[目的]随着全球O_3浓度升高,O_3胁迫对植物影响的研究已成为研究的热点之一。我国的相关研究较少,主要以农作物为主,且大多局限在北方地区。本研究探讨O_3胁迫下,亚热带三种楠木幼苗光合作用的变化规律及其可见伤害症状,以期为后续研究...[目的]随着全球O_3浓度升高,O_3胁迫对植物影响的研究已成为研究的热点之一。我国的相关研究较少,主要以农作物为主,且大多局限在北方地区。本研究探讨O_3胁迫下,亚热带三种楠木幼苗光合作用的变化规律及其可见伤害症状,以期为后续研究提供理论依据。[方法]以一年生亚热带乡土树种桢楠、闽楠和刨花楠幼苗为材料,采用开顶式气室(OTCs),研究低浓度O_3、环境大气、100 n L·L-1O_3、150 n L·L-1O_3处理对光合作用的影响及伤害症状。[结果]研究表明:(1)O_3胁迫下,三种楠木幼苗的光合作用受到一定的抑制,气孔导度和净光合速率的相关性降低,对光合有效辐射的利用范围整体减小,出现了明显的光抑制现象。O_3浓度越高,对桢楠和刨花楠光合作用的抑制效果越明显,而100 n L·L-1O_3处理对闽楠光合作用的抑制效果较150 n L·L-1O_3处理明显。环境大气中的O_3浓度均值较低,但由于其较高的O_3浓度峰值,仍对三种楠木幼苗的光合作用产生了一定的抑制。与环境大气相比,低浓度O_3处理通过消除较高的O_3浓度峰值从而缓解了O_3对光合作用的不利影响。(2)O_3胁迫下,桢楠叶片出现褪绿、黄斑和坏死斑的症状,闽楠叶片出现褪绿、黄斑和水渍的症状,刨花楠叶片出现红褐色斑、水渍、坏死斑、卷曲皱缩、失水萎蔫的症状。三种楠木幼苗叶片的伤害症状随O_3浓度的增加而更明显。[结论]三种楠木幼苗叶片的光合作用均受到O_3的抑制,并出现了伤害症状,可作为O_3污染的指示树种。光合作用对O_3敏感性的关系为:刨花楠>闽楠>桢楠,其中刨花楠对O_3更敏感,伤害症状也较多样,因此指示O_3污染的效果更好。展开更多
Objective The most important complication after low anterior resection(LAR) for mid-low rectal cancer is symptomatic anastomotic leakage(AL). More than one-third of patients with rectal cancer who underwent LAR will h...Objective The most important complication after low anterior resection(LAR) for mid-low rectal cancer is symptomatic anastomotic leakage(AL). More than one-third of patients with rectal cancer who underwent LAR will have functional stomas during primary operation. The aim of this retrospective study was to evaluate the risk factors associated with clinical AL following LAR without diversional stomas.Methods Between 2012 and 2017, information about 578 consecutive patients with rectal tumors less than 12 cm from the anal verge who underwent LAR without diversional stomas by the same surgical team was collected retrospectively. A standardized extraperitonealized anastomosis and pelvic drainage were conducted for all patients during primary operations, and the outcome of interest was clinical AL. The associations between AL and 14 patient-related and surgical variables were examined by both univariate chi-square test and multivariate logistic regression analysis.Results The AL rate was 7.27%(42 of 578). Univariate and multivariate analyses showed that male sex(P = 0.018), mid-low rectal cancer(located 10 cm or less above the anal verge)(P = 0.041), presence of diabetes(odds ratio = 2.117), longer duration of operation(odds ratio = 1.890), and intraoperative contamination(odds ratio = 2.163) were risk factors of AL for LAR without diversional stoma and independently predictive of clinical AL. Nearly 83.3%(35 of 42) of leakage could be cured by persistent pelvic irrigation-suction-drainage without surgical intervention. Only 7 patients(16.7%) with severe complications, such as peritonitis, and fistula, required reoperation, and functional stoma was used as a salvage treatment.Conclusion From the findings of this retrospective survey, we identified that mid-low rectal cancer and male sex were independent risk factors for developing clinical AL after LAR without diversional stomas, as well as longer duration of operation, presence of diabetes, and contamination of the operative field. Moreover, we deemed that LAR without diversional stomas for mid-low rectal cancers was safe, effective, and feasible. Extraperitonealized anastomosis and pelvic drainage obtained a relatively low rate of AL and avoided unnecessary functional stomas. Pelvic irrigation-suction-drainage was an effective procedure to resolve AL, and functional stoma was potentially used as a salvage modality for serious leakage.展开更多
文摘[目的]随着全球O_3浓度升高,O_3胁迫对植物影响的研究已成为研究的热点之一。我国的相关研究较少,主要以农作物为主,且大多局限在北方地区。本研究探讨O_3胁迫下,亚热带三种楠木幼苗光合作用的变化规律及其可见伤害症状,以期为后续研究提供理论依据。[方法]以一年生亚热带乡土树种桢楠、闽楠和刨花楠幼苗为材料,采用开顶式气室(OTCs),研究低浓度O_3、环境大气、100 n L·L-1O_3、150 n L·L-1O_3处理对光合作用的影响及伤害症状。[结果]研究表明:(1)O_3胁迫下,三种楠木幼苗的光合作用受到一定的抑制,气孔导度和净光合速率的相关性降低,对光合有效辐射的利用范围整体减小,出现了明显的光抑制现象。O_3浓度越高,对桢楠和刨花楠光合作用的抑制效果越明显,而100 n L·L-1O_3处理对闽楠光合作用的抑制效果较150 n L·L-1O_3处理明显。环境大气中的O_3浓度均值较低,但由于其较高的O_3浓度峰值,仍对三种楠木幼苗的光合作用产生了一定的抑制。与环境大气相比,低浓度O_3处理通过消除较高的O_3浓度峰值从而缓解了O_3对光合作用的不利影响。(2)O_3胁迫下,桢楠叶片出现褪绿、黄斑和坏死斑的症状,闽楠叶片出现褪绿、黄斑和水渍的症状,刨花楠叶片出现红褐色斑、水渍、坏死斑、卷曲皱缩、失水萎蔫的症状。三种楠木幼苗叶片的伤害症状随O_3浓度的增加而更明显。[结论]三种楠木幼苗叶片的光合作用均受到O_3的抑制,并出现了伤害症状,可作为O_3污染的指示树种。光合作用对O_3敏感性的关系为:刨花楠>闽楠>桢楠,其中刨花楠对O_3更敏感,伤害症状也较多样,因此指示O_3污染的效果更好。
基金Supported by a grant from the Education Department of Sichuan Province(No.16ZA0197)
文摘Objective The most important complication after low anterior resection(LAR) for mid-low rectal cancer is symptomatic anastomotic leakage(AL). More than one-third of patients with rectal cancer who underwent LAR will have functional stomas during primary operation. The aim of this retrospective study was to evaluate the risk factors associated with clinical AL following LAR without diversional stomas.Methods Between 2012 and 2017, information about 578 consecutive patients with rectal tumors less than 12 cm from the anal verge who underwent LAR without diversional stomas by the same surgical team was collected retrospectively. A standardized extraperitonealized anastomosis and pelvic drainage were conducted for all patients during primary operations, and the outcome of interest was clinical AL. The associations between AL and 14 patient-related and surgical variables were examined by both univariate chi-square test and multivariate logistic regression analysis.Results The AL rate was 7.27%(42 of 578). Univariate and multivariate analyses showed that male sex(P = 0.018), mid-low rectal cancer(located 10 cm or less above the anal verge)(P = 0.041), presence of diabetes(odds ratio = 2.117), longer duration of operation(odds ratio = 1.890), and intraoperative contamination(odds ratio = 2.163) were risk factors of AL for LAR without diversional stoma and independently predictive of clinical AL. Nearly 83.3%(35 of 42) of leakage could be cured by persistent pelvic irrigation-suction-drainage without surgical intervention. Only 7 patients(16.7%) with severe complications, such as peritonitis, and fistula, required reoperation, and functional stoma was used as a salvage treatment.Conclusion From the findings of this retrospective survey, we identified that mid-low rectal cancer and male sex were independent risk factors for developing clinical AL after LAR without diversional stomas, as well as longer duration of operation, presence of diabetes, and contamination of the operative field. Moreover, we deemed that LAR without diversional stomas for mid-low rectal cancers was safe, effective, and feasible. Extraperitonealized anastomosis and pelvic drainage obtained a relatively low rate of AL and avoided unnecessary functional stomas. Pelvic irrigation-suction-drainage was an effective procedure to resolve AL, and functional stoma was potentially used as a salvage modality for serious leakage.
