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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。

There might have not been the same results in learning other subjects.(2) There had been considerable social conversations in two-boy pair and boy-girl pair except two-girl pair. Instead of sociabilities, it seemed that there had been more numerous discussions related to programming tasks in two-girl pair.

同侪组男男配对组与男女配对组皆出现许多社交性对话，女女配对组却咸少出现；女女配对学习程式设计似乎能有较多聚焦於任务相关之讨论。

After the approach always look two or three turns ahead if you are on the steeps, two or three bumps ahead if you are in a mogul field, or two or three trees ahead if you are on a glade run.

该方法后，总是看两三个轮流提前如果您在五香，八角，两个或三个提前碰撞，如果你在一个领域的巨头，或两三个树，如果你前面的空地上运行的。

It is precisely this shearing moment between two worlds, two populations and two temporalities of space that the project tends to be interested in.

正是由于处在两个世界，两种人群和两个暂时性的时空这样的切割点上，才成就了项目的意义。

The bearing seat comprises a first side plate, a second side plate and two tenons; two tenons are arranged on two extending arms of the first side plate.

承载座包含第一侧板、第二侧板以及二个卡榫，该二个卡榫位于第一侧板的两延伸臂上。

A tutor who tooted a flute tried to tutor two tooters to toot. Said the two to their tutor, Is it harder to toot or to tutor two tooters to toot?

& 一个吹长笛的教师试着去教两个长笛手去吹，那两个长笛手问他们的老师，&是学吹长笛更难，还是教两个长笛手学吹长笛更难？

A tutor who tooted a flute tried to tutor two tooters to toot. Said the two to their tutor, Is it harder to toot or to tutor two tooters to toot?

& 一个教长笛的老师试着教两个学生吹口哨，两个学生问道：&是吹口哨难还是教两个人吹口哨难？

A tutor who tooted a flute, tried to tutor two tutors to toot. The two said to their tutor,' is it hard to toot, or tutor two tutors to toot?

一个吹长笛的老师，试图敎两个初学者吹长笛，两个初学者说：是吹长笛难，还是敎两个初学者吹长笛难呢？

First make the subjects give either right or wrong responses to the same question with different b value. When estimating the abilities of the subjects with the use of one-parameter or two-parameter Logistic model, it is found that there exists two kinds of unfits.(2) Estimate the abilities of the subjects after introducing c parameter on the basis of the two-parameter model. The first unfit can be rectified. However, the second unfit still exists and the third unfit appears.(3) Then estimate again after introducing y parameter. It is discovered that the second unfit is rectified, but the first unfit still exists and the fourth unfit appears.(4) Form Logistic four-parameter model by introducing c parameter and y parameter at the same time and estimate one more time. This model makes all kinds of unfits, including the first, second, third and fourth unfits, rectified.

1设计这批被试分别做对或做错一道b值不同的试题，用Logistic单、双参数模型对被试进行能力估计时，发现被试能力估计存在着两类失拟现象；(2)在双参数模型基础上增加c参数，对被试进行能力估计，发现c参数能有效纠正第一失拟现象，然而仍然存在第二失拟现象，同时还存在第三失拟现象；(3)在双参数模型基础上增加γ参数，再对被试进行能力估计，发现γ参数能有效纠正第二失拟现象，而仍然存在第一失拟现象，同时还存在第四失拟现象；(4)同时增加c、γ参数形成Logistic四参数模型，再对被试进行能力估计，这时该模型对各类失拟现象，包括第一、第二、第三、第四失拟现象都具有良好拟合能力。

At first, an ordinary gear train composed of two gear pairs is analyzed. The constituting principle and the equivalent gear pair of a ordinary noncircular gear train are studied under two assembling circumstances, including phase angle exists between two gear pairs or not.

以分析两对齿轮副构成的定轴轮系为非圆齿轮机构分析的起始点，本文首先分析了两对齿轮之间有相位角与无相位角两种安装情况下，定轴轮系的构成原理与轮系等价齿轮副的传动关系。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。