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1.
J Am Chem Soc ; 146(21): 14898-14904, 2024 May 29.
Artigo em Inglês | MEDLINE | ID: mdl-38749059

RESUMO

The electrocatalytic reduction of nitrate is promising for sustainable ammonia synthesis but suffers from slow reduction kinetics and multiple competing reactions. Here, we report a catalyst featuring copper nitride (Cu3N) anchored on a novel graphdiyne support (termed Cu3N/GDY), which is used for electrocatalytic reduction of nitrate to produce ammonia. The GDY absorbed hydrogen and enabled nitrogen (N) vacancy formation in Cu3N for the fast nitrate reduction reaction (NO3RR). Further, the distinct absorption sites formed by GDY and N vacancy enabled the excellent selectivity and stability of NO3RR. Notably, the Cu3N/GDY catalyst achieved a high ammonia yield (YNH3) up to 35280 µg h-1 mgcat.-1 and a high Faradaic efficiency (FE) of 98.1% using 0.1 M NO3- at -0.9 V versus a reversible hydrogen electrode (RHE). Using electron paramagnetic resonance (EPR) technology and in situ X-ray absorption fine structure (XAFS) spectroscopy measurement, we visualized the N vacancy formation in Cu3N and electrocatalytic NO3RR enabled by GDY. These findings show the promise of GDY in sustainable ammonia synthesis and highlight the efficacy of Cu3N/GDY as a catalyst.

2.
J Am Chem Soc ; 2024 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-38847839

RESUMO

Enhancing the catalytic oxidation activity of traditional transition-metal oxides to rival that of noble metals has been a prominent focus in the field of catalysis. However, existing synthesis strategies that focus on controlling the electronic states of metal centers have not yet fully succeeded in achieving this goal. Our current research reveals that manipulating the electronic states of oxygen centers can yield unexpected results. By creating electron-rich, aperiodic lattice oxygens through atomic topping of MnOx, we have produced a catalyst with performance that closely resembles supported Pt. Spherical aberration-corrected transmission electron microscopy and X-ray absorption spectra have confirmed that the atomic topping of the MnOx layer on Al2O3 can form an aperiodic arrangement oxide structure. Near-ambient pressure X-ray photoelectron spectroscopy, in situ diffuse reflectance infrared Fourier transform spectroscopy, reaction kinetics test, and theoretical calculations demonstrated that this structure significantly increases the electron density around the oxygen in MnOx, shifting the activation center for CO adsorption from Mn to O, thereby exhibiting catalytic activity and stability close to that of the precious metal Pt. This study presents a fresh perspective on designing efficient oxide catalysts by targeting electron-rich anionic centers, thereby deepening the understanding of how these centers can be altered to enhance catalytic efficiency in oxidation reactions.

3.
BMC Med Imaging ; 24(1): 102, 2024 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-38724896

RESUMO

Precision and intelligence in evaluating the complexities of middle ear structures are required to diagnose auriculotemporal and ossicle-related diseases within otolaryngology. Due to the complexity of the anatomical details and the varied etiologies of illnesses such as trauma, chronic otitis media, and congenital anomalies, traditional diagnostic procedures may not yield accurate diagnoses. This research intends to enhance the diagnosis of diseases of the auriculotemporal region and ossicles by combining High-Resolution Spiral Computed Tomography (HRSCT) scanning with Deep Learning Techniques (DLT). This study employs a deep learning method, Convolutional Neural Network-UNet (CNN-UNet), to extract sub-pixel information from medical photos. This method equips doctors and researchers with cutting-edge resources, leading to groundbreaking discoveries and better patient healthcare. The research effort is the interaction between the CNN-UNet model and high-resolution Computed Tomography (CT) scans, automating activities including ossicle segmentation, fracture detection, and disruption cause classification, accelerating the diagnostic process and increasing clinical decision-making. The suggested HRSCT-DLT model represents the integration of high-resolution spiral CT scans with the CNN-UNet model, which has been fine-tuned to address the nuances of auriculotemporal and ossicular diseases. This novel combination improves diagnostic efficiency and our overall understanding of these intricate diseases. The results of this study highlight the promise of combining high-resolution CT scanning with the CNN-UNet model in otolaryngology, paving the way for more accurate diagnosis and more individualized treatment plans for patients experiencing auriculotemporal and ossicle-related disruptions.


Assuntos
Ossículos da Orelha , Tomografia Computadorizada Espiral , Humanos , Tomografia Computadorizada Espiral/métodos , Ossículos da Orelha/diagnóstico por imagem , Aprendizado Profundo , Otopatias/diagnóstico por imagem , Osso Temporal/diagnóstico por imagem , Adulto , Redes Neurais de Computação
4.
Nano Lett ; 23(6): 2312-2320, 2023 Mar 22.
Artigo em Inglês | MEDLINE | ID: mdl-36861218

RESUMO

Positively charged Cu sites have been confirmed to significantly promote the production of multicarbon (C2) products from an electrochemical CO2 reduction reaction (CO2RR). However, the positively charged Cu has difficulty in existing under a strong negative bias. In this work, we design a Pdδ--Cu3N catalyst containing charge-separated Pdδ--Cuδ+ atom pair that can stabilize the Cuδ+ sites. In situ characterizations and density functional theory reveal that the first reported negatively charged Pdδ- sites exhibited a superior CO binding capacity together with the adjacent Cuδ+ sites, synergistically promoting the CO dimerization process to produce C2 products. As a result, we achieve a 14-fold increase in the C2 product Faradaic efficiency (FE) on Pdδ--Cu3N, from 5.6% to 78.2%. This work provides a new strategy for synthesizing negative valence atom-pair catalysts and an atomic-level modulation approach of unstable Cuδ+ sites in the CO2RR.

5.
Angew Chem Int Ed Engl ; 63(3): e202316123, 2024 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-37997525

RESUMO

Modulating the surface and spatial structure of the host is associated with the reactivity of the active site, and also enhances the mass transfer effect of the CO2 electroreduction process (CO2 RR). Herein, we describe the development of two-step ligand etch-pyrolysis to access an asymmetric dual-atomic-site catalyst (DASC) composed of a yolk-shell carbon framework (Zn1 Mn1 -SNC) derived from S,N-coordinated Zn-Mn dimers anchored on a metal-organic framework (MOF). In Zn1 Mn1 -SNC, the electronic effects of the S/N-Zn-Mn-S/N configuration are tailored by strong interactions between Zn-Mn dual sites and co-coordination with S/N atoms, rendering structural stability and atomic distribution. In an H-cell, the Zn1 Mn1 -SNC DASC shows a low onset overpotential of 50 mV and high CO Faraday efficiency of 97 % with a low applied overpotential of 343 mV, thus outperforming counterparts, and in a flow cell, it also reaches a high current density of 500 mA cm-2 at -0.85 V, benefitting from the high structure accessibility and active dual sites. DFT simulations showed that the S,N-coordinated Zn-Mn diatomic site with optimal adsorption strength of COOH* lowers the reaction energy barrier, thus boosting the intrinsic CO2 RR activity on DASC. The structure-property correlation found in this study suggests new ideas for the development of highly accessible atomic catalysts.

6.
Angew Chem Int Ed Engl ; 63(24): e202402684, 2024 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-38597346

RESUMO

Electrocatalytic urea synthesis under ambient conditions offers a promising alternative strategy to the traditional energy-intensive urea industry protocol. Limited by the electrostatic interaction, the reduction reaction of anions at the cathode in the electrocatalytic system is not easily achievable. Here, we propose a novel strategy to overcome electrostatic interaction via pulsed electroreduction. We found that the reconstruction-resistant CuSiOx nanotube, with abundant atomic Cu-O-Si interfacial sites, exhibits ultrastability in the electrosynthesis of urea from nitrate and CO2. Under a pulsed potential approach with optimal operating conditions, the Cu-O-Si interfaces achieve a superior urea production rate (1606.1 µg h-1 mgcat. -1) with high selectivity (79.01 %) and stability (the Faradaic efficiency is retained at 80 % even after 80 h of testing), outperforming most reported electrocatalytic synthesis urea catalysts. We believe our strategy will incite further investigation into pulsed electroreduction increasing substrate transport, which may guide the design of ambient urea electrosynthesis and other energy conversion systems.

7.
J Am Chem Soc ; 145(29): 16218-16227, 2023 Jul 26.
Artigo em Inglês | MEDLINE | ID: mdl-37438261

RESUMO

Recycling waste plastics requires the degradation of plastics into small molecules. However, various products are widely distributed using traditional methods of depolymerizing polystyrene (PS) such as catalytic pyrolysis and hydrogenolysis. Here, we creatively report a N-bridged Co, Ni dual-atom (Co-N-Ni) catalyst for the targeted conversion of waste PS plastics to ethylbenzene via a pressurized tandem fixed-bed reactor where hydropyrolysis is coupled with downstream vapor-phase hydrotreatment. The Co-N-Ni catalyst achieves 95 wt % PS conversion with 92 wt % ethylbenzene yield, significantly superior to the corresponding single-atom catalysts, and enables degradation of real PS plastics. Theoretical calculations and experimental results demonstrate that the d-band center of metal atoms is well regulated in the Co-N-Ni catalyst. The Co site activates the C═C bond more easily, while the Ni site spatially optimizes the adsorption configuration of the styrene molecule due to the electronic interaction. This Co-N-Ni catalyst in the tandem reactor also shows excellent durability and provides a new direction for real plastic degradation.

8.
J Am Chem Soc ; 145(18): 10259-10267, 2023 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-37097880

RESUMO

Realizing efficient hydrogenation of N2 molecules in the electrocatalytic nitrogen reduction reaction (NRR) is crucial in achieving high activity at a low potential because it theoretically requires a higher equilibrium potential than other steps. Analogous to metal hydride complexes for N2 reduction, achieving this step by chemical hydrogenation can weaken the potential dependence of the initial hydrogenation process. However, this strategy is rarely reported in the electrocatalytic NRR, and the catalytic mechanism remains ambiguous and lacks experimental evidence. Here, we show a highly efficient electrocatalyst (ruthenium single atoms anchored on graphdiyne/graphene sandwich structures) with a hydrogen radical-transferring mechanism, in which graphdiyne (GDY) generates hydrogen radicals (H•), which can effectively activate N2 to generate NNH radicals (•NNH). A dual-active site is constructed to suppress competing hydrogen evolution, where hydrogen preferentially adsorbs on GDY and Ru single atoms serve as the adsorption site of •NNH to promote further hydrogenation of NH3 synthesis. As a result, high activity and selectivity are obtained simultaneously at -0.1 V versus a reversible hydrogen electrode. Our findings illustrate a novel hydrogen transfer mechanism that can greatly reduce the potential and maintain the high activity and selectivity in NRR and provide powerful guidelines for the design concept of electrocatalysts.

9.
J Am Chem Soc ; 145(40): 22069-22078, 2023 Oct 11.
Artigo em Inglês | MEDLINE | ID: mdl-37774141

RESUMO

As a commercial electrode material for proton-exchange membrane water electrolyzers and fuel cells, Pt-based catalysts still face thorny issues, such as insufficient mass activity, stability, and CO tolerance. Here, we construct a bifunctional catalyst consisting of Pt-Er alloy clusters and atomically dispersed Pt and Er single atoms, which exhibits excellent activity, durability, and CO tolerance of acidic hydrogen evolution and oxidation reactions (HER and HOR). The catalyst possesses a remarkably high mass activity and TOF for HER at 63.9 times and 7.2 times more than that of Pt/C, respectively. More impressively, it can operate stably in the acidic electrolyte at 1000 mA cm-2 for more than 1200 h, thereby confirming its potential for practical applications at the industrial current density. In addition, the catalyst also demonstrates a distinguished HOR performance and outstanding CO tolerance. The synergistic effects of active sites give the catalyst exceptional activity for the hydrogen reaction, while the introduction of Er atoms greatly enhances its stability and CO tolerance. This work provides a promising idea for designing low-Pt-loading acidic HER electrocatalysts that are durable at ampere-level current densities and for constructing HOR catalysts with high CO tolerance.

10.
J Am Chem Soc ; 145(41): 22836-22844, 2023 Oct 18.
Artigo em Inglês | MEDLINE | ID: mdl-37794780

RESUMO

Mixed plastic waste treatment has long been a significant challenge due to complex composition and sorting costs. In this study, we have achieved a breakthrough in converting mixed plastic wastes into a single chemical product using our innovative single-atom catalysts for the first time. The single-atom Ru catalyst can convert ∼90% of real mixed plastic wastes into methane products (selectivity >99%). The unique electronic structure of Ru sites regulates the adsorption energy of mixed plastic intermediates, leading to rapid decomposition of mixed plastics and superior cycle stability compared to traditional nanocatalysts. The global warming potential of the entire process was evaluated. Our proposed carbon-reducing process utilizing single-atom catalysts launches a new era of mixed plastic waste valorization.

11.
Anal Chem ; 95(37): 13880-13888, 2023 09 19.
Artigo em Inglês | MEDLINE | ID: mdl-37677106

RESUMO

The physicochemical properties of nanoparticles (NPs) significantly influence their deposition at the disease site, ultimately impacting the overall therapeutic efficacy; however, precisely assessing the effects of various factors on NP accumulation within a single cell/tumor tissue is challenging due to the lack of appropriate labeling techniques. Surface-enhanced Raman spectroscopy (SERS) tag is a powerful encoding method that has recently been intensively employed for immunodetection of biomarkers. Herein, we introduce a multiplexed SERS tracking approach for systematic investigation of size-dependent accumulation and distribution of NPs within the same tumor. Four-sized (34, 60, 108, and 147 nm) NPs encoded with different SERS "colors" were fabricated, mixed, and incubated with monolayer tumor cells, multicellular tumor spheroids, or injected into mouse models bearing xenograft solid tumors in a single dose. Multicolor SERS detection of the specimens revealed that NP accumulation in tumor cells, tumor spheroids, and solid tumors was in the order of 34 nm > 60 nm > 108 nm > 147 nm, 60 nm > 34 nm > 108 nm > 147 nm, and 34 nm > 147 nm > 108 nm > 60 nm, respectively. Inductively coupled plasma mass spectroscopy determination performed in parallel samples were in alignment with the four-color SERS probing results, demonstrating the effectiveness of this multiplexed evaluation assay. Furthermore, in combination with fluorescence labeling of specific biomolecules, this method can be applied for the colocalization of different NPs in various pathological structures and provide additional information for analysis of the possible mechanisms.


Assuntos
Nanopartículas , Neoplasias , Animais , Humanos , Camundongos , Modelos Animais de Doenças , Análise Espectral Raman
12.
Chemistry ; 29(34): e202301048, 2023 Jun 19.
Artigo em Inglês | MEDLINE | ID: mdl-37022345

RESUMO

Tetrathiafulvalene (TTF) and Ni-bis(dithiolene) are typical conductive units widely studied in electronics, optics, and photochemistry. However, their applications in near-infrared (NIR) photothermal conversion are often limited by insufficient NIR absorption and low chemical/thermal stability. Herein, we integrate TTF and Ni-bis(dithiolene) into a covalent organic framework (COF) with stable and efficient NIR and solar photothermal conversion performance. Two isostructural COFs, namely Ni-TTF and TTF-TTF, are successfully isolated which are composed of TTF and Ni-bis(dithiolene) units as donor-acceptor (D-A) pairs or TTF units only. Both COFs show high BET surface areas and good chemical/thermal stability. Notably, compared with TTF-TTF, the periodic D-A arrangement in Ni-TTF significantly lowers the bandgap, leading to unprecedented NIR and solar photothermal conversion performance.

13.
Angew Chem Int Ed Engl ; 62(3): e202215136, 2023 Jan 16.
Artigo em Inglês | MEDLINE | ID: mdl-36399049

RESUMO

Precise design and tuning of the micro-atomic structure of single atom catalysts (SACs) can help efficiently adapt complex catalytic systems. Herein, we inventively found that when the active center of the main group element gallium (Ga) is downsized to the atomic level, whose characteristic has significant differences from conventional bulk and rigid Ga catalysts. The Ga SACs with a P, S atomic coordination environment display specific flow properties, showing CO products with FE of ≈92 % at -0.3 V vs. RHE in electrochemical CO2 reduction (CO2 RR). Theoretical simulations demonstrate that the adaptive dynamic transition of Ga optimizes the adsorption energy of the *COOH intermediate and renews the active sites in time, leading to excellent CO2 RR selectivity and stability. This liquid single atom catalysts system with dynamic interfaces lays the foundation for future exploration of synthesis and catalysis.

14.
Angew Chem Int Ed Engl ; 62(19): e202301879, 2023 05 02.
Artigo em Inglês | MEDLINE | ID: mdl-36872618

RESUMO

Nanozymes aim to mimic the highly evolved active centers of natural enzymes. Despite progress in nanozyme engineering, their catalytic performance is much less favorable compared with natural enzymes. This study shows that precise control over the atomic configuration of the active centers of Co single-atom nanozymes (SAzymes) enables the rational regulation of their catalase-like performance guided by theorical calculations. The constructed Co-N3 PS SAzyme exhibits an excellent catalase-like activity and kinetics, exceeding the representative controls of Co-based SAzymes with different atomic configurations. Moreover, we developed an ordered structure-oriented coordination design strategy for rationally engineering SAzymes and established a correlation between the structure and enzyme-like performance. This work demonstrates that precise control over the active centers of SAzymes is an efficient strategy to mimic the highly evolved active sites of natural enzymes.


Assuntos
Carbono , Carbono/química , Catalase , Catálise , Cobalto/química , Materiais Biomiméticos/química
15.
Angew Chem Int Ed Engl ; 62(27): e202304183, 2023 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-37154674

RESUMO

Modulation of the ligands and coordination environment of metal-organic frameworks (MOFs) has been an effective and relatively unexplored avenue for improving the anode performance of lithium-ion batteries (LIBs). In this study, three MOFs are synthesized, namely, M4 (o-TTFOB)(bpm)2 (H2 O)2 (where M is Mn, Zn, and Cd; o-H8 TTFOB is ortho-tetrathiafulvalene octabenzoate; and bpm is 2,2'-bipyrimidine), based on a new ligand o-H8 TTFOB with two adjacent carboxylates on one phenyl, which allows us to establish the impact of metal coordination on the performance of these MOFs as anode materials in LIBs. Mn-o-TTFOB and Zn-o-TTFOB, with two more uncoordinated oxygen atoms from o-TTFOB8- , show higher reversible specific capacities of 1249 mAh g-1 and 1288 mAh g-1 under 200 mA g-1 after full activation. In contrast, Cd-o-TTFOB shows a reversible capacity of 448 mAh g-1 under the same condition due to the lack of uncoordinated oxygen atoms. Crystal structure analysis, cyclic voltammetry measurements of the half-cell configurations, and density functional theory calculations have been performed to explain the lithium storage mechanism, diffusion kinetics, and structure-function relationship. This study demonstrates the advantages of MOFs with high designability in the fabrication of LIBs.

16.
J Am Chem Soc ; 144(10): 4321-4326, 2022 Mar 16.
Artigo em Inglês | MEDLINE | ID: mdl-35235317

RESUMO

Utilizing heterogeneous catalysts to overcome obstacles for homogeneous reactions is fascinating but very challenging owing to the difficult fabrication of such catalysts based on the character of target reactions. Herein, we report a Al3+ doping strategy to construct single-atom Cu on MgO nanosheets (Cu1/MgO(Al)) for boosting the free-radical hydrophosphinylation of alkenes. Al3+ dopants in MgO bring about abundant Mg2+ vacancies for stabilizing dense independent Cu atoms (6.3 wt %), while aggregated Cu nanoparticles are formed without Al3+ dopants (Cu/MgO). Cu1/MgO(Al) exhibits preeminent activity and durability in the hydrophosphinylation of various alkenes with great anti-Markovnikov selectivity (99%). The turnover frequency (TOF) value reaches up to 1272 h-1, exceeding those of Cu/MgO by ∼6-fold and of traditional homogeneous catalysts drastically. Further experimental and theoretical studies disclose that the prominent performance of Cu1/MgO(Al) derives from the accelerated initiating step of phosphinoyl radical triggered by individual Cu atoms.

17.
J Am Chem Soc ; 144(28): 12807-12815, 2022 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-35786905

RESUMO

The renewable energy-powered electrolytic reduction of carbon dioxide (CO2) to methane (CH4) using water as a reaction medium is one of the most promising paths to store intermittent renewable energy and address global energy and sustainability problems. However, the role of water in the electrolyte is often overlooked. In particular, the slow water dissociation kinetics limits the proton-feeding rate, which severely damages the selectivity and activity of the methanation process involving multiple electrons and protons transfer. Here, we present a novel tandem catalyst comprising Ir single-atom (Ir1)-doped hybrid Cu3N/Cu2O multisite that operates efficiently in converting CO2 to CH4. Experimental and theoretical calculation results reveal that the Ir1 facilitates water dissociation into proton and feeds to the hybrid Cu3N/Cu2O sites for the *CO protonation pathway toward *CHO. The catalyst displays a high Faradaic efficiency of 75% for CH4 with a current density of 320 mA cm-2 in the flow cell. This work provides a promising strategy for the rational design of high-efficiency multisite catalytic systems.

18.
Environ Microbiol ; 24(10): 4684-4701, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-35859329

RESUMO

Understanding countrywide pathogen population structure and inter-epidemic region spread is crucial for deciphering crop potential losses. Wheat stripe rust caused by Puccinia striiformis f. sp. tritici is a destructive disease that affects worldwide wheat production, widespread in China, representing largest epidemic region globally. This study aimed to understand the population structure and migration route of P. striiformis f. sp. tritici across China based on sampling from 15 provinces representing six epidemic zones, viz., over-summering, over-wintering, eastern, Yun-Gui, Xinjiang and Tibet epidemic regions. High genotypic diversity was recorded in over-summering, Tibet and over-wintering epidemic regions. Epidemic regions partly explain population subdivision with variable divergence (FST  = 0.005-0.344). Xinjiang and Tibet epidemic regions were independent epidemic zones with least sharing of genotypes. Among other epidemic zones, i.e. over-summering, over-wintering, eastern and Yun-Gui epidemic zones, re-sampling MLGs, clustering-based structure, DAPC analyses, relative migration and low divergence (FST from 0.006 to 0.073) revealed frequent geneflow. Yun-Gui epidemic regions, with a potential for both over-summering and over-wintering, could play an important role in causing epidemics in main wheat-cultivating areas of China. High diversity, recombination signatures and inter-epidemic region migration patterns need to be considered in host-resistant cultivar development in China and neighbouring countries, considering risk of long-distance migration capacity of pathogen.


Assuntos
Basidiomycota , Epidemias , Basidiomycota/genética , Genótipo , Doenças das Plantas , Triticum
19.
Chem Rev ; 120(21): 11900-11955, 2020 11 11.
Artigo em Inglês | MEDLINE | ID: mdl-32242408

RESUMO

Manipulating metal atoms in a controllable way for the synthesis of materials with the desired structure and properties is the holy grail of chemical synthesis. The recent emergence of single atomic site catalysts (SASC) demonstrates that we are moving toward this goal. Owing to the maximum efficiency of atom-utilization and unique structures and properties, SASC have attracted extensive research attention and interest. The prerequisite for the scientific research and practical applications of SASC is to fabricate highly reactive and stable metal single atoms on appropriate supports. In this review, various synthetic strategies for the synthesis of SASC are summarized with concrete examples highlighting the key issues of the synthesis methods to stabilize single metal atoms on supports and to suppress their migration and agglomeration. Next, we discuss how synthesis conditions affect the structure and catalytic properties of SASC before ending this review by highlighting the prospects and challenges for the synthesis as well as further scientific researches and practical applications of SASC.

20.
BMC Urol ; 22(1): 180, 2022 Nov 10.
Artigo em Inglês | MEDLINE | ID: mdl-36357903

RESUMO

BACKGROUND: The retrospective observational study aimed to evaluate the safety and efficacy of suctioning flexible ureteroscopy with Intelligent pressure-control (SFUI) on treating upper urinary tract calculi in a large cohort. METHODS: Between July 2020 and August 2021, 278 patients with upper urinary tract calculi who underwent SFUI in our hospital were enrolled. Outcomes were stone-free rate (SFR) in one session and one-month after SFUI treatment, and complications scored by the Clavien-Dindo classification. RESULTS: A total of 310 kidneys underwent SFUI were included. The median surgery time was 75 min (ranged 60-110 min). One session and one-month SFRs were 80.65% and 82.26%, respectively. The one-session SFR was ≧ 87% in patients with Guy's stone score of Grade I among stone size < 40 mm. Risk factors for unsuccessful stone-free in one session were stone history (adjusted odds ratio (aOR): 2.39, 95% confidence interval (CI): 1.21-4.73), stone size of 40-49 mm (aOR: 4.37, 95% CI: 1.16-16.45), Guy's stone score ≧ Grade II (Grade II, aOR: 3.54, 95% CI: 1.18-10.59; Grade III, aOR: 10.95, 95% CI: 2.65-45.25). The incidence of Clavien-Dindo grade II-III complication was 3.26%. Complication is associated with Guy's stone score III (aOR: 22.36, 95% CI: 1.81-276.36). CONCLUSION: SFUI shows good safety and efficiency on treating upper urinary tract calculi. Patients with stone size < 40 mm or Guy's stone score of Grade I have a high chance to reach stone-free after SFUI treatment.


Assuntos
Cálculos Renais , Cálculos Urinários , Sistema Urinário , Humanos , Ureteroscopia , Cálculos Renais/terapia , Resultado do Tratamento , Ureteroscópios , Estudos Retrospectivos , Cálculos Urinários/cirurgia , Cálculos Urinários/complicações
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