辅腔泵浦高功率铒镱共掺光纤激光器实验研究

铒镱共掺光纤激光器的功率提高主要受热效应和镱波段放大的自发辐射的限制。为了提高铒镱共掺光纤激光器的输出功率,设计了液冷散热结构并采用辅腔泵浦法进行实验研究。结果表明,采用2.1 m长的大模面积铒镱共掺双包层光纤时,在47.5 W的泵浦功率下得到了波长为1548.9 nm、最高功率为21.6 W的输出,综合泵浦转化效率为45.7%;辅助腔中镱波段振荡建立前后的斜率效率分别为48.4%和56.2%。

腹腔镜辅助阴式大子宫切除320例临床分析

目的探讨腹腔镜辅助阴式大子宫切除术的安全性和可行性。方法对320例子宫增大如12—20孕周、子宫肌腺症患者，行腹腔镜辅助阴式子宫切除术。对手术时间、出血量、副损伤及术后病率进行分析。结果手术过程顺利，无中转开腹。子宫重310，1350g，（580．0±72．3）g。手术时间65—110min，（99．6±35．2）min，出血量100—400ml，（195．6±72．2）ml，术后住院时间4—8d，（5．5±1．2）d。术后病率1．6％（5／320）。297例术后随访2—24个月，平均4．6月，阴道残端愈合良好，无并发症。结论对部分因良性病变≥12孕周子宫，术者具有熟练腹腔镜、阴式手术操作经验，腹腔镜辅助阴式子宫切除术是安全可行的。

基于级联光纤环的复合环形腔单纵模光纤激光器研究

研究了基于级联单光纤耦合器(OC)和双OC光纤环的复合环形腔光纤激光器的单纵模运转特性。通过对级联单OC和双OC光纤环辅腔的谐振通带特性进行分析,给出了优化双OC环的谐振通带特性以实现稳定单纵模运转的依据.利用构建的这种复合环形腔光纤激光器,实验验证了该理论依据的正确性。当主腔腔长为6.8 m,单OC环环长为0.45 m,双OC环环长约为0.56 m时,选取双OC的耦合比为0.7,单纵模运转的稳定性相对最好,实验与理论分析结果相吻合.

管弦同体乐器的创制

民族乐器是我国悠久民族文化的重要组成部分。长期以来,对于民族乐器改革的探索与研究不断进行,已成功研制出各类新型民族乐器。通过对我国传统民族乐器中吹管乐器与拉弦乐器振动原理的研究,研制出管弦同体振动发声的新型民族乐器,这在国内外先关研究中尚属首例。

Experiences and benefits of positron emitted tomography-computed tomography (PET-CT) combined with video-assisted thoracoscopic surgery (VATS) in the diagnosis of Stage 1 sarcoidosis

Background： The purpose of this study was to describe our experiences and analyze the benefits of video-assisted thoracoscopic surgery （VATS） combined with positron emitted tomography （PET）-computed tomography （CT） in the diagnosis of patients with early （Stage 1） sarcoidosis. Methods： From 1995 to 2006, seven patients （two males, five females）, with ages ranging from 26 to 58 years, were impressed with Stage 1 sarcoidosis （mediastinal or hilar lymph nodes involvements without lung involvement） by histological examination of intrathoracic lymph nodes （LNs） and/or lung parenchyma taken＇from VATS biopsy. Three of them received PET or PET-CT evaluation. VATS was approached from the right and left side in one and six patients, respectively, according to the locations of their lesions. Results： All the VATS biopsied LNs or lung specimens were adequate for establishing diagnosis. Mediastinal LNs were taken from Groups 3, 4 in four, Group 7 in two, and Groups 5, 6 in one of them. Hilar LNs biopsies were performed in four cases. Lung biopsy was performed in all but two cases. All of them were expressed pathologically or radiologically as Stage 1 sarcoidosis. PET-CT revealed high emission signals over these affected LNs. These patients received oral steroid treatment or follow up only. All of them were followed up from 5 months to 11 years with satisfactory results. Conclusion： VATS biopsy is a minimally invasive, safe and effective procedure. It can be used as a diagnostic altermative of transbronchial lung biopsy （TBLB）, and can harvest larger and more areas of specimens than mediastinoscopy for staging patients with sarcoidosis. PET-CT can provide us more accurate information about the characteristics and localization of these lesions before biopsy. VATS combined with PET-CT can provide more accurate and earlier diagnosis of patients with unknown intrathoracic lesions, including the sarcoidosis.

Telerobotic-assisted laparoscopic abdominoperineal resection for low rectal cancer: Report of the first case in Hong Kong and China with an updated literature review

Telerobotic surgery is the most advanced development in the field of minimally invasive surgery. The da Vinci surgical system, which is currently the most widely used telerobotic device, was approved by the Food and Drug Administration of the United States of America for clinical use in all abdominal operations in July 2000. The first da Vinci surgical system in China was installed in November 2005 at our institution. We herein report the first telerobotic-assisted laparoscopic abdominoperineal resection using the 3-arm da Vinci surgical system for low rectal cancer in Hong Kong and China, which was performed in August 2006. The operative time and blood loss were 240 min and 200 mL, respectively. There was no complication, and the patient was discharged on postoperative day five. An updated review of published literature on telerobotic-assisted colorectal surgery is included in this report, with special emphasis on its advantages and limitations.

Heterochronic bilateral ectopic pregnancy after ovulation inductionHeterochronic bilateral ectopic pregnancy after ovulation induction

Ectopic pregnancy is identified with the widely-applied assisted reproductive technology （ART）. Bilateral ectopic pregnancy is a rare form of ectopic pregnancy which is difficult to be diagnosed at the pre-operation stage. In this paper, we presented an unusual case of heterochronic bilateral ectopic pregnancy after stimulated intrauterine insemination （IUI）, where there has been a delay of 22 d between the diagnoses of the two ectopic pregnancies. Literature was reviewed on the occurrence of bilateral ectopic pregnancy during the past four years in the MEDLINE database. We found 16 cases of bilateral ectopic pregnancy reported since 2008, and analyzed the characteristics of those cases of bilateral ectopic pregnancy. We emphasize that ovulation induction and other ARTs may increase the risk of bilateral ectopic pregnancy. Because of the difficulty in identification of bilateral ectopic pregnancy by ultraso- nography, the clinician should be aware that the treatment of one ectopic pregnancy does not preclude the occurrence of a second ectopic pregnancy in the same patient and should pay attention to the intra-operation inspection of both side fallopian tubes in any ectopic pregnancy case.

Controllable optical multistability in hybrid optomechanical system assisted by parametric interactions

We theoretically investigate the multistable behavior of a hybrid optomechanical system, in which a charged mechanical resonator is coupled via Coulomb interaction to an optomechanical cavity containing an optical parametric amplifier （OPA）. It is shown that the multistable behavior of the mean intracavity photon number can be controlled flexibly by adjusting the nonlinear gain parameter of the OPA, the phase of the field pumping the OPA, the power and frequency of the field driving the cavity, and the Coulomb coupling strength between the two charged mechanical resonators. In particular, the increase of the nonlinear gain parameter can result in a transition from bistability to tristability. Moreover, the effect of the Coulomb coupling strength on the bistable behavior of the steady-state positions of the two mechanical resonators is discussed.