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妊娠滋养细胞肿瘤合并子宫动静脉畸形与预后相关性分析
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作者 周清 刘源涛 +3 位作者 马凤华 鹿欣 张鹤 张国福 《复旦学报(医学版)》 CAS CSCD 北大核心 2024年第3期315-322,共8页
目的通过对比增强磁共振血管成像技术(contrast enhanced-magnetic resonance angiography,CE-MRA了解妊娠滋养细胞肿瘤(gestationaltrophoblasticneoplasia,GTN)合并子宫动静脉畸形(uterinearteriovenous malformation,UAVM)与预后的... 目的通过对比增强磁共振血管成像技术(contrast enhanced-magnetic resonance angiography,CE-MRA了解妊娠滋养细胞肿瘤(gestationaltrophoblasticneoplasia,GTN)合并子宫动静脉畸形(uterinearteriovenous malformation,UAVM)与预后的相关性。方法选取2015年12月至2020年12月在复旦大学附属妇产科医院就诊的、疑诊GTN的患者,在治疗前行磁共振常规扫描和CE-MRA扫描,对所有病例进行国际妇产科学联合会(International Federation of Gynecology and Obstetrics,FIGO)分期和预后评分。对患者的治疗方式(化疗、手术治疗、动脉栓塞治疗)及预后进行记录。结果共纳入44例GTN患者,包括5例胎盘部位滋养层肿瘤(placental site trophoblastic tumor,PSTT)和39例其他GTN。PSTT合并UAVM 3例,GTN合并UAVM 23例。根据UAVM的存在与否,将39例其他GTN患者分为两组。对人绒毛膜促性腺激素(β-human chorionic gonadotropin,β-hCG)值<10000 mIU/mL和≥10000 mIU/mL的数据进行四格表χ^(2)检验,差异有统计学意义(P=0.001)。两组病例的FIGO预后评分平均为(4.19±3.69)分和(6.70±3.39)分,差异有统计学意义(P=0.035)。结论当β-hCG值≥10000 mIU/mL时,UAVM发生概率增加。预后评分越高,发生UAVM的可能性就越大。运用CE-MRA技术有助于更好地诊断UAVM。 展开更多
关键词 妊娠滋养细胞肿瘤(GTN) 子宫动静脉畸形(UAVM) 对比增强磁共振血管成像技术(CE-MRA) 磁共振成像技术
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超声振动辅助铣削研究进展 被引量:4
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作者 袁中行 方斌 李德芃 《电加工与模具》 2020年第2期1-9,18,共10页
超声振动辅助铣削是一种将超声振动以不同方式施加到刀具或者工件上从而实现振动切削的加工方式,相比传统铣削,可有效降低切削力和切削温度,改善加工表面质量,提高零件的使用性能。通过系统地介绍超声振动辅助铣削在工艺参数选择、加工... 超声振动辅助铣削是一种将超声振动以不同方式施加到刀具或者工件上从而实现振动切削的加工方式,相比传统铣削,可有效降低切削力和切削温度,改善加工表面质量,提高零件的使用性能。通过系统地介绍超声振动辅助铣削在工艺参数选择、加工材料匹配等方面的研究进展,总结了现有研究和应用中存在的问题及解决方案。综合了近年来对不同振动方式的超声振动辅助铣削的研究进展,并对未来研究和应用的发展趋势进行了展望。 展开更多
关键词 超声振动辅助铣削 切削力 切削温度 表面质量
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Influence of overhanging tool length and vibrator material on electromechanical impedance and amplitude prediction in ultrasonic spindle vibrator
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作者 Rendi KURNIAWAN Moran XU +8 位作者 Min Ki CHOO Shuo CHEN Yein KWAK' Jielin CHEN Saood ALI Hanwei TENG Pil Wan HAN Gi Soo KIM Tae Jo KO 《Journal of Zhejiang University-Science A(Applied Physics & Engineering)》 SCIE EI CAS CSCD 2024年第4期292-310,共19页
This study presents the development of an ultrasonic transducer with a radius horn for an ultrasonic milling spindle(UMS)system.The ultrasonic transducer was intended to have a working frequency of approximately 30 kH... This study presents the development of an ultrasonic transducer with a radius horn for an ultrasonic milling spindle(UMS)system.The ultrasonic transducer was intended to have a working frequency of approximately 30 kHz.Two different materials were considered in the study:stainless steel(SS 316L)and titanium alloy(Ti-6Al-4V).Titanium alloy gave a higher resonance frequency(33 kHz)than stainless steel(30 kHz)under the same preload compression stress.An electromechanical impedance simulation was carried out to predict the impedance resonance frequency for both materials,and the effect of the overhanging toolbar was investigated.According to the electromechanical impedance simulation,the overhanging toolbar length affected the resonance frequency,and the error was less than 3%.Harmonic analysis confirmed that the damping ratio helps determine the resonance amplitude.Therefore,damping ratios of 0.015-0.020 and 0.005-0.020 were selected for stainless steel and titanium alloy,respectively,with an error of less than 1.5%.Experimental machining was also performed to assess the feasibility of ultrasonic-assisted milling;the result was a lesser cutting force and better surface topography of Al 6061. 展开更多
关键词 Ultrasonic spindle Ultrasonic vibration assisted-milling(uvam) 1-degree of freedom(DOF) Frequency AMPLITUDE MILLING
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Surface quality investigation in high-speed dry milling of Ti-6Al-4V by using 2D ultrasonic-vibration-assisted milling platform
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作者 Jin Zhang Li Ling +4 位作者 Qian-Yue Wang Xue-Feng Huang Xin-Zhen Kang Gui-Bao Tao Hua-Jun Cao 《Advances in Manufacturing》 SCIE EI CAS CSCD 2024年第2期349-364,共16页
Ultrasonic-vibration-assisted milling(UVAM)is an advanced method for the efficient and precise machining of difficult-to-machine materials in modern manufacturing.However,the milling efficiency is limited because the ... Ultrasonic-vibration-assisted milling(UVAM)is an advanced method for the efficient and precise machining of difficult-to-machine materials in modern manufacturing.However,the milling efficiency is limited because the ultrasonic vibration toolholder ER16 collet has a critical cutting speed.Thus,a 2D UVAM platform is built to ensure precision machining efficiency and improve the surface quality without changing the milling toolholder.To evaluate this 2D UVAM platform,ultrasonic-vibration-assisted high-speed dry milling(UVAHSDM)is performed to process a titanium alloy(Ti-6Al-4V)on the platform,and the milling temperature,surface roughness,and residual stresses are selected as the important indicators for performance analysis.The results show that the intermittent cutting mechanism of UVAHSDM combined with the specific spindle speed,feed speed,and vibration amplitude can reduce the milling temperature and improve the texture of the machined surface.Compared with conventional milling,UVAHSDM reduces surface roughness and peak-groove surface profile values and extends the range of residual surface compressive stresses from−413.96 MPa to−600.18 MPa.The excellent processing performance demonstrates the feasibility and validity of applying this 2D UVAM platform for investigating surface quality achieved under UVAHSDM. 展开更多
关键词 2D ultrasonic-vibration-assisted milling(uvam)platform Ultrasonic-vibration-assisted high-speed dry milling(UVAHSDM) Milling temperature Surface roughness Residual stress
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