cyst

囊肿
  • 文章类型: Journal Article
    南方黄貂(Hypanusamericanus)是相对较大的射线,由于其大小和温和的性质,在公共水族馆中很常见和流行。在水族馆,以及在野外,雌性南方黄貂是肥沃的。他们的妊娠周期短,每年可以维持多胎妊娠,每个人都有2-10名年轻人。这种繁殖率可能会迅速超过管理式护理的能力,并导致光线过剩。为了防止人口过剩,许多水族馆求助于单一性别群体,偏爱女性群体。这是控制人口增长的有效途径,但强制维持两个分开的射线群;对于女性来说,这会中断正常的生殖周期,并用长期的非怀孕状况代替它。另一个考虑因素是女性生殖疾病的发展,畸形,和充血的卵巢,有丰富的囊性结构,子宫扩大,壁增厚,尽管未怀孕,但通常充满组织营养。对于这种类型的生殖疾病,没有有效的长期药物治疗,结果往往是死亡。本报告描述了一种用于南方黄貂卵巢切除术的手术技术,包括结果和并发症。卵巢切除术作为一种手术方法可防止不必要的生殖,并且具有减少南方黄貂年龄增长时常见的生殖病理的益处。对7名1-5.2岁的黄貂和42-83.5cm的椎间盘宽度进行了卵巢切除术。麻醉后,通过左侧腰椎旁切口切除卵巢和少量上皮。7条射线中有4条在手术后存活了5年或更长时间。两束射线死于腔膜炎,一束射线死于与手术无关的并发症。本报告详细介绍了南方黄貂卵巢切除术的手术方法,包括结果,并发症,和建议。
    Southern stingrays (Hypanus americanus) are relatively large rays that are common and popular in public aquariums because of their size and gentle nature. In aquariums, as well as in the wild, female southern stingrays are fecund. They have a short gestation cycle and can sustain multiple pregnancies each year, each culminating with 2-10 young. This reproductive rate could quickly outpace capacity in managed care and result in a ray surplus. To prevent overpopulation, many aquaria have resorted to single sex groups with a preference for female-only populations. This is an effective way to control population growth, but forces the maintenance of two separated populations of rays; for females this interrupts normal reproductive cycling and replaces it with a protracted non-pregnant condition. An additional consideration is development of reproductive disease in females which is recognized by an enlarged, misshapen, and congested ovary with an abundance of cystic structures and an enlarged uterus with a thickened wall that is often filled with histotroph despite a non-pregnant status. There are no effective long-lasting medical treatments for this type of reproductive disease and mortality is often the result. This report describes a surgical technique for ovariectomy in southern stingrays including outcomes and complications. Ovariectomy as a surgical method prevents unwanted reproduction and has the benefit of reducing reproductive pathologies commonly observed in southern stingrays as they age. Seven stingrays 1-5.2 years old and 42-83.5 cm disc width underwent ovariectomy. After anesthesia, the ovary and a small amount of epigonal was excised via a left para-lumbar incision. Four of the seven rays survived five or more years post-procedure. Two rays died acutely of coelomitis and one ray died of complications unrelated to the procedure. This report details a surgical procedure for ovariectomy in southern stingrays including outcomes, complications, and recommendations.
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  • 文章类型: Journal Article
    人畜共患病的恒动物对兽医和公共卫生都构成了重大威胁。具体来说,长牙的流行通常集中在生肉和不发达国家的消费者中。这项研究的目的是估计被谴责的红色内脏的患病率,并检查人畜共患的体部和组织病理学特征。从2022年11月至2023年7月,在巴希尔达尔市屠宰场进行了一项横断面研究。屠宰场调查中采用的一种简单随机抽样方法,用于调查内脏的病理变化及其谴责率。在对红内脏进行粗略检查后,代表性组织样本收集并保存在10%中性缓冲福尔马林中。随后,确定囊肿的大小和数量,并评估了它们的生存能力和生育能力。苏木精和伊红染色用于用显微镜分析各种病变。共检查340头牛,因肺部有4.12%的包虫囊肿而被定罪的红内脏为7.5%,3%在肝脏中,肾脏中0.6%,其他器官为0.9%。由于牛囊尾蚴在肝脏中占0.6%,在舌头中占0.3%,因此红内脏受到谴责。发现由于包虫病引起的肺排斥反应之间存在统计学上的显着关系(p<0.05),身体状况评分,和动物的起源。在检测到的钙化囊肿中,83.34%的牛梭菌和47.62%的包虫囊肿。组织病理学检查显示包虫囊肿及其在门静脉循环内的肿瘤球,以及坏死,在Bowman囊上观察到钙化的女儿囊肿。肺泡和细支气管实质在原初囊的压力下压缩,并被嗜酸性粒细胞浸润。囊肿壁附着在肝脏厚的肝包膜上,肝实质显示不规则肝细胞岛。在恶化和坏死的肌肉束中检测到牛囊尾蚴,伴随以单核细胞浸润为特征的肉芽肿性病变。大体和组织学检查是诊断包虫病和囊虫病的宝贵工具,提供组织良好的基线数据,以增强我们对人畜共患的负担的理解。
    Zoonotic metacestodes present a significant threat to both veterinary and public health. Specifically, the prevalence of metacestodes is often concentrated among consumers of raw meat and underdeveloped countries. The objective of this study was to estimate the prevalence of condemned red offal and examine the gross and histopathology features of zoonotic metacestodes. A cross-sectional study was conducted from November 2022 to July 2023 at the Bahir Dar municipal abattoir. A simple random sampling method employed in the abattoir survey to investigate pathological changes of offal and its rate of condemnation. Following a gross inspection of the red offal, representative tissue samples collected and preserved in 10% neutral buffered formalin. Subsequently, the size and number of cysts determined, and their viability and fertility evaluated. Hematoxylin and eosin staining utilized to analyze various lesions with microscope. A total of 340 cattle examined and 7.5% red offal condemned due to hydatid cysts 4.12% in the lungs, 3% in the liver, 0.6% in the kidneys, and 0.9% in other organs. Red offal condemned due to Cysticercus bovis 0.6% in the liver and 0.3% in the tongue. A statistically significance relationship was found between lung rejection due to hydatidosis (p < 0.05), body condition score, and origin of the animal. Among the detected calcified cysts, 83.34% of C. bovis and 47.62% of hydatid cysts. Histopathological examination revealed hydatid cysts and their oncospheres within the portal circulation, as well as necrotized, calcified daughter cysts observed on Bowman\'s capsule. The alveoli and bronchiole parenchyma compressed with pressure of protoscolices and it infiltrated by eosinophils. The cyst wall is attached to the thick hepatic capsule of the liver, with the hepatic parenchyma displaying islands of irregular hepatocytes. Cysticercus bovis detected in the deteriorated and necrotized muscle bundles, along with granulomatous lesions characterized by infiltration of mononuclear cells. Gross and histological examinations is invaluable tool for diagnosing hydatidosis and cysticercosis, providing well-organized baseline data to enhance our understanding the burden of zoonotic metacestodes.
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  • 文章类型: Case Reports
    创伤性肺炎(TP)是一种罕见的并发症,可在创伤性事件后在肺部发展。这些病变有时被误认为是先天性气道畸形。存在多种理论来解释这种情况的病理生理学。此案例研究介绍了一名7岁患者的临床和放射学发现,该患者在机动车事故后的胸部影像学检查中被诊断为肺炎。对患者病史和影像学的详细评估导致了外伤性肺炎的诊断。这个不寻常的演讲,如果不是很了解,可能导致不必要的干预和显著的焦虑患者和他们的家人。鉴于其稀有性,意识和高度怀疑指数对于准确诊断和适当管理至关重要.
    Traumatic pneumatocele (TP) is a rare complication that can develop in the lungs following a traumatic event. These lesions are sometimes mistaken for congenital airway malformations. Multiple theories exist to explain the pathophysiology of this condition. This case study presents the clinical and radiological findings of a seven-year-old patient diagnosed with pneumatocele on thoracic imaging after a motor vehicle accident. A detailed evaluation of the patient\'s medical history and imaging led to the diagnosis of traumatic pneumatocele. This uncommon presentation, if not well understood, may lead to unnecessary interventions and significant anxiety for patients and their families. Given its rarity, awareness and a high index of suspicion are essential for accurate diagnosis and appropriate management.
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  • 文章类型: Journal Article
    背景和目的:术语“近面囊肿”是指与腰椎小关节相关的滑膜囊肿和神经节假性囊肿。由于保守治疗近突囊肿效果甚微,通过手术完全切除被认为是首选治疗方法。在这项研究中,我们回顾性分析了经皮硬膜外神经成形术治疗有症状腰椎并面囊肿的临床结果。材料和方法:我们对2010年1月至2023年9月在一家机构就诊的34例症状性并囊肿患者进行了回顾性分析。接受保守治疗至少6周但没有效果或效果不足的患者符合本研究的条件。神经成形术后,在2周的随访期间进行了病史检查和神经系统检查,1个月,2个月,3个月,6个月,此后每年一次。结果:所有患者在神经成形术后立即疼痛改善至VAS评分3或更低;然而,这些患者中有4例(11%)的疼痛最终恶化到与手术前相同的水平,需要手术治疗.结果表明,不管囊肿大小,在椎管严重狭窄的情况下,神经成形术的结局较差,通常最终需要手术治疗.囊肿大小与手术结果无关。此外,如果囊肿存在于L4-L5水平,或者如果糖尿病存在,未来手术的可能性显著(p值=0.003).结论:经皮神经成形术的成功率优于其他非手术治疗。此外,严重的椎管狭窄(SchizasC级或更高),L4-L5级,或糖尿病由于复发而导致手术的可能性很高。
    Background and Objectives: The term \"Juxtafacet cyst\" refers to both synovial cysts and ganglion pseudocysts associated with the lumbar facet joint. As conservative treatment for the juxtafacet cyst has a minimal effect, complete excision through surgery is considered the first choice of treatment. In this study, we retrospectively reviewed the clinical outcomes of percutaneous epidural neuroplasty for symptomatic lumbar juxtafacet cysts. Materials and Methods: We conducted a retrospective review of 34 patients with symptomatic juxtafacet cysts who visited a single institute from January 2010 to September 2023. Patients who received conservative treatment for at least 6 weeks but experienced no or insufficient effects were eligible for this study. After neuroplasty, a medical history check and neurological examination were performed during follow-up at 2 weeks, 1 month, 2 months, 3 months, 6 months, and once a year thereafter. Results: The pain improved for all patients to a VAS score of 3 or less immediately after neuroplasty; however, four of those patients (11%) had pain that worsened eventually to the same level as before the procedure and required surgery. The results showed that, regardless of cyst size, in cases with severe stenosis of the spinal canal, the outcome of neuroplasty was poor and often eventually required surgery. The cyst size was not associated with the procedure results. In addition, if the cyst was present at the L4-L5 level, or if diabetes mellitus was present, the likelihood of future surgery was significant (p-value = 0.003). Conclusions: Percutaneous neuroplasty showed a better success rate than other non-surgical treatments. In addition, severe spinal stenosis (Schizas grade C or higher), L4-L5 level, or diabetes mellitus produced a high possibility of surgery due to recurrence.
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  • 文章类型: Journal Article
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  • 文章类型: Case Reports
    此病例报告描述了患者脸颊上出现的非典型大的毛鞘棘皮瘤(PSA)。由于病变的麻烦性质,病人接受了手术切除,随后的组织病理学分析证实了异常大的PSA的诊断。除了明确的诊断,手术切除为患者提供了症状缓解。
    This case report describes an atypically large pilar sheath acanthoma (PSA) presenting on a patient\'s cheek. Due to the bothersome nature of the lesion, the patient underwent surgical excision, with subsequent histopathological analysis confirming the diagnosis of an unusually large PSA. In addition to a definitive diagnosis, surgical excision provided symptomatic relief for the patient.
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  • 文章类型: Case Reports
    胃肠道间质瘤(GIST)是胃肠道(GI)最常见的间质瘤,通常起源于Cajal的间质细胞。临床表现根据其大小和形状而变化,但很少表现为可触及的腹部肿块。胰腺假性囊肿是慢性胰腺炎的常见并发症,其特征是由纤维和肉芽组织的非上皮化壁包围的液体聚集。患者可能会出现非特异性症状,如腹痛,恶心,和呕吐,他们通常有急性胰腺炎病史。小假性囊肿常自发消退,但较大的往往会出现症状,并可能导致并发症。在同一患者中很少发现胃的GIST和胰腺的假性囊肿。我们介绍了一名72岁男性的巨大GIST和胰腺假性囊肿的独特病例,该男性正在经历腹痛和腹胀。影像学显示一个源自胃后壁的巨大病变,类似于假性囊肿,与胰腺体相邻的明显囊性病变。在手术探查期间,发现了两种病理的复杂相互作用,需要全面的切除方法。成功的结果突出了在这种罕见情况下仔细评估和个性化管理的重要性。
    Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal neoplasms of the gastrointestinal (GI) tract, typically originating from the interstitial cells of Cajal. The clinical presentations are variable according to their size and shape but rarely present as a palpable abdominal mass. Pancreatic pseudocysts are common complications of chronic pancreatitis characterized by fluid collections surrounded by a non-epithelialized wall of fibrous and granulation tissue. Patients may present with non-specific symptoms like abdominal pain, nausea, and vomiting and they generally have a history of acute pancreatitis. Small pseudocysts often resolve spontaneously, but larger ones often become symptomatic and may lead to complications. It is rare to find both a GIST of the stomach and a pseudocyst of the pancreas in the same patient. We present a unique case of a giant GIST and a pancreatic pseudocyst in a 72-year-old male who was experiencing abdominal pain and distension. Imaging revealed a massive lesion originating from the posterior gastric wall, which resembled a pseudocyst, along with a distinct cystic lesion adjacent to the pancreatic body. During surgical exploration, a complex interplay of both pathologies was discovered, requiring a comprehensive resection approach. The successful outcome highlights the importance of careful evaluation and personalized management in such rare cases.
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  • 文章类型: Journal Article
    在肝脏肿瘤分割中解决肿瘤边界不清和囊肿与肿瘤混淆的挑战,本研究旨在开发一种利用高斯滤波器与nnUNet架构的自动分割方法,以有效区分肿瘤和囊肿,提高肝脏肿瘤自动分割的准确性。
    首先,130例肝脏肿瘤分割挑战2017(LiTS2017)用于训练和验证基于nnU-Net的自动分割模型。然后,采用回顾性收集的14例3D-IRCADb数据集和25例肝癌进行检测。利用骰子相似系数(DSC)与手动等值线进行比较,评价自动分割模型的准确性。
    nnU-Net在验证集(20个LiTS案例)和公共测试集(14个3D-IRCADb案例)的平均DSC值为0.86。对于临床测试装置,独立nnU-Net模型的平均DSC值为0.75,经过高斯滤波器的后处理后增加到0.81(P<0.05),证明其在减轻肝囊肿对肝肿瘤分割的影响的有效性。
    实验表明,高斯滤波器有利于提高临床上肝脏肿瘤分割的准确性。
    UNASSIGNED: Addressing the challenges of unclear tumor boundaries and the confusion between cysts and tumors in liver tumor segmentation, this study aims to develop an auto-segmentation method utilizing Gaussian filter with the nnUNet architecture to effectively distinguish between tumors and cysts, enhancing the accuracy of liver tumor auto-segmentation.
    UNASSIGNED: Firstly, 130 cases of liver tumorsegmentation challenge 2017 (LiTS2017) were used for training and validating nnU-Net-based auto-segmentation model. Then, 14 cases of 3D-IRCADb dataset and 25 liver cancer cases retrospectively collected in our hospital were used for testing. The dice similarity coefficient (DSC) was used to evaluate the accuracy of auto-segmentation model by comparing with manual contours.
    UNASSIGNED: The nnU-Net achieved an average DSC value of 0.86 for validation set (20 LiTS cases) and 0.82 for public testing set (14 3D-IRCADb cases). For clinical testing set, the standalone nnU-Net model achieved an average DSC value of 0.75, which increased to 0.81 after post-processing with the Gaussian filter (P<0.05), demonstrating its effectiveness in mitigating the influence of liver cysts on liver tumor segmentation.
    UNASSIGNED: Experiments show that Gaussian filter is beneficial to improve the accuracy of liver tumor segmentation in clinic.
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  • 文章类型: Journal Article
    OBJECTIVE: To investigate the development and dynamic changes of cysts in the brain of mice following infection with different forms of Toxoplasma gondii, so as to provide insights into for toxoplasmosis prevention and control.
    METHODS: ICR mice at ages of 6 to 8 weeks, each weighing 20 to 25 g, were intraperitoneally injected with tachyzoites of the T. gondii PRU strain at a dose of 1 × 105 tachyzoites per mouse, orally administered with cysts at a dose of 20 oocysts per mouse or oocysts at a dose of 200 oocysts per mouse for modeling chronic T. gondii infection in mice, and the clinical symptoms and survival of mice were observed post-infection. Mice were orally infected with T. gondii cysts at doses of 10 (low-dose group), 20 (medium-dose group), 40 cysts per mouse (high-dose group), and the effect of different doses of T. gondii infections on the number of cysts was examined in the mouse brain. Mice were orally administered with T. gondii cysts at a dose of 20 cysts per mouse, and grouped according to gender (female and male) and time points of infections (20, 30, 60, 90, 120, 150, 180 days post-infection), and the effects of gender and time points of infections on the number of cysts was examined in the mouse brain. In addition, mice were divided into the tachyzoite group (Group T), the first-generation cyst group (Group C1), the second-generation cyst group (Group C2), the third-generation cyst (Group C3) and the fourth-generation cyst group (Group C4). Mice in the Group T were intraperitoneally injected with T. gondii tachyzoites at a dose of 1 × 105 tachyzoites per mouse, and the cysts were collected from the mouse brain tissues 30 days post-infection, while mice in the Group C1 were orally infected with the collected cysts at a dose of 30 cysts per mouse. Continuous passage was performed by oral administration with cysts produced by the previous generation in mice, and the effect of continuous passage on the number of cysts was examined in the mouse brain.
    RESULTS: Following infection with T. gondii tachyzoites, cysts and oocysts in mice, obvious clinical symptoms were observed on days 6 to 13 and mice frequently died on days 7 to 12. The survival rates of mice were 67.0%, 87.0% and 53.0%, and the mean numbers of cysts were (516.0 ± 257.2), (1 203.0 ± 502.0) and (581.0 ± 183.1) in the mouse brain (F = 11.94, P < 0.01) on day 30 post-infection with T. gondii tachyzoites, cysts and oocysts, respectively, and the numbers of cysts in the brain tissues were significantly lower in mice infected with T. gondii tachyzoites and oocysts than in those infected with cysts (all P values < 0.01). The survival rates of mice were 87.0%, 87.0% and 60.0%, and the mean numbers of cysts were (953.0 ± 355.5), (1 084.0 ± 474.3) and (1 113.0 ± 546.0) in the mouse brain in the low-, medium- and high-dose groups on day 30 post-infection, respectively (F = 0.42, P > 0.05). The survival rates of male and female mice were 73.0% and 80.0%, and the mean numbers of cysts were (946.4 ± 411.4) and (932.1 ± 322.4) in the brain tissues of male and female mice, respectively (F = 1.63, P > 0.05). Following continuous passage, the mean numbers of cysts were (516.0 ± 257.2), (1 203.0 ± 502.0), (896.8 ± 332.3), (782.5 ± 423.9) and (829.2 ± 306.0) in the brain tissues of mice in the T, C1, C2, C3 and C4 groups, respectively (F = 4.82, P < 0.01), and the number of cysts was higher in the mouse brain in Group 1 than in Group T (P < 0.01). Following oral administration of 20 T. gondii cysts in mice, cysts were found in the moues brain for the first time on day 20 post-infection, and the number of cysts gradually increased over time, peaked on days 30 and 90 post-infection and then gradually decreased; however, the cysts were still found in the mouse brain on day 180 post-infection.
    CONCLUSIONS: There is a higher possibility of developing chronic T. gondii infection in mice following infection with cysts than with oocysts or tachyzoites and the most severe chronic infection is seen following infection with cysts. The number of cysts does not correlate with the severity of chronic T. gondii infection, and the number of cysts peaks in the mouse brain on days 30 and 90 post-infection.
    [摘要] 目的 观察不同形态刚地弓形虫感染后小鼠脑内包囊形成及其动态变化, 为弓形虫病防控提供依据。方法 取 6~8周龄ICR小鼠 (20~25 g) 建立慢性弓形虫感染模型, 其中弓形虫PRU株速殖子按1 × 105个/只剂量腹腔注射感染小鼠, 包囊和卵囊分别按20、200个/只剂量通过灌胃针口服感染小鼠, 观察感染后小鼠临床症状和存活情况。分别以10 (低剂 量组) 、20 (中剂量组) 、40个包囊/只 (高剂量组) 剂量感染小鼠, 观察弓形虫不同感染剂量对小鼠脑内包囊数量的影响。 将小鼠按性别 (雌、雄性) 、感染时间 (感染后20、30、60、90、120、150、180 d) 分组, 按20个/只剂量口服弓形虫包囊后, 分别 观察性别和感染时间对小鼠脑内包囊数量的影响。将小鼠分成速殖子组 (T组) 、包囊1代组 (C1组) 、包囊2代组 (C2 组) 、包囊3代组 (C3组) 、包囊4代组 (C4组); T组小鼠按1 × 105个/只剂量腹腔注射弓形虫速殖子, 感染后第30天处死小 鼠并收集其脑组织内包囊, 再按20个/只感染C1组小鼠。此后每一代小鼠均采用上一代所产生包囊进行口服连续传代, 观察连续传代对小鼠脑内弓形虫包囊数量的影响。结果 以弓形虫速殖子、包囊、卵囊分别感染小鼠, 感染第6~13天 小鼠出现明显临床症状、感染第 7~12 天小鼠出现集中死亡。感染第 30 天时, 感染速殖子、包囊、卵囊的小鼠存活率分 别为67.0%、87.0%、53.0%, 平均脑内包囊数量分别为 (516.0 ± 257.2) 、 (1 203.0 ± 502.0) 、 (581.0 ± 183.1) 个, 差异有统计 学意义 (F = 11.94, P < 0.01), 感染速殖子、卵囊的小鼠脑内包囊数低于感染包囊的小鼠 (P 均< 0.01) 。感染后第30天, 低、中、高剂量组小鼠存活率分别为87.0%、87.0%、60.0%, 平均脑内包囊数量分别为 (953.0 ± 355.5) 、 (1 084.0 ± 474.3) 、 (1 113.0 ± 546.0) 个, 差异无统计学意义 (F = 0.42, P > 0.05); 雄、雌性组小鼠存活率分别为73.0%和80.0%, 平均脑内包 囊数量分别为 (946.4 ± 411.4) 、 (932.1 ± 322.4) 个, 差异无统计学意义 (F = 1.63, P > 0.05) 。通过连续传代感染后, T、C1、 C2、C3、C4组小鼠平均脑内包囊数量分别为 (516.0 ± 257.2) 、 (1 203.0 ± 502.0) 、 (896.8 ± 332.3) 、 (782.5 ± 423.9) 、 (829.2 ± 306.0) 个, 差异有统计学意义 (F = 4.82, P < 0.01); C1组小鼠脑内包囊数高于速殖子组, 差异有统计学意义 (P < 0.01) 。 小鼠口服20个包囊后, 感染第20天首次查见脑内弓形虫包囊, 随感染时间延长脑内包囊数量逐渐增加; 至感染第30、90 天时, 脑内包囊数量分别达峰值, 此后逐步下降, 至感染第180天时仍能查见脑内包囊。结论 刚地弓形虫包囊较速殖 子、卵囊感染后形成慢性感染的可能性更高, 且慢性感染程度亦最严重; 感染弓形虫包囊数量与慢性感染严重程度无关; 脑内包囊形成数量于感染第30天和90天时达高峰。.
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