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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。

In the group with palatal rugae, one week after restoration, the F2 of /j/,/q/,/x/ was significantly higher (F=5.03-5.82, q=2.97-3.80, P.05) and the B2 was significantly lower (F=4.43-4.99, q=3.31-4.03, P.05) than those before restorationon.

腭皱组从初戴后1周开始,/j/、/q/、/x/的F2值与之前相比明显升高(F=5.03~5.82, q=2.97~3.80, P.05),其B2值与之前相比明显降低(F=4.43~4.99, q=3.31~4.03, P.05)。

Tautologies and F-Tautologies in some lattice valued logic systems whose truth-value lattice are products of lattice implication algebra are discussed. As examples,α-Tautologies and F-Tautologies in lattice valued logic systems L〓P and L〓P are discussed in detail.

本文分析讨论了基于格蕴涵代数直积的格值逻辑系统中的α-重言式和F-重言式,作为两个实例,详细讨论了两个格值逻辑系统L〓P和L〓P中的重言式和F-重言式的结构。

Devising and making the presacral haemostatic thumbtack projector had been successfully achieved. 2. Haemostasis time was 12.25±10.69 seconds in EG, and it was 26.00±11.52 seconds in CG (p=0.01); EG have better haemostatic effect than CG (p=0.03); However, the results of the amount of bleeding, the death rate related to the operation, the numbers of thumbtacks in two group didnt have any statistical significance.

结果:1、骶前止血钉发射器及骶前止血钉的制造是成功可行的。2、实验组术中止血时间为12.25±10.69秒、对照组术中止血时间26.00±11.52秒,实验组显著短于对照组(p=0.01);实验组术中止血效果比对照组好(p=0.03);实验组与对照组术中出血量、手术相关死亡率及术中所用止血钉数之间的实验结果比较无统计学意义。

The Broms method, m method and p-y curve method are respectively used to calculate the horizontal resistance coefficient of the filled earth behind the abutment back wall, the m method and p-y curve method are used to calculate the resistance coefficients of the earth around the abutment column and at the sides of the abutment and pier piles. The TDV software is used to simulate the restraint of the earth to the piles ends.

分别采用Broms法、m法及p-y曲线法计算桥台背墙后填土的水平抗力系数;采用m法及p-y曲线法计算台柱土的水平抗力系数和台桩、墩桩侧土的水平抗力系数;采用TDV软件模拟土对桩端的约束作用。

This was because the blood urea nitrogen content of these sows was significantly lower and the triglycerides, cholesterol and creatinine contents of the blood of the sows were significantly improved (P.0 1). The physiological and biochemical parameters of milk of the sows fed diet containing alfalfa meal and fat milk protein%, milk fat%, and lactose% significai ty higher than those fed no alf~lfa meal and fat (PKO.0 I).

这可能是由于添加一定比例的苜蓿草粉和定量脂肪(1.6%)可以显著地降低血液中的尿素氮含量,从而显著提高血液中的胆固醇、甘油三酯、肌酐的含量以及碱性磷酸酶的活性(P<0.01),并对猪乳脱脂乳清的理化成分有显著的改善(P<0.01),从而显著地提高了猪乳中的乳蛋白、乳脂和乳糖的含量(P<0.01)、提高了猪乳品质的结果。

On this bases, according to the electronic configuratiosn of antimony oxide and the principle of p-type doping in wide band-gap semiconductors oxides, we tried to develop a new transparent conducting tin-antimony oxide films with p-type conduction.

在此基础上,根据氧化锑的电子结构特征和宽禁带氧化物p型掺杂机理,尝试在氧化锑中掺入适量Sn元素以获取一种新型p型透明导电氧化物薄膜。

In order to explore the influence of the bath composition on Ni-W-P alloy coating structure and properties, to find the right ratio, so as to lay the foundation for follow-up experiments, SEM/EDS, X-ray diffraction, and metallographic analysis and other methods were adopted to study the composition and structure of different chemical deposition of Ni-W-P alloy. And the hardness of different components of the sediment layers plated state and the hardness after heat treatment were measured.

为了探索镀液组分对Ni-W-P合金镀层结构与性能的影响规律,寻求合适的镀液配比,为后续实验莫定基础,采用扫描电镜/包谱、X射线衍射以及金相分析等方法,研究了不同成分和结构的化学沉积Ni-W-P合金层,测量了不同成分沉积层的镀态与热处理后的硬度。

By use of the first principles theory,the segregation energies of light impurities P、N on the ∑3(111) grain boundary and the(111) surface of body-centered cubic Fe were computed, and the brittleductile mechanisms of P、N were discussed energetically.

利用第一原理理论计算了轻杂质P、N在体心F e∑3[110](111)晶界和F e(111)表面的偏聚能,从能量方面对P、N的韧脆机制进行了探讨。

RESULTS:The levels of PGE and cAMP in fever rabbits' cerebrospinal fluid was rised abnormally(P.01), AFMI can lower the abnormally rised levels of PGE and cAMP in the cerebrospinal fluid(P.01), and the use of AFMI ahead of schedule can inhibit the synthesis and release of PGE and cAMP in the cerebrospinal fluid.

结果:发热家兔脑脊液PGE、cAMP含量异常升高(P.01),AFMI可显著降低发热家兔脑脊液中异常升高的PGE和cAMP的含量(P.01),最佳剂量为26.25 g*kg-1,提前应用AFMI,可阻抑感染家兔脑脊液中PGE、cAMP的合成释放。

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相关中文对照歌词
P.R.E.N.U.P.
F.C.P.S.I.T.S.G.E.P.G.E.P.G.E.P.
P & P
P&P 1.5
H.I.P.H.O.P.
W.P.I.M.P. (Skit)
P.C.P.
O.P.P.
N.Z.H.I.P.H.O.P.
P.P.S.H.
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Shop assistant: Please check at the door.

店员:请您到门口柜台交费。

In the end, transportation of PAHs in the environmental matrix was preliminarily investigated and discussed according to PAHs data of soils and sediments from a certain region in Shanghai. The result indicated that there are two or more pathways on PAHs transportation in the environmental matrix.

最后,对上海特定地区内PAHs在环境介质中的迁移径途进行了分析讨论,结果表明上海市土壤和沉积物等环境介质中PAHs的迁移存在多种途径。

Quick stop! AIDS doctors while the side and say hello and colleagues mention a blood sample box, the Red Cross had sent blankets and so on, with patients有说有笑to go home.

快停车!防艾医生们一边招呼一边和和同事们提着血液采样箱,抱着红十字会送来的被子等,有说有笑地同患者往家走。