AIM:To investigate the role of anal cushions in hemorrhoidectomy and its effect on anal continence of the patients.METHODS:Seventy-six consecutive patients(33 men and 43 women) with a mean age of 44 years were include...AIM:To investigate the role of anal cushions in hemorrhoidectomy and its effect on anal continence of the patients.METHODS:Seventy-six consecutive patients(33 men and 43 women) with a mean age of 44 years were included.They underwent Milligan-Morgan hemorrhoidectomy because of symptomatic third-and fourth-degree hemorrhoids and failure in conservative treatment for years.Wexner score was recorded and liquid continence test was performed for each patient before and two months after operation using the techniques described in our previous work.The speed-constant rectal lavage apparatus was prepared in our laboratory.The device could output a pulsed and speed-constant saline stream with a high pressure,which is capable of overcoming any rectal resistance change.The patients were divided into three groups,group A(< 900 mL),group B(900-1200 mL) and group C(> 1200 mL) according to the results of the preoperative liquid continence test.RESULTS:All the patients completed the study.The average number of hemorrhoidal masses excised was 2.4.Most patients presented with hemorrhoidal symptoms for more than one year,including a mean duration of incontinence of 5.2 years.The most common symptoms before surgery were anal bleeding(n = 55),prolapsed lesion(n = 34),anal pain(n = 12) and constipation(n = 17).There were grade Ⅲ hemorrhoids in 39(51.3%) patients,and grade Ⅳ in 37(48.7%) patients according to Goligher classification.Five patients had experienced hemorrhoid surgery at least once.Compared with postoperative results,the retained volume in the preoperative liquid continence test was higher in 40 patients,lower in 27 patients,and similar in the other 9 patients.The overall preoperative retained volume in the liquid continence test was 1130.61 ± 78.35 mL,and postoperative volume was slightly decreased(991.27 ± 42.77 mL),but there was no significant difference(P = 0.057).Difference was significant in the test value before and after hemorrhoidectomy in group A(858.24 ± 32.01 mL vs 574.18 ± 60.28 mL,P = 0.011),but no obvious difference was noted in group B or group C.There was no significant difference in Wexner score before and after operation(1.68 ± 0.13 vs 2.10 ± 0.17,P = 0.064).By further stratified analysis,there was significant difference before and 2 months after operation in group A(2.71 ± 0.30 vs 3.58 ± 0.40,P = 0.003).In contrast,there were no significant differences in group B or group C(1.89 ± 0.15 vs 2.11 ± 0.19,P = 0.179;0.98 ± 0.11 vs 1.34 ± 0.19,P = 0.123).CONCLUSION:There is no difference in the continence status of patients before and after Milligan-Morgan hemorrhoidectomy.However,patients with preoperative compromised continence may have further deterioration of their continence,hence Milligan-Morgan hemorrhoidectomy should be avoided in such patients.展开更多
Three progressive stages of testing techniques are elaborated,which are en-tirely manual operating,taking separate instruments testing and computer program con-trolling.The testing method and principle are detailed ba...Three progressive stages of testing techniques are elaborated,which are en-tirely manual operating,taking separate instruments testing and computer program con-trolling.The testing method and principle are detailed based on the testing process formeteorological parameters,air pressure,air quality and rotating velocity.And every testingtechnique is analyzed.Finally, the technique outlook is viewed.All this plays a leading rolein development of the testing techniques.展开更多
A set of water powered excavation test system was developed for the comprehensive performance testing and evaluation of water powered percussive rock drill indoors. The whole system contains hydraulic power section, e...A set of water powered excavation test system was developed for the comprehensive performance testing and evaluation of water powered percussive rock drill indoors. The whole system contains hydraulic power section, electronic control system, test and data acquisition system, and assistant devices, such as guideway and drilling bench. Parameters of the water powered percussive rock drill can be obtained by analyzing testing data, which contain impact energy, front and back cavity pressure, pressure and flow in each working part, drilling velocity, frequency and energy efficiency etc. The system is applied to test the self-designed water powered percussive rock drill SYYG65. The parameters of water powered percussive rock drill with impact pressure of about 8.9 MPa are 58.93 J for impact energy, and 8.97% for energy efficiency, which prove the effectiveness of system.展开更多
文摘AIM:To investigate the role of anal cushions in hemorrhoidectomy and its effect on anal continence of the patients.METHODS:Seventy-six consecutive patients(33 men and 43 women) with a mean age of 44 years were included.They underwent Milligan-Morgan hemorrhoidectomy because of symptomatic third-and fourth-degree hemorrhoids and failure in conservative treatment for years.Wexner score was recorded and liquid continence test was performed for each patient before and two months after operation using the techniques described in our previous work.The speed-constant rectal lavage apparatus was prepared in our laboratory.The device could output a pulsed and speed-constant saline stream with a high pressure,which is capable of overcoming any rectal resistance change.The patients were divided into three groups,group A(< 900 mL),group B(900-1200 mL) and group C(> 1200 mL) according to the results of the preoperative liquid continence test.RESULTS:All the patients completed the study.The average number of hemorrhoidal masses excised was 2.4.Most patients presented with hemorrhoidal symptoms for more than one year,including a mean duration of incontinence of 5.2 years.The most common symptoms before surgery were anal bleeding(n = 55),prolapsed lesion(n = 34),anal pain(n = 12) and constipation(n = 17).There were grade Ⅲ hemorrhoids in 39(51.3%) patients,and grade Ⅳ in 37(48.7%) patients according to Goligher classification.Five patients had experienced hemorrhoid surgery at least once.Compared with postoperative results,the retained volume in the preoperative liquid continence test was higher in 40 patients,lower in 27 patients,and similar in the other 9 patients.The overall preoperative retained volume in the liquid continence test was 1130.61 ± 78.35 mL,and postoperative volume was slightly decreased(991.27 ± 42.77 mL),but there was no significant difference(P = 0.057).Difference was significant in the test value before and after hemorrhoidectomy in group A(858.24 ± 32.01 mL vs 574.18 ± 60.28 mL,P = 0.011),but no obvious difference was noted in group B or group C.There was no significant difference in Wexner score before and after operation(1.68 ± 0.13 vs 2.10 ± 0.17,P = 0.064).By further stratified analysis,there was significant difference before and 2 months after operation in group A(2.71 ± 0.30 vs 3.58 ± 0.40,P = 0.003).In contrast,there were no significant differences in group B or group C(1.89 ± 0.15 vs 2.11 ± 0.19,P = 0.179;0.98 ± 0.11 vs 1.34 ± 0.19,P = 0.123).CONCLUSION:There is no difference in the continence status of patients before and after Milligan-Morgan hemorrhoidectomy.However,patients with preoperative compromised continence may have further deterioration of their continence,hence Milligan-Morgan hemorrhoidectomy should be avoided in such patients.
文摘Three progressive stages of testing techniques are elaborated,which are en-tirely manual operating,taking separate instruments testing and computer program con-trolling.The testing method and principle are detailed based on the testing process formeteorological parameters,air pressure,air quality and rotating velocity.And every testingtechnique is analyzed.Finally, the technique outlook is viewed.All this plays a leading rolein development of the testing techniques.
基金Project(2006AA06Z134) supported by the National High Technology Research and Development Program of ChinaProjects(50934006, 50904079) supported by the National Natural Science Foundation of China
文摘A set of water powered excavation test system was developed for the comprehensive performance testing and evaluation of water powered percussive rock drill indoors. The whole system contains hydraulic power section, electronic control system, test and data acquisition system, and assistant devices, such as guideway and drilling bench. Parameters of the water powered percussive rock drill can be obtained by analyzing testing data, which contain impact energy, front and back cavity pressure, pressure and flow in each working part, drilling velocity, frequency and energy efficiency etc. The system is applied to test the self-designed water powered percussive rock drill SYYG65. The parameters of water powered percussive rock drill with impact pressure of about 8.9 MPa are 58.93 J for impact energy, and 8.97% for energy efficiency, which prove the effectiveness of system.
