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Elevated temperature intensity,timing,and duration of exposure affect soybean internode elongation,mainstem node number,and pod number per plant 被引量:3
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作者 Leon Hartwell Allen Jr. Lingxiao Zhang +1 位作者 Kenneth J.Boote Bernard A.Hauser 《The Crop Journal》 SCIE CAS CSCD 2018年第2期148-161,共14页
A study was conducted in four compartments of a polycarbonate greenhouse at Gainesville,FL, USA to investigate how a soybean(Glycine max L. Merr.) cultivar, Maverick(maturity group III, indeterminate), responded to th... A study was conducted in four compartments of a polycarbonate greenhouse at Gainesville,FL, USA to investigate how a soybean(Glycine max L. Merr.) cultivar, Maverick(maturity group III, indeterminate), responded to three elevated temperatures, ELT,(day/night of 34/26 °C, 38/30 °C, and 42/34 °C) in comparison to a control growth temperature(30/22 °C).Carbon dioxide(CO_2) concentration was maintained at 700 μmol mol^(-1) in each compartment by a processor controlled air-sampling and CO_2-injection system. Three sequential experiments were conducted at different times of year(summer, autumn, and early spring)to investigate the effect of intensity, timing, and duration of ELT on soybean node number,internode elongation, mainstem length, and number of pods set per plant. At the control temperature, the soybean plants grown in the polycarbonate greenhouse were taller than field-grown plants. When plants were grown under continuous ELT applied soon after sowing or at initial flowering, the number of nodes increased with increasing ELT intensity,whereas the length of individual internodes decreased. When ELT treatment was applied during the beginning of flowering stage(R1–R2) or earlier, more nodes were produced and the length of affected internodes was decreased. When the ELT was imposed later at reproductive stage R5+ just before the beginning of seed filling, effects on node numbers and internode lengths were negligible. Short-term(10-day) duration of ELT applied at four stages from V3 to R5+ did not significantly affect final mean numbers of nodes or mean mainstem lengths. Possible mechanisms of elevated temperature effects on soybean internode elongation and node number(internode number) are discussed. Total pod numbers per plant increased linearly with mainstem node numbers and mainstem length.Furthermore, total pod numbers per plant were greatest at 34/26 °C rather than at the control temperature of 30/22 °C(and remained high at 38/30 °C). Mild increases in temperature might not threaten, but actually increase, yields of soybean in northerly zones where this crop is currently grown at slightly suboptimal temperatures. However, a sustained increase in ambient temperature would likely threaten soybean yields. 展开更多
关键词 Elevated temperature INTERnode elongation node number POD yield SOYBEAN PHENOLOGY
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Effect of the number of positive lymph nodes and lymph node ratio on prognosis of patients after resection of pancreatic adenocarcinoma 被引量:6
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作者 Zu-Qiang Liu Zhi-Wen Xiao +6 位作者 Guo-Pei Luo Liang Liu Chen Liu Jin Xu Jiang Long Quan-Xing Ni Xian-Jun Yu 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2014年第6期634-641,共8页
BACKGROUND: The prognostic factors related to lymph node involvement [lymph node status, the number of positive lymph nodes, lymph node ratio (LNR)] and the number of nodes evaluated in patients with pancreatic ade... BACKGROUND: The prognostic factors related to lymph node involvement [lymph node status, the number of positive lymph nodes, lymph node ratio (LNR)] and the number of nodes evaluated in patients with pancreatic adenocarcinoma after pancreatectomy are poorly defined. METHODS: A total of 167 patients who had undergone resection of pancreatic adenocarcinoma from February 2010 to August 2011 were included in this study. Histological examination was performed to evaluate the tumor differentiation and lymph node involvement. Univariate and multivariate analyses were made to determine the relationship between the variables related to nodal involvement and the number of nodes and survival. RESULTS: The median number of total nodes examined was 10 (range 0-44) for the entire cohort. The median number of total nodes examined in node-negative (pN0) patients was similar to that in node-positive (pN1) patients. Patients with pN1 diseases had significantly worse survival than those with pN0 ones (P=0.000). Patients with three or more positive nodes had a poorer prognosis compared with those with the negative nodes (P=0.000). The prognosis of the patients with negative nodes was similar to that of those with one to two positive nodes (P=0.114). The median survival of patients with an LNR ≥0.4 was shorter than that of patients with an LNR 〈0.4 in the pN1 cohort (P=0.014). No significance was found between the number of total nodes examined and the prognosis, regardless of the cutoff of 10 or 12 and in the entire cohort or the pN0 and pN1 groups. Based on the multivariate analysis of the entire cohort and the pN1 group, the nodal status, the number of positive nodes and the LNR were all associated with survival. CONCLUSIONS: In addition to the nodal status, the number of positive nodes and the LNR can serve as comprehensive factors for the evaluation of nodal involvement. This approach may be more effective for predicting the survival of patients with pancreatic adenocarcinoma after pancreatectomy. 展开更多
关键词 lymph node status lymph node ratio number of positive nodes number of total nodes examined pancreatic adenocarcinoma PANCREATECTOMY
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Relationship between celiac artery variation and number of lymph nodes dissection in gastric cancer surgery 被引量:3
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作者 Guang-Chuan Mu Yuan Huang +4 位作者 Zhi-Ming Liu Zhi-Bai Chen Xiang-Hua Wu Xin-Gan Qin Yan-Jun Zeng 《World Journal of Gastrointestinal Oncology》 SCIE CAS 2019年第6期499-508,共10页
BACKGROUND Radical D2 lymphadenectomy for advanced gastric cancer as a standard procedure has gained global consensus. Mounting studies have shown that the number of lymph nodes dissection directly affects the prognos... BACKGROUND Radical D2 lymphadenectomy for advanced gastric cancer as a standard procedure has gained global consensus. Mounting studies have shown that the number of lymph nodes dissection directly affects the prognosis and recurrence of gastric cancer. Our previous study showed that there was no obvious lymph node around the abnormal hepatic artery derived from the superior mesenteric artery. AIM To investigate the relationship between celiac artery variation and the number of lymph nodes dissection in gastric cancer surgery. METHODS The clinicopathological data of 421 patients treated with radical D2 lymphadenectomy were analyzed retrospectively. The difference of the number of lymph nodes dissection between the celiac artery variation group and the normal vessels group and the relationship with prognosis were analyzed. RESULTS Celiac artery variation was found in 110 patients, with a variation rate of 26.13%. Celiac artery variation, tumor staging, and Borrmann typing were factors that affected lymph node clearance in gastric cancer, and the number of lymph nodes dissection in patients with celiac artery variation was significantly less than that of non-variant groups (P < 0.05). Univariate analysis showed that there was no significant difference in survival time between the two groups (P > 0.05). Univariate and multiple Cox regression analysis showed that celiac artery variation was not a prognostic factor for gastric cancer (P > 0.05). Tumor staging, intraoperative bleeding, and positive lymph node ratio were prognostic factors for gastric cancer patients (all P < 0.05). CONCLUSION The number of lymph nodes dissection in patients with celiac artery variation was reduced, but there was no obvious effect on prognosis. Therefore, lymph nodes around the abnormal hepatic artery may not need to be dissected in radical D2 lymphadenectomy. 展开更多
关键词 Gastric cancer CELIAC artery VARIATION LYMPHADENECTOMY number of LYMPH nodes Prognosis
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Metastatic lymph nodes and prognosis assessed by the number of retrieved lymph nodes in gastric cancer
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作者 Hao Wang Xin Yin +12 位作者 Sheng-Han Lou Tian-Yi Fang Bang-Ling Han Jia-Liang Gao Yu-Fei Wang Dao-Xu Zhang Xi-Bo Wang Zhan-Fei Lu Jun-Peng Wu Jia-Qi Zhang Yi-Min Wang Yao Zhang Ying-Wei Xue 《World Journal of Gastrointestinal Surgery》 SCIE 2022年第11期1230-1249,共20页
BACKGROUND The prognostic value of quantitative assessments of the number of retrieved lymph nodes(RLNs)in gastric cancer(GC)patients needs further study.AIM To discuss how to obtain a more accurate count of metastati... BACKGROUND The prognostic value of quantitative assessments of the number of retrieved lymph nodes(RLNs)in gastric cancer(GC)patients needs further study.AIM To discuss how to obtain a more accurate count of metastatic lymph nodes(MLNs)based on RLNs in different pT stages and then to evaluate patient prognosis.METHODS This study retrospectively analyzed patients who underwent GC radical surgery and D2/D2+LN dissection at the Cancer Hospital of Harbin Medical University from January 2011 to May 2017.Locally weighted smoothing was used to analyze the relationship between RLNs and the number of MLNs.Restricted cubic splines were used to analyze the relationship between RLNs and hazard ratios(HRs),and X-tile was used to determine the optimal cutoff value for RLNs.Patient survival was analyzed with the Kaplan-Meier method and log-rank test.Finally,HRs and 95%confidence intervals were calculated using Cox proportional hazards models to analyze independent risk factors associated with patient outcomes.RESULTS A total of 4968 patients were included in the training cohort,and 11154 patients were included in the validation cohort.The smooth curve showed that the number of MLNs increased with an increasing number of RLNs,and a nonlinear relationship between RLNs and HRs was observed.X-tile analysis showed that the optimal number of RLNs for pT1-pT4 stage GC patients was 26,31,39,and 45,respectively.A greater number of RLNs can reduce the risk of death in patients with pT1,pT2,and pT4 stage cancers but may not reduce the risk of death in patients with pT3 stage cancer.Multivariate analysis showed that RLNs were an independent risk factor associated with the prognosis of patients with pT1-pT4 stage cancer(P=0.044,P=0.037,P=0.003,P<0.001).CONCLUSION A greater number of RLNs may not benefit the survival of patients with pT3 stage disease but can benefit the survival of patients with pT1,pT2,and pT4 stage disease.For the pT1,pT2,and pT4 stages,it is recommended to retrieve 26,31 and 45 LNs,respectively. 展开更多
关键词 Gastric cancer Metastatic lymph nodes number of retrieved lymph nodes PROGNOSIS
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The number of tumor-free axillary lymph nodes removed as a prognostic parameter for node-negative breast cancer 被引量:1
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作者 Fei Gao Ni He Pei-Hong Wu 《Chinese Journal of Cancer》 SCIE CAS CSCD 2014年第11期569-573,共5页
Recently, there has been controversy about the relationship between the number of lymph nodes removed and survival of patients diagnosed with lymph node-negative breast cancer. To assess this relationship, 603 cases o... Recently, there has been controversy about the relationship between the number of lymph nodes removed and survival of patients diagnosed with lymph node-negative breast cancer. To assess this relationship, 603 cases of lymph node-negative breast cancer with a median of 126 months of follow-up data were studied. Patients were stratified into two groups(Group A, 10 or fewer tumor-free lymph nodes removed; Group B, more than 10 tumor-free lymph nodes removed). The number of tumor-free lymph nodes in ipsilateral axillary resections as well as 5 other disease parameters were analyzed for prognostic value. Our results revealed that the risk of death from breast cancer was significantly associated with patient age, marital status, histologic grade, tumor size, and adjuvant therapy. The 5- and 10-year survival rates for patients with 10 or fewer tumor-free lymph nodes removed was 88.0% and 66.4%, respectively, compared with 69.2% and 51.1%, respectively, for patients with more than 10 tumor-free lymph nodes removed. For patients with 10 or fewer tumor-free lymph nodes removed, the adjusted hazard ratio(HR) for risk of death from breast cancer was 0.579(95% confidence interval, 0.492-0.687, P < 0.001), independent of patient age, marital status, histologic grade, tumor size, and adjuvant therapy. Our study suggests that the number of tumor-free lymph nodes removed is an independent predictor in cases of lymph node-negative breast cancer. 展开更多
关键词 淋巴结肿大 乳腺癌 肿瘤 阴性 预后 辅助治疗 置信区间 预测因子
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Prognostic significance of the number of pelvic lymph nodes removed in patients with early cervical cancer
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作者 Jing Zhao Weihong Dong 《Oncology and Translational Medicine》 2018年第2期58-61,共4页
Objective The aim of this research was to study the prognostic significance of the number of pelvic lymph nodes removed in patients with early cervical cancer.Methods We searched the Pub Med database using the terms &... Objective The aim of this research was to study the prognostic significance of the number of pelvic lymph nodes removed in patients with early cervical cancer.Methods We searched the Pub Med database using the terms "cervical cancer" and "lymph nodes" or "lymphadenectomy". Studies on the association between number of lymph nodes removed and prognosis or survival were identified. We retrospectively studied the relevant research.Results Ten retrospective studies were included. Two studies indicated that the number of lymph nodes had no association with prognosis whereas three studies found a positive relationship. Five studies indicated some factors that could influence the relationship between number of lymph nodes and prognosis.Conclusion The number of lymph nodes removed may positively influence the prognosis of patients with cervical cancer. Some factors may influence the relationship between the extent of lymph nodes removed and patient prognosis. Additional multicenter, prospective studies with large samples are required to confirm the study findings. 展开更多
关键词 节点 淋巴 癌症 骨盆 调查结果 预后 学习 MED
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甲状腺乳头状癌预防性中央区淋巴结清扫获得淋巴结数目的影响因素
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作者 刘克毅 梁广芃 +1 位作者 柴芳 刘畅 《实用医学杂志》 CAS 北大核心 2024年第4期508-514,共7页
目的探讨影响甲状腺乳头状癌行单侧腺叶及峡部切除联合预防性同侧中央区淋巴结清扫术获得淋巴结数目的因素,分析变化规律,以期为临床治疗甲状腺乳头状癌提供重要依据。方法回顾性分析锦州医科大学附属第一医院甲状腺外科于2019年1月至2... 目的探讨影响甲状腺乳头状癌行单侧腺叶及峡部切除联合预防性同侧中央区淋巴结清扫术获得淋巴结数目的因素,分析变化规律,以期为临床治疗甲状腺乳头状癌提供重要依据。方法回顾性分析锦州医科大学附属第一医院甲状腺外科于2019年1月至2022年1月因甲状腺乳头状癌收治入院并行单侧腺叶及峡部切除联合预防性同侧中央区淋巴结清扫术的患者193例的临床和病理资料,将病理所获得淋巴结数目分为高获得淋巴结数目组(n>6枚)和低获得淋巴结数目组(n≤6枚),采用单因素分析和多因素分析的方法找出影响高获得淋巴结数目的影响因素,通过相关分析判断获得淋巴结数目对中央区淋巴结转移的影响,此外,通过术后并发症分析获得淋巴结数目对患者生存质量的影响。结果获得淋巴结数目与中央区淋巴结转移数目(r=0.240,P<0.05)和淋巴结转移率(r=0.161,P<0.05)分别呈线性正相关,控制转移淋巴结数目不变,淋巴结转移率随获得淋巴结数的上升而降低(r=-0.444,P<0.05)。两组获得淋巴结数目单因素分析比较,性别、年龄、手术时长、BMI、肿瘤最大直径、多灶性、桥本甲状腺炎、病灶位置、被膜侵犯、对侧甲状腺结节、甲状旁腺移植、BRAF基因V600E突变差异无统计学意义(P>0.05),应用纳米碳在两组比较中差异有统计学意义(P<0.05),logistic二元回归分析结果显示合并桥本氏甲状腺炎和应用纳米碳是高获得淋巴结数目的独立影响因素(P<0.05)。ROC曲线分析提示应用纳米碳所占曲线下面积为0.658(95%CI:0.580~0.735,P<0.05),桥本甲状腺炎所占曲线下面积为0.584(95%CI:0.504~0.665,P<0.05)。此外,术后患者声带麻痹和淋巴漏的发生在高、低获得淋巴结数目组之间差异无统计学意义(P>0.05)。结论控制中央区淋巴结转移数目不变,获得淋巴结数目越多,淋巴结转移率越低,应用纳米碳及患者合并桥本甲状腺炎可提高获得淋巴结数目,高、低获得淋巴结数目在术后并发症的发生率方面无明显差别。 展开更多
关键词 甲状腺乳头状癌 桥本甲状腺炎 中央区淋巴结清扫术 纳米碳 获得淋巴结数目
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无线传感网LEACH协议的改进方法
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作者 何汇成 高欣 穆继亮 《信息技术》 2024年第3期16-21,共6页
为解决传统LEACH(Low Energy Adaptive Clustering Hierarchy)协议网络节点能量消耗高、存活数量少和生存寿命短等问题,提出了一种LEACH-AD改进方案。该算法引入最优簇头比率P值、加入距离因子、剩余能量因子和密度因子等因素更新的阈... 为解决传统LEACH(Low Energy Adaptive Clustering Hierarchy)协议网络节点能量消耗高、存活数量少和生存寿命短等问题,提出了一种LEACH-AD改进方案。该算法引入最优簇头比率P值、加入距离因子、剩余能量因子和密度因子等因素更新的阈值公式进行分簇以及簇间的传输。实验结果表明,改进后的LEACH-AD协议在首个死亡节点、10%死亡节点以及全部死亡节点分别比原LEACH协议延长138轮、195轮、628轮。在能量消耗方面比原LEACH协议多持续了631轮,改进后的路由协议减少了网络节点的能量消耗量,从而有效延长了无线网络与传感节点的工作时间,这对无线监测系统的研究与开发意义重大。 展开更多
关键词 无线传感网 分簇路由协议 阈值公式 网络剩余能量 网络存活节点数
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基于BP神经网络的刀片切割竹枝性能研究
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作者 杨梦迪 周兆兵 +1 位作者 孙炜 商庆清 《林业机械与木工设备》 2024年第3期4-9,共6页
为探究竹枝切割时的刀片切割性能影响因素,支持后续打枝装置的设计,开展竹枝切割刀片性能研究试验,通过单因素试验研究,利用切割阻力作为衡量标准,探究刀片切割性能与关键参数(刀片的滑动角、楔角和滑动速度)之间的相互关系。试验结果显... 为探究竹枝切割时的刀片切割性能影响因素,支持后续打枝装置的设计,开展竹枝切割刀片性能研究试验,通过单因素试验研究,利用切割阻力作为衡量标准,探究刀片切割性能与关键参数(刀片的滑动角、楔角和滑动速度)之间的相互关系。试验结果显示,随着刀片滑动角和楔角的减小,刀片切割性能呈现明显改善。同时,随着刀片滑动速度的增加,切割性能也呈现相应提升趋势。在多组实验中,采用不同的刀片滑切角度、楔角和滑切速度参数,对不同直径尺寸的竹枝进行切割,并收集了切割阻力的数据构成数据集,构建一个3层BP神经网络模型,研究了刀片切割性能与滑切角度、楔角以及滑切速度之间的关联,并应用相关模型进行了拟合和预测。在BP神经网络中,当隐含层节点数设定为9时,成功建立了刀片切割阻力模型,精准地预测了刀片切割过程中的阻力变化,对刀片切割竹枝性能研究具有一定参考价值。 展开更多
关键词 竹枝切割 试验 刀片切割性能 BP神经网络 隐含层节点数
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腹腔镜结肠癌根治术治疗结肠癌的疗效及对胃肠道功能的影响分析
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作者 夏连钱 孙陆 《中国实用医药》 2024年第4期46-49,共4页
目的探讨在结肠癌的治疗中采用腹腔镜手术的临床效果及对患者胃肠道功能的影响。方法选取58例结肠癌患者,采用随机数字表法分成对照组和研究组,每组29例。对照组采用传统开放手术治疗,研究组采用腹腔镜结肠癌根治术治疗。对比两组围手... 目的探讨在结肠癌的治疗中采用腹腔镜手术的临床效果及对患者胃肠道功能的影响。方法选取58例结肠癌患者,采用随机数字表法分成对照组和研究组,每组29例。对照组采用传统开放手术治疗,研究组采用腹腔镜结肠癌根治术治疗。对比两组围手术期相关指标、淋巴结清扫数量、血清炎性指标、血清应激指标及并发症发生率。结果研究组术中出血量(87.63±6.24)ml、术后引流量(24.32±2.05)ml较对照组的(122.25±9.52)、(30.23±2.63)ml少,手术时间(136.15±7.16)min、术后排气时间(3.14±0.26)d、肠鸣音恢复时间(2.34±0.43)d、恢复饮食时间(68.74±4.23)h、住院时间(10.42±1.16)d均较对照组的(141.05±8.75)min、(4.25±0.55)d、(3.58±0.75)d、(87.36±5.52)h、(15.27±1.44)d短(P<0.05)。两组肿瘤分期Ⅰ、Ⅱ期淋巴结清扫数量无显著差异(P>0.05);研究组肿瘤分期Ⅲ期淋巴结清扫数量、阳性淋巴结清扫数量、左半结肠淋巴结清扫数量、右半结肠淋巴结清扫数量分别为(25.11±2.02)、(21.06±2.14)、(18.87±1.42)、(24.23±2.14)个,均多于对照组的(17.58±1.36)、(12.25±1.23)、(16.25±1.26)、(18.54±1.52)个(P<0.05)。术后,对照组白细胞介素-6(IL-6)为(28.85±2.12)pg/ml,C反应蛋白(CRP)为(12.36±1.42)mg/L;研究组IL-6为(17.96±1.63)pg/ml,CRP为(8.64±1.15)mg/L,研究组IL-6、CRP较对照组低(P<0.05)。术后,对照组肾上腺素为(99.87±7.58)pg/ml,去甲肾上腺素为(176.52±9.36)pg/ml,皮质醇为(24.63±2.14)pg/ml;研究组肾上腺素为(64.25±4.31)pg/ml,去甲肾上腺素为(87.56±5.15)pg/ml,皮质醇为(13.54±1.63)pg/ml,两组较术前均有所升高,而研究组肾上腺素、去甲肾上腺素、皮质醇均较对照组低(P<0.05)。研究组并发症发生率(6.90%)较对照组(31.03%)低(P<0.05)。结论在结肠癌治疗中采用腹腔镜结肠癌根治术治疗可提高淋巴结清扫数量,缩短术后胃肠功能的恢复时间,改善血清炎性指标水平,减少应激反应,术后并发症发生率较低,有利于术后机体的康复,建议临床广泛应用。 展开更多
关键词 结肠癌 腹腔镜结肠癌根治术 淋巴结清扫数量 胃肠道功能 血清指标 并发症
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Non-surgical factors influencing lymph node yield in colon cancer
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作者 Patrick Wood Colin Peirce Jurgen Mulsow 《World Journal of Gastrointestinal Oncology》 SCIE CAS 2016年第5期466-473,共8页
There are numerous factors which can affect the lymph node(LN) yield in colon cancer specimens.The aim of this paper was to identify both modifiable and nonmodifiable factors that have been demonstrated toaffect colon... There are numerous factors which can affect the lymph node(LN) yield in colon cancer specimens.The aim of this paper was to identify both modifiable and nonmodifiable factors that have been demonstrated toaffect colonic resection specimen LN yield and to summarise the pertinent literature on these topics.A literature review of Pub Med was performed to identify the potential factors which may influence the LN yield in colon cancer resection specimens.The terms used for the search were:LN,lymphadenectomy,LN yield,LN harvest,LN number,colon cancer and colorectal cancer.Both nonmodifiable and modifiable factors were identified.The review identified fifteen non-surgical factors:(13 nonmodifiable,2 modifiable) which may influence LN yield.LN yield is frequently reduced in older,obese patients and those with male sex and increased in patients with right sided,large,and poorly differentiated tumours.Patient ethnicity and lower socioeconomic class may negatively influence LN yield.Pre-operative tumour tattooing appears to increase LN yield.There are many factors that potentially influence the LN yield,although the strength of the association between the two varies greatly.Perfecting oncological resection and pathological analysis remain the cornerstones to achieving good quality and quantity LN yields in patients with colon cancer. 展开更多
关键词 LYMPH node number FACTORS Yield COLON cancer
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Novel high-performance element in the electromagnetic finite-element method——node-edge element 被引量:1
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作者 Sheng Xinqing Peng Zhen 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2008年第5期878-881,共4页
It is known in the computational electromagnetics (CEM) that the node element has a relative wellconditioned matrix, but suffers from the spurious solution problem; whereas the edge element has no spurious solutions... It is known in the computational electromagnetics (CEM) that the node element has a relative wellconditioned matrix, but suffers from the spurious solution problem; whereas the edge element has no spurious solutions, but usually produces an ill-conditioned matrix. Particularly, when the mesh is over dense, the iterative solution of the matrix equation from edge element converges very slowly. Based on the node element and edge element, a node-edge element is presented, which has no spurious solutions and better-conditioned matrix. Numerical experiments demonstrate that the proposed node-edge element is more efficient than now-widely used edge element. 展开更多
关键词 node-edge element node element edge element matrix condition number.
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盆腔淋巴结转移数量对可手术宫颈鳞癌患者(Ⅰ_(b1)-Ⅱ_(a2)期)预后的预测价值
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作者 黄凤仙 李玢 +1 位作者 曹席明 金雯 《现代肿瘤医学》 CAS 北大核心 2023年第15期2904-2909,共6页
目的:验证和评估盆腔淋巴结转移数量(number of pelvic lymph node metastasis,nLNM)在可手术宫颈鳞癌患者(Ⅰ_(b1)-Ⅱ_(a2)期)中的预后预测价值。方法:从我院电子数据库中检索2010年01月01日至2017年12月31日收治的符合纳入和排除标准... 目的:验证和评估盆腔淋巴结转移数量(number of pelvic lymph node metastasis,nLNM)在可手术宫颈鳞癌患者(Ⅰ_(b1)-Ⅱ_(a2)期)中的预后预测价值。方法:从我院电子数据库中检索2010年01月01日至2017年12月31日收治的符合纳入和排除标准的可手术宫颈鳞癌(Ⅰ_(b1)-Ⅱ_(a2)期)患者,对最终纳入患者的临床病理特征、治疗方案及预后等信息进行分析。结果:本研究共纳入108例患者,其中nLNM≤2个(N1组)患者共计67例(62.04%),nLNM>2个(N2组)患者共计41例(37.96%)。N1和N2组患者在宫颈间质浸润深度(depth of cervical stromal invasion,DSI)、原发肿瘤大小、2009 FIGO分期等存在明显差异(P<0.05),0x09全组患者的5年总体生存(overall survival,OS)为71.3%,其中淋巴血管间隙侵犯(lymphovascular space invasion,LVSI)阴性和阳性患者的5年OS分别为:82.6%vs 62.9%;宫颈肿瘤浸润深度≤1/2和>1/2患者的5年OS分别为:80.9%vs 63.9%;原始肿瘤大小≤4 cm和>4 cm患者的5年OS分别为:81.3%vs 63.3%;N1与N2组患者的5年OS分别为:80.6%vs 56.1%,以上差异均有统计学意义(P<0.05)。在单因素分析中,LVSI、肿瘤大小、nLNM、2009 FIGO分期为宫颈鳞癌患者5年OS的预后影响因素;进一步的多因素分析结果显示:nLNM仍是宫颈鳞癌患者5年OS的独立预后影响因素,其中调整后的危险比为2.455(95%CI:1.191~5.059)。结论:在可手术宫颈鳞癌患者中,nLNM是一个更好的预后预测指标,可能在宫颈癌FIGO2018分期系统中起着更加重要的作用。 展开更多
关键词 宫颈鳞癌 盆腔淋巴结转移数量 nLNM 预后预测
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宫颈癌根治术后发生膀胱麻痹的影响因素
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作者 王华玲 尹丹 万小兰 《中国现代医生》 2023年第27期15-18,共4页
目的探讨宫颈癌根治术后患者发生膀胱麻痹的影响因素。方法选取2020年3月至2022年7月在江西省肿瘤医院行根治性手术治疗的86例宫颈癌患者为研究对象,分析宫颈癌根治术后患者发生膀胱麻痹的影响因素。结果86例患者中宫颈癌根治术后出现... 目的探讨宫颈癌根治术后患者发生膀胱麻痹的影响因素。方法选取2020年3月至2022年7月在江西省肿瘤医院行根治性手术治疗的86例宫颈癌患者为研究对象,分析宫颈癌根治术后患者发生膀胱麻痹的影响因素。结果86例患者中宫颈癌根治术后出现膀胱麻痹30例(34.88%),未出现膀胱麻痹56例(65.12%)。单因素分析显示,淋巴结切除数目、手术途径、宫旁组织切除宽度、阴道断端长度、导尿管留置时间、手术范围与宫颈癌根治术后患者发生膀胱麻痹有关,差异有统计学意义(P<0.05);年龄、临床分期、病理类型、术前放化疗、术中出血量、手术时间、术后住院时间与宫颈癌根治术后患者发生膀胱麻痹无关,差异无统计学意义(P>0.05)。多因素分析显示,淋巴结切除数目≥10个(OR=2.692,95%CI:1.051~6.899)、宫旁组织切除宽度≥3cm(OR=5.000,95%CI:1.924~12.996)、阴道断端长度≥3cm(OR=4.325,95%CI:1.669~11.207)、导尿管留置时间≥5d(OR=3.574,95%CI:1.405~9.090)、广泛子宫切除(OR=3.067,95%CI:1.127~8.341)是宫颈癌根治术后患者发生膀胱麻痹的高危因素(P<0.05)。结论宫颈癌根治术后患者易发生膀胱麻痹,其发生与淋巴结切除数目、宫旁组织切除宽度、阴道断端长度、导尿管留置时间、手术范围有关。 展开更多
关键词 膀胱麻痹 宫颈癌根治术 淋巴结切除数目 宫旁组织切除宽度 阴道断端长度 导尿管留置时间
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一种广域无线传感网络移动Sink节点路径规划方法
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作者 何栋 桂志国 《传感技术学报》 CAS CSCD 北大核心 2023年第3期475-480,共6页
在广域无线传感网络中,大量Sink节点处在移动状态,路径规划过程易受其他节点特征的干扰,导致规划效果较差,提出一种针对广域无线传感网络的移动Sink节点路径规划方法。利用Sink数据采集协议确定节点的最佳位置,通过计算最大网络寿命成... 在广域无线传感网络中,大量Sink节点处在移动状态,路径规划过程易受其他节点特征的干扰,导致规划效果较差,提出一种针对广域无线传感网络的移动Sink节点路径规划方法。利用Sink数据采集协议确定节点的最佳位置,通过计算最大网络寿命成本比确定节点的最佳数量后,根据节点的最佳位置和数量规划出最大容量路径。依据最大容量路径计算出Sink节点在四个方向上的权值系数,并沿着最大权值系数的方向移动,完成广域无线传感网络移动Sink节点路径规划。仿真结果表明,所提方法的运行时间低于6 s、路径长度最长为53 cm、拐点数量少于9个、迭代次数高达69次。 展开更多
关键词 广域无线传感网络 数据采集协议 Sink节点路径规划 最大网络寿命 最佳节点个数 网络能耗模型 传输路径
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PTC术中提示1~2枚中央区淋巴结转移选择不同手术方式的获益分析
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作者 庄雨陈 黄春 苏新良 《重庆医科大学学报》 CAS CSCD 北大核心 2023年第10期1261-1265,共5页
目的:探讨适用于术中1~2枚中央区淋巴结转移的甲状腺乳头状癌(papillary thyroid carcinoma,PTC)的手术方式。方法:收集2013年1月至2018年12月于重庆医科大学附属第一医院乳腺甲状腺外科行初次手术的术中1~2枚中央区淋巴结转移的PTC患者... 目的:探讨适用于术中1~2枚中央区淋巴结转移的甲状腺乳头状癌(papillary thyroid carcinoma,PTC)的手术方式。方法:收集2013年1月至2018年12月于重庆医科大学附属第一医院乳腺甲状腺外科行初次手术的术中1~2枚中央区淋巴结转移的PTC患者290例,并分析其临床病理学特征。结果:甲状腺腺叶切除术(hemithyroidectomy,HT)组的手术并发症发生率显著低于甲状腺全切除术(total thyroidectomy,TT)组(P<0.001)。手术方式不影响结构持续性/复发性疾病的发生(HR=2.848,95%CI=0.321~25.294,P=0.348)。淋巴结总转移数>5枚的独立危险因素为肿瘤直径>14.5 mm(OR=5.838,95%CI=2.295~14.850,P<0.001)、肿瘤位于上份(OR=2.765,95%CI=1.154~6.624,P=0.023)、Ⅲ区淋巴结有转移(OR=17.310,95%CI=7.053~42.481,P>0.001)。结论:目前结果支持术中提示1~2枚中央区淋巴结转移的PTC患者的首选手术方式为甲状腺腺叶切除术。若肿瘤位于上份且直径>14.5 mm,建议行预防性的同侧Ⅲ区颈淋巴结清扫。 展开更多
关键词 甲状腺乳头状癌 转移淋巴结数量 手术方式 术中冰冻
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腹腔镜根治性顺行模块化胰脾切除术在胰体尾癌治疗中的初步经验(附5例报告)
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作者 王仰亮 韩冰 +1 位作者 翟振洪 李昌 《临床医学研究与实践》 2023年第5期8-11,共4页
目的总结腹腔镜根治性顺行模块化胰脾切除术(L-RAMPS)在胰体尾癌治疗中的初步经验。方法收集2021年4月至2022年6月5例术前诊断为胰体尾癌行L-RAMPS患者的临床相关资料,统计手术相关数据、术后并发症及病理情况。结果5例患者均在完全腹... 目的总结腹腔镜根治性顺行模块化胰脾切除术(L-RAMPS)在胰体尾癌治疗中的初步经验。方法收集2021年4月至2022年6月5例术前诊断为胰体尾癌行L-RAMPS患者的临床相关资料,统计手术相关数据、术后并发症及病理情况。结果5例患者均在完全腹腔镜下顺利完成手术,无住院期间或术后30 d死亡病例。平均手术时间(172.23±25.68)min,平均标本切除时间(148.15±21.46)min,平均术中出血量(131.54±82.79)mL。术后平均下床活动时间(2.14±0.32)d,平均排气时间(2.79±0.17)d,平均进食时间(3.57±0.61)d,平均住院时间(13.71±4.35)d,平均肿瘤最大径(3.87±2.13)cm。术后2例发生胰瘘,胃排空障碍1例,经保守治疗痊愈。病理示:胰腺导管腺癌4例(其中高分化1例,低分化3例),胰腺神经内分泌癌1例;T2期4例,T1期1例;TNM分期(AJCC,8版)ⅠB期3例,ⅡA期1例,ⅡB期1例;平均淋巴结清扫数目(15.31±1.16)枚,淋巴结阳性2例,阳性率为40%。5例患者均获得R0切除,无再次手术病例。结论L-RAMPS技术要求高,手术难度大,治疗胰体尾癌安全可行,可提高胰体尾癌患者淋巴结清扫数量和R0切除率,值得临床推广。 展开更多
关键词 腹腔镜根治性顺行模块化胰脾切除术 胰体尾癌 淋巴结清扫数量
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3D腔镜甲状腺全切术治疗分化型甲状腺癌的效果及对外周血循环肿瘤细胞、肿瘤标志物的影响
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作者 杜学铅 张森焱 +1 位作者 冯跃庆 姜东宝 《海南医学》 CAS 2023年第18期2627-2631,共5页
目的探究3D腔镜甲状腺全切术(TET)在分化型甲状腺癌(DTC)患者治疗中的应用价值。方法选取2020年9月至2022年9月于新乡市中心医院头颈乳腺外科治疗的60例DTC患者为研究对象,采用随机数表法分为观察组和对照组,每组30例。观察组行3D TET治... 目的探究3D腔镜甲状腺全切术(TET)在分化型甲状腺癌(DTC)患者治疗中的应用价值。方法选取2020年9月至2022年9月于新乡市中心医院头颈乳腺外科治疗的60例DTC患者为研究对象,采用随机数表法分为观察组和对照组,每组30例。观察组行3D TET治疗,对照组行常规2D腔镜TET治疗。比较两组患者的手术情况及术后恢复指标、并发症、手术前后循环肿瘤细胞(CTC)水平和肿瘤标志物[甲状腺球蛋白(TG)、降钙素(CTN)、半乳糖血凝素-3(GAL-3)、癌胚抗原(CEA)]水平。结果观察组患者的手术时间、术中及术后出血量均较对照组短(少),淋巴结清扫数量较对照组多,差异均有统计学意义(P<0.05);术后3 d,两组患者的CTC水平较术前升高,且观察组为(27.12±5.84)×10个/mL,明显低于对照组的(32.17±6.49)×10个/mL,差异有统计学意义(P<0.05);术前及术后1个月、3个月,两组患者的血清TG、CTN、GAL-3、CEA较术前持续下降,术后1个月,观察组患者的血清TG、CTN、GAL-3、CEA水平分别为(92.86±11.29)μg/L、(11.35±2.46)ng/L、(4.61±1.08)ng/mL、(19.87±3.05)μg/L,明显低于对照组的(99.32±12.78)μg/L、(12.61±2.37)ng/L、(5.33±1.53)ng/mL、(21.46±2.96)μg/L,差异均有统计学意义(P<0.05);观察组患者术后并发症总发生率为16.67%,略低于对照组的33.33%,但差异无统计学意义(P>0.05)。结论3D TET是DTC安全可靠的治疗方式,可优化手术操作,缩短手术时间,减少术中出血,提高淋巴结清扫范围,减缓CTC分泌。 展开更多
关键词 分化型甲状腺癌 腔镜甲状腺全切术 3D 外周血循环肿瘤细胞 肿瘤标志物 淋巴结清扫数量
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模型选择视域下多结点样条曲线控制点最佳数量的确定
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作者 周佩佩 崔飞飞 赖嘉龙 《浙江工商职业技术学院学报》 2023年第3期51-56,共6页
时滞微分方程的非线性和随机性增加了建模的难度,但多结点样条拟合方法可以通过选择适当的结点数目来对其进行建模。然而,结点数目的选择对拟合结果有着重要影响。通过将赤池信息量准则(AIC)、广义交叉验证(GCV)和广义赤池信息量准则(GA... 时滞微分方程的非线性和随机性增加了建模的难度,但多结点样条拟合方法可以通过选择适当的结点数目来对其进行建模。然而,结点数目的选择对拟合结果有着重要影响。通过将赤池信息量准则(AIC)、广义交叉验证(GCV)和广义赤池信息量准则(GAIC)引入到结点数目的选择问题中可以自适应地获得最佳结点数目。通过将三种准则应用到不同的三个模型中对比结果发现,相较于AIC和GCV,使用GAIC能够更有效地解决结点数目选择的问题,这种方法能够平衡拟合效果和模型复杂性,从而为时滞微分方程建模提供更可靠的结果。 展开更多
关键词 多结点样条 最佳结点数量 AIC GCV GAIC
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大豆株高与主茎节数的全基因组关联分析
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作者 曾顺安 贾世豪 曹永策 《智慧农业导刊》 2023年第19期34-38,共5页
株高和主茎节数是大豆重要的株型性状,对产量有显著影响。该研究以281份大豆种质为试验材料,利用多个田间环境的表型数据,使用3VmrMLM模型对大豆株高和主茎节数进行全基因组关联分析。共检测到36个显著QTNs(Quantitative Trait Nucleoti... 株高和主茎节数是大豆重要的株型性状,对产量有显著影响。该研究以281份大豆种质为试验材料,利用多个田间环境的表型数据,使用3VmrMLM模型对大豆株高和主茎节数进行全基因组关联分析。共检测到36个显著QTNs(Quantitative Trait Nucleotides,数量性状核苷酸)和1个环境互作QTN(QEI)及25个显著QTN和2个QEI分别控制大豆株高和主茎节数。进一步分析发现,位于6号染色体40.69~41.18 Mb、18号染色体3.40~3.74 Mb和20号染色体34.66~34.87 Mb 3个基因组区间同时控制2个性状,可以认为是控制大豆株型的重要位点,且18号染色体上基因组区间为该研究新检测到的。研究结果可以为深入了解大豆株型性状的遗传基础及标记辅助育种提供有用的信息。 展开更多
关键词 大豆:株高 主茎节数 全基因组关联分析 3VmrMLM模型
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