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改良二孔法腹腔镜胆囊切除术与三孔法腹腔镜胆囊切除术的对照研究 被引量:7
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作者 苏长岐 王健生 +2 位作者 于良 王林 马林 《陕西医学杂志》 CAS 2015年第9期1217-1220,共4页
目的:对比研究改良二孔法腹腔镜胆囊切除术(LC)与经典三孔法腹腔镜胆囊切除术(LC)的临床应用价值。方法:将我院接受LC治疗的患者114例随机分为改良二孔法LC组(二孔组)和三孔法LC组(三孔组),各57例。比较两组的手术情况、手术效果及并发... 目的:对比研究改良二孔法腹腔镜胆囊切除术(LC)与经典三孔法腹腔镜胆囊切除术(LC)的临床应用价值。方法:将我院接受LC治疗的患者114例随机分为改良二孔法LC组(二孔组)和三孔法LC组(三孔组),各57例。比较两组的手术情况、手术效果及并发症发生情况等。结果:二孔组的手术切口长度显著小于三孔组(P<0.05),手术时间、术中出血量、术后下床活动时间、住院时间均显著短于三孔组(P<0.05);三孔组的术后VAS评分显著低于三孔组(P<0.05),疤痕满意度评分显著高于对照组(P<0.05);二孔组的并发症发生率为3.51%,显著低于对照组的14.04%(P<0.05)。结论:改良二孔法LC的临床疗效显著优于三孔法LC,且创伤小、术中出血少、术后恢复快、并发症少。 展开更多
关键词 胆囊切除术 腹腔镜 对比研究 @改良二 @三孔法
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Determination of energy coupling to material in laser welding by a novel “sandwich” method 被引量:1
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作者 张屹 史如坤 李力钧 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2012年第7期1701-1710,共10页
A mathematical energy coupling model was developed to analyze the light transmission in the keyhole and energy distribution on the keyhole wall.The main characteristics of the model include:1) a prototype of the key... A mathematical energy coupling model was developed to analyze the light transmission in the keyhole and energy distribution on the keyhole wall.The main characteristics of the model include:1) a prototype of the keyhole and the inverse Bremsstrahlung absorption coefficient in the keyhole plasma are obtained from the experiments;2) instead of using a parallel incident beam,a focused laser beam with real Gaussian intensity distribution is implemented;3) both Fresnel absorption and inverse Bremsstrahlung absorption during multiple reflections are considered.The calculation results show that the distribution of absorbed laser intensity by the keyhole wall is not uniform.The maximum laser energy is absorbed by the bottom of the keyhole,although no rays irradiate directly onto the bottom.According to analysis of beam focusing characteristics,the location of the focal plane plays a more important role in the laser energy absorption by the front wall than by the rear wall. 展开更多
关键词 laser welding mathematical energy coupling model "sandwich" method KEYHOLE
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Numerical and theoretical verification of modified cam-clay model and discussion on its problems 被引量:1
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作者 戴自航 秦志忠 《Journal of Central South University》 SCIE EI CAS 2013年第11期3305-3313,共9页
Isotropic consolidation test and consolidated-undrained triaxial test were first undertaken to obtain the parameters of the modified cam-clay(MCC)model and the behavior of natural clayey soil.Then,for the first time,n... Isotropic consolidation test and consolidated-undrained triaxial test were first undertaken to obtain the parameters of the modified cam-clay(MCC)model and the behavior of natural clayey soil.Then,for the first time,numerical simulation of the two tests was performed by three-dimensional finite element method(FEM)using ABAQUS program.The consolidated-drained triaxial test was also simulated by FEM and compared with theoretical results of MCC model.Especially,the behaviors of MCC model during unloading and reloading were analyzed in detail by FEM.The analysis and comparison indicate that the MCC model is able to accurately describe many features of the mechanical behavior of the soil in isotropic consolidation test and consolidated-drained triaxial test.And the MCC model can well describe the variation of excess pore water pressure with the development of axial strain in consolidated-undrained triaxial test,but its ability to predict the relationship between axial strain and shear stress is relatively poor.The comparison also shows that FEM solutions of the MCC model are basically identical to the theoretical ones.In addition,Mandel-Cryer effect unable to be discovered by the conventional triaxial test in laboratories was disclosed by FEM.The analysis of unloading-reloading by FEM demonstrates that the MCC model disobeys the law of energy conservation under the cyclic loading condition if the elastic shear modulus is linearly pressure-dependent. 展开更多
关键词 modified cam-clay (MCC) model isotropic consolidation test consolidated-undrained triaxial test consolidated-drained triaxial test Mandel-Cryer effect energy conversation
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CLINICAL STUDY ON TREATMENT OF TRIGEMINAL NEURALGIA BY NEEDLING MENTAL AND MANDIBULAR FORAMINA
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作者 董宇翔 韩春霞 张二力 《World Journal of Acupuncture-Moxibustion》 2001年第1期33-35,共3页
In the present paper, 126 patients with neuralgia involving the mandibular branch of trigeminal nerve were treated mainly by puncturing the mental foramen and the mandibular foramen. The two foramina are both located ... In the present paper, 126 patients with neuralgia involving the mandibular branch of trigeminal nerve were treated mainly by puncturing the mental foramen and the mandibular foramen. The two foramina are both located in the focus through which the Stomach Channel of Foot Yangming passes. Among the 126 patients, 42 were attributed to the light type, 61 to the moderate type one and the other 23 to serious type. Acupuncture treatment was given once daily, 30 min every time, with 10 days being a therapeutic course. After 3 courses of treatment, results showed that 29 (69.1%) light type cases, 35(57.4%) moderate type cases and 6 (26.1%) serious type cases were cured. It displays that the less serious the symptom, the higher is the cure rate, and the shorter the duration of disease, the better is the therapeutic effect. 展开更多
关键词 Acupuncture therapy Mental and mandibular foramina Trigeminal neuralgia
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