目的比较单孔腹腔镜根治性肾切除术(LESS-RN)与传统腹腔镜根治性肾切除术(CL-RN)后至少10年的局限性肾癌患者肿瘤疗效和肾功能结局。方法选取2009-2012年在海军军医大学(第二军医大学)第一附属医院接受LESS-RN或CL-RN治疗的T1a~T2a期局...目的比较单孔腹腔镜根治性肾切除术(LESS-RN)与传统腹腔镜根治性肾切除术(CL-RN)后至少10年的局限性肾癌患者肿瘤疗效和肾功能结局。方法选取2009-2012年在海军军医大学(第二军医大学)第一附属医院接受LESS-RN或CL-RN治疗的T1a~T2a期局限性肾癌患者,按患者年龄、BMI、肿瘤大小进行倾向评分匹配,共纳入31对患者,分析患者的基线特征、手术数据、病理结果和随访信息,以评估LESS-RN和CL-RN的长期预后差异。结果LESS-RN组与CL-RN组患者在手术时间[(179.7±43.0)min vs(172.6±50.9)min,P=0.349]、估计失血量[100(50,200)mL vs 100(50,150)mL,P=0.871]、住院时间[6(5,7)d vs 7(6,9)d,P=0.080]方面差异均无统计学意义。LESS-RN组有1例患者发生术中并发症,没有患者发生术后并发症;CL-RN组有1例患者发生术中并发症,3例患者发生术后并发症。LESS-RN组随访时间为(138.0±9.0)个月,CL-RN组为(137.8±9.8)个月(P=0.730)。LESS-RN组与CL-RN组患者总生存率(80.6%vs 74.2%,P=0.181)、肿瘤特异性生存率(93.6%vs 96.8%,P=0.554)、血肌酐变化水平[32(17,45)μmol/L vs 20(5,47)μmol/L,P=0.098]和估算的肾小球滤过率[(60.2±20.9)mL·min^(-1)·(1.73 m^(2))^(-1) vs(66.7±27.8)mL·min^(-1)·(1.73 m^(2))^(-1),P=0.342]差异均无统计学意义。结论LESS-RN是一种安全、可行的治疗局限性肾癌的手术方法,其长期肿瘤疗效和肾功能结局与CL-RN相当。展开更多
Schizolepis daohugouensis sp. nov. is described from the Jurassic sediments of Daohugou flora, from Ningcheng County, Inner Mongolia Autonomous Region, China. The female cone is slender, cylindrical in shape, seed sca...Schizolepis daohugouensis sp. nov. is described from the Jurassic sediments of Daohugou flora, from Ningcheng County, Inner Mongolia Autonomous Region, China. The female cone is slender, cylindrical in shape, seed scale complexes are loosely and helically arranged on the cone axis at intervals of 3-5 mm. The seed scales are bilobed and divided almost from the base; the scales have no evident petiole but an articulation at the region of attachment to the cone axis. Each lobe of the seed scales is oval in shape, widest at the lower middle part; lobes are obtusely pointed with entire margins. Bract scale is fan shaped. Based on the records of Schizolepis, this is the first report of the occurrence of female cone of Schizolepis with the seed scales, the winged seeds and vegetative branches preserved together in the Jurassic deposits. The new discovery provides evidence that confirms the phylogenetic position of Schizolepis to the extant Pinaceae.展开更多
The demarcation of the Lower-Middle Triassic boundary is a disputed problem in global stratigraphic research. Lower-Middle Triassic strata of different types, from platform to basin facies,are well developed in Southw...The demarcation of the Lower-Middle Triassic boundary is a disputed problem in global stratigraphic research. Lower-Middle Triassic strata of different types, from platform to basin facies,are well developed in Southwest China. This is favorable for the study of the Olenekian-Anisian boundary and establishing a stratotype for the Qingyan Stage. Based on research at the Ganheqiao section in Wangmo county and the Qingyan section in Guiyang city, Guizhou province, six conodont zones have been recognized, which can be correlated with those in other regions, in ascending order as follows： 1, Neospathodus cristagalli Interval-Zone; 2, Neospathodus pakistanensis Interval-Zone; 3,Neospathodus waageni Interval-Zone; 4, Neospathodus homeri-N, triangularis Assemblage-Zone; 5,Chiosella timorensis Interval-Zone; and 6, Neogongdolella regalis Range-Zone. An evolutionary series of the Early-Middle Triassic conodont genera Neospathodus-Chiosella-Neogongdolella discovered in the Ganheqiao and Qingyan sections has an intermediate type named Neospathodus qingyanensis that appears between Neospathodus homeri and Chiosella timorensis in the upper part of the Neospathodus homeri-N, triangularis Zone, showing an excellent evolutionary relationship of conodonts near the Lower-Middle Triassic boundary. The Lower-Middle Triassic boundary is located at 1.5 m below the top of the Ziyun Formation, where Chiosella timorensis Zone first appears in the Qingyan section,whereas this boundary is located 0.5 m below the top of the Ziyun Formation, where Chiosella timorensis Zone first appears in the Ganheqiao section. There exists one nearly 6-m thick vitric tuff bed at the bottom of the Xinyuan Formation in the Ganheqiao section, which is usually regarded as a lithologic symbol of the Lower-Middle Triassic boundary in South China. Based on the analysis of high -precision and high-sensitivity Secondary Ion Mass Spectrum data ,the zircon age of this tuff has a weighted mean 206Pb/238U age of 239.0±2.9 Ma （2σ）, which is a directly measured zircon U-Pb age of the Lower-Middle Triassic boundary. The Ganheqiao section in Wangmo county can therefore provide an excellent section through the Lower-Middle Triassic because it is continuous, the evolution of the conodonts is distinctive and the regionally stable distributed vitric tuff near the Lower-Middle Triassic boundary can be regarded as a regional key isochronal layer. This section can be regarded not only as a standard section for the establishment of the Qingyan Stage in China, but also as a reference section for the GSSP of the Lower-Middle Triassic boundary.展开更多
The Permian fusulinoidean genus Monodiexodina is widely distributed in east Tethys. The genus might be an important indicator for the northern margin of Gondwana in northwestern China, but this is disputed. Monodiexod...The Permian fusulinoidean genus Monodiexodina is widely distributed in east Tethys. The genus might be an important indicator for the northern margin of Gondwana in northwestern China, but this is disputed. Monodiexodina-bearing areas can be restored as in either northern or southern middle latitudes with a symmetrical distribution between a high latitudinal, cool/cold water climatic realm and a paleotropical, warm water realm. Permian strata bearing Monodiexodina in Karakorum, Muztag Pear, and Buka Daban Pear of the east Kunlun Mountains can be correlated with each other. Faunal analyses and the stratigraphical position of Monodiexodina-bearing strata indicate that both Karakorum, east Kunlun, and the Pamirs were formed in a cool temperate sea area of the northern hemisphere in middle latitudes during the Permian, rather than at the Gondwana margin.展开更多
文摘目的比较单孔腹腔镜根治性肾切除术(LESS-RN)与传统腹腔镜根治性肾切除术(CL-RN)后至少10年的局限性肾癌患者肿瘤疗效和肾功能结局。方法选取2009-2012年在海军军医大学(第二军医大学)第一附属医院接受LESS-RN或CL-RN治疗的T1a~T2a期局限性肾癌患者,按患者年龄、BMI、肿瘤大小进行倾向评分匹配,共纳入31对患者,分析患者的基线特征、手术数据、病理结果和随访信息,以评估LESS-RN和CL-RN的长期预后差异。结果LESS-RN组与CL-RN组患者在手术时间[(179.7±43.0)min vs(172.6±50.9)min,P=0.349]、估计失血量[100(50,200)mL vs 100(50,150)mL,P=0.871]、住院时间[6(5,7)d vs 7(6,9)d,P=0.080]方面差异均无统计学意义。LESS-RN组有1例患者发生术中并发症,没有患者发生术后并发症;CL-RN组有1例患者发生术中并发症,3例患者发生术后并发症。LESS-RN组随访时间为(138.0±9.0)个月,CL-RN组为(137.8±9.8)个月(P=0.730)。LESS-RN组与CL-RN组患者总生存率(80.6%vs 74.2%,P=0.181)、肿瘤特异性生存率(93.6%vs 96.8%,P=0.554)、血肌酐变化水平[32(17,45)μmol/L vs 20(5,47)μmol/L,P=0.098]和估算的肾小球滤过率[(60.2±20.9)mL·min^(-1)·(1.73 m^(2))^(-1) vs(66.7±27.8)mL·min^(-1)·(1.73 m^(2))^(-1),P=0.342]差异均无统计学意义。结论LESS-RN是一种安全、可行的治疗局限性肾癌的手术方法,其长期肿瘤疗效和肾功能结局与CL-RN相当。
基金supported by the China Geological Survey (No. 1212010911047 and 1212010811057)the support from the Ministry Science Technology of the People's Republic of China (Grant 2006FY120300-12)
文摘Schizolepis daohugouensis sp. nov. is described from the Jurassic sediments of Daohugou flora, from Ningcheng County, Inner Mongolia Autonomous Region, China. The female cone is slender, cylindrical in shape, seed scale complexes are loosely and helically arranged on the cone axis at intervals of 3-5 mm. The seed scales are bilobed and divided almost from the base; the scales have no evident petiole but an articulation at the region of attachment to the cone axis. Each lobe of the seed scales is oval in shape, widest at the lower middle part; lobes are obtusely pointed with entire margins. Bract scale is fan shaped. Based on the records of Schizolepis, this is the first report of the occurrence of female cone of Schizolepis with the seed scales, the winged seeds and vegetative branches preserved together in the Jurassic deposits. The new discovery provides evidence that confirms the phylogenetic position of Schizolepis to the extant Pinaceae.
基金support from the Ministry Science Technology of the People's Republic of China (Grant 2006FY120300-12)the China Geological Survey (Grant 1212010811057)
文摘The demarcation of the Lower-Middle Triassic boundary is a disputed problem in global stratigraphic research. Lower-Middle Triassic strata of different types, from platform to basin facies,are well developed in Southwest China. This is favorable for the study of the Olenekian-Anisian boundary and establishing a stratotype for the Qingyan Stage. Based on research at the Ganheqiao section in Wangmo county and the Qingyan section in Guiyang city, Guizhou province, six conodont zones have been recognized, which can be correlated with those in other regions, in ascending order as follows： 1, Neospathodus cristagalli Interval-Zone; 2, Neospathodus pakistanensis Interval-Zone; 3,Neospathodus waageni Interval-Zone; 4, Neospathodus homeri-N, triangularis Assemblage-Zone; 5,Chiosella timorensis Interval-Zone; and 6, Neogongdolella regalis Range-Zone. An evolutionary series of the Early-Middle Triassic conodont genera Neospathodus-Chiosella-Neogongdolella discovered in the Ganheqiao and Qingyan sections has an intermediate type named Neospathodus qingyanensis that appears between Neospathodus homeri and Chiosella timorensis in the upper part of the Neospathodus homeri-N, triangularis Zone, showing an excellent evolutionary relationship of conodonts near the Lower-Middle Triassic boundary. The Lower-Middle Triassic boundary is located at 1.5 m below the top of the Ziyun Formation, where Chiosella timorensis Zone first appears in the Qingyan section,whereas this boundary is located 0.5 m below the top of the Ziyun Formation, where Chiosella timorensis Zone first appears in the Ganheqiao section. There exists one nearly 6-m thick vitric tuff bed at the bottom of the Xinyuan Formation in the Ganheqiao section, which is usually regarded as a lithologic symbol of the Lower-Middle Triassic boundary in South China. Based on the analysis of high -precision and high-sensitivity Secondary Ion Mass Spectrum data ,the zircon age of this tuff has a weighted mean 206Pb/238U age of 239.0±2.9 Ma （2σ）, which is a directly measured zircon U-Pb age of the Lower-Middle Triassic boundary. The Ganheqiao section in Wangmo county can therefore provide an excellent section through the Lower-Middle Triassic because it is continuous, the evolution of the conodonts is distinctive and the regionally stable distributed vitric tuff near the Lower-Middle Triassic boundary can be regarded as a regional key isochronal layer. This section can be regarded not only as a standard section for the establishment of the Qingyan Stage in China, but also as a reference section for the GSSP of the Lower-Middle Triassic boundary.
基金support of the National Nature Science Foundation of China(no.:40572018)the China Geological Survey(no.:200313000054,1212010611702,1212010661312,1212010511702,and1212010561605).
文摘The Permian fusulinoidean genus Monodiexodina is widely distributed in east Tethys. The genus might be an important indicator for the northern margin of Gondwana in northwestern China, but this is disputed. Monodiexodina-bearing areas can be restored as in either northern or southern middle latitudes with a symmetrical distribution between a high latitudinal, cool/cold water climatic realm and a paleotropical, warm water realm. Permian strata bearing Monodiexodina in Karakorum, Muztag Pear, and Buka Daban Pear of the east Kunlun Mountains can be correlated with each other. Faunal analyses and the stratigraphical position of Monodiexodina-bearing strata indicate that both Karakorum, east Kunlun, and the Pamirs were formed in a cool temperate sea area of the northern hemisphere in middle latitudes during the Permian, rather than at the Gondwana margin.
