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作者 沈慧勇 《外科研究与新技术》 2011年第2期124-125,共2页
Objective To investigate the operation key points,instrument improvement and shortterm effects in total en bloc spondylectomy (TES) via a single posterior approach for thoracic and lumbar tumors.Methods A series of mo... Objective To investigate the operation key points,instrument improvement and shortterm effects in total en bloc spondylectomy (TES) via a single posterior approach for thoracic and lumbar tumors.Methods A series of modified 展开更多
关键词 modified surgical techniques in total en bloc spondylectomy for thoracic and lumbar tumors with a single posterior approach TES
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Folded localized excitations in the (2+1)-dimensional modified dispersive water-wave system 被引量:7
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作者 雷燕 马松华 方建平 《Chinese Physics B》 SCIE EI CAS CSCD 2013年第1期138-142,共5页
By using a mapping approach and a linear variable separation approach, a new family of solitary wave solutions with arbitrary functions for the (2+1)-dimensional modified dispersive water-wave system (MDWW) is de... By using a mapping approach and a linear variable separation approach, a new family of solitary wave solutions with arbitrary functions for the (2+1)-dimensional modified dispersive water-wave system (MDWW) is derived. Based on the derived solutions and using some multi-valued functions, we obtain some novel folded localized excitations of the system. 展开更多
关键词 mapping approach modified dispersive water-wave system solitary wave solution folded localized excitation
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Symmetry and Exact Solutions of (2+1)-Dimensional Generalized Sasa-Satsuma Equation via a Modified Direct Method
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作者 LU Chang-Cheng CHEN Yong 《Communications in Theoretical Physics》 SCIE CAS CSCD 2009年第6期973-978,共6页
In this paper, first, we employ classic Lie symmetry groups approach to obtain the Lie symmetry groupsof the well-known (2+1)-dimensional Generalized Sasa-Satsuma (GSS) equation. Second, based on a modified directmeth... In this paper, first, we employ classic Lie symmetry groups approach to obtain the Lie symmetry groupsof the well-known (2+1)-dimensional Generalized Sasa-Satsuma (GSS) equation. Second, based on a modified directmethod proposed by Lou [J. Phys. A: Math. Gen. 38 (2005) L129], more general symmetry groups are obtained andthe relationship between the new solution and known solution is set up. At the same time, the Lie symmetry groupsobtained are only special cases of the more general symmetry groups. At last, some exact solutions of GSS equationsare constructed by the relationship obtained in the paper between the new solution and known solution. 展开更多
关键词 LIE对称性 解方程 改性方法 广义 精确解 构造体系 对称群 直接法
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改良Peyton四步教学法联合DOPS在西藏临床技能培训中的应用
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作者 郑梓煜 蔡锐彬 +5 位作者 尚成玉 阿旺旺姆 肖琦颖 央吉桑姆 普布次仁 普珍 《医学教育研究与实践》 2024年第2期237-241,共5页
目的探讨基于改良Peyton四步教学法的模拟教学联合操作技能直接观察(direct observation of procedural skills,DOPS)评估方法在西藏临床技能培训中的应用效果。方法选取西藏边坝县人民医院2021年5月—2022年5月参加临床技能培训的51名... 目的探讨基于改良Peyton四步教学法的模拟教学联合操作技能直接观察(direct observation of procedural skills,DOPS)评估方法在西藏临床技能培训中的应用效果。方法选取西藏边坝县人民医院2021年5月—2022年5月参加临床技能培训的51名医护人员为研究对象,随机分为试验组与对照组。试验组采用结合改良Peyton四步教学法进行成人男性导尿术教学,并在培训开始前、培训中期及培训结束后,由带教教师采用DOPS评估方法对学员进行测评。对照组采用传统临床技能培训方法进行教学。在培训结束后发放满意度调查问卷,以了解学员对该教学模式的满意度。结果试验组技能考核平均成绩(90.12±5.50)分,对照组技能考核平均成绩(79.36±6.95)分,两组间成绩比较,其差异具有统计学意义(P<0.001);DOPS评估量表显示,试验组学员在培训结束后临床操作各项能力均较前有显著提高,其差异均具有统计学意义(P<0.05);课后满意度调查结果显示,在赞同“增强相关基础知识”等6个方面,试验组与对照组比较,其差异均具有统计学意义(P<0.001)。结论基于改良Peyton四步教学法的模拟教学联合DOPS评估方法的教学模式可提高西藏藏区医护人员的临床技能操作水平,适合在藏区医护人员临床技能培训中推广。 展开更多
关键词 改良Peyton四步教学法 操作技能直接观察 模拟教学 临床技能培训
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改良踝关节后外侧入路联合内侧入路切开复位内固定治疗三踝骨折的临床效果
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作者 沈小军 《中国社区医师》 2024年第7期41-43,共3页
目的:探讨改良踝关节后外侧入路联合内侧入路切开复位内固定治疗三踝骨折的临床效果。方法:选取2020年2月—2021年12月麻城市人民医院收治的三踝骨折患者72例作为研究对象,采用双盲法分为对照组和试验组,各36例。两组患者均行切开复位... 目的:探讨改良踝关节后外侧入路联合内侧入路切开复位内固定治疗三踝骨折的临床效果。方法:选取2020年2月—2021年12月麻城市人民医院收治的三踝骨折患者72例作为研究对象,采用双盲法分为对照组和试验组,各36例。两组患者均行切开复位内固定术治疗,对照组采用常规踝关节后外侧入路联合内侧入路,试验组采用改良踝关节后外侧入路联合内侧入路。比较两组治疗效果。结果:试验组并发症总发生率低于对照组,差异有统计学意义(P=0.006)。治疗前,两组踝关节背伸、跖屈、外翻、内翻活动度比较,差异无统计学意义(P>0.05);治疗后6个月,两组踝关节背伸、跖屈、外翻、内翻活动度均大于治疗前,且试验组大于对照组,差异有统计学意义(P<0.05)。治疗前,两组美国矫形足踝学会(AOFAS)踝-后足指数评分量表评分比较,差异无统计学意义(P>0.05);治疗后6个月,两组AOFAS踝-后足指数评分量表评分高于治疗前,且试验组高于对照组,差异有统计学意义(P<0.001)。结论:改良踝关节后外侧入路联合内侧入路切开复位内固定治疗三踝骨折的临床效果显著,能改善踝关节活动度与功能,减少并发症。 展开更多
关键词 三踝骨折 改良踝关节后外侧入路 内侧入路
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改良双入路法内窥镜下跖筋膜松解术联合跟骨局部减压治疗跖筋膜炎的效果
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作者 陈波杰 王敷强 +1 位作者 胡伟全 林小福 《中国当代医药》 CAS 2024年第19期43-46,50,共5页
目的探究改良双入路法内窥镜下跖筋膜松解术联合跟骨局部减压治疗对跖筋膜炎患者临床疗效、足底压痛及足踝功能的影响。方法选取2020年7月至2023年7月赣州市人民医院收治的81例跖筋膜炎患者作为研究对象,按照随机数字表法分为对照组(40... 目的探究改良双入路法内窥镜下跖筋膜松解术联合跟骨局部减压治疗对跖筋膜炎患者临床疗效、足底压痛及足踝功能的影响。方法选取2020年7月至2023年7月赣州市人民医院收治的81例跖筋膜炎患者作为研究对象,按照随机数字表法分为对照组(40例)和研究组(41例)。对照组实施改良双入路法内窥镜下跖筋膜松解术治疗,研究组实施改良双入路法内窥镜下跖筋膜松解术联合跟骨局部减压治疗。比较两组的临床总有效率;分别于术前及术后3个月比较两组患者的足底压痛[视觉模拟评分法(VAS)评分]、足踝功能[美国足踝外科协会踝-后足评分(AOFAS-AH)]、踝关节功能[足踝表现评分量表(FAOS)]。结果研究组的临床总有效率高于对照组,差异有统计学意义(P<0.05);术后3个月,两组的VAS评分均低于本组术前,且研究组低于对照组,差异有统计学意义(P<0.05);术后3个月,两组的AOFAS-AH评分高于本组术前,且研究组高于对照组,差异有统计学意义(P<0.05);术后3个月,两组的FAOS评分高于本组术前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论改良双入路法内窥镜下跖筋膜松解术中采取跟骨局部减压治疗不仅明显缓解跖筋膜炎患者足底压痛、肿胀及活动受限等临床症状,还有效提升跖筋膜炎患者的足踝功能及临床疗效。 展开更多
关键词 改良双入路法内窥镜下跖筋膜松解术 跟骨局部减压 跖筋膜炎 足踝功能
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改良Rives-Stoppa入路与髂腹股沟入路治疗髋臼骨折的比较性研究 被引量:7
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作者 苑广科 韦良心 张玉德 《中国现代医生》 2015年第1期123-125,共3页
目的评估改良Rives-Stoppa入路与髂腹股沟入路治疗髋臼骨折的临床疗效。方法选择2002-2013年我科收治的髋臼骨折切开复位内固定手术患者54例,采用回顾性比较研究方法。2002-2010年采用髂腹股沟入路33例,2008-2013年采用改良Rives-Stopp... 目的评估改良Rives-Stoppa入路与髂腹股沟入路治疗髋臼骨折的临床疗效。方法选择2002-2013年我科收治的髋臼骨折切开复位内固定手术患者54例,采用回顾性比较研究方法。2002-2010年采用髂腹股沟入路33例,2008-2013年采用改良Rives-Stoppa入路21例,比较两组的手术时间、术中出血量、复位效果、早期术后并发症、临床疗效。结果改良Rives-Stoppa入路较髂腹股沟入路手术时间短、术中出血量少。在髋臼骨折复位固定方面均获得满意结果。改良Rives-Stoppa入路获得了更好的解剖复位率(P〈0.05)。结论改良Rives-Stoppa入路与髂腹股沟入路相比显露更清楚,复位效果更好,是一种安全有效的选择。改良Stoppa入路最大优点是术者能够站在对侧从髋臼后柱及四边体骨折的顶部直接复位并应用支撑钢板固定,操作更简单。 展开更多
关键词 髋臼骨折 髂腹股沟入路 改良rives-stoppa入路
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改良Rives-Stoppa入路与K-L入路内固定治疗髋臼骨折 被引量:3
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作者 王卫友 杨益民 +2 位作者 李雪武 袁学峰 高建刚 《局解手术学杂志》 2016年第12期879-882,共4页
目的对比改良Rives-Stoppa入路与K-L入路内固定治疗髋臼骨折的安全性与有效性。方法将2012年9月至2016年1月在唐山市协和医院诊治的髋臼骨折患者76例纳入研究,根据随机数字表法分为观察组与对照组,每组38例,观察组选择改良Rives-Stoppa... 目的对比改良Rives-Stoppa入路与K-L入路内固定治疗髋臼骨折的安全性与有效性。方法将2012年9月至2016年1月在唐山市协和医院诊治的髋臼骨折患者76例纳入研究,根据随机数字表法分为观察组与对照组,每组38例,观察组选择改良Rives-Stoppa入路内固定治疗,对照组采用K-L入路内固定治疗,观察2组预后安全性与有效性。结果所有患者均顺利完成手术,术后切口均Ⅰ期愈合,但观察组的手术时间、术中出血量、术中输血量与术后住院时间都明显少于对照组(P<0.05)。观察组术后3个月切口感染、皮神经损伤、创伤性关节炎、坐骨神经损伤等并发症发生情况明显少于对照组(P<0.05)。观察组术后3个月疗效优良率为94.7%,对照组为73.7%,观察组明显优于对照组(P<0.05)。结论相对于K-L入路,改良Rives-Stoppa入路内固定治疗髋臼骨折具有操作简单、损伤小等优点,可明显减少术后并发症,有利于促进患者髋功能的改善。 展开更多
关键词 髋臼骨折 改良rives-stoppa入路 K-L入路 并发症
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侧卧位改良直接外侧入路与改良后外侧入路髋关节置换术治疗高龄股骨颈骨折的疗效分析
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作者 周才盛 郑德攀 张国如 《中国现代医学杂志》 CAS 2024年第7期14-20,共7页
目的分析侧卧位改良直接外侧入路与改良后外侧入路髋关节置换术治疗高龄股骨颈骨折的疗效。方法选取2019年2月—2023年1月三亚中心医院收治的102例高龄股骨颈骨折患者,以随机数字表法分为研究组、对照组,各51例。对照组接受侧卧位改良... 目的分析侧卧位改良直接外侧入路与改良后外侧入路髋关节置换术治疗高龄股骨颈骨折的疗效。方法选取2019年2月—2023年1月三亚中心医院收治的102例高龄股骨颈骨折患者,以随机数字表法分为研究组、对照组,各51例。对照组接受侧卧位改良后外侧入路,研究组接受侧卧位改良直接外侧入路。比较两组手术相关指标、疼痛程度、血清学指标、髋关节功能、平衡功能及并发症。结果研究组切口长度低于对照组(P<0.05),术后下地时间、术后住院时间短于对照组(P<0.05)。两组患者手术时间、术中出血量比较,差异均无统计学意义(P>0.05)。两组患者术前、术后12 h、术后24 h、术后48 h的视觉模拟评分(VAS)比较,结果:①不同时间点的VAS评分比较,差异有统计学意义(P<0.05);②两组患者VAS评分比较,差异有统计学意义(P<0.05),研究组术后VAS评分低于对照组;③两组患者VAS评分变化趋势比较,差异有统计学意义(P<0.05)。两组患者术前、术后12 h、术后24 h、术后48 h的降钙素原(PCT)、C反应蛋白(CRP)、红细胞沉降率(ESR)比较,结果:①不同时间点的PCT、CRP、ESR比较,差异均有统计学意义(P<0.05);②两组患者PCT、CRP、ESR评分比较,差异均有统计学意义(P<0.05),研究组术后PCT、CRP、ESR评分低于对照组;③两组患者PCT、CRP、ESR变化趋势比较,差异均有统计学意义(P<0.05)。两组患者出院当日、术后1个月、术后6个月UCLA髋关节系统评分、Harris髋关节功能评分比较,结果:①不同时间点UCLA评分、Harris评分比较,差异均有统计学意义(P<0.05);②两组患者UCLA评分、Harris评分比较,差异均有统计学意义(P<0.05),研究组出院当日、术后1个月UCLA评分、Harris评分比对照组高;③两组患者UCLA评分、Harris评分变化趋势比较,差异均有统计学意义(P<0.05)。两组患者出院当日、术后1个月、术后6个月的平衡功能评分(BBS)比较,结果:①不同时间点的BBS评分比较,差异有统计学意义(P<0.05);②两组患者BBS评分比较,差异有统计学意义(P<0.05),研究组出院当日、术后1个月BBS评分比对照组高(P<0.05);③两组患者BBS评分变化趋势比较,差异有统计学意义(P<0.05)。研究组并发症总发生率低于对照组(P<0.05)。结论相比于侧卧位改良后外侧入路,侧卧位改良直接外侧入路髋关节置换术治疗高龄股骨颈骨折效果更佳,可改善患者平衡功能与髋关节功能,促进术后康复,减轻软组织损伤与疼痛,降低并发症发生风险。 展开更多
关键词 股骨颈骨折 髋关节置换术 侧卧位改良直接外侧入路 高龄 侧卧位改良后外侧入路 并发症
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改良经腹食管裂孔入路行Siewert Ⅱ型食管胃结合部腺癌根治术的经验总结
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作者 杨根荣 胡宝利 韦海涛 《河南医学研究》 CAS 2024年第13期2343-2346,共4页
目的探讨改良经腹食管裂孔入路实施SiewertⅡ型食管胃结合部腺癌根治术的创新性和优势,总结此改良术式的经验。方法回顾性分析2022年2月至2023年3月接受改良经腹食管裂孔入路的手术方式治疗SiewertⅡ型食管胃结合部腺癌12例病例资料。结... 目的探讨改良经腹食管裂孔入路实施SiewertⅡ型食管胃结合部腺癌根治术的创新性和优势,总结此改良术式的经验。方法回顾性分析2022年2月至2023年3月接受改良经腹食管裂孔入路的手术方式治疗SiewertⅡ型食管胃结合部腺癌12例病例资料。结果12例手术均顺利完成,术中应用切割闭合器打开部分左侧膈肌,联合左侧胸腔辅助操作孔完成下纵膈淋巴结清扫及消化道重建,手术时间(209.0±38.3)min,下纵膈淋巴结清扫数(7.1±2.7)枚,食管切除长度(7.7±0.8)cm,术中出血(168.2±83.1)mL,术后住院时间(11.6±1.8)d。结论改良经腹食管裂孔入路的手术方式治疗SiewertⅡ型食管胃结合部腺癌安全可行,此术式下纵隔淋巴结清扫及消化道重建的难度显著降低,保证足够的食管切缘长度,适合在临床广泛开展。 展开更多
关键词 改良经腹食管裂孔入路 SiewertⅡ型食管胃结合部腺癌 Orvil管形吻合 经验
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Three-dimensional pseudo-dynamic reliability analysis of seismic shield tunnel faces combined with sparse polynomial chaos expansion
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作者 GUO Feng-qi LI Shi-wei ZOU Jin-Feng 《Journal of Central South University》 SCIE EI CAS CSCD 2024年第6期2087-2101,共15页
To address the seismic face stability challenges encountered in urban and subsea tunnel construction,an efficient probabilistic analysis framework for shield tunnel faces under seismic conditions is proposed.Based on ... To address the seismic face stability challenges encountered in urban and subsea tunnel construction,an efficient probabilistic analysis framework for shield tunnel faces under seismic conditions is proposed.Based on the upper-bound theory of limit analysis,an improved three-dimensional discrete deterministic mechanism,accounting for the heterogeneous nature of soil media,is formulated to evaluate seismic face stability.The metamodel of failure probabilistic assessments for seismic tunnel faces is constructed by integrating the sparse polynomial chaos expansion method(SPCE)with the modified pseudo-dynamic approach(MPD).The improved deterministic model is validated by comparing with published literature and numerical simulations results,and the SPCE-MPD metamodel is examined with the traditional MCS method.Based on the SPCE-MPD metamodels,the seismic effects on face failure probability and reliability index are presented and the global sensitivity analysis(GSA)is involved to reflect the influence order of seismic action parameters.Finally,the proposed approach is tested to be effective by a engineering case of the Chengdu outer ring tunnel.The results show that higher uncertainty of seismic response on face stability should be noticed in areas with intense earthquakes and variation of seismic wave velocity has the most profound influence on tunnel face stability. 展开更多
关键词 reliability analysis shield tunnel face sparse polynomial chaos expansion modified pseudo-dynamic approach seismic stability assessment
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