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商环包皮环切术要点讨论

临床泌尿外科杂志 2018年第4期33卷 302-305页

作者：刘昉凝刘丹丹夏秋翔王淼肖行远潘峰肖亚军章小平华中科技大学同济医学院附属协和医院泌尿外科武汉430022

目的:分析商环包皮环切术的手术效果,探讨商环包皮环切的手术要点并制定标准化手术流程。方法:回顾性分析采用标准化方案行商环包皮环切术治疗的77例门诊患者的临床资料。患者年龄8~67岁,平均27.5岁;未婚17例,已婚60例;包茎4例,包皮过... 详细信息

目的:分析商环包皮环切术的手术效果,探讨商环包皮环切的手术要点并制定标准化手术流程。方法:回顾性分析采用标准化方案行商环包皮环切术治疗的77例门诊患者的临床资料。患者年龄8~67岁,平均27.5岁;未婚17例,已婚60例;包茎4例,包皮过长73例;其中系带过短2例,术前系带裂伤1例;糖尿病伴包皮炎1例。对于系带需进一步处理的患者,采用外置法环切时术中对系带进行相应处理(行系带延长术或重建术)。患者均随访1个月,观察指标包括手术时间、疼痛评分(视觉模拟评分法,0~10分)、术后带环时间、是否存在水肿、出血、感染、延迟愈合、切口裂开等并发症。结果:平均手术时间为(5.4±1.6)min,平均术中疼痛评分(2.0±1.0)分,平均带环时间(12.4±1.8)d。术后水肿发生率为3.9%(3/77),切口裂开发生率为1.3%(1/77)。结论:标准化手术操作及细致的术后护理有利于提高包皮环切术的手术质量,减少并发症。

关键词：包皮环切术商环标准化操作

输尿管结石ESWL失败后输尿管镜钬激光碎石术

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临床泌尿外科杂志 2006年第2期21卷 106-107页

作者：鞠文杨军李兵陈朝晖庞自力范民肖亚军曾甫清肖传国华中科技大学协和医院泌尿外科武汉430022

目的:评价输尿管结石ESWL失败后输尿管镜钬激光碎石术的临床治疗效果。方法:回顾性分析2002年3月～2005年10月输尿管结石ESWL失败后行输尿管镜钬激光碎石术50例(52侧)临床资料。结果:输尿管镜钬激光一次碎石成功46例(48侧),成功率为92.3... 详细信息

目的:评价输尿管结石ESWL失败后输尿管镜钬激光碎石术的临床治疗效果。方法:回顾性分析2002年3月～2005年10月输尿管结石ESWL失败后行输尿管镜钬激光碎石术50例(52侧)临床资料。结果:输尿管镜钬激光一次碎石成功46例(48侧),成功率为92.3%(48/52),2例置镜失败,2例结石移位。46例中,结石并发息肉或肉芽40例,远端狭窄10例,输尿管扭曲8例。结论:输尿管镜钬激光碎石术,创伤小,并发症少,是治疗输尿管结石ESWL失败后的首选方法。

关键词：体外冲击波碎石输尿管镜钬激光

无水乙醇和硝酸银处理兔肠黏膜效果的对比研究

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临床泌尿外科杂志 2007年第9期22卷 699-702页

作者：郭飞肖亚军曾四平李炎生黄向江华中科技大学同济医学院附属协和医院泌尿外科武汉430022

目的:以兔为模型,观察比较无水乙醇和硝酸银溶液去肠黏膜的效果,为黏膜处理的试剂选择提供思路。方法:将25只白兔随机分为五组,每组5只,取20cm回肠段做隔离肠襻。五组分别以无水乙醇8min(A)、无水乙醇15min(B)、6%硝酸银8min(C)、3%硝酸... 详细信息

目的:以兔为模型,观察比较无水乙醇和硝酸银溶液去肠黏膜的效果,为黏膜处理的试剂选择提供思路。方法:将25只白兔随机分为五组,每组5只,取20cm回肠段做隔离肠襻。五组分别以无水乙醇8min(A)、无水乙醇15min(B)、6%硝酸银8min(C)、3%硝酸银15min(D)、生理盐水8min(E)处理隔离之肠段。4周末,用葡萄糖吸收试验测定隔离肠袢吸收功能并取标本观察病理学改变。结果:无水乙醇和硝酸银溶液均具有去肠黏膜作用,四个处理组较对照组在形态学方面具有明显萎缩改变(P0.05)。结论:无水乙醇灌注8min和6%硝酸银灌注8min处理兔肠黏膜效果确切,能有效抑制吸收和分泌功能。两种方法处理后,在病理形态上未见明显差别,硝酸银在处理黏膜时与乙醇相比无明显优势。

关键词：膀胱重建无水乙醇硝酸银肠黏膜处理

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胃肠道癌症病人复发恐惧现状及影响因素分析

全科护理 2023年第18期21卷 2472-2476页

作者：颜峰王秀秀高卫红肖亚军刘化侠山东第一医科大学第二附属医院 271000 山东第一医科大学(山东省医学科学院) 250117

目的:描述胃肠道癌症病人癌症复发恐惧(FCR)的现状及其影响因素;探讨癌症复发恐惧与照护满意度、个性特征的相关性,为优质护理提供参考依据。方法:采用病人一般情况调查问卷、中文版癌症复发恐惧量表(FCRI-CV)、癌症照护满意度量表(SCA... 详细信息

目的:描述胃肠道癌症病人癌症复发恐惧(FCR)的现状及其影响因素;探讨癌症复发恐惧与照护满意度、个性特征的相关性,为优质护理提供参考依据。方法:采用病人一般情况调查问卷、中文版癌症复发恐惧量表(FCRI-CV)、癌症照护满意度量表(SCA)、艾森克人格问卷简式量表中国版(EPQ-RSC)对246例胃肠道癌症病人进行调查分析。结果:病人FCR得分中度及以上占比80.5%;个性特征调查结果显示,本组病人性格类型以情绪不稳定型为主,4个类型FCR得分分别做两两比较,显示内向不稳定人格FCR得分最高,其次为外向不稳定,内向稳定人格FCR得分最低,差异有统计学意义(P<0.05)。Pearson相关分析结果表明,FCR总分与照护满意度总分呈负相关(r=-0.22,P<0.05),与个性特征中的内外向维度(Extraversion,E)呈负相关(r=-0.23,P<0.05),与神经质(Neuroticism,N)维度呈正相关(r=0.22,P<0.05)。多元线性回归方程显示,照护满意度总分、人格中的N量表得分、性别、自理能力、家庭收入是病人FCR的主要影响因素。结论:医务人员应加强对年轻女性、自理能力差、家庭收入低以及不稳定型人格病人的干预,提高照护满意度,从而降低其FCR水平。

关键词：胃肠道癌症癌症复发恐惧照护满意度个性特征

椎旁肌参数与退行性胸腰段后凸角度的相关性研究

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中华骨科杂志 2024年第11期44卷 771-777页

作者：臧泽桐吴文凯王玲段芳芳王任先郭安忆郎昭肖斌刘亚军首都医科大学附属北京积水潭医院(国家骨科医学中心)脊柱外科北京100035 首都医科大学附属北京积水潭医院放射科北京100035 首都医科大学附属北京积水潭医院临床流行病学研究中心北京100035 北京市创伤骨科研究所北京100035

目的分析椎旁肌参数与退行性胸腰段后凸角度的相关性。方法回顾性分析2021年11月至2023年4月于北京积水潭医院脊柱外科接受手术治疗的腰椎退行性疾病的女性患者90例,年龄(67.62±4.98)岁(范围60~80岁),身高(1.58±0.05)m(范围1.48~1.70... 详细信息

目的分析椎旁肌参数与退行性胸腰段后凸角度的相关性。方法回顾性分析2021年11月至2023年4月于北京积水潭医院脊柱外科接受手术治疗的腰椎退行性疾病的女性患者90例,年龄(67.62±4.98)岁(范围60~80岁),身高(1.58±0.05)m(范围1.48~1.70)m,体重(63.79±9.13)kg(范围47~90 kg),体质指数(25.48±3.35)kg/m^(2)(范围18.37~36.05 kg/m^(2))。胸腰段后凸角为6.65°±10.38°(范围-17.34°~9.34°)。疾病诊断:腰间盘突出症32例、腰椎管狭窄症58例。摄站立位胸腰段正侧位X线片测量胸腰段后凸角度;摄胸腰段定量CT并采用Osirix软件测量T_(12)、L_(3)、L_(5)水平椎旁肌参数,包括椎旁肌横截面积、骨骼肌面积和组织密度、脂肪浸润比例和身高矫正的骨骼肌面积指数。分析椎旁肌参数与胸腰段后凸角度之间的相关性,采用多重线性回归分析影响胸腰段后凸角度的因素。结果相关性分析结果显示胸腰段后凸角与T_(12)骨骼肌组织密度(r=-0.303,P=0.004)和L_(5)骨骼肌组织密度(r=-0.219,P=0.038)呈负相关。年龄与T_(12)骨骼肌组织密度(r=-0.263,P=0.012)、T_(12)身高矫正的骨骼肌面积指数(r=-0.221,P=0.036)、T_(12)椎旁肌横截面积(r=-0.280,P=0.007)、L_(3)骨骼肌组织密度(r=-0.266,P=0.011)和L_(5)骨骼肌组织密度(r=-0.290,P=0.006)呈负相关。骨密度与椎旁肌参数无相关性(P>0.05)。多重线性回归显示T_(12)骨骼肌组织密度(β=-1.125,P<0.001)、T_(12)脂肪浸润比例(β=-0.849,P=0.001)、L_(3)骨骼肌组织密度(β=0.996,P<0.001)和L_(3)脂肪浸润比例(β=0.496,P=0.020)是影响胸腰段后凸角的独立因素。结论T_(12)和L_(3)椎旁肌密度和脂肪浸润比例是影响胸腰段后凸角的独立因素。T_(12)椎旁肌密度和脂肪浸润比例越小、L_(3)椎旁肌密度和椎旁肌脂肪浸润比例越大,胸腰段后凸角度越大。

关键词：脊柱后凸背部肌肉脂肪组织数据相关性

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基于骨骼特征点的跌倒检测方法

内江师范学院学报 2024年第2期39卷 52-57页

作者：侯相军陈亚军孙超越肖慈西华师范大学电子信息工程学院四川南充637009

针对现有跌倒检测方法中利用时空图卷积网络(ST-GCN)进行行为检测的准确率有待提高、时间信息利用不够充分等问题,提出了一种基于轻量级YOLO v3人体目标检测模型结合人体骨骼特征点的跌倒检测方法.本方法利用AlphaPose算法实时得到人体... 详细信息

针对现有跌倒检测方法中利用时空图卷积网络(ST-GCN)进行行为检测的准确率有待提高、时间信息利用不够充分等问题,提出了一种基于轻量级YOLO v3人体目标检测模型结合人体骨骼特征点的跌倒检测方法.本方法利用AlphaPose算法实时得到人体的骨骼特征点信息,在此基础上结合改进的ST-GCN模型提取了强化后的行为时空信息,从而对跌倒进行更加准确的检测.在通用数据集及自建数据集上的测试结果表明,该方法在跌倒检测中具有良好的效果.

关键词：计算机视觉跌倒行为检测目标检测骨骼特征点时空图卷积

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肾后性急性肾功能衰竭的微创治疗

临床泌尿外科杂志 2006年第11期21卷 848-849页

作者：甘艺平余强国刘克龙宋小松范召应肖亚军佛山市南海区平洲医院泌尿外科广东佛山528251 华中科技大学同济医学院附属协和医院泌尿外科

目的:总结腔内微创技术治疗肾后性急性肾功能衰竭的临床经验。方法:对48例不同梗阻原因致肾后性急性肾功能衰竭的患者,采用膀胱镜下逆行插管(3例)、输尿管镜下取石/碎石后置管(35例)引流、经皮肾穿刺造瘘引流(10例)解除梗阻,回顾性分析... 详细信息

目的:总结腔内微创技术治疗肾后性急性肾功能衰竭的临床经验。方法:对48例不同梗阻原因致肾后性急性肾功能衰竭的患者,采用膀胱镜下逆行插管(3例)、输尿管镜下取石/碎石后置管(35例)引流、经皮肾穿刺造瘘引流(10例)解除梗阻,回顾性分析其治疗效果。结果:48例患者均成功解除尿路梗阻,无一例死亡,无尿瘘、输尿管穿孔、肾出血等并发症。结论:上尿路梗阻是肾后性急性肾功能衰竭的主要原因,应首选输尿管镜技术处理。如处理困难,膀胱镜下逆行插管和经皮肾镜穿刺造瘘引流也是可行的有效方法。

关键词：急性肾后性肾衰微创治疗输尿管镜

Application of fluorescence in situ hybridization in the detection of bladder transitional-cell carcinoma: A multi-center clinical study based on Chinese population

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Asian Journal of Urology 2019年第1期6卷 114-121页

作者： Liqun Zhou Kaiwei Yang Xuesong Li Yi Ding Dawei Mu Hanzhong Li Yong Yan Jinyi Li Dongwen Wang Wei Li Yulong Cong Jiangping Gao Kewei Ma yajun xiao Sheng Zhang Hongyi Jiang Weilie Hu Qiang Wei Xunbo Jin Zhichen Guan Qingyong Liu Danfeng Xu Xin Gao Yongguang Jiang Weimin Gan Guang Sun Qing Wang Yanhui Liu Jianquan Hou Liping Xie Xishuang Song Fengshuo Jin Jiafu Feng Ming Cai Zhaozhao Liang Jie Zhang Dingwei Ye Lin Qi Lulin Ma Jianzhong Shou Yuping Dai Jianyong Shao Ye Tian Shizhe Hong Tao Xu Chuize Kong Zefeng Kang Yuexin Liu Xun Qu Benkang Shi Shaobin Zheng Yi Lin Shujie Xia Dong Wei Jianbo Wu Weiling Fu Zhiping Wang Jianbo Liang Department of Urology Peking University First HospitalBeijingChina Institute of Urology Peking UniversityBeijingChina National Urological Cancer Center BeijingChina Air Force General Hospital PLABeijingChina Department of Urology Peking Union Medical College HospitalBeijingChina Department of Urology Beijing Chao-Yang HospitalBeijingChina Department of Urology Armed-Police General HospitalBeijingChina Department of Urology Shanxi Medical University First HospitalTaiyuanChina Department of Urology Hebei Medical University Second HospitalShijiazhuangChina Department of Urology The General Hospital of the People’s Liberation ArmyBeijingChina Department of Urology First Affiliated Hospital of Jilin UniversityChangchunChina Department of Urology Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhanChina Department of Pathology The First Affiliated Hospital of Fujian Medical UniversityFuzhouChina Department of Urology The Second Xiangya Hospital of Central South UniversityChangshaChina Department of Urology General Hospital of Guangzhou Military Command of PLAGuangzhouChina Department of Urology West China School of MedicineChengduChina Department of Urology Shangdong Province-owned HospitalJinanChina Department of Urology Peking University Shenzhen HospitalShenzhenChina Department of Urology The Central Hospital of Jinan CityJinanChina Department of Urology Shanghai Changzheng HospitalShanghaiChina Department of Urology The Third Affiliated Hospital of Sun Yat-sen UniversityGuangzhouChina Department of Urology Beijing Anzhen Hospital of Capital Medical UniversityBeijingChina Department of Urology The Second Affiliated Hospital of Xi’an Jiaotong UniversityXi’anChina Department of Urology The Second Hospital of Tianjin Medical UniversityTianjinChina Department of Urology People’s Hospital of Xinjiang Uygur Autonomous RegionWulumuqiChina Department of Urology Guangdong General HospitalGuangzhouChina Department of Urology The First Affil

Objective:To evaluate the diagnostic value of fluorescence in situ hybridization(FISH)in bladder ***:We enrolled healthy volunteers and patients who were clinically suspected to have bladder cancer and conducted FISH tests and cytology examinations from August 2007 to December *** operating characteristic(ROC)curve analysis was performed and the area under curve(AUC)values were calculated for both the FISH and urine cytology ***:A cohort of 988 healthy volunteers was enrolled to establish a reference range for the normal population.A total of 4807 patients with hematuria were prospectively,randomly enrolled for the simultaneous analysis of urine cytology,FISH testing,and a final diagnosis as determined by the pathologic findings of a biopsy or a surgically-excised ***,the sensitivity of FISH in detecting transitional-cell carcinoma was 82.7%,while that of cytology was 33.4%(p<0.001).The sensitivity values of FISH for non-muscle invasive and muscle invasive bladder transitional-cell carcinoma were 81.7%and 89.6%,respectively(p=0.004).The sensitivity values of FISH for low and high grade bladder cancer were 82.6%and 90.1%,respectively(p=0.002).Conclusion:FISH is significantly more sensitive than voided urine cytology for detecting bladder cancer in patients evaluated for gross hematuria at all cancer grades and *** sensitivity using FISH was obtained in high grade and muscle invasive tumors.

关键词： Bladder transitionalcell carcinoma Fluorescence in situ hybridization Detection Grade Stage

Constructing stable Li-solid electrolyte interphase to achieve dendrites-free solid-state battery:A nano-interlayer/Li prereduction strategy

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Nano Research 2022年第8期15卷 7180-7189页

作者： yajun Niu Zhaozhe Yu Yongjian Zhou Jiawen Tang Maoxin Li Zechao Zhuang Yan Yang xiao Huang Bingbing Tian Guangxi Key Laboratory of Manufacturing Systems and Advanced Manufacturing Technology Guilin University of Electronic TechnologyGuilin 541004China International Collaborative Laboratory of 2D Materials for Optoelectronics Science and Technology of Ministry of Education Institute of Microscale OptoelectronicsShenzhen UniversityShenzhen 518060China Department of Chemistry Tsinghua UniversityBeijing 100084China Collaborative Innovation Center for Vessel Pollution Monitoring and Control Dalian Maritime UniversityDalian 116026China

Solid-state batteries based on Li and nonflammable solid-state electrolytes(SSEs)have aroused the attention of numerous researchers because of their absolute safety and potentially high energy *** SSEs after coming into contact with Li are reduced,which leads to high interfacial charge-transfer impedance and dendrites *** this study,an“interlayer-Li pre-reduction strategy”was proposed to solve the above problem of *** intermediate layer was introduced between solid electrolyte and Li,and it reacted with Li to produce a stable and ion-conductive *** garnet-type Nb-doped Li_(7)La_(3)Zr_(2)O_(12)(Nb-LLZO)was selected as an example solid electrolyte since it is characterized by high ionic conductivity,feasible preparation under ambient conditions,as well as low *** high impedance arising from the reduction at the Nb-LLZO|Li interface has limited its *** this paper,a nano-scale Li phosphorus oxynitride(LiPON)layer was deposited on the Nb-LLZO pellets through radio frequency(RF)magnetron sputtering,which pre-reacted with Li in-situ to produce a lithiophilic,electronically insulating,and ionic conductive *** produced interphase significantly inhibited the reduction of Nb5+against Li and the formation and propagation of Li *** is noteworthy that Li|LiPON|Nb-LLZO|LiPON|Li cells stably cycled for over 2,000 h without any short *** study emphasizes and demonstrates the significance of the pre-conversion of modification layer between unstable SSE and Li metal to improve interfacial stability.

关键词： Nb-doped Li_(7)La_(3)Zr_(2)O_(12)(Nb-LLZO) conversion reaction Li phosphorus oxynitride(LiPON) interfacial reduction solid-state battery