目的:探讨基于CT三维重组技术的R.E.N.A.L.评分系统在腹腔镜肾部分切除术中的临床应用价值。方法:搜集我院2020年6月至2024年1月经手术治疗的79例肾肿瘤患者的临床及术前影像资料,根据术前肾脏CT三维重组结果,分析血管变异与肾脏热缺血...目的:探讨基于CT三维重组技术的R.E.N.A.L.评分系统在腹腔镜肾部分切除术中的临床应用价值。方法:搜集我院2020年6月至2024年1月经手术治疗的79例肾肿瘤患者的临床及术前影像资料,根据术前肾脏CT三维重组结果,分析血管变异与肾脏热缺血时间、手术总时间、术中出血量及术后并发症之间的关系,并进行R.E.N.A.L.评分。采用Logistic回归筛选出肾热缺血时间大于20 min的独立危险因素。结果:有无血管变异在肾脏热缺血时间、手术总时间、术中出血量及术后并发症之间无明显差异(P > 0.05)。R.E.N.A.L.总评分是肾热缺血时间大于20 min的独立危险因素(P P Objective: To explore the clinical application value of R.E.N.A.L. scoring system based on CT three-dimensional reconstruction technology in laparoscopic partial nephrectomy. Methods: The clinical and preoperative imaging data of 79 patients with renal tumors who underwent surgical treatment in our hospital from June 2020 to January 2024 were collected. According to the results of preoperative renal CT three-dimensional reconstruction, the relationship between vascular variation and renal warm ischemia time, total operation time, intraoperative bleeding and postoperative complications was analyzed, and R.E.N.A.L. score was performed. Logistic regression was used to screen out independent risk factors for renal warm ischemia time greater than 20 min. Results: There was no significant difference in renal warm ischemia time, total operation time, intraoperative blood loss and postoperative complications between the presence or absence of vascular variation (P > 0.05). The total R.E.N.A.L. score was an independent risk factor for renal warm ischemia time greater than 20 min (P P < 0.05). Conclusion: CT three-dimensional reconstruction can clearly understand the anatomical location of the kidney, tumor and blood vessels before surgery, thereby reducing the occurrence of perioperative complications.展开更多
Root morphology and physiology influence aboveground growth and yield formation in rice.However,root morphological and physiological differences among rice varieties with differing nitrogen(N)sensitivities and their r...Root morphology and physiology influence aboveground growth and yield formation in rice.However,root morphological and physiological differences among rice varieties with differing nitrogen(N)sensitivities and their relationship with grain yield are still unclear.In this study,rice varieties differing in N sensitivity over many years of experiments were used.A field experiment with multiple N rates(0,90,180,270,and 360 kg ha^(-1))was conducted to elucidate the effects of N application on root morphology,root physiology,and grain yield.A pot experiment with root excision and exogenous application of 6-benzyladenine(6-BA)at heading stage was used to further verify the above effects.The findings revealed that(1)under the same N application rate,N-insensitive varieties(NIV)had relatively large root biomass(root dry weight,length,and number).Grain yield was associated with root biomass in NIV.The oxidation activity and zeatin(Z)+zeatin riboside(ZR)contents in roots obviously and positively correlated with grain yield in N-sensitive varieties(NSV),and accounted for its higher grain yield than that of NIV at lower N application rates(90 and 180 kg ha^(-1)).(2)The root dry weight required for equal grain yield of NIV was greater than that of NSV.Excision of 1/10 and 1/8 of roots at heading stage had no discernible effect on the yield of Liangyoupeijiu(NIV),and it significantly reduced yield by 11.5%and 21.3%in Tianyouhuazhan(NSV),respectively,compared to the treatment without root excision.The decrease of filled kernels and grain weight after root excision was the primary cause for the yield reduction.Root excision and exogenous 6-BA application after root excision had little influence on the root activity of NIV.The oxidation activity and Z+ZR contents in roots of NSV decreased under root excision,and the increase in the proportion of excised roots aggravated these effects.The application of exogenous 6-BA increased the root activity of NSV and increased filled kernels and grain weight,thereby reducing yield loss after root excision.Thus,the root biomass of NIV was large,and there may be a phenomenon of"root growth redundancy."Vigorous root activity was an essential feature of NSV.Selecting rice varieties with high root activity or increasing root activity by cultivation measures could lead to higher grain yield under lower N application rates.展开更多
文摘目的:探讨基于CT三维重组技术的R.E.N.A.L.评分系统在腹腔镜肾部分切除术中的临床应用价值。方法:搜集我院2020年6月至2024年1月经手术治疗的79例肾肿瘤患者的临床及术前影像资料,根据术前肾脏CT三维重组结果,分析血管变异与肾脏热缺血时间、手术总时间、术中出血量及术后并发症之间的关系,并进行R.E.N.A.L.评分。采用Logistic回归筛选出肾热缺血时间大于20 min的独立危险因素。结果:有无血管变异在肾脏热缺血时间、手术总时间、术中出血量及术后并发症之间无明显差异(P > 0.05)。R.E.N.A.L.总评分是肾热缺血时间大于20 min的独立危险因素(P P Objective: To explore the clinical application value of R.E.N.A.L. scoring system based on CT three-dimensional reconstruction technology in laparoscopic partial nephrectomy. Methods: The clinical and preoperative imaging data of 79 patients with renal tumors who underwent surgical treatment in our hospital from June 2020 to January 2024 were collected. According to the results of preoperative renal CT three-dimensional reconstruction, the relationship between vascular variation and renal warm ischemia time, total operation time, intraoperative bleeding and postoperative complications was analyzed, and R.E.N.A.L. score was performed. Logistic regression was used to screen out independent risk factors for renal warm ischemia time greater than 20 min. Results: There was no significant difference in renal warm ischemia time, total operation time, intraoperative blood loss and postoperative complications between the presence or absence of vascular variation (P > 0.05). The total R.E.N.A.L. score was an independent risk factor for renal warm ischemia time greater than 20 min (P P < 0.05). Conclusion: CT three-dimensional reconstruction can clearly understand the anatomical location of the kidney, tumor and blood vessels before surgery, thereby reducing the occurrence of perioperative complications.
基金the National Natural Science Foundation of China(32071947,32071944,31871557)the Open Project of Jiangsu Key Laboratory of Crop Genetics and Physiology(YCSL202102)+1 种基金the Priority Academic Program Development of Jiangsu Higher Education Institutions(PAPD)the Postgraduate Research&Practice Innovation Program of Jiangsu province(KYCX21_3235).
文摘Root morphology and physiology influence aboveground growth and yield formation in rice.However,root morphological and physiological differences among rice varieties with differing nitrogen(N)sensitivities and their relationship with grain yield are still unclear.In this study,rice varieties differing in N sensitivity over many years of experiments were used.A field experiment with multiple N rates(0,90,180,270,and 360 kg ha^(-1))was conducted to elucidate the effects of N application on root morphology,root physiology,and grain yield.A pot experiment with root excision and exogenous application of 6-benzyladenine(6-BA)at heading stage was used to further verify the above effects.The findings revealed that(1)under the same N application rate,N-insensitive varieties(NIV)had relatively large root biomass(root dry weight,length,and number).Grain yield was associated with root biomass in NIV.The oxidation activity and zeatin(Z)+zeatin riboside(ZR)contents in roots obviously and positively correlated with grain yield in N-sensitive varieties(NSV),and accounted for its higher grain yield than that of NIV at lower N application rates(90 and 180 kg ha^(-1)).(2)The root dry weight required for equal grain yield of NIV was greater than that of NSV.Excision of 1/10 and 1/8 of roots at heading stage had no discernible effect on the yield of Liangyoupeijiu(NIV),and it significantly reduced yield by 11.5%and 21.3%in Tianyouhuazhan(NSV),respectively,compared to the treatment without root excision.The decrease of filled kernels and grain weight after root excision was the primary cause for the yield reduction.Root excision and exogenous 6-BA application after root excision had little influence on the root activity of NIV.The oxidation activity and Z+ZR contents in roots of NSV decreased under root excision,and the increase in the proportion of excised roots aggravated these effects.The application of exogenous 6-BA increased the root activity of NSV and increased filled kernels and grain weight,thereby reducing yield loss after root excision.Thus,the root biomass of NIV was large,and there may be a phenomenon of"root growth redundancy."Vigorous root activity was an essential feature of NSV.Selecting rice varieties with high root activity or increasing root activity by cultivation measures could lead to higher grain yield under lower N application rates.
基金Supported by the National Natural Science Foundation of China(11871452,12071052the Natural Science Foundation of Henan(202300410338)the Nanhu Scholar Program for Young Scholars of XYNU。
