目的对比改良肩关节镜下双纽扣钢板动态固定与锁骨钩钢板切开复位内固定治疗RockwoodⅢ~Ⅴ型肩锁关节脱位的中期疗效。方法回顾性分析2015年1月至2019年12月华中科技大学同济医学院附属同济医院收治的51例RockwoodⅢ~Ⅴ型肩锁关节脱位...目的对比改良肩关节镜下双纽扣钢板动态固定与锁骨钩钢板切开复位内固定治疗RockwoodⅢ~Ⅴ型肩锁关节脱位的中期疗效。方法回顾性分析2015年1月至2019年12月华中科技大学同济医学院附属同济医院收治的51例RockwoodⅢ~Ⅴ型肩锁关节脱位患者资料,其中RockwoodⅢ型19例,Ⅳ型18例,Ⅴ型14例;男32例,女19例;年龄11~65岁,平均(38.6±17.2)岁。21例行改良肩关节镜下双纽扣钢板动态固定术(A组),30例行锁骨钩钢板切开复位内固定术(B组)。比较两组术中及术后住院情况,采用Constant-Murley评分、加利福尼亚大学洛杉矶分校(University of California at Los Angeles,UCLA)评分、疼痛视觉模拟评分(visual analogue scale,VAS)评估肩关节功能。结果患者术后随访24~29个月,平均(24.4±5.2)个月。相较于B组,A组术中出血量更少,住院时间更短,住院总费用更低,但手术时间更长,差异均有统计学意义(P<0.05)。术后3周、6周、12周,A组的Constant-Murley评分、UCLA评分和VAS均优于B组(P<0.05);末次随访时以上3项评价指标组间比较差异均无统计学意义(P>0.05)。两组Constant-Murley评分和UCLA评分术后生存率比较,术后早期A组明显优于B组,末次随访时两组差异无统计学意义。结论对于RockwoodⅢ~Ⅴ型肩锁关节脱位,术后早期(术后3周、6周、12周)关节镜下改良纽扣钢板动态固定更有优势,术后中期(术后24个月)两种方式的治疗效果差异无统计学意义。展开更多
The extraction experiments of chromium（W） from aqueous waste solution by predispersed solvent extraction （PDSE） process with extractant （HEHPEHE） and its mixture, including acidic extractant （D2EHPA）, alkaline...The extraction experiments of chromium（W） from aqueous waste solution by predispersed solvent extraction （PDSE） process with extractant （HEHPEHE） and its mixture, including acidic extractant （D2EHPA）, alkaline extractant （TOA） and neutral extractant （TBP） were carried out respectively. It is found that the extractant HEHPEHE exhibited high extraction selectivity to chromium（III） from aqueous waste solution. The colloidal liquid aphrons （CLAs） were successfully generated using kerosene as a solvent, HEHPEHE as an extractant, sodium dodecyl benzene sulphate （SDBS） as a surfactant in aqueous phase and polyoxyethylene sorbitol anhydride monolaurate （Tween-20） in oil phase. To study the extraction efficiency and advantages of the PDSE process in the removal of chromium（III）, the effects of major factors, such as initial chromium（III） concentration, volume of colloidal gas aphrons （CGAs）, HEHPEHE volume fraction, phase ratio （solvent phase to water phase）, mass fraction of dodecyl trimethylammonium bromide （HTAB）, mass fraction of SDBS, mass fraction of Tween-20 and initial pH of aqueous waste solution were also investigated and the appropriate process conditions were obtained. Under the appropriate conditions, the extraction efficiency of chromium（III） above 99.9 % can be achieved and the treated aqueous waste solution can be discharged directly without polluting the environment.展开更多
文摘目的对比改良肩关节镜下双纽扣钢板动态固定与锁骨钩钢板切开复位内固定治疗RockwoodⅢ~Ⅴ型肩锁关节脱位的中期疗效。方法回顾性分析2015年1月至2019年12月华中科技大学同济医学院附属同济医院收治的51例RockwoodⅢ~Ⅴ型肩锁关节脱位患者资料,其中RockwoodⅢ型19例,Ⅳ型18例,Ⅴ型14例;男32例,女19例;年龄11~65岁,平均(38.6±17.2)岁。21例行改良肩关节镜下双纽扣钢板动态固定术(A组),30例行锁骨钩钢板切开复位内固定术(B组)。比较两组术中及术后住院情况,采用Constant-Murley评分、加利福尼亚大学洛杉矶分校(University of California at Los Angeles,UCLA)评分、疼痛视觉模拟评分(visual analogue scale,VAS)评估肩关节功能。结果患者术后随访24~29个月,平均(24.4±5.2)个月。相较于B组,A组术中出血量更少,住院时间更短,住院总费用更低,但手术时间更长,差异均有统计学意义(P<0.05)。术后3周、6周、12周,A组的Constant-Murley评分、UCLA评分和VAS均优于B组(P<0.05);末次随访时以上3项评价指标组间比较差异均无统计学意义(P>0.05)。两组Constant-Murley评分和UCLA评分术后生存率比较,术后早期A组明显优于B组,末次随访时两组差异无统计学意义。结论对于RockwoodⅢ~Ⅴ型肩锁关节脱位,术后早期(术后3周、6周、12周)关节镜下改良纽扣钢板动态固定更有优势,术后中期(术后24个月)两种方式的治疗效果差异无统计学意义。
基金Project (NCET-07-0577) supported by New Century Excellent Talents of Ministry of Education, China
文摘The extraction experiments of chromium（W） from aqueous waste solution by predispersed solvent extraction （PDSE） process with extractant （HEHPEHE） and its mixture, including acidic extractant （D2EHPA）, alkaline extractant （TOA） and neutral extractant （TBP） were carried out respectively. It is found that the extractant HEHPEHE exhibited high extraction selectivity to chromium（III） from aqueous waste solution. The colloidal liquid aphrons （CLAs） were successfully generated using kerosene as a solvent, HEHPEHE as an extractant, sodium dodecyl benzene sulphate （SDBS） as a surfactant in aqueous phase and polyoxyethylene sorbitol anhydride monolaurate （Tween-20） in oil phase. To study the extraction efficiency and advantages of the PDSE process in the removal of chromium（III）, the effects of major factors, such as initial chromium（III） concentration, volume of colloidal gas aphrons （CGAs）, HEHPEHE volume fraction, phase ratio （solvent phase to water phase）, mass fraction of dodecyl trimethylammonium bromide （HTAB）, mass fraction of SDBS, mass fraction of Tween-20 and initial pH of aqueous waste solution were also investigated and the appropriate process conditions were obtained. Under the appropriate conditions, the extraction efficiency of chromium（III） above 99.9 % can be achieved and the treated aqueous waste solution can be discharged directly without polluting the environment.
