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Productivity analysis of horizontal wells intercepted by multiple finite-conductivity fractures 被引量:7
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作者 Wang Xiaodong Li Guanghe Wang Fei 《Petroleum Science》 SCIE CAS CSCD 2010年第3期367-371,共5页
Horizontal wells in the anisotropic reservoirs can be stimulated by hydraulic fracturing in order to create multiple finite-conductivity vertical fractures. Several methods for evaluating the productivity of the horiz... Horizontal wells in the anisotropic reservoirs can be stimulated by hydraulic fracturing in order to create multiple finite-conductivity vertical fractures. Several methods for evaluating the productivity of the horizontal wells have been presented in the literature. With such methods, however, it is still difficult to obtain an accurate result. This paper firstly presents the dimensionless conductivity theory of vertical fractures. Then models for calculating the equivalent wellbore radius and the skin factor due to flow convergence to the well bore are proposed after analyzing the steady-state flow in porous reservoirs. By applying the superposition principle to the pressure drop, a new method for evaluating the productivity of horizontal wells intercepted by multiple finite-conductivity fractures is developed. The influence of fracture conductivity and fracture half length on the horizontal well productivity is quantitatively analyzed with a synthetic case. Optimum fracture number and fracture space are further discussed in this study. The results prove that the method outlined here should be useful to design optimum fracturing of horizontal wells. 展开更多
关键词 Production rate analysis fractured horizontal wells finite-conductivity vertical fractures fracturing design optimization
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New approach for the treatment of vertical root fracture of teeth:A case report and review of literature 被引量:1
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作者 Xue Zhong Ping Yan Wei Fan 《World Journal of Clinical Cases》 SCIE 2022年第17期5816-5824,共9页
BACKGROUND Vertical root fracture(VRF)is one of the most common reasons for tooth extraction,although various methods have been applied for saving teeth with VRF.CASE SUMMARY This case report describes a woman who had... BACKGROUND Vertical root fracture(VRF)is one of the most common reasons for tooth extraction,although various methods have been applied for saving teeth with VRF.CASE SUMMARY This case report describes a woman who had a sinus tract on the labial gingiva of the left maxillary central incisor for past two months.Periodontal probing revealed an 8–10 mm deep,narrow,isolated pocket on the palatal side of the tooth.Clinical and radiographic examination confirmed a longitudinal root fracture.A new approach using a combination of resin and iRoot BP Plus through intentional replantation was used for the treatment of the tooth.At one-year follow-up,the tooth remained asymptomatic with normal periodontal probing depth,and radiographic images showed almost normal bone and periodontal structures around the root.CONCLUSION This new approach may be developed as an effective method for saving teeth with VRF. 展开更多
关键词 vertical root fracture Intentional replantation iRoot BP Plus RESIN Teeth TREATMENT Case report
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The biomechanical role of periodontal ligament in bonded and replanted vertically fractured teeth under cyclic biting forces 被引量:1
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作者 Ya-Nan Zhu Wei-Dong Yang +5 位作者 Paul V Abbott Nicolas Martin Wen-Jia Wei Jing-Jing Li Zhi Chen Wen-Mei Wang 《International Journal of Oral Science》 SCIE CAS CSCD 2015年第2期125-130,共6页
After teeth are replanted,there are two possible healing responses:periodontal ligament healing or ankylosis with subsequent replacement resorption.The purpose of this study was to compare the fatigue resistance of v... After teeth are replanted,there are two possible healing responses:periodontal ligament healing or ankylosis with subsequent replacement resorption.The purpose of this study was to compare the fatigue resistance of vertically fractured teeth after bonding the fragments under conditions simulating both healing modes.Thirty-two human premolars were vertically fractured and the fragments were bonded together with Super-Bond C&B.They were then randomly distributed into four groups(BP,CP,CA,BA).The BP and CP groups were used to investigate the periodontal ligament healing mode whilst the BA and CA groups simulated ankylosis.All teeth had root canal treatment performed.Metal crowns were constructed for the CP and CA groups.The BP and BA groups only had composite resin restorations in the access cavities.All specimens were subjected to a 260 N load at 4 Hz until failure of the bond or until 2 x 106 cycles had been reached if no fracture occurred.Cracks were detected by stereomicroscope imaging and also assessed via dye penetration tests.Finally,interfaces of the resin luting agent were examined by scanning electron microscope.The results confirmed that the fatigue resistance was higher in the groups with simulated periodontal ligament healing.Periodontal reattachment showed important biomechanical role in bonded and replanted vertically fractured teeth. 展开更多
关键词 fractured vertically teeth periodontal ligament bonding bonded resin subsequent restoration
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MODEL AND METHOD OF WELL TEST ANALYSIS FORWELLS WITH VERTICAL FRACTURE
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作者 郭大立 曾晓慧 +1 位作者 赵金洲 刘慈群 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI 2005年第5期571-578,共8页
Based on the flow mechanism of hydraulic fractured wells, through integrating linear-flow model and effective well-radius model, a new model of well test analysis for wells with vertical fracture was established. In t... Based on the flow mechanism of hydraulic fractured wells, through integrating linear-flow model and effective well-radius model, a new model of well test analysis for wells with vertical fracture was established. In the model, wellbore storage, the damage in the wall of fracture and all kinds of boundary conditions are considered. The model is concise in form, has intact curves and computes fast, which may meet the demand of real-time computation and fast responded well test interpretation. A new method to determine effective well radius was presented, and the correlation between effective well radius and the fracture length, fracture conductivity, skin factor of fracture was given. Matching flow rate or pressure tested, the optimization model that identified formation and fracture parameters was set up. The automatic matching method was presented by synthetically using step by step linear least square method and sequential quadratic programming. At last, the application was also discussed. Application shows that all of these results can analyze and evaluate the fracturing treatment quality scientifically and rationally, instruct and modify the design of fracturing and improve fracturing design level. 展开更多
关键词 vertical fracture well test fluid flow through porous medium MODEL automatic matching method
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A new method to calculate the productivity index for vertical fractured well of tight gas reservoir
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作者 Li Junjian Jiang Hanqiao +1 位作者 Gao Huimei He Yingfu 《Engineering Sciences》 EI 2008年第3期93-96,共4页
Generally the irreducible water saturation of low permeability gas reservoir is quite high which leads to the permeability stress sensibility and threshold pressure gradient. Under the assumption that permeability var... Generally the irreducible water saturation of low permeability gas reservoir is quite high which leads to the permeability stress sensibility and threshold pressure gradient. Under the assumption that permeability varies with experimental law of the pseudo pressure drop, according to concepts of perturbable ellipses and equivalent developing regulations, the calculation method of stable production of hydraulically fractured gas well in low permeability reservoirs is investigated with threshold pressure. And productivity curve is drawn and analyzed. The result shows that, permeability modulus and threshold pressure have effect on production of fractured gas well. The higher the permeability modulus and the threshold pressure, the lower the production is. Therefore, the impact of stress sensitive and threshold pressure must be considered when analyzing the productivity of vertical fracture well in low permeability gas reservoir. 展开更多
关键词 生产力指数 垂直裂缝井 致密气藏 计算 启动压力梯度 应力敏感性 天然气生产 低渗透油藏
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External fixator with lumbopelvic distraction spondylodesis for vertically unstable pelvic fracture
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作者 胡昊 《外科研究与新技术》 2011年第2期119-119,共1页
Objective To evaluate the clinical outcomes of external fixator with lumbopelvic distraction spondylodesis in treatment of vertically unstable pelvic fractures.Methods From January 2008 to March 2009,9 patients(4 male... Objective To evaluate the clinical outcomes of external fixator with lumbopelvic distraction spondylodesis in treatment of vertically unstable pelvic fractures.Methods From January 2008 to March 2009,9 patients(4 males and 5 females) 展开更多
关键词 External fixator with lumbopelvic distraction spondylodesis for vertically unstable pelvic fracture
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Transient pressure analysis of polymer flooding fractured wells with oil-water two-phase flow
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作者 WANG Yang YU Haiyang +2 位作者 ZHANG Jia FENG Naichao CHENG Shiqing 《Petroleum Exploration and Development》 2023年第1期175-182,共8页
The oil-water two-phase flow pressure-transient analysis model for polymer flooding fractured well is established by considering the comprehensive effects of polymer shear thinning,shear thickening,convection,diffusio... The oil-water two-phase flow pressure-transient analysis model for polymer flooding fractured well is established by considering the comprehensive effects of polymer shear thinning,shear thickening,convection,diffusion,adsorption retention,inaccessible pore volume and effective permeability reduction.The finite volume difference and Newton iteration methods are applied to solve the model,and the effects of fracture conductivity coefficient,injected polymer mass concentration,initial polymer mass concentration and water saturation on the well-test type curves of polymer flooding fractured wells are discussed.The results show that with the increase of fracture conductivity coefficient,the pressure conduction becomes faster and the pressure drop becomes smaller,so the pressure curve of transitional flow goes downward,the duration of bilinear flow becomes shorter,and the linear flow appears earlier and lasts longer.As the injected polymer mass concentration increases,the effective water phase viscosity increases,and the pressure loss increases,so the pressure and pressure derivative curves go upward,and the bilinear flow segment becomes shorter.As the initial polymer mass concentration increases,the effective water phase viscosity increases,so the pressure curve after the wellbore storage segment moves upward as a whole.As the water saturation increases,the relative permeability of water increases,the relative permeability of oil decreases,the total oil-water two-phase mobility becomes larger,and the pressure loss is reduced,so the pressure curve after the wellbore storage segment moves downward as a whole.The reliability and practicability of this new model are verified by the comparison of the results from simplified model and commercial well test software,and the actual well test data. 展开更多
关键词 fractured vertical well polymer flooding two-phase flow well test analysis model type curve influence factor
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An evaluation method of volume fracturing effects for vertical wells in low permeability reservoirs
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作者 ZHANG Anshun YANG Zhengming +6 位作者 LI Xiaoshan XIA Debin ZHANG Yapu LUO Yutian HE Ying CHEN Ting ZHAO Xinli 《Petroleum Exploration and Development》 2020年第2期441-448,共8页
To evaluate the fracturing effect and dynamic change process after volume fracturing with vertical wells in low permeability oil reservoirs, an oil-water two-phase flow model and a well model are built. On this basis,... To evaluate the fracturing effect and dynamic change process after volume fracturing with vertical wells in low permeability oil reservoirs, an oil-water two-phase flow model and a well model are built. On this basis, an evaluation method of fracturing effect based on production data and fracturing fluid backflow data is established, and the method is used to analyze some field cases. The vicinity area of main fracture after fracturing is divided into different stimulated regions. The permeability and area of different regions are used to characterize the stimulation strength and scale of the fracture network. The conductivity of stimulated region is defined as the product of the permeability and area of the stimulated region. Through parameter sensitivity analysis, it is found that half-length of the fracture and the permeability of the core area mainly affect the flow law near the well, that is, the early stage of production;while matrix permeability mainly affects the flow law at the far end of the fracture. Taking a typical old well in Changqing Oilfield as an example, the fracturing effect and its changes after two rounds of volume fracturing in this well are evaluated. It is found that with the increase of production time after the first volume fracturing, the permeability and conductivity of stimulated area gradually decreased, and the fracturing effect gradually decreased until disappeared;after the second volume fracturing, the permeability and conductivity of stimulated area increased significantly again. 展开更多
关键词 volume fracturing fracturing effect evaluation fracturing area CONDUCTIVITY low permeability reservoir vertical well
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2.5D boundary element simulation of wave propagation in a vertical fluid-filled borehole with irregular shape 被引量:1
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作者 Ge Zengxi Wang Canyun +1 位作者 Lei Ting Chen Xiaofei 《Applied Geophysics》 SCIE CSCD 2007年第3期155-163,共9页
在这篇论文,在为处于声学的记载的问题与任意的形状为地上凿穿解决波浪方程的波浪数字空间领域的边界元素明确的表达被介绍。这个问题在垂直方向与分离波浪数字方法被当作二维的媒介。方法被比较这个方法获得,那些由有限差别的方法获... 在这篇论文,在为处于声学的记载的问题与任意的形状为地上凿穿解决波浪方程的波浪数字空间领域的边界元素明确的表达被介绍。这个问题在垂直方向与分离波浪数字方法被当作二维的媒介。方法被比较这个方法获得,那些由有限差别的方法获得了的结果验证。方法被用来在垂直破裂的垂直地上凿穿在波浪繁殖上学习效果。为单极来源,为 Stoneley 波浪的分散曲线产出三个分支。为偶极子和四极来源,来源的不同取向产出不同结果。当偶极子来源对破裂直角时,当来源与破裂平行时,分散曲线类似于开的洞的,当曲线是相当不同的时。这些特征使我们能决定垂直破裂的取向。 展开更多
关键词 钻井 边界元素 色散曲线 不规则形状
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Integration of Electrical Resistivity and Electromagnetic Radiation Methods for Fracture Flow System Detection
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作者 Jawad Hasan Shoqeir Heinz Hoetzl Akiva Flexer 《International Journal of Geosciences》 2014年第8期863-875,共13页
An electrical resistivity and electromagnetic emission survey was carried out involving the use of vertical electrical soundings (VES) and natural pulse electromagnetic field of the earth (NPEMFE). The use of this new... An electrical resistivity and electromagnetic emission survey was carried out involving the use of vertical electrical soundings (VES) and natural pulse electromagnetic field of the earth (NPEMFE). The use of this new methodology managed to detect the fracture flow system rupture zones in the underground, also answered the questions about the deferent subsurface water bodies. The present study focuses on Marsaba-Feshcha sub-basin in the northeast of the Dead Sea. Due to the scarcity of boreholes in the study area, several geophysical methods were implanted. The combination of these two methods (VES and NPEMFE) with the field observations and East-West transversal faults with the coordination (624437/242888) was determined, cutting through the anticlines with their mainly impervious cores with fracture length of >400 m. These transversal faults saddle inside Nabi Musa syncline (Boqea syncline), leading to a hydraulic connection between the Lower and the Upper Aquifer. Due to the identified transversal fault, the water of the Upper and Lower Aquifer mixed and emerged as springs at Ein Feshcha group. 展开更多
关键词 vertical Electric SOUNDING TRANSVERSAL FAULTS Boqea SYNCLINE Rupture ZONES fracture Flow
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A new model for predicting hydraulic fracture penetration or termination at an orthogonal interface between dissimilar formations
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作者 Yu Zhao Yong-Fa Zhang +2 位作者 Guo-Dong Tian Chao-Lin Wang Jing Bi 《Petroleum Science》 SCIE CAS CSCD 2022年第6期2810-2829,共20页
Vertical height growth of hydraulic fractures(HFs)can unexpectedly penetrate a stratigraphic interface and propagate into neighboring layers,thereby resulting in low gas-production efficiency and high risk of groundwa... Vertical height growth of hydraulic fractures(HFs)can unexpectedly penetrate a stratigraphic interface and propagate into neighboring layers,thereby resulting in low gas-production efficiency and high risk of groundwater contamination or fault reactivation.Understanding of hydraulic fracture behavior at the interface is of pivotal importance for the successful development of layered reservoirs.In this paper,a twodimensional analytical model was developed to examine HF penetration and termination behavior at an orthogonal interface between two dissimilar materials.This model involves changes in the stress singularity ahead of the HF tip,which may alter at the formation interface due to material heterogeneity.Three critical stress conditions were considered to assess possible fracture behavior(i.e.,crossing,slippage,and opening)at the interface.Then,this model was verified by comparing its theoretical predictions to numerical simulations and three independent experiments.Good agreement with the simulation results and experimental data was observed,which shows the validity and reliability of this model.Finally,a parametric study was conducted to investigate the effects of key formation parameters(elastic modulus,Poisson’s ratio,and fracture toughness)between adjacent layers.These results indicate that the variation in the introduced parameters can limit or promote vertical HF growth by redistributing the induced normal and shear stresses at the interface.Among the three studied parameters,Poisson’s ratio has the least influence on the formation interface.When the fracture toughness and elastic modulus of the bounding layer are larger than those of the pay zone layer,the influence of fracture toughness will dominate the HF behavior at the interface;otherwise,the HF behavior will more likely be influenced by elastic modulus. 展开更多
关键词 Analytical model Hydraulic fracture Interface of dissimilar materials vertical propagation behavior Parametric sensitivity analysis
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Krachow法缝合联合钢丝垂直间断治疗老年髌骨下极粉碎性骨折的疗效
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作者 李莹 李晶 刘日 《国际骨科学杂志》 2024年第2期141-145,共5页
目的研究Krachow法缝合联合钢丝垂直间断固定治疗老年髌骨下极粉碎性骨折的疗效。方法选取2019年1月至2022年3月收治的102例老年髌骨下极粉碎性骨折患者作为研究对象。按随机数字表法分为两组,观察组51例,采用Krachow法缝合联合钢丝垂... 目的研究Krachow法缝合联合钢丝垂直间断固定治疗老年髌骨下极粉碎性骨折的疗效。方法选取2019年1月至2022年3月收治的102例老年髌骨下极粉碎性骨折患者作为研究对象。按随机数字表法分为两组,观察组51例,采用Krachow法缝合联合钢丝垂直间断固定,对照组51例,采用钢丝垂直间断固定。统计分析两组临床疗效、膝关节活动范围(ROM)、膝关节功能Bostman评分及并发症情况。结果观察组临床疗效优良率为88.24%,对照组优良率为64.71%,差异有统计意义(P<0.05)。观察组膝关节ROM、Bostman评分分别为131.51°±6.80°、(28.65±2.20)分,对照组膝关节ROM、Bostman评分分别为115.87°±5.91°、(23.58±2.51)分,差异有统计意义(P<0.05)。观察组并发症总发生率为9.80%,对照组并发症总发生率为27.45%,差异有统计意义(P<0.05)。结论Krachow法缝合联合钢丝垂直间断固定治疗老年髌骨下极粉碎性骨折复位良好,固定牢靠,对周围软组织影响小,并发症少,有利于膝关节功能恢复。 展开更多
关键词 髌骨下极粉碎性骨折 Krachow法 钢丝垂直间断固定 膝关节活动范围 Bostman评分
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不同空心加压螺钉固定方式对股骨颈垂直型骨折的有限元分析 被引量:1
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作者 谭能贤 吴文正 +4 位作者 郑楚荣 罗列良 古鹏 欧阳崇志 郑晓辉 《中国组织工程研究》 CAS 北大核心 2024年第6期873-878,共6页
背景:股骨颈骨折线越垂直的股骨颈骨折可能承受更多的剪切力,因此可能容易发生内固定失效、骨不连或股骨头坏死等并发症,目前关于哪种空心钉固定模式是理想的还存在争议。目的:通过有限元分析方法评估不同构型及数目的空心螺钉构型对股... 背景:股骨颈骨折线越垂直的股骨颈骨折可能承受更多的剪切力,因此可能容易发生内固定失效、骨不连或股骨头坏死等并发症,目前关于哪种空心钉固定模式是理想的还存在争议。目的:通过有限元分析方法评估不同构型及数目的空心螺钉构型对股骨颈垂直骨折的生物力学差异。方法:收集1名24岁健康男性志愿者的股骨CT数据,导入Mimics软件构建股骨三维几何模型;在Geomagic软件进行模型细化及拟合曲面处理;导入SolidWorks软件,建立股骨颈垂直骨折模型。通过建立3枚正三角构型、3枚倒三角构型、3枚双平面双支撑构型(F方案)、3枚横行构型、4枚菱形构型、4枚Alpha构型6种空心螺钉模型,比较各构型内固定和股骨骨折模型在不同载荷(350,700,1400,2100 N)作用下的应力分布情况及位移峰值。结果与结论:(1)在4种载荷下,螺钉应力情况:双平面双支撑构型(F方案)>横行构型>倒三角构型>正三角构型>Alpha构型>菱形构型,各组螺钉的Von mises应力峰值均集中在靠近断裂线的螺钉处。(2)在4种载荷下,螺钉位移情况:Alpha构型>倒三角构型>正三角构型>双平面双支撑构型(F方案)>菱形构型>横行构型,位移峰值主要集中于空心螺钉头部。(3)在4种载荷下,股骨近端骨块应力情况:双平面双支撑构型(F方案)>横行构型>倒三角构型>Alpha构型>正三角构型>菱形构型,应力峰值主要集中在股骨颈下部。(4)在350 N载荷下,股骨近端骨块位移情况:横行构型>双平面双支撑构型(F方案)>正三角构型>Alpha构型>倒三角构型>菱形构型;在其他3种载荷中,倒三角构型位移峰值均小于菱形构型,位移峰值主要集中于头部;(5)股骨近端骨块断面应力分布中棱形构型最为分散,股骨位移峰值中棱形构型最小;各内固定模型的应力、位移、断裂端位移峰值随载荷的增加而逐渐增大;(6)4枚菱形构型模型对股骨颈垂直骨折内固定的生物力学性能优于其他各组模型,其固定牢靠,骨折端位移值小,应力分散,有助于抵抗剪切力和防止内翻坍塌发生,为骨折愈合创造良好的机械环境。 展开更多
关键词 股骨颈垂直骨折 部分螺纹空心螺钉 螺钉配置 有限元 应力 位移
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沁水盆地柿庄北区块水平井开发方式地质适应性分析
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作者 晁巍巍 张守仁 +2 位作者 张亚飞 邓志宇 陶树 《煤炭科技》 2024年第1期11-16,22,共7页
针对柿庄北区块直井表现出达产率低、产量下降快、产能差异大的生产特征,通过对柿庄北区块43口探井、397口开发井进行详细剖析,并与潘河、柿庄南区块地质条件进行了对比分析。结果表明,埋深大、低渗透、煤体结构分布复杂是制约柿庄北区... 针对柿庄北区块直井表现出达产率低、产量下降快、产能差异大的生产特征,通过对柿庄北区块43口探井、397口开发井进行详细剖析,并与潘河、柿庄南区块地质条件进行了对比分析。结果表明,埋深大、低渗透、煤体结构分布复杂是制约柿庄北区块开发关键地质问题。为了进一步明确柿庄北储层渗透低原因,对柿庄北、潘河、杨家坡区块煤心进行数字岩心扫描,发现柿庄北区块相对潘河、杨家坡区块储层孔裂隙数量都发育最少且孔裂隙连通性最差,并明确煤层演化过程是形成孔裂隙差异的关键因素。此外,结合地质剖析,开展了地质—工程一体化分析,明确直井压裂这种点状开发方式的不适应性,提出水平井开发方式适应埋深增大、煤体结构分布复杂、微观孔裂隙连通性较差的储层特征,并在柿庄北一体化二期显示出较好产气潜力。 展开更多
关键词 柿庄北区块 孔裂隙特征 煤体结构 直井压裂 水平井分段压裂
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继发性牙根纵裂诊断的研究进展
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作者 徐海明 齐斌 卢志山 《口腔疾病防治》 2024年第8期646-652,共7页
牙根纵裂是一种源自牙根的纵向裂纹,可发生在活髓牙和根管治疗后牙齿,是病因复杂、预后较差的牙体硬组织疾病。发生于牙髓治疗后的牙根纵裂称为继发性牙根纵裂(secondary vertical root fracture,SVRF),对SVRF的诊断,应结合临床体征(如... 牙根纵裂是一种源自牙根的纵向裂纹,可发生在活髓牙和根管治疗后牙齿,是病因复杂、预后较差的牙体硬组织疾病。发生于牙髓治疗后的牙根纵裂称为继发性牙根纵裂(secondary vertical root fracture,SVRF),对SVRF的诊断,应结合临床体征(如疼痛、肿胀、牙齿松动、位于牙龈边缘附近的窦道和深而窄的孤立牙周袋)和根尖片(如牙周膜增宽、垂直骨丧失和根周骨丧失、根周“晕圈状”或“J”形的透射影)进行综合判断。对疑似牙根纵裂的牙齿,应通过锥形束CT(cone⁃beam computed tomography,CBCT)等三维影像学辅助诊断,如CBCT显示牙根上的折裂线以及颊侧或舌侧骨板缺损;优化设置CBCT参数,如选用小视野CBCT、增强染料辅助的应用、使用金属伪影还原工具(metal artifact reduction,MAR)等方法提高CBCT诊断SVRF的精确度。使用多种影像技术可对不同宽度的裂纹进行检测,如核磁共振成像(magnetic resonance imaging,MRI)中表现为异常的高强度信号;使用数字减影技术(digital subtraction radiography,DSR)进行图像处理后出现的黑色线状区域;不同宽度的裂纹在光学相干断层扫描(optical coherence tomography,OCT)可表现为高亮度线或暗区。人工智能(artificial intelligence,AI)诊断技术和预测模型也是SVRF诊断的辅助手段。通过各种无创手段仍然无法确诊的SVRF病例,可通过根管内直视和翻瓣手术中直视发现SVRF。 展开更多
关键词 继发性牙根纵裂 锥形束CT 核磁共振成像 数字减影技术 光学相干断层扫描 金属伪影还原工具 人工智能 临床诊断
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四黄散联合间断垂直钢丝缝合加张力带对髌骨下极骨折患者膝关节活动度及骨折愈合时间的影响
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作者 丁永军 龚素萍 +1 位作者 杨威 涂世杰 《河南中医》 2024年第4期582-585,共4页
目的:观察四黄散联合间断垂直钢丝缝合加张力带对髌骨下极骨折患者膝关节活动度及骨折愈合时间的影响。方法:选取2021年9月至2022年9月丰城市中医院收治的髌骨下极骨折患者40例,按照随机数字表法分为对照组和试验组,每组20例。两组患者... 目的:观察四黄散联合间断垂直钢丝缝合加张力带对髌骨下极骨折患者膝关节活动度及骨折愈合时间的影响。方法:选取2021年9月至2022年9月丰城市中医院收治的髌骨下极骨折患者40例,按照随机数字表法分为对照组和试验组,每组20例。两组患者均给予切开复位内固定,对照组给予间断垂直钢丝缝合联合张力带治疗,试验组给予四黄散联合间断垂直钢丝缝合加张力带治疗。观察两组患者术后6周、3个月、6个月、1年及末次随访时膝关节疼痛评分、屈伸活动范围(range of motion, ROM)、Bostman评分、骨折愈合时间、各项临床指标及并发症发生情况。结果:试验组术后6周、3个月、6个月、1年膝关节疼痛评分均低于对照组,差异有统计学意义(P<0.05)。试验组术后6周、3个月、6个月、1年ROM、Bostman评分高于对照组,差异有统计学意义(P<0.05)。试验组术后1年骨折愈合时间、各项临床指标均优于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:四黄散联合间断垂直钢丝缝合加张力带能改善髌骨下极骨折患者膝关节功能,降低术后并发症发生率,促进骨折早日愈合。 展开更多
关键词 四黄散 髌骨下极骨折 间断垂直钢丝缝合 张力带 膝关节活动度 骨折愈合时间
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层理影响下裂缝三维垂向扩展模式数值模拟
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作者 王博 王乾任 +2 位作者 周航 张荔 解子祺 《新疆石油天然气》 CAS 2024年第1期77-87,共11页
新疆某区块储层具有非均质性强、天然层理面发育和应力分布不均匀等特点,含层理面储层在复杂应力条件下裂缝垂向扩展模式显著影响穿层压裂效果。基于有限元方法和内聚力模型,建立了含层理面的三维流固全耦合数值模型,系统研究了不同应... 新疆某区块储层具有非均质性强、天然层理面发育和应力分布不均匀等特点,含层理面储层在复杂应力条件下裂缝垂向扩展模式显著影响穿层压裂效果。基于有限元方法和内聚力模型,建立了含层理面的三维流固全耦合数值模型,系统研究了不同应力组合和层理面影响下水力裂缝垂向扩展形态,明确了含层理储层裂缝穿层扩展模式,形成了复杂应力组合下裂缝穿层形态预测图版。模型模拟结果与已发表物模实验结果一致,验证了模型的可靠性。研究结果表明:垂向应力越小,裂缝越容易激活层理面,当垂向应力小于18 MPa时,裂缝沿着层理面扩展;水平应力差越大,裂缝受到层理面的阻碍作用越大,水平应力差大于3 MPa时,裂缝更容易被层理面捕获而沿着层理面扩展;层理面抗拉强度越大,裂缝更倾向于贯穿层理面扩展。研究结果可为层状储层穿层压裂设计提供理论指导。 展开更多
关键词 非均质储层 水力压裂 裂缝 垂向扩展 层理面 数值模拟
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独立垂直钢丝技术联合钢丝环扎强化技术治疗髌骨下极骨折
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作者 夏招 《临床骨科杂志》 2024年第1期46-46,共1页
2018年7月~2021年6月,我科采用独立垂直钢丝技术联合钢丝环扎强化技术治疗10例髌骨下极骨折患者,疗效满意,报道如下。1材料与方法1.1病例资料本组10例,男4例,女6例,年龄45~78岁。均为摔伤,左侧7例,右侧3例。术前膝关节CT检查均显示髌骨... 2018年7月~2021年6月,我科采用独立垂直钢丝技术联合钢丝环扎强化技术治疗10例髌骨下极骨折患者,疗效满意,报道如下。1材料与方法1.1病例资料本组10例,男4例,女6例,年龄45~78岁。均为摔伤,左侧7例,右侧3例。术前膝关节CT检查均显示髌骨下极骨折,其中横行3例、粉碎性7例。伤后至手术时间1~7 d。1.2治疗方法腰硬联合麻醉下手术。患者仰卧位。在膝关节正中靠近髌骨下极做长约6 cm的纵行切口. 展开更多
关键词 独立垂直钢丝技术 髌骨下极骨折
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后踝内侧垂直联合线后前入路治疗后踝骨折的临床研究
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作者 张先启 余正友 林四龙 《局解手术学杂志》 2024年第3期272-275,共4页
目的 探讨参考后踝内侧垂直联合线(PVSL)行闭合复位经皮后前(PA)入路空心拉力螺钉内固定治疗后踝骨折的临床效果。方法 选择2020年1月至2022年1月于我院后踝骨折患者23例,均参考PVSL行闭合复位经皮PA入路空心拉力螺钉内固定治疗。记录... 目的 探讨参考后踝内侧垂直联合线(PVSL)行闭合复位经皮后前(PA)入路空心拉力螺钉内固定治疗后踝骨折的临床效果。方法 选择2020年1月至2022年1月于我院后踝骨折患者23例,均参考PVSL行闭合复位经皮PA入路空心拉力螺钉内固定治疗。记录患者术后骨折复位、踝关节功能恢复、并发症发生及恢复情况。结果 23例患者术后获得6~20个月的随访。术后所有患者后踝骨折块均得到良好复位,移位均小于2 mm。X射线显示,患者骨折均全部愈合,骨折愈合时间3~6个月。美国足踝外科协会(AOFAS)踝-后足评分为76~100分,平均(89.8±8.2)分;术后踝关节功能优17例、良5例、中1例,优良率为95.7%。所有患者均未发生螺钉松动、断裂等并发症。结论 参考PVSL闭合复位经皮PA入路空心拉力螺钉内固定治疗后踝骨折手术效果显著,值得临床推广应用。 展开更多
关键词 后踝骨折 内固定术 后踝内侧垂直联合线 前后入路 后前入路
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琼东南盆地深水区垂向裂隙识别及其分布特征研究
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作者 欧阳杰 吴妍 +1 位作者 丁磊 杨璐 《价值工程》 2024年第14期133-136,共4页
琼东南盆地发育大量垂向裂隙,垂向裂隙在油气运移成藏中起到了关键性的作用。但目前对于琼东南盆地垂向裂隙系统刻画方面的研究尚不深入。本文采用基于广义频谱分解的蚂蚁追踪裂隙识别方法对琼东南盆地垂向裂隙进行检测。实际应用表明... 琼东南盆地发育大量垂向裂隙,垂向裂隙在油气运移成藏中起到了关键性的作用。但目前对于琼东南盆地垂向裂隙系统刻画方面的研究尚不深入。本文采用基于广义频谱分解的蚂蚁追踪裂隙识别方法对琼东南盆地垂向裂隙进行检测。实际应用表明该方法可以有效识别琼东南盆地垂向裂隙,有效降低了高频噪声对裂隙刻画的影响。因此,该方法适用于琼东南盆地垂向裂隙识别,为基底天然气垂向沟通提供了技术手段。 展开更多
关键词 琼东南盆地 垂向裂隙 广义频谱分解 蚂蚁体追踪 裂隙识别
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