Based on the single coal adsorption gas, hard coal and soft coal of intake airway in Shanxi Heshun Tianchi Coal Mine were chosen to simulate the soft coal seams in coalbed as those in different qualities are mixed wit...Based on the single coal adsorption gas, hard coal and soft coal of intake airway in Shanxi Heshun Tianchi Coal Mine were chosen to simulate the soft coal seams in coalbed as those in different qualities are mixed with delamination. Experiments on characteristics of adsorption gas of hard coal and soft coal in different quality ratios were done according to the Langmuir single molecule layer absorption theory. Gas constant mensuration instrument WY-98B was used during the experiments. Isothermal adsorption curves, adsorption constants a and b of the mixed coal samples in different quality ratios were established for qualitative and quantitative analysis. The relationship curves of adsorption quantity with changing pressure and variation equation of adsorption constants a, b with changing thickness ratio shows that the thickness of soft layer and hard coal approximately equal, thus resulting in outburst at greatest risk, then a theoretical base for the mechanism of coal and gas outburst has been put forward and a technical support scheme for engineering control of gas outburst is laid out.展开更多
To explore the failure mechanism of roadway in layered soft rocks,a physical model with the physically finite elemental slab assemblage(PFESA)method was established.Infrared thermography and a video camera were employ...To explore the failure mechanism of roadway in layered soft rocks,a physical model with the physically finite elemental slab assemblage(PFESA)method was established.Infrared thermography and a video camera were employed to capture thermal responses and deformation.The model results showed that layered soft roadway suffered from large deformation.A three-dimensional distinct element code(3 DEC)model with tetrahedral blocks was built to capture the characteristics of roadway deformation,stress,and cracks.The results showed two failure patterns,layer bending fracture and layer slipping after excavation.The layer bending fracture occurred at positions where the normal direction of layers pointed to the inside of the roadway and the layer slipping occurred in the ribs.Six schemes were proposed to investigate the effects of layered soft rocks.The results showed that the deformation of ribs was obviously larger than that of the roof and floor when the roadway passed through three types of strata.When the roadway was completely in a coal seam,the change of deformation in ribs was not obvious,while the deformation in the roof and floor increased obviously.These results can provide guidance for excavation and support design of roadways in layered soft rocks.展开更多
A three-layer structure model is proposed for investigating the effect of a soft elastic middle layer on the propagation behavior of Love waves in piezoelectric layered systems, with "soft" implying that the bulk-sh...A three-layer structure model is proposed for investigating the effect of a soft elastic middle layer on the propagation behavior of Love waves in piezoelectric layered systems, with "soft" implying that the bulk-shear-wave velocity of the middle layer is smaller than that of the upper sensitive layer. Dispersion equations are obtained for unelectroded and traction-free upper surfaces which, in the limit, can be reduced to those for classical Love waves. Systematic parametric studies are subsequently carried out to quantify the effects of the soft middle layer upon Love wave propagation, including its thickness, mass density, dielectric constant and elastic coefficient. It is demonstrated that whilst the thickness and elastic coefficient of the middle layer affect significantly Love wave propagation, its mass density and dielectric constant have negligible influence. On condition that both the thickness and elastic coefficient of the middle layer are vanishingly small so that it degenerates into an imperfectly bonded interface, the three-layer model is also employed to investigate the influence of imperfect interfaces on Love waves propagating in piezoelectric layer/elastic sub- strate systems. Upon comparing with the predictions ob- tained by employing the traditional shear-lag model, the present three-layer structure model is found to be more ac- curate as it avoids the unrealistic displacement discontinuity across imperfectly bonded interfaces assumed by the shearlag model, especially for long waves when the piezoelectric layer is relatively thin.展开更多
Large squeezing deformation of layered soft rock tunnel under high geo-stress has a significant time-dependent deformation behavior.In this paper,we studied the deformation mechanism during the construction period of ...Large squeezing deformation of layered soft rock tunnel under high geo-stress has a significant time-dependent deformation behavior.In this paper,we studied the deformation mechanism during the construction period of deep-buried softrock tunnel by means of a combination of field observations and a numerical method.First,a new classification criterion for large deformations based on the power exponent variation law between the deformation and the strength-stress ratio is proposed.Then,the initial damage tensor reflecting the bedding plane(joint)distribution and an equivalent damage evolution equation derived from the viscoplastic strain are introduced based on the geometric research method,i.e.,a new rheological damage model(RDL model)of layered soft rock is established consisting of elastic,viscous,viscoelastic,viscoplastic and plastic elements.A field test was conducted on the Maoxian tunnel in Sichuan province,southwestern China,which is in broken phyllite(layered soft rock)under high geo-stress.The tunnel has experienced large deformation due to serious squeezing pressure,thus we adopted double primary support method to overcome the supporting structure failure problems.The rheological parameters of phyllite in the Maoxian tunnel were recognized by using SA-PSO optimization,and the RDL model does a good job in describing the time-dependent deformation behavior of a layered soft-rock tunnel under high geo-stress.Thus,the RDL model was used to investigate the supporting effect and bearing mechanism of the double primary support method.Compared with the single primary support method,the surrounding rock pressure,secondary lining force,surrounding rock deformation,and the depth of the damage to the rock mass was reduced by 40%-60%after the double primary support method was used.展开更多
The difficulty of selecting appropriate rheological model and parameters for the alternating distribution of soft and hard rock layers was often encountered due to the unhomogeneity, discontinuity and anisotropy of ro...The difficulty of selecting appropriate rheological model and parameters for the alternating distribution of soft and hard rock layers was often encountered due to the unhomogeneity, discontinuity and anisotropy of rock mass. The Burgers and generalized Kelvin models were applied to the soft and hard rock respectively and the rheological parameters were obtained based on the method of optimum separation. By using the simulated code FLAC^(3D), the stability of surrounding rocks of a certain underground plant was analyzed. The effect of surface load and weakening the parameters intensity of argillaceous and bioclastic interlayers between soft and hard rock on rheological behavior of layer composite rock mass was investigated. The results indicate that the rheological characteristics of soft and hard rock layer in composite rock mass can be described well with above two rheological models.展开更多
This paper presents an innovative Soft Design Science Methodology for improving information systems security using multi-layered security approach. The study applied Soft Design Science Methodology to address the prob...This paper presents an innovative Soft Design Science Methodology for improving information systems security using multi-layered security approach. The study applied Soft Design Science Methodology to address the problematic situation on how information systems security can be improved. In addition, Soft Design Science Methodology was compounded with mixed research methodology. This holistic approach helped for research methodology triangulation. The study assessed security requirements and developed a framework for improving information systems security. The study carried out maturity level assessment to determine security status quo in the education sector in Tanzania. The study identified security requirements gap (IT security controls, IT security measures) using ISO/IEC 21827: Systems Security Engineering-Capability Maturity Model (SSE-CMM) with a rating scale of 0 - 5. The results of this study show that maturity level across security domain is 0.44 out of 5. The finding shows that the implementation of IT security controls and security measures for ensuring security goals are lacking or conducted in ad-hoc. Thus, for improving the security of information systems, organisations should implement security controls and security measures in each security domain (multi-layer security). This research provides a framework for enhancing information systems security during capturing, processing, storage and transmission of information. This research has several practical contributions. Firstly, it contributes to the body of knowledge of information systems security by providing a set of security requirements for ensuring information systems security. Secondly, it contributes empirical evidence on how information systems security can be improved. Thirdly, it contributes on the applicability of Soft Design Science Methodology on addressing the problematic situation in information systems security. The research findings can be used by decision makers and lawmakers to improve existing cyber security laws, and enact laws for data privacy and sharing of open data.展开更多
Mar and abrasion resistance were investigated by a progressive load scratch test and steel wool abrasion test, respectively. Two acrylic coating systems including trimethylolpropane triacrylate (TMPTA) and pentaerythr...Mar and abrasion resistance were investigated by a progressive load scratch test and steel wool abrasion test, respectively. Two acrylic coating systems including trimethylolpropane triacrylate (TMPTA) and pentaerythritol triacrylate (PETA) were prepared. A soft base layer was introduced as an intermediate layer between two different types of top layer and poly (methyl methacrylate) (PMMA) substrate to demonstrate the effect of soft base layer on mar and abrasion resistance. Abrasion damage on the coating surface was found to be less severe, when the soft base layer was incorporated into the coating systems. The reduction in scratch coefficient of friction (SCOF) and surface roughness was also observed. The results suggested that mar and abrasion resistance was greatly influenced by the presence of soft base layer, although different top layers were used. Moreover, it was found that abrasion resistance was further improved as the thicker soft base layer was applied.展开更多
Shanghai is located in eastern China and is built on overburden soil layers. It can be seen from the Mexico M S=8.1 earthquake on September 19, 1985 and the Hanshin M S=7.4 earthquake on January 17,1995 that heavy cas...Shanghai is located in eastern China and is built on overburden soil layers. It can be seen from the Mexico M S=8.1 earthquake on September 19, 1985 and the Hanshin M S=7.4 earthquake on January 17,1995 that heavy casualties and property losses have a direct relationship with overburden soil layers. Ground motions caused by earthquakes are significantly amplified when passing through the soil layers. Under the influence of these amplified motions, building structures, whose nature frequency is within the frequency band of soil amplification response, will experience more severe damage than those built on bedrock. Therefore, engineering seismologists have paid considerable attention the amplification responses in the Shanghai overburden soil layers. The amplification responses of soil and sand layers in this paper are given by the M L=4.1 earthquake in Nantong, Jiangsu Province on December 25, 2001 at 31.8° N, 120.9° E. It can be seen that the responses of soil and sand layers are very different. That is important.展开更多
A caisson breakwater is built on soft foundations after replacing the upper soft layer with sand. This paper presents a dynamic finite element method to investigate the strength degradation and associated pore pressur...A caisson breakwater is built on soft foundations after replacing the upper soft layer with sand. This paper presents a dynamic finite element method to investigate the strength degradation and associated pore pressure development of the intercalated soft layer under wave cyclic loading. By combining the undrained shear strength with the empirical formula of overconsolidation clay produced by unloading and the development model of pore pressure, the dynamic degradation law that describes the undrained shear strength as a function of cycle number and stress level is derived. Based on the proposed dynamic degradation law and M-C yield criterion, a dynamic finite element method is numerically implemented to predict changes in undrained shear strength of the intercalated soft layer by using the general-purpose FEM software ABAQUS, and the accuracy of the method is verified. The effects of cycle number and amplitude of the wave force on the degradation of the undrained shear strength of the intercalated soft layer and the associated excess pore pressure response are investigated by analyzing an overall distribution and three typical sections underneath the breakwater. By comparing the undrained shear strength distributions obtained by the static method and the quasi-static method with the undrained shear strength distributions obtained by the dynamic finite element method in the three typical sections, the superiority of the dynamic finite element method in predicting changes in undrained shear strength is demonstrated.展开更多
目的:探究双层软组织缝合封闭技术在单纯应用抗骨吸收药物引起的发生在下颌骨的中早期药物相关性颌骨骨坏死(medication-related osteonecrosis of the jaw,MRONJ)患者手术治疗中的临床应用效果。方法:选择2021年10月至2022年9月于北京...目的:探究双层软组织缝合封闭技术在单纯应用抗骨吸收药物引起的发生在下颌骨的中早期药物相关性颌骨骨坏死(medication-related osteonecrosis of the jaw,MRONJ)患者手术治疗中的临床应用效果。方法:选择2021年10月至2022年9月于北京大学口腔医院四病区经手术治疗的中早期下颌骨MRONJ患者的病历资料进行回顾性分析,收集患者术前基线临床资料,包括原发疾病、伴发疾病、用药方案(药物种类、用药时长)、MRONJ分期、临床症状、影像学表现等,所有患者在手术中行下颌骨边缘切除术去除坏死骨,运用双层软组织缝合封闭技术关闭伤口,术后定期复查随访,评价双层软组织缝合封闭技术的治疗效果及并发症,并对患者进行疼痛评分和功能状态评价。结果:研究共纳入13例患者(女12例,男1例),年龄(66.69±13.14)岁。原发疾病包括骨质疏松7例,肺癌2例,乳腺癌3例,前列腺癌1例;2例伴发糖尿病,2例伴发心血管疾病,1例伴发干燥综合征。9例患者静脉注射唑来膦酸,平均用药时间(37.7±20.0)个月,7例患者同时服用了来曲唑片等其他药物;3例患者应用地舒单抗注射液,平均用药时间(10.3±11.9)个月;5例患者服用阿仑膦酸钠片,平均用药时间(55.20±27.20)个月,2例患者不同程度地服用醋酸泼尼松片或阿卡波糖片。MRONJ 1期4例,2期9例。13例患者均采用双层软组织缝合封闭技术关闭伤口,术后平均随访11.9个月(9~17个月),13例患者皆治愈,无溢脓等并发症发生。患者术前Karnofsky功能状态评分量表(Karnofsky performance status,KPS)评分为(68.46±14.05)分,术后评分为(82.31±15.36)分,差异有统计学意义(P<0.05)。患者术前疼痛评估视觉模拟评分量表(visual analogue scale,VAS)评分为(5.77±0.73)分,术后评分为(0.38±0.51)分,差异有统计学意义(P<0.001)。结论:双层软组织缝合封闭技术在中早期单纯使用抗骨吸收类药物的下颌骨MRONJ患者中可以取得良好的临床治疗效果,可为用药情况更加复杂的MRONJ患者提供临床治疗思路。展开更多
基金Supported by the National Nature Science Foundation of China (50874089) the Doctoral Program Foundation of Institutions of Higher Education of China(20096121110002) Scientific Research Program by Shaanxi Provincial Education Department ( 11 JK0774)
文摘Based on the single coal adsorption gas, hard coal and soft coal of intake airway in Shanxi Heshun Tianchi Coal Mine were chosen to simulate the soft coal seams in coalbed as those in different qualities are mixed with delamination. Experiments on characteristics of adsorption gas of hard coal and soft coal in different quality ratios were done according to the Langmuir single molecule layer absorption theory. Gas constant mensuration instrument WY-98B was used during the experiments. Isothermal adsorption curves, adsorption constants a and b of the mixed coal samples in different quality ratios were established for qualitative and quantitative analysis. The relationship curves of adsorption quantity with changing pressure and variation equation of adsorption constants a, b with changing thickness ratio shows that the thickness of soft layer and hard coal approximately equal, thus resulting in outburst at greatest risk, then a theoretical base for the mechanism of coal and gas outburst has been put forward and a technical support scheme for engineering control of gas outburst is laid out.
基金supported by the National Key Research and Development Plan of China(No.2016YFC0600901)the National Natural Science Foundation of China(No.51874311)the Natural Science Foundation of China(No.51904306)。
文摘To explore the failure mechanism of roadway in layered soft rocks,a physical model with the physically finite elemental slab assemblage(PFESA)method was established.Infrared thermography and a video camera were employed to capture thermal responses and deformation.The model results showed that layered soft roadway suffered from large deformation.A three-dimensional distinct element code(3 DEC)model with tetrahedral blocks was built to capture the characteristics of roadway deformation,stress,and cracks.The results showed two failure patterns,layer bending fracture and layer slipping after excavation.The layer bending fracture occurred at positions where the normal direction of layers pointed to the inside of the roadway and the layer slipping occurred in the ribs.Six schemes were proposed to investigate the effects of layered soft rocks.The results showed that the deformation of ribs was obviously larger than that of the roof and floor when the roadway passed through three types of strata.When the roadway was completely in a coal seam,the change of deformation in ribs was not obvious,while the deformation in the roof and floor increased obviously.These results can provide guidance for excavation and support design of roadways in layered soft rocks.
基金supported by the National Natural Science Foundation of China(10972171)the Program for New Century Excellent Talents in Universities(NCET-08-0429)the National 111 Project(B06024)
文摘A three-layer structure model is proposed for investigating the effect of a soft elastic middle layer on the propagation behavior of Love waves in piezoelectric layered systems, with "soft" implying that the bulk-shear-wave velocity of the middle layer is smaller than that of the upper sensitive layer. Dispersion equations are obtained for unelectroded and traction-free upper surfaces which, in the limit, can be reduced to those for classical Love waves. Systematic parametric studies are subsequently carried out to quantify the effects of the soft middle layer upon Love wave propagation, including its thickness, mass density, dielectric constant and elastic coefficient. It is demonstrated that whilst the thickness and elastic coefficient of the middle layer affect significantly Love wave propagation, its mass density and dielectric constant have negligible influence. On condition that both the thickness and elastic coefficient of the middle layer are vanishingly small so that it degenerates into an imperfectly bonded interface, the three-layer model is also employed to investigate the influence of imperfect interfaces on Love waves propagating in piezoelectric layer/elastic sub- strate systems. Upon comparing with the predictions ob- tained by employing the traditional shear-lag model, the present three-layer structure model is found to be more ac- curate as it avoids the unrealistic displacement discontinuity across imperfectly bonded interfaces assumed by the shearlag model, especially for long waves when the piezoelectric layer is relatively thin.
基金supported by the National Natural Science Foundation of China(No.52008351)the project funded by China Postdoctoral Science Foundation(No.2020TQ0250)+3 种基金the China National Railway Group Science and Technology Research Program(No.P2019G038-4)the Sichuan Science and Technology Program(No.2021YJ0539)the Open Foundation of MOE Key Laboratory of Engineering Structures of Heavy Haul Railway(Central South University)(No.2020JZZ01)the Open Foundation of State Key Laboratory of Geohazard Prevention and Geoenvironment Protection(Chengdu University of Technology)(No.SKLGP2021K019)。
文摘Large squeezing deformation of layered soft rock tunnel under high geo-stress has a significant time-dependent deformation behavior.In this paper,we studied the deformation mechanism during the construction period of deep-buried softrock tunnel by means of a combination of field observations and a numerical method.First,a new classification criterion for large deformations based on the power exponent variation law between the deformation and the strength-stress ratio is proposed.Then,the initial damage tensor reflecting the bedding plane(joint)distribution and an equivalent damage evolution equation derived from the viscoplastic strain are introduced based on the geometric research method,i.e.,a new rheological damage model(RDL model)of layered soft rock is established consisting of elastic,viscous,viscoelastic,viscoplastic and plastic elements.A field test was conducted on the Maoxian tunnel in Sichuan province,southwestern China,which is in broken phyllite(layered soft rock)under high geo-stress.The tunnel has experienced large deformation due to serious squeezing pressure,thus we adopted double primary support method to overcome the supporting structure failure problems.The rheological parameters of phyllite in the Maoxian tunnel were recognized by using SA-PSO optimization,and the RDL model does a good job in describing the time-dependent deformation behavior of a layered soft-rock tunnel under high geo-stress.Thus,the RDL model was used to investigate the supporting effect and bearing mechanism of the double primary support method.Compared with the single primary support method,the surrounding rock pressure,secondary lining force,surrounding rock deformation,and the depth of the damage to the rock mass was reduced by 40%-60%after the double primary support method was used.
基金Supported by the National Natural Science Foundation of China (50374049)
文摘The difficulty of selecting appropriate rheological model and parameters for the alternating distribution of soft and hard rock layers was often encountered due to the unhomogeneity, discontinuity and anisotropy of rock mass. The Burgers and generalized Kelvin models were applied to the soft and hard rock respectively and the rheological parameters were obtained based on the method of optimum separation. By using the simulated code FLAC^(3D), the stability of surrounding rocks of a certain underground plant was analyzed. The effect of surface load and weakening the parameters intensity of argillaceous and bioclastic interlayers between soft and hard rock on rheological behavior of layer composite rock mass was investigated. The results indicate that the rheological characteristics of soft and hard rock layer in composite rock mass can be described well with above two rheological models.
文摘This paper presents an innovative Soft Design Science Methodology for improving information systems security using multi-layered security approach. The study applied Soft Design Science Methodology to address the problematic situation on how information systems security can be improved. In addition, Soft Design Science Methodology was compounded with mixed research methodology. This holistic approach helped for research methodology triangulation. The study assessed security requirements and developed a framework for improving information systems security. The study carried out maturity level assessment to determine security status quo in the education sector in Tanzania. The study identified security requirements gap (IT security controls, IT security measures) using ISO/IEC 21827: Systems Security Engineering-Capability Maturity Model (SSE-CMM) with a rating scale of 0 - 5. The results of this study show that maturity level across security domain is 0.44 out of 5. The finding shows that the implementation of IT security controls and security measures for ensuring security goals are lacking or conducted in ad-hoc. Thus, for improving the security of information systems, organisations should implement security controls and security measures in each security domain (multi-layer security). This research provides a framework for enhancing information systems security during capturing, processing, storage and transmission of information. This research has several practical contributions. Firstly, it contributes to the body of knowledge of information systems security by providing a set of security requirements for ensuring information systems security. Secondly, it contributes empirical evidence on how information systems security can be improved. Thirdly, it contributes on the applicability of Soft Design Science Methodology on addressing the problematic situation in information systems security. The research findings can be used by decision makers and lawmakers to improve existing cyber security laws, and enact laws for data privacy and sharing of open data.
文摘Mar and abrasion resistance were investigated by a progressive load scratch test and steel wool abrasion test, respectively. Two acrylic coating systems including trimethylolpropane triacrylate (TMPTA) and pentaerythritol triacrylate (PETA) were prepared. A soft base layer was introduced as an intermediate layer between two different types of top layer and poly (methyl methacrylate) (PMMA) substrate to demonstrate the effect of soft base layer on mar and abrasion resistance. Abrasion damage on the coating surface was found to be less severe, when the soft base layer was incorporated into the coating systems. The reduction in scratch coefficient of friction (SCOF) and surface roughness was also observed. The results suggested that mar and abrasion resistance was greatly influenced by the presence of soft base layer, although different top layers were used. Moreover, it was found that abrasion resistance was further improved as the thicker soft base layer was applied.
文摘Shanghai is located in eastern China and is built on overburden soil layers. It can be seen from the Mexico M S=8.1 earthquake on September 19, 1985 and the Hanshin M S=7.4 earthquake on January 17,1995 that heavy casualties and property losses have a direct relationship with overburden soil layers. Ground motions caused by earthquakes are significantly amplified when passing through the soil layers. Under the influence of these amplified motions, building structures, whose nature frequency is within the frequency band of soil amplification response, will experience more severe damage than those built on bedrock. Therefore, engineering seismologists have paid considerable attention the amplification responses in the Shanghai overburden soil layers. The amplification responses of soil and sand layers in this paper are given by the M L=4.1 earthquake in Nantong, Jiangsu Province on December 25, 2001 at 31.8° N, 120.9° E. It can be seen that the responses of soil and sand layers are very different. That is important.
基金financially supported by the National Natural Science Foundation of China(Grant No.51279128)the National Natural Science Fund for Innovative Research Groups Science Foundation(Grant No.51321065)the Construction Science and Technology Project of Ministry of Transport of the People’s Republic of China(Grant No.2013328224070)
文摘A caisson breakwater is built on soft foundations after replacing the upper soft layer with sand. This paper presents a dynamic finite element method to investigate the strength degradation and associated pore pressure development of the intercalated soft layer under wave cyclic loading. By combining the undrained shear strength with the empirical formula of overconsolidation clay produced by unloading and the development model of pore pressure, the dynamic degradation law that describes the undrained shear strength as a function of cycle number and stress level is derived. Based on the proposed dynamic degradation law and M-C yield criterion, a dynamic finite element method is numerically implemented to predict changes in undrained shear strength of the intercalated soft layer by using the general-purpose FEM software ABAQUS, and the accuracy of the method is verified. The effects of cycle number and amplitude of the wave force on the degradation of the undrained shear strength of the intercalated soft layer and the associated excess pore pressure response are investigated by analyzing an overall distribution and three typical sections underneath the breakwater. By comparing the undrained shear strength distributions obtained by the static method and the quasi-static method with the undrained shear strength distributions obtained by the dynamic finite element method in the three typical sections, the superiority of the dynamic finite element method in predicting changes in undrained shear strength is demonstrated.
文摘目的:探究双层软组织缝合封闭技术在单纯应用抗骨吸收药物引起的发生在下颌骨的中早期药物相关性颌骨骨坏死(medication-related osteonecrosis of the jaw,MRONJ)患者手术治疗中的临床应用效果。方法:选择2021年10月至2022年9月于北京大学口腔医院四病区经手术治疗的中早期下颌骨MRONJ患者的病历资料进行回顾性分析,收集患者术前基线临床资料,包括原发疾病、伴发疾病、用药方案(药物种类、用药时长)、MRONJ分期、临床症状、影像学表现等,所有患者在手术中行下颌骨边缘切除术去除坏死骨,运用双层软组织缝合封闭技术关闭伤口,术后定期复查随访,评价双层软组织缝合封闭技术的治疗效果及并发症,并对患者进行疼痛评分和功能状态评价。结果:研究共纳入13例患者(女12例,男1例),年龄(66.69±13.14)岁。原发疾病包括骨质疏松7例,肺癌2例,乳腺癌3例,前列腺癌1例;2例伴发糖尿病,2例伴发心血管疾病,1例伴发干燥综合征。9例患者静脉注射唑来膦酸,平均用药时间(37.7±20.0)个月,7例患者同时服用了来曲唑片等其他药物;3例患者应用地舒单抗注射液,平均用药时间(10.3±11.9)个月;5例患者服用阿仑膦酸钠片,平均用药时间(55.20±27.20)个月,2例患者不同程度地服用醋酸泼尼松片或阿卡波糖片。MRONJ 1期4例,2期9例。13例患者均采用双层软组织缝合封闭技术关闭伤口,术后平均随访11.9个月(9~17个月),13例患者皆治愈,无溢脓等并发症发生。患者术前Karnofsky功能状态评分量表(Karnofsky performance status,KPS)评分为(68.46±14.05)分,术后评分为(82.31±15.36)分,差异有统计学意义(P<0.05)。患者术前疼痛评估视觉模拟评分量表(visual analogue scale,VAS)评分为(5.77±0.73)分,术后评分为(0.38±0.51)分,差异有统计学意义(P<0.001)。结论:双层软组织缝合封闭技术在中早期单纯使用抗骨吸收类药物的下颌骨MRONJ患者中可以取得良好的临床治疗效果,可为用药情况更加复杂的MRONJ患者提供临床治疗思路。