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不同皮瓣修复手及腕部软组织缺损的疗效观察 被引量:4
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作者 柳华顺 《浙江临床医学》 2017年第3期493-494,共2页
目的观察不同皮瓣修复手、腕部软组织缺损的疗效。方法回顾性分析手、腕部软组织缺损67例(86处伤)患者的临床资料,所有患者均根据缺损的具体情况选择不同供区的皮瓣进行修复,观察皮瓣存活率和手外形与功能的修复效果。结果I期皮瓣移... 目的观察不同皮瓣修复手、腕部软组织缺损的疗效。方法回顾性分析手、腕部软组织缺损67例(86处伤)患者的临床资料,所有患者均根据缺损的具体情况选择不同供区的皮瓣进行修复,观察皮瓣存活率和手外形与功能的修复效果。结果I期皮瓣移植41例,II期皮瓣移植26例;手部修复应用推进皮瓣9例、邻指皮瓣17例、鱼际皮瓣13例、交臂皮瓣23例、髂腹股沟皮瓣9例和足部游离皮瓣2例;腕部修复应用尺动脉腕上穿支螺旋桨皮瓣7例、改良骨间后动脉逆行皮瓣4例和股前外侧游离复合组织瓣2例。皮瓣存活率95.3%,患者对外观和功能的满意度分别为89.5%、90.1%。结论手、腕部软组织缺损可在准确了解患者伤情的基础上,结合各个供区的皮瓣特点,灵活选择修复策略。 展开更多
关键词 皮瓣修复 手、腕部软组织缺损 供区选择
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Combining TOPSIS and GRA for supplier selection problem with interval numbers 被引量:8
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作者 张萌 李国喜 《Journal of Central South University》 SCIE EI CAS CSCD 2018年第5期1116-1128,共13页
Supplier selection can be regarded as a typical multiple attribute decision-making problem. In real-world situation, the values of the alternative attributes and their weights are always being nondeterministic, and as... Supplier selection can be regarded as a typical multiple attribute decision-making problem. In real-world situation, the values of the alternative attributes and their weights are always being nondeterministic, and as a result of this, the values are considered interval numbers. In addition, the common approach to measure the similarity between alternatives through their distance suffers from some minor shortcomings. To address these problems, this study develops a novel hybrid decision-making method by combining the technique for order preference by similarity to an ideal solution (TOPSIS) with grey relational analysis (GRA) for supplier selection with interval numbers. By introducing the intervals theory, the extensions of Euclidean distance and grey relational grade are defined. And then a new comprehensive closeness coefficient is constituted for supplier alternatives evaluation based on the interval Euclidean distance and the interval grey relational grade, which could indicate the distance-based similarity and the shape-based similarity simultaneously. A mtmerical example is taken to validate the flexibility of the proposed method, and result shows that this method can tackle the uncertainty in real-world supplier selection and also help decision makers to effectively select optimal suppliers. 展开更多
关键词 supplier selection interval number grey relational analysis (GRA) technique for order preference by similarity to an ideal solution (TOPSIS)
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