Cranial Suture Regeneration Mitigates Skull and Neurocognitive Defects in Craniosynostosis

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Cook双球囊联合改良B-Lynch缝合术对产后出血的治疗效果观察

目的:探讨Cook双球囊联合改良B-Lynch缝合术对产后出血的治疗效果。方法:选取2015年6月～2018年6月在我院经剖宫产术分娩并发生产后出血的产妇81例进行回顾性分析。根据术中止血方法的不同分为两组,对照组40例采用Cook双球囊进行止血,观察组41例在对照组的基础上应用改良B-Lynch缝合术进行止血。对两组患者的手术相关指标、止血成功率、子宫切除率、术后恢复情况和并发症发生情况进行比较。结果:观察组的术中出血量、术后24 h出血量和输血量显著低于对照组(P0.05),止血时间显著短于对照组(P0.05);观察组患者的止血成功率显著高于对照组(P0.05),子宫切除率和切口恢复时间显著低于对照组(P0.05),两组患者的住院时间和并发症发生率比较无统计学差异(P0.05)。结论:Cook双球囊联合改良B-Lynch缝合术对剖宫产产后出血患者的临床效果显著优于单用Cook双球囊,且安全性较高。     

鼻中隔成形术中鼻腔填塞法及鼻中隔“8”字缝合法的疗效比较研究

目的:探讨鼻中隔成形术中鼻腔填塞法及鼻中隔"8"字缝合法的疗效。方法:选取2017年7月~2018年7月期间我院收治的拟行鼻中隔成形术的鼻中隔偏曲患者60例。采用乱数表法将患者分为对照组、实验组两组,各30例患者,两组患者均行鼻内镜下鼻中隔成形术,术后对照组给予鼻腔填塞法处理,实验组给予鼻中隔"8"字缝合法处理。比较两组术后临床疗效、鼻粘膜水肿情况,观察两组不同时间点视觉疼痛模拟评分(VAS)情况,记录两组患者术后鼻中隔并发症发生情况。结果:实验组术后7d临床总有效率为96.67%(29/30),显著高于对照组患者的80.00%(24/30),差异有统计学意义(P0.05)。与术前相比,两组患者术后12hVAS评分升高,术后24h、术后48hVAS评分下降(P0.05);与术后12h相比,两组患者术后24h、术后48hVAS评分均下降,且术后48hVAS评分低于术后24h(P0.05);实验组术后12h、术后24h、术后48hVAS评分均低于对照组(P0.05)。实验组鼻粘膜水肿0级患者数量显著高于对照组,鼻粘膜水肿1级患者数量显著低于对照组(P0.05);两组鼻粘膜水肿2级患者数量比较差异无统计学意义(P0.05);两组患者鼻中隔并发症总发生率比较差异无统计学意义(P0.05)。结论:相较于鼻腔填塞法,鼻中隔成形术中采用鼻中隔"8"字缝合法疗效显著,可减轻患者疼痛,改善患者鼻粘膜水肿情况,且不会增加并发症发生率,具有一定的临床应用价值。     

Provenance analysis of Cenozoic conglomerates: Insights from Lower Cretaceous radiolarians in chert clasts from the Xigaze area,southern Tibet

Conglomerates, exposed on either side of the Yarlung Tsangpo suture zone (YTSZ) in southern Tibet, have attracted wide attention in elucidating uplift and erosion histories of the Himalayan-Tibetan orogen. However, the provenance of these conglomerates remains controversial. Although radiolarian-bearing chert clasts within these conglomerates have received little focus, identification of the radiolarian assemblages they contain could shed light on the provenance of these sedimentary units. We present the first report of Upper Jurassic to Lower Cretaceous (upper Kimmeridgian–lower Barremian) radiolarian assemblages recovered from chert clasts within the Liuqu and Gangrinboche conglomerates in the Xigaze area. To extract radiolarian fossils from independent clasts in the conglomerates, a detailed and efficient experimental process is illustrated. The assemblages are well correlated to those in the YTSZ and Tethyan Himalaya, showing typical Tethyan characteristics. The lithology of chert clasts and ages of constituent radiolarian faunas suggest that the chert clasts in Liuqu and Gangrinboche conglomerates were derived from the Bainang terrane. This interpretation implies that Early Cretaceous accretionary complexes in the YTSZ had been exposed and eroded before deposited as clasts in the Cenozoic Liuqu and Gangrinboche conglomerates.     

Criteria for assessing maturity of skulls in the common dolphin,Delphinus sp., from New Zealand waters

Knowledge about the maturity status of specimens included in evolutionary, taxonomic or life history investigations is fundamentally important. This study investigated the use of the degree of cranial suture fusion, the developmental status of cranial bones, and the degree of tooth wear as indicators for cranial maturity status in Delphinus sp. from New Zealand waters. In total, 15 sutures, one joint and three nonmetric characters were assessed on 66 skulls obtained from stranded and bycaught individuals sampled between 1932 and 2011. A suture index (SI) was computed based on 10 sutures, in which degree of fusion was correlated with age and the three misclassification indices (MI), calculated for a given suture, were <50%. In addition to these, five premaxilla‐maxilla fusion and seven tooth wear categories were assessed. Results suggest that New Zealand Delphinus sp. skulls should be regarded as cranially mature if at least two of the following criteria are met: (1) individuals assessed as sexually mature, (2) aged ≥ 11 yr, (3) SI ≥ 8, and (4) premaxilla‐maxilla fusion ≥ 75% of the length of the dorsal side of the rostrum. Presence of any number of rostral teeth worn to the gum line provided further evidence for cranial maturity.     

大鼠颈部自体静脉移植模型两种吻合方法的比较

目的比较间断吻合和连续吻合法建立静脉桥狭窄动物模型的优劣。方法SD大鼠20只,分成两组（间断吻合组和连续吻合组）,取颈外静脉与颈总动脉行端端吻合。术后4周取下静脉桥,观察桥管通畅性,分析新生内膜与中膜的厚度、面积比。结果连续组与间断组相比手术时间更短,出血更少,但桥管通畅率低,两组内膜增生程度没有显著差异。结论连续吻合用时短,出血少,对术者要求更高,较易形成吻合口狭窄。两者造模效果一样。     

‘兰箭3号’箭筈豌豆荚果发育动态及腹缝线结构研究

箭筈豌豆(Vicia sativa)是高海拔地区重要的一年生豆科牧草,但荚果成熟时的开裂现象会造成种子的严重损失。该研究以栽培品种‘兰箭3号’为对象,对其荚果在发育过程中的形态特征、水分含量、腹缝线表面结构及腹缝线横截面解剖结构的动态变化进行观察分析,以探讨箭筈豌豆荚果的裂荚机理,为生产中确定种子收获的适宜时间提供理论依据。结果显示:(1)‘兰箭3号’约在盛花后25~30d荚果变为浅棕色,此时荚果已完成生理成熟,且荚果的大小和干重均达到最大值,含水量降到最小值;盛花后25d荚果腹缝线出现裂缝,盛花后35d腹缝线完全裂开。(2)‘兰箭3号’于盛花后20d腹缝线处离层细胞开始解体;盛花后25d,内、中、外果皮的薄壁细胞均开始失水皱缩,其中内果皮的薄壁细胞部分已开始破裂,离层细胞及其下面的薄壁细胞完全解体,外部果瓣缘细胞内侧细胞壁破裂,但外侧异常加厚的细胞壁仍然保持完整并连接两个果瓣,使荚果不开裂;盛花后30~35d,内、中、外果皮的薄壁细胞完全失水,细胞壁皱缩在一起,同时外部果瓣缘细胞外侧细胞壁断裂成两部分,荚果的两个果瓣裂开。研究表明,盛花后25~30d荚果失去绿色变为浅棕色时是‘兰箭3号’的适宜收获时间,且离层和细胞失水产生的机械拉力是导致箭筈豌豆荚果开裂的主要原因,推测外部果瓣缘细胞外侧增厚融合的细胞壁很可能是‘兰箭3号’抵抗裂荚的关键结构。