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objective to evaluate efficacy of extracorporeal shock wave lithotripsyfor treating ureteral stones in situ,investigate the cause of higher re-treatment rate.methods total of 687 patients with ureteral stone were received eswl between january 2000 and december 2004,included 455 male(66.2%) and 232 female(33.8%) patients,6 cases have bilateral ureteral calculi,12 cases have unilateral multiple calculi.hence,together 709 ureteral calculi were treated.patients upper ureteral calculi were treated in the supine position,for lower ureteral calculi patients were turned prone.to reduce eswl-induced renal trauma and pain,using lower energy source,adjusted power setting from 9.8 to 13.2kv,limited 1500 shock wavs per one session.no auxiliary procedure were used before eswl.the stone size was measured as the surface area of stone length by stone width on x-ray film.the interval between two treatment sessions was two weeks.results of 709 ureteral calculi,the overall stone free rate was 97.3%(690 calculi),re-treatment rate was 34.1%(292 calculi).according to the performed treatment sessions,one session 467 calculi,the mean stone size 37.27mm2,stone free rate 65.4%(464 calculi).two sessions 138 calculi,the mean stone size 62.48mm2,stone free rate 18.4%(131calculi).three sessions 52 calculi,the mean stone size 79.60mm2,stone free rate 7.1%(50calculi).four sessions 19 calculi,the mean stone size 101.63mm2,stone free rate 2.4%(17calculi).fivesessions 33 calculi,the mean stone size 119.33mm2,stone free rate 3.9%(28 calculi).overall 19 cases(2.7%)turned to other treatment modalities.of 335 upper ureteral calculi,303 achieved stone free (95.8%),re-treatment rate was 38.5%(129 calculi).of 374 lower ureteral calculi,369 achieved stone free(98.7%),re-treatment rate was 30.2%(113 calculi).the re-treatment rate of upper ureteral calculi was higher than lower ureteral calculi(p<0.05,χ2=5.40).the difference of stone-free rate between upper and lower ureteral calculi was no significant(p>0.05,χ2=0.15).conclusion eswl should be considered first line therapy for ureteral stone still.stone burden are the main variable of higher re-treatment rate,upper ureteral stone may moving with respiring during eswl.so efficinet shock wave was decreared,re-treatment rate become higher.

目的 评估体外震波碎石治疗输尿管结石的疗效,探讨再治疗率高的原因及输尿管结石的治疗选择。方法回顾2000年1月~2004年12月间eswl治疗输尿管结石的临床资料687例,男455例(66.2%),女232例(33.8%),平均年龄46.6岁(15~83岁)。有双侧输尿管结石6例,单侧多发性输尿管结石12例(4颗1例,3颗2例,2颗9例),共计输尿管结石709颗(含透光结石13颗)。应用上海爱申公司生产的desunit6030型碎石机,c臂x线球管做结石定位。上段输尿管结石(肾盂输尿管交界处至骶髂关节上缘)取仰卧位,下段输尿管结石(骶髂关节上缘下至输尿管口)取俯卧位。为减少eswl引起的肾损伤和疼痛,应用较低的能量,震波发生器电压从9.8~13.2kv,震波频率1.5s。每次治疗设定为1500次震波。治疗后3天摄腹部平片或b超,以后每隔7日重复检查。假如结石未碎或有残留结石最长径>3mm以上,再次eswl,两次治疗的间隔时间为两周。结石的大小用x线片上的表面积(mm2表示。结果 709颗输尿管结石总的治愈率为97.3%(690颗),再治疗率34.1%(242颗)。其中一次治疗467颗,平均结石大小37.27mm2,治愈464颗(65.4%),3颗改治疗;两次治疗138颗,平均结石大小62.48mm2,治愈131颗(18.5%),7颗改治疗;第1和第2次治疗治愈率(1个月治愈率)为83.8%。3次治疗52颗,平均结石大小79.60mm2,治愈50颗(7.1%),2颗改治疗;4次治疗19颗,平均结石大小101.63mm2,治愈17颗(2.4%),2颗改治疗;5次及5次以上治疗33颗,平均结石大小119.33mm2,治愈28颗(3.9%),5颗改治疗。总计19颗(2.7%)结石改变治疗方式。上段输尿管结石335颗,治愈321颗(95.8%),再治疗129颗(38.5%)。下段输尿管结石374颗,治愈369颗(98.7%),再治疗113颗(30.2%)。经χ2检验,上、下段输尿管结石的再治疗率差异有显著性(χ2=5.40,p<0.05),治愈率差异无显著性(χ2=0.15,p>0.05)。不良反应:血压升高13例(1.9%),震波区域疼痛26例(3.8%),震波进入处皮肤点状淤血33例(4.8%),肉眼血尿128例(18.6%),均于第2、3天自行消失。结论 eswl目前仍是输尿管结石的第一线治疗,结石的大小是再治疗率高的主要因素。结石的位置有影响,上段输尿管结石可随呼吸移动,有效震波次数减少,再治疗率比下段输尿管结石高。eswl前注重病例筛选可降低再治疗率。

These unprecedented measures began to have some effect: interbank lending resumed and the London Interbank Offered Rate improved.

这些前所未有措施开始显现一些效果:银行间拆借恢复,伦敦银行同业拆借利率有所改善。

Oh shit How come every time you come around My London London Bridge wanna go down Like London London London wanna go down Like London London London be going down like The drinks start pouring And my speech start slurring Everybody start looking real good The Grey Goose got your girl feeling loose Now I'm wishing that I didn't wear these shoes It's like every time I get up on the dude Paparazzi put my business in the news And I'm like get up out my face 'fore I turn around and spray your ass with mace My lips make you wanna have a taste You got that?

哦拉屎怎么每次你回头,我的伦敦伦敦桥要去下来像伦敦伦敦伦敦想去下来像伦敦伦敦伦敦将会像饮料开始浇筑,我开始讲话口齿不清大家开始寻找真正的好灰鹅得到你的女孩感觉松散现在,我想我没有穿这些鞋那就像我每次起床就多德狗仔队把我的生意,在新闻,而我1 IKE的起床出我的脸'捶我转身喷你的驴子与35.70 ,我的嘴唇,使你想有一番滋味,你记得吗?

Libor, the London Interbank Offered Rate, is a daily average of rates that 16 different banks charge each other to lend money in London, and it is used to calculate adjustable-rate mortgages.

伦敦同业拆借利率,伦敦同业拆放利率,是平均每天16个不同的费率收取对方银行贷款在伦敦,它是用来计算浮动利率抵押贷款。

"Interbank Rate" means, subject to paragraph 2.2 of the relevant Part of the Schedule, the mid interbank rate

&银行同业利率&,是CMC Markets参考一个或多个第三方银行报出的最新买入价和卖出价而计算出

The most widely used bank-to-bank lending rate, the London interbank offered rate, which has risen sharply, is also used to calculate interest rates on credit cards and many adjustable-rate mortgages.

运用最广泛的伦敦银行同业拆息近期急剧上扬,该指标也被用于计算信用卡和许多可调息按揭的利率。

" Floating rate note: Note issued from five to fifteen years with a fixed spread, usually over the six month London Interbank Offered Rate, normally with provision for a minimum interest rate."

浮动利率票据:这种票据期限为5到15年,利率通常为6个月伦敦同业拆放利率加固定利差,并有最低利率规定。

Result Richards Model and Monodic Quadratic Equation could properly describe grain dry matter growing process and the change process of grain filling rate with days after anthesis. There was big difference in average grain filling rate, maximum grain filling rate under different planting density. Average grain filling rate 1.26 mg/ and maximum grain filling rate 2.44 mg/ of T7 were the quickest, and the average grain filling rate 0.94 mg/ and maximum grain filling rate 1.99 mg/ of T12 were the slowest, and the maximum difference percentage of the average grain filling rate and maximum grain filling rate among different density were 33.98%, 22.61%. There was significant correlation between average grain filling rate, maximum grain filling rate, grain filling active duration, rapid increasing stage and thousand grain weight, and the correlation coefficients were 0.628*, 0.630*, 0.849**, 0.739**. Active grain filling duration contributed mostly to TGW.

结果不同密度处理间千粒重、单位面积穗数、穗粒数、单株穗数、单位面积籽粒产量均存在显著差异;不同密度处理冬小麦的籽粒灌浆均符合慢-快-慢的&S&型生长特性,用Richards模型能很好地模拟冬小麦籽粒增重过程,用一元二次抛物线方程能较好地模拟冬小麦灌浆速率随花后时间变化过程;不同密度处理间平均灌浆速率、最大灌浆速率有较大差异,最大差异率分别为33.98%、22.61%,T7的平均灌浆速率1.26mg/及最大灌浆速率2.44mg/均最大,T12的平均灌浆速率0.94mg/及最大灌浆速率1.99mg/均最小;平均灌浆速率、最大灌浆速率、灌浆活跃期、灌浆快增期与千粒重显著或极显著正相关,相关系数分别为0.628*、0.630*、0.849**、0.739**;通径分析表明,灌浆活跃期对千粒重的贡献最大。

The rate of interest shall be equal to one percent over the monthly London interbank offered rate for US Dollars.

此外,自第三条规定的出资日起至实际出资日期间,该方应为每笔迟付款项向合营公司支付累积的利息,利率相当于伦敦银行同业拆放美元月息加百分之一。

One gauge of the banking system's health helps explain the cheer: the London interbank offered rate, a measure of the rate banks charge one another for short-term loans.

我们可以借用衡量银行体系健康状况的一个指标来对此进行解释──衡量银行之间短期贷款利率的伦敦银行同业拆息。

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The shaping method of noncircular part and the tool holder's radial motion characters in noncircular turning process are discussed in detail in the thesis.

论文详细研究了非圆零件的成型方法和加工过程中刀架的径向运动规律。

I have not really liked him,I do not like his this kind of disposition.

我没有真的喜欢他,我不喜欢他的这种性格。

As we know the price of traditional product is composed of the cost and the profit of the company involving market competition, monopolizes and many other factors.

我们知道作为传统的商品,定价的模式往往是在成本的基础上增加厂商的预计利润而形成其价格,当然也要考虑到市场竞争、垄断等其他方面的因素。