BACKGROUND Limb body wall complex(LBWC)is a fatal malformation characterized by major defects in the fetal abdominal or thoracic wall,visceral herniation,significant scoliosis or spina bifida,limb deformities,craniofa...BACKGROUND Limb body wall complex(LBWC)is a fatal malformation characterized by major defects in the fetal abdominal or thoracic wall,visceral herniation,significant scoliosis or spina bifida,limb deformities,craniofacial deformities,and umbilical cord abnormalities(short or absent umbilical cord).Early diagnosis of this condition is of great clinical significance for clinical intervention and pregnancy decision-making.With the rapid development of fetal ultrasound medicine,early pregnancy(11-13+6 wk)standardized prenatal ultrasound examinations have been widely promoted and applied.AIM To explore the value of prenatal ultrasound in the diagnosis of fetal LBWC syndrome during early pregnancy.METHODS The ultrasonographic data and follow-up results of 18 cases of fetal LBWC diagnosed by prenatal ultrasound during early pregnancy(11-13+6 wk)were retrospectively analyzed,and their ultrasonographic characteristics were analyzed.RESULTS Among the 18 fetuses with limb wall abnormalities,there were spinal dysplasia(18/18,100%),varying degrees of thoracoschisis and gastroschisis(18/18,100%),limb dysplasia in 6 cases(6/18,33%),craniocerebral malformations in 4 cases(4/18,22%),thickening of the transparent layer of the neck in 5 cases(5/18,28%),and umbilical cord abnormalities in 18 cases(18/18,100%),single umbilical artery in 5 cases.CONCLUSION Prenatal ultrasound in early pregnancy can detect LBWC as early as possible,and correct prenatal evaluation provides important guidance value for pregnancy decision-making and early intervention.展开更多
On the basis of test, nonlinear finite element analysis of reinforcedconcrete (R. C) short-limb shear walls under monotonic horizontal load are carried out by ANSYSprogram in order to understand the evolution of crack...On the basis of test, nonlinear finite element analysis of reinforcedconcrete (R. C) short-limb shear walls under monotonic horizontal load are carried out by ANSYSprogram in order to understand the evolution of cracking, deformation and failure course of thespecimens. At the same time, the results of numerical calculation are compared with the results oftest. The results indicate that, under monotonic horizontal load the failures of the specimens withflange wall and without flange wall all occur at the intersections of lintel bottom and limb ofwall, the failures also occur at the bottom of limb; the load-displacement curve of wall withoutflange is steeper than that of wall with flange, and the ductility is worse than that of wall withflange; the results, such as cracking, deformation, yield load and so on of finite element analysisagree well with the results of test. These results provide theoretical basis of study andapplication of R. C short-limb shear wall.展开更多
文摘BACKGROUND Limb body wall complex(LBWC)is a fatal malformation characterized by major defects in the fetal abdominal or thoracic wall,visceral herniation,significant scoliosis or spina bifida,limb deformities,craniofacial deformities,and umbilical cord abnormalities(short or absent umbilical cord).Early diagnosis of this condition is of great clinical significance for clinical intervention and pregnancy decision-making.With the rapid development of fetal ultrasound medicine,early pregnancy(11-13+6 wk)standardized prenatal ultrasound examinations have been widely promoted and applied.AIM To explore the value of prenatal ultrasound in the diagnosis of fetal LBWC syndrome during early pregnancy.METHODS The ultrasonographic data and follow-up results of 18 cases of fetal LBWC diagnosed by prenatal ultrasound during early pregnancy(11-13+6 wk)were retrospectively analyzed,and their ultrasonographic characteristics were analyzed.RESULTS Among the 18 fetuses with limb wall abnormalities,there were spinal dysplasia(18/18,100%),varying degrees of thoracoschisis and gastroschisis(18/18,100%),limb dysplasia in 6 cases(6/18,33%),craniocerebral malformations in 4 cases(4/18,22%),thickening of the transparent layer of the neck in 5 cases(5/18,28%),and umbilical cord abnormalities in 18 cases(18/18,100%),single umbilical artery in 5 cases.CONCLUSION Prenatal ultrasound in early pregnancy can detect LBWC as early as possible,and correct prenatal evaluation provides important guidance value for pregnancy decision-making and early intervention.
文摘On the basis of test, nonlinear finite element analysis of reinforcedconcrete (R. C) short-limb shear walls under monotonic horizontal load are carried out by ANSYSprogram in order to understand the evolution of cracking, deformation and failure course of thespecimens. At the same time, the results of numerical calculation are compared with the results oftest. The results indicate that, under monotonic horizontal load the failures of the specimens withflange wall and without flange wall all occur at the intersections of lintel bottom and limb ofwall, the failures also occur at the bottom of limb; the load-displacement curve of wall withoutflange is steeper than that of wall with flange, and the ductility is worse than that of wall withflange; the results, such as cracking, deformation, yield load and so on of finite element analysisagree well with the results of test. These results provide theoretical basis of study andapplication of R. C short-limb shear wall.
