R737.9%R?1; 本文对近年来三阴性乳腺癌(triple?negative breast ...cancer,TNBC)在手术、放疗、化疗、靶向治疗、免疫治疗等方面的临床研究进展进行回顾和总结,以期对临床实践有所裨益.手术治疗方面,符合适应证的保乳手术和前哨淋巴结活检成为早期TNBC治疗的主要趋势,而乳房重建将进一步改善全乳切除术后患者的心理状态和生活质量.放疗方面,区域淋巴结照射、术中放疗、大分割放疗、加速局部乳房等方面的进展,将为TNBC的精细化放疗模式提供依据.药物治疗方面,奥拉帕利、戈沙妥珠单抗、艾立布林、优替德隆、帕博利珠单抗等药物在TNBC治疗中取得突破性进展.随着对肿瘤免疫机制和发病机制的深入研究,精准治疗和药物临床试验不断发展,TNBC患者的预后和生活质量将得到进一步改善.
In this study, pressure response at A monitoring well in early stage of CO2 geological storage were predicted against pressure build-up at CO2 injector after starting CO2 injection into a deep saline ...aquifer to design the monitoring well distance from the injector and resolution or sensitivity of a pressure transmitter installed in the monitoring well. The numerical simulations on pressure distributions and expanding CO2 plume front were carried out using a reservoir simulator, CMG-STARS, for the aquifer (10 km in radius, 50m in height) with open boundary under 1,000 m from the ground or seabed level. The ratio of pressure response at the monitoring well against the pressure build-up at the injector have been presented for various monitoring locations (500 to 5,000 m from a injector) and homogeneous and heterogeneous models of horizontal permeability distribution in the aquifer (Base Model and Model 1, 2 & 3) and CO2 injection patters during 100 days (Scheme 1, 2 & 3). It has been presented from the numerical simulation results that the monitoring well radial distance from the injector is recommended to be 2,000 to 4,000 m or less than 1000 m when the resolution or sensitivity of the pressure transmitter is 1kPa or 10kPa, respectively.