To evaluate the morphology of atrial septum by the live three-dimensional echocardiography （L3DE） and its value of clinical application, L3DE was performed in 62 subjects to observe the morphological characteristics...To evaluate the morphology of atrial septum by the live three-dimensional echocardiography （L3DE） and its value of clinical application, L3DE was performed in 62 subjects to observe the morphological characteristics and dynamic change of the overall anatomic structure of atrial septum. The study examined 49 patients with atrial septal defect （ASD）, including 3 patients with atrial septal aneurysm, and 10 healthy subjects. ASD in the 35 patients was surgically confirmed. The maximal diameters of ASD were measured and the percentages of area change were calculated. The parameters derived from L3DE were compared with intraoperative measurements. The results showed that L3DE could directly and clearly display the morphological features of overall anatomic structure of normal atrial septum, repaired and artificially-occluded atrial septum, atrial septal aneurysm. The defect area in ASD patients changed significantly during cardiac cycle, which reached a maximum at end-systole and a minimum at end-diastole, with a mean change percentage of 46.6%, ranging from 14.8% to 73.4%. The sizes obtained from L3DE bore an excellent correlation with intraoperative findings （r=0.90）. It is concluded that L3DE can clearly display the overall morphological features and dynamic change of atrial septum and measure the size of ASD area accurately, which is important in the decision to choose therapeutic protocols.展开更多
Fenlong Technology has been applied to increase yield by 20%-50%,improve quality by 5%,and retain water by 100%in 40 kinds of crop cultivated land and saline-alkali land in 26 provinces of China.This paper clarified f...Fenlong Technology has been applied to increase yield by 20%-50%,improve quality by 5%,and retain water by 100%in 40 kinds of crop cultivated land and saline-alkali land in 26 provinces of China.This paper clarified for the first time the scientific theory system of Fenlong Technology using three-dimensional space resources"Fenlong Agricultural Nature Theory"and the development of the relative"limits"of agricultural growth,which provides a huge power support and natural force for expanding human living spaces.Through inventing and creating a scientific and technological system of farming tools,farming machinery,farming modes,and magic weapons for cultivation,Fenlong Technology can increase grain,promote ecological development,and greatly expand the living spaces of the Chinese nation and achieve sustainable development.Using Fenlong Technology,China has expanded from the current single"cultivated land agriculture"to the"big pattern agriculture"of Fenlong"cultivated land+saline land+degraded grassland+marginal land+desertified land+river water",flexibly used 147 million ha of"three-dimensional space resources"of land,and the newly increased food,meat,and fish can feed 300 million to 400 million people,increased the water storage by 100 billion m^(3),and reduced the collection of groundwater by 20 million to 60 billion m^(3).展开更多
Background Live three-dimensional transesophageal echocardiography （live-3D-TEE） is a new technique, but its clinical value is unclear at present. This study aimed to investigate the feasibility, imaging quality and...Background Live three-dimensional transesophageal echocardiography （live-3D-TEE） is a new technique, but its clinical value is unclear at present. This study aimed to investigate the feasibility, imaging quality and accuracy of live-3D-TEE for assessing mitral valve morphology to determine if live-3D-TEE has important value in mitral valve surgery.Methods Twenty-four patients with mitral valve disease （mean age （47.1±11.6） years, mean weight （64.7±10.5） kg） underwent live-3D-TEE and two dimensional transesophageal echocardiography （2D-TEE） before and after mitral valve surgery. Sensitivity, specificity, and total consistency rates of live-3D-TEE for diagnosing ruptured chordae were calculated and compared to surgeon＇s findings. We also compared the diagnostic accuracy of mitral valve disease between live-3D-TEE and 2D-TEE.Results Live-3D-TEE allowed visualization of the anatomic structure of the heart online and clearly identified the valvular apparatus and their defects. Sensitivity and specificity for the detection of ruptured chordae by live-3D-TEE were 87.5% and 100% respectively, and the total consistency rate was 95.8%. Additional defects not diagnosted by 2D-TEE were found in three cases （12.5%） preoperatively by live-3D-TEE. Live-3D-TEE could evaluate the function of prosthetic or native valves immediately after operation. One case was re-repaired （4.2%） using guidance by live-3D-TEE.Conclusion Live-3D-TEE enabled evaluation of mitral valve function and provided adequate valuable information before and after mitral valve surgery. We conclude that live-3D-TEE can play an important role in mitral valve surgery.展开更多
文摘To evaluate the morphology of atrial septum by the live three-dimensional echocardiography （L3DE） and its value of clinical application, L3DE was performed in 62 subjects to observe the morphological characteristics and dynamic change of the overall anatomic structure of atrial septum. The study examined 49 patients with atrial septal defect （ASD）, including 3 patients with atrial septal aneurysm, and 10 healthy subjects. ASD in the 35 patients was surgically confirmed. The maximal diameters of ASD were measured and the percentages of area change were calculated. The parameters derived from L3DE were compared with intraoperative measurements. The results showed that L3DE could directly and clearly display the morphological features of overall anatomic structure of normal atrial septum, repaired and artificially-occluded atrial septum, atrial septal aneurysm. The defect area in ASD patients changed significantly during cardiac cycle, which reached a maximum at end-systole and a minimum at end-diastole, with a mean change percentage of 46.6%, ranging from 14.8% to 73.4%. The sizes obtained from L3DE bore an excellent correlation with intraoperative findings （r=0.90）. It is concluded that L3DE can clearly display the overall morphological features and dynamic change of atrial septum and measure the size of ASD area accurately, which is important in the decision to choose therapeutic protocols.
基金Special Fund Project for Innovation Driven Development of Guangxi(Gui Ke AA17204037)Key Science and Technology Project of Guangxi(Gui Ke AA16380017)Team Project of Guangxi Academy of Agricultural Sciences(2015YT60).
文摘Fenlong Technology has been applied to increase yield by 20%-50%,improve quality by 5%,and retain water by 100%in 40 kinds of crop cultivated land and saline-alkali land in 26 provinces of China.This paper clarified for the first time the scientific theory system of Fenlong Technology using three-dimensional space resources"Fenlong Agricultural Nature Theory"and the development of the relative"limits"of agricultural growth,which provides a huge power support and natural force for expanding human living spaces.Through inventing and creating a scientific and technological system of farming tools,farming machinery,farming modes,and magic weapons for cultivation,Fenlong Technology can increase grain,promote ecological development,and greatly expand the living spaces of the Chinese nation and achieve sustainable development.Using Fenlong Technology,China has expanded from the current single"cultivated land agriculture"to the"big pattern agriculture"of Fenlong"cultivated land+saline land+degraded grassland+marginal land+desertified land+river water",flexibly used 147 million ha of"three-dimensional space resources"of land,and the newly increased food,meat,and fish can feed 300 million to 400 million people,increased the water storage by 100 billion m^(3),and reduced the collection of groundwater by 20 million to 60 billion m^(3).
文摘Background Live three-dimensional transesophageal echocardiography （live-3D-TEE） is a new technique, but its clinical value is unclear at present. This study aimed to investigate the feasibility, imaging quality and accuracy of live-3D-TEE for assessing mitral valve morphology to determine if live-3D-TEE has important value in mitral valve surgery.Methods Twenty-four patients with mitral valve disease （mean age （47.1±11.6） years, mean weight （64.7±10.5） kg） underwent live-3D-TEE and two dimensional transesophageal echocardiography （2D-TEE） before and after mitral valve surgery. Sensitivity, specificity, and total consistency rates of live-3D-TEE for diagnosing ruptured chordae were calculated and compared to surgeon＇s findings. We also compared the diagnostic accuracy of mitral valve disease between live-3D-TEE and 2D-TEE.Results Live-3D-TEE allowed visualization of the anatomic structure of the heart online and clearly identified the valvular apparatus and their defects. Sensitivity and specificity for the detection of ruptured chordae by live-3D-TEE were 87.5% and 100% respectively, and the total consistency rate was 95.8%. Additional defects not diagnosted by 2D-TEE were found in three cases （12.5%） preoperatively by live-3D-TEE. Live-3D-TEE could evaluate the function of prosthetic or native valves immediately after operation. One case was re-repaired （4.2%） using guidance by live-3D-TEE.Conclusion Live-3D-TEE enabled evaluation of mitral valve function and provided adequate valuable information before and after mitral valve surgery. We conclude that live-3D-TEE can play an important role in mitral valve surgery.
