Gynecology and Minimally Invasive Therapy-GMIT最新文献

{"title":"Comparison of Postoperative Voiding and Storage Function Following Laparoscopic Sacrocolpopexy and Transvaginal Mesh Surgery Using Nearest-neighbor Propensity Score Matching Analysis.","authors":"Kenji Kuroda, Koetsu Hamamoto, Kazuki Kawamura, Ayako Masunaga, Hiroaki Kobayashi, Keiichi Ito","doi":"10.4103/gmit.GMIT-D-25-00064","DOIUrl":"10.4103/gmit.GMIT-D-25-00064","url":null,"abstract":"<p><strong>Objectives: </strong>Laparoscopic sacrocolpopexy (LSC) and transvaginal mesh surgery (TVM) are both established surgical interventions for pelvic organ prolapse (POP). Although both procedures demonstrate favorable anatomical outcomes, their comparative effects on postoperative voiding and storage function remain unclear, particularly in well-matched patient cohorts. This study aimed to evaluate postoperative urinary function following LSC and TVM using propensity score matching to adjust for baseline characteristics.</p><p><strong>Materials and methods: </strong>We retrospectively evaluated 241 patients with POP who underwent LSC (<i>n</i> = 94) or TVM (<i>n</i> = 147) at our hospital. Propensity score matching was performed using age, body mass index, presence of diabetes mellitus, number of previous laparotomies, and POP stage as covariates. Postoperative voiding and storage outcomes were assessed using postvoid residual urine volume (PVR), the International Prostate Symptom Score (IPSS), quality of life (QOL) score, and 60-min pad weight tests preoperatively and at 3, 6, and 12 months postoperatively.</p><p><strong>Results: </strong>After matching, no significant differences were observed between the LSC and TVM groups in baseline characteristics. Both groups demonstrated significant postoperative improvements in PVR, IPSS, and QOL scores at all follow-up points compared with preoperative values. Moreover, no significant differences were noted between the two groups in changes from baseline to 12 months postoperatively in PVR, IPSS, and QOL scores, or pad test results.</p><p><strong>Conclusion: </strong>Both techniques significantly improved voiding and storage symptoms when matched for baseline characteristics. Given the shorter operative time and lower complication rate, TVM may be a sufficient and effective option for the surgical management of POP.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 3","pages":"207-213"},"PeriodicalIF":2.1,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"EP Method\" of Intra-Ureteral Indocyanine Green Injection by Gynecologists: Strategy to Prevent Inadvertent Ureteral Injury in Complex Laparoscopic/Robotic Gynecologic Surgeries.","authors":"Sharifah Halimah Jaafar, Sufian Hadi, Tan Ee Ping, Yi-Chen Chuang, Peng Teng Chua","doi":"10.4103/gmit.GMIT-D-24-00032","DOIUrl":"10.4103/gmit.GMIT-D-24-00032","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluated the safety and feasibility of a simplified intra-ureteral indocyanine green (ICG) injection technique performed by gynecologists during complex laparoscopic surgeries.</p><p><strong>Materials and methods: </strong>A retrospective analysis of 110 cases performed from March 2023 to March 2024 was conducted. A set of hysteroscope (Karl Storz), a set of epidural catheter, a vial of ICG (25 mg), and a Near-Infrared (NIR) three-dimensional (3D) RUBINA camera system were used. A hysteroscope was used to inspect the bladder and identify the ureteral openings. Epidural catheter was inserted into the operating channel of the hysteroscope and advanced into the ureteral orifice up to 150-200 mm from the ureteral opening. Approximately 2.5 ml of ICG was injected into each ureter from the outer end of the epidural catheter. The planned 3D laparoscopic procedures were then followed. The ICG highlighted the ureters, and their course was observed and visualized in real-time under NIR light as desired.</p><p><strong>Results: </strong>Among the 110 cases, 62 involved severe endometriosis, 40 had large uterine masses, 8 involved malignancy, and 48 had prior pelvic surgeries. ICG injection was successfully performed in 107 cases (97%) with a mean time of 2.2 min. Three near-miss ureteral injuries were prevented with real-time visualization. Mean operative time was 210.8 min, the mean estimated blood loss was 198 ml, and the mean hospital stay was 2.8 days. No adverse events were reported.</p><p><strong>Conclusion: </strong>The simplified \"EP Method\" for intra-ureteral ICG injection is safe, feasible, cost-effective, and time-saving. It prevents ureteral injuries and can be performed independently by gynecologists without urologist assistance.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 3","pages":"232-239"},"PeriodicalIF":2.1,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148653777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Minimally Invasive Transvaginal Sacrospinous Ligament Hysteropexy a Viable Surgical Option for Young Women Experiencing Severe Uterine Prolapse?","authors":"Ronen Samuel Gold, Jonatan Neuman, Menahem Neuman, Yoav Baruch, Asnat Groutz","doi":"10.4103/gmit.GMIT-D-25-00013","DOIUrl":"10.4103/gmit.GMIT-D-25-00013","url":null,"abstract":"<p><strong>Objectives: </strong>Managing young women with significant uterine prolapse poses a clinical challenge. The present study was conducted to evaluate the safety, patient satisfaction, and medium-term effectiveness of minimally invasive transvaginal sacrospinous ligament (SSL) hysteropexy in a cohort of young women with stage III-IV uterine prolapse.</p><p><strong>Materials and methods: </strong>A cohort study of 40 consecutive young women who underwent SSL hysteropexy was investigated. Young age was defined as 45 years old or younger. All patients underwent transvaginal EnPlace^® SSL hysteropexy between February 2019 and June 2023. Outcomes were assessed through pre- and postoperative Pelvic Organ Prolapse Quantification (POP-Q) measurements and satisfaction scores. Medium-term follow-up was conducted through a telephone survey.</p><p><strong>Results: </strong>The mean age of the patients was 40.6 ± 5.5 years (range: 32-45 years). The mean duration of surgery was 27.4 ± 7.4 min. No significant intraoperative or early postoperative complications were observed. The POP-Q measurements, specifically point C, point Ba, and point Bp, showed significant improvement 6 months postoperatively (-4.9 ± 1.6, -2.5 ± 1, and -2.6 ± 0.7, respectively). The mean follow-up duration was 33.7 ± 10.6 months (range: 18-66 months). Among the 40 patients surveyed, 13 (32.5%) reported experiencing symptoms of POP, five (12.5%) of whom required subsequent surgical intervention for recurrent apical POP. Nevertheless, medium-term patient satisfaction scores remained high, with a mean score of 92.9 ± 10.3.</p><p><strong>Conclusion: </strong>The results of the present study align with existing literature, demonstrating that SSL hysteropexy is safe and effective. However, although the procedure is associated with high levels of patient satisfaction, it has less favorable medium-term anatomical outcomes among young women.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 3","pages":"214-219"},"PeriodicalIF":2.1,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative Outcomes on Endometriosis-related Pain Following Laparoscopic Adenomyomectomy: A Retrospective Cohort Study.","authors":"Pruttaporn Maneerat, Wei-Li Lin, Chyi-Long Lee","doi":"10.4103/gmit.GMIT-D-24-00037","DOIUrl":"10.4103/gmit.GMIT-D-24-00037","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to evaluate postoperative remission of endometriotic-related pain in patients who underwent laparoscopic adenomyomectomy on patients with adenomyosis.</p><p><strong>Materials and methods: </strong>Sixty-eight cases of patients with adenomyosis who underwent laparoscopic adenomyomectomy were retrospectively reviewed until the 24^th week after the surgery. Evaluation of the remission of pain using the visual analog scale was analyzed. Moreover, recurrence of symptoms and fertility outcomes were collected.</p><p><strong>Results: </strong>Eligible 26 patients were included in the final analysis. Pain symptoms were significantly improved in 100%, 96.2%, and 96.0% of patients at the 6^th, 12^th, and 24^th weeks of follow-up, respectively. No pregnancy was recorded, but 42.3% of patients underwent infertility treatment within the follow-up period. About 7.7% had a recurrence of pain symptoms during the study.</p><p><strong>Conclusion: </strong>Laparoscopic adenomyomectomy significantly improves dysmenorrhea and provides at least 24 weeks of good opportunity to undergo ovarian stimulation during the disease-free period. Pregnancy interval after adenomyomectomy might require a longer period. Thus, further studies should be conducted to evaluate pregnancy outcomes.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 2","pages":"121-126"},"PeriodicalIF":2.1,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13299029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tubal Coagulation, Z-suturing of External Cervical Os, and Vaginal Washing May Prevent Cancer-cell Spillage during Minimally Invasive Surgery for Endometrial Cancer.","authors":"Hiroyoshi Ko, Kenro Chikazawa, Ken Imai, Rika Ozawa, Akira Fujimori, Tomoyuki Kuwata","doi":"10.4103/gmit.GMIT-D-24-00069","DOIUrl":"10.4103/gmit.GMIT-D-24-00069","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study was to investigate whether routine tubal ligation, vaginal washing, and Z-suturing of the external cervical os immediately before colpotomy prevents malignant peritoneal contamination during minimally invasive surgery (MIS) for endometrial cancer.</p><p><strong>Materials and methods: </strong>For this single-center, retrospective study, we included patients aged >20 years who underwent laparoscopy or laparotomy at our institution for preoperatively diagnosed endometrial cancer from December 2019 to November 2023. Patients were categorized into either the laparoscopy or the laparotomy group.</p><p><strong>Results: </strong>A total of 115 patients were evaluated using pre- and posthysterectomy peritoneal cytology. Laparoscopic surgery was performed for patients with early-stage cancer; they had significantly smaller tumors (mean ± standard deviation: 3.0 ± 1.6 vs. 4.3 ± 2.4 cm; <i>P</i> < 0.001) and lower incidence of lymphovascular invasion (16/82 [19.5%] vs. 17/33 [51.5%]; <i>P</i> < 0.001) and positive lymph nodes (4/82 [4.9%] vs. 8/33 [24.2%]; <i>P</i> = 0.002) compared with those undergoing laparotomy. No significant differences were observed in the occurrence of positive initial cytology, peritoneal cytological contamination, or positive vaginal cytology between the groups. Positive vaginal cytology was significantly associated with the use of a uterine manipulator in the laparoscopy group (25/30 [83.3%] vs. 26/52 [50.0%]; <i>P</i> = 0.004).</p><p><strong>Conclusion: </strong>Routine tubal ligation at surgery initiation, Z-suturing, and vaginal washing may reduce the risk of peritoneal cytological contamination during MIS for endometrial cancer. These measures should especially be considered when a uterine manipulator is used.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 2","pages":"159-163"},"PeriodicalIF":2.1,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13299102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case of Fallopian Tubal Mole Laparoscopically Treated before Tubal Rupture and a 5-year Literature Review.","authors":"Minori Ogawa, Tomohiko Takei, Chie Nakamura, Ryota Kumasaka, Akiko Otake, Norichika Ushioda, Yoshimitsu Yamamoto, Itsuko Nakamichi, Kazushige Adachi","doi":"10.4103/gmit.GMIT-D-24-00034","DOIUrl":"10.4103/gmit.GMIT-D-24-00034","url":null,"abstract":"<p><p>A healthy 29-year-old woman visited the clinic with a positive pregnancy test result. At 8 weeks, ultrasonography showed no fetal sac in the uterus, and an unevenly thickened endometrium and lutein cyst in the right adnexa, and no ascites. Beta-human chorionic gonadotropin (beta-hCG) level was 67,780 mIU/mL, but no symptoms were observed. Therefore, the uterine contents were removed, and pathological examination detected no chorionic villi in the uterus. At 9 weeks, there was a 43 mm isomass in the right adnexa. An magnetic resonance imaging was performed on the same day. A mass of 43 mm in the right fallopian tube, along with high hCG level, led to the decision to perform a salpingectomy. Pathological examination confirmed a partial hydatidiform mole in the right fallopian tube. The beta-hCG level steadily decreased after the removal of the mole. We report a case of a fallopian tubal mole successfully treated laparoscopically before tubal rupture.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 2","pages":"178-183"},"PeriodicalIF":2.1,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13299087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Gonadotropin-releasing Hormone Agonist Combined with Lauromacrogol on Ovarian Reserve Function and Pain Scores in Patients with Ovarian Endometriotic Cysts.","authors":"Zhang-Wei Song, Lie Ma, Yan Yang, Ling-Ling Lin","doi":"10.4103/gmit.GMIT-D-25-00008","DOIUrl":"10.4103/gmit.GMIT-D-25-00008","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the efficacy of gonadotropin-releasing hormone agonist (GnRHa) combined with lauromacrogol sclerotherapy in preserving ovarian reserve and reducing pain in patients with ovarian endometriotic cysts (OECs).</p><p><strong>Materials and methods: </strong>Eighty OEC patients (Oct 2020-Oct 2024) were randomized into two groups (<i>n</i> = 40 each). The control group received laparoscopic cystectomy, and the observation group was treated with GnRHa plus lauromacrogol sclerotherapy. Curative effects were compared.</p><p><strong>Results: </strong>The total effective rate of the observation group (95.00%, 95% CI: 87.2-98.9) was higher than that of the control group (77.50%, 95% CI: 65.1-86.8; OR=5.51, 95% CI: 1.21-15.56, <i>P</i> < 0.05). After treatment, serum FSH, LH, E2, CA125, CA199 levels and VAS scores in the observation group were lower than those in the control group (all <i>P</i> < 0.05). The recurrence rate of the observation group (5.00%) was lower than that of the control group (17.<0.05).</p><p><strong>Conclusion: </strong>The combination of GnRHa and lauromacrogol sclerotherapy has a significant effect on OEC, which can improve ovarian reserve function, reduce pain scores and recurrence rates.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 2","pages":"127-131"},"PeriodicalIF":2.1,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13299014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Juvenile Granulosa Cell Tumor of the Ovary in Pregnancy: A Case Report.","authors":"Kavita Khoiwal, Polaki Manisha, Prashant Durgapal, Shalini Bose, Rama Divya Reddy, Jaya Chaturvedi","doi":"10.4103/gmit.GMIT-D-24-00039","DOIUrl":"10.4103/gmit.GMIT-D-24-00039","url":null,"abstract":"<p><p>Juvenile-type granulosa cell tumors (JGCT) of the ovary are extremely rare. Most of them occur in premenarchal girls. The occurrence of JGCT in an adult, particularly during pregnancy, is very rare. Only 12 cases of JGCT have been reported during pregnancy in the last three decades in the literature review. We report one such case of JGCT in a 28-year-old pregnant woman and its management during pregnancy, along with a review of the literature.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 1","pages":"84-88"},"PeriodicalIF":2.1,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12965506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integration of Indocyanine Green Sentinel Lymph Node Mapping and Laparoscopic Uterosacral Nerve Ablation: Advancements in Minimally Invasive Gynecologic Surgery.","authors":"Chyi-Long Lee","doi":"10.4103/gmit.GMIT-D-25-00060","DOIUrl":"10.4103/gmit.GMIT-D-25-00060","url":null,"abstract":"","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 1","pages":"3-4"},"PeriodicalIF":2.1,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12965501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Implications of Extracellular Vesicles in Endometriosis: A Systematic Review.","authors":"Marcelina Sztyler-Krąkowska, Agnieszka Wąsowicz","doi":"10.4103/gmit.GMIT-D-24-00062","DOIUrl":"10.4103/gmit.GMIT-D-24-00062","url":null,"abstract":"<p><strong>Objectives: </strong>Endometriosis (EM) is a chronic gynecological condition characterized by the growth of endometrial-like tissue outside the uterus. Diagnosis has traditionally been challenging due to nonspecific symptoms and reliance on invasive procedures like laparoscopy. Recently, extracellular vesicles (EVs) have been implicated in EM pathogenesis, offering potential diagnostic and therapeutic applications. This study systematically reviews the role of EVs in EM.</p><p><strong>Materials and methods: </strong>A Preferred Reporting Items for Systematic Reviews and Meta-analyses -guided systematic review was conducted. On March 3, 2024, PubMed, Medline, and Scopus were searched using the keywords \"endometriosis\" and either \"extracellular vesicles,\" \"EV,\" or \"EVs,\" along with \"treatment,\" \"monitoring,\" or \"diagnosis.\" The review included English-language original papers published between 2019 and 2024 focusing on EVs in EM. Studies on animals and those lacking direct references to EM were excluded from the study.</p><p><strong>Results: </strong>A total of 12 studies, comprising 657 patients, met the inclusion criteria. The studies examined EV cargo for diagnostic and therapeutic applications, with MicroRNAs (miRNAs) being the most frequently analyzed component. Five studies discussed miRNAs as potential diagnostic markers. EVs were also studied for their role in EM pathogenesis, including cell communication, immunomodulation, and angiogenesis.</p><p><strong>Conclusion: </strong>EVs show promise as noninvasive biomarkers for early-stage EM detection and management. Their involvement in disease pathogenesis suggests potential therapeutic applications. Identifying specific exosomal markers related to EM remains an active area of research.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 1","pages":"65-74"},"PeriodicalIF":2.1,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12965498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}