Aesthetic Plastic Surgery最新文献

{"title":"Synergistic Mechanisms and Clinical Efficacy of Combined Shockwave and Ultrasound Therapy for Localized Adiposity: A Systematic Review and Meta-Analysis of 31 Studies.","authors":"Qiong Wu, Wenting Zhao, Qin Liu, Bin Huang, Ying Xiao, Minzhi Yang, Fangfang Li, Huan Du","doi":"10.1007/s00266-026-05881-5","DOIUrl":"https://doi.org/10.1007/s00266-026-05881-5","url":null,"abstract":"<p><strong>Background: </strong>Localized adiposity remains a significant clinical challenge. Combined shockwave and ultrasound therapy has emerged as a promising non-invasive approach, but its synergistic mechanisms and clinical efficacy require comprehensive evaluation. This systematic review aims to synthesize evidence for this combined therapy, with focus on the novel dual-action axis model.</p><p><strong>Methods: </strong>A comprehensive search (2015-2025) was conducted following PRISMA guidelines. Thirty-one studies (n = 2,758 participants) were included. Methodological quality was assessed using ROBIS, AMSTAR 2, and RoB 2 tools. Data were synthesized narratively and with meta-analysis where appropriate.</p><p><strong>Results: </strong>The dual-action axis model identified mechanical effects (cavitation, Piezo1 activation) and thermal effects (hyperthermia, TRPV4-mediated thermogenesis). Key mechanisms included Piezo1 activation (32 ± 5% increase in adipocyte apoptosis) and TRPV4 stimulation (1.8-fold mitochondrial activity). Meta-analysis showed significant fat reduction across areas: abdomen (2.1 cm, 95% CI 1.7-2.5), thighs (1.8 cm, 1.5-2.1). Combined therapy was superior to cryolipolysis at 6 months (2.3 cm vs 1.5 ± 0.8 cm, p = 0.008) but had higher 12-month recurrence (23% vs 8.7%, p < 0.001). Safety profile was favorable (severe adverse events < 1%).</p><p><strong>Conclusion: </strong>Combined therapy achieves synergistic fat reduction through Piezo1/TRPV4 mechanisms. While superior to cryolipolysis short-term, maintenance strategies are needed. This approach represents a paradigm shift in non-invasive body contouring.</p><p><strong>No level assigned: </strong>This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147855694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inframammary Incision Planning in Breast Augmentation: A Patient- and Implant-Specific Pythagorean Method.","authors":"Edward Muscat, Ahmed S Ali-Khan","doi":"10.1007/s00266-026-05812-4","DOIUrl":"https://doi.org/10.1007/s00266-026-05812-4","url":null,"abstract":"<p><strong>Introduction: </strong>Inframammary incision placement is critical in achieving optimal aesthetic outcomes in breast augmentation, particularly in minimising visible scarring. Despite its importance, no standardised method currently exists to objectively determine the incision location.</p><p><strong>Aim: </strong>This paper presents a modified geometric model based on the Pythagorean theorem to determine the correct nipple-to-inframammary fold (IMF) distance.</p><p><strong>Methods: </strong>The model incorporates anatomical variables, such as breast tissue thickness, and implant characteristics including gel cohesiveness.</p><p><strong>Results: </strong>The modified model provides a reproducible and individualised incision planning strategy. Soft cohesive implants necessitate a higher initial placement to anticipate postoperative tissue expansion, whereas firmer gels are placed lower to achieve immediate aesthetic ratios.</p><p><strong>Conclusion: </strong>This approach integrates geometry with clinical anatomy and implant biomechanics to standardise inframammary incision placement, improving aesthetic predictability and scar concealment.</p><p><strong>Level of evidence v: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147855692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: \"Is there Any Correlation Between Nasal Height and Facial-Nasal Horizontal Anthropometrics? An Anthropometric Analysis Using Three-Dimensional CT\".","authors":"Haoyu Xiong","doi":"10.1007/s00266-026-05887-z","DOIUrl":"https://doi.org/10.1007/s00266-026-05887-z","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to the Commentary on \"Rotation of Anatomical Implants: A Single Surgeon's Experience of Over 1500 Patients\".","authors":"Paolo Montemurro","doi":"10.1007/s00266-026-05838-8","DOIUrl":"https://doi.org/10.1007/s00266-026-05838-8","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hybrid Biostimulator and Hyaluronic Acid Injectable for Tear Trough Rejuvenation.","authors":"Stephanie Ming Young, Edmond K H Lau","doi":"10.1007/s00266-026-05817-z","DOIUrl":"https://doi.org/10.1007/s00266-026-05817-z","url":null,"abstract":"<p><strong>Purpose: </strong>Non-surgical correction of the under eye region is challenging due to various reasons. Our study evaluates a novel biostimulator poly-D,L-lactic acid-hyaluronic acid (PDLLA-HA) 50mg (Juvelook, VAIM Inc., Seoul, Republic of Korea), a poly-D,L-lactic acid product as a potential injectable for tear trough correction.</p><p><strong>Methods: </strong>This is a prospective cohort study evaluating patients who underwent three injections of PDLLA-HA for correction of the tear trough and under eye region. Outcome measures included: Perceived improvement by investigators and patients using a 5-grade Global Aesthetic Improvement Scale (GAIS), skin features assessment by investigators using a 5-point subjective scale based on four criteria (elasticity, hydration, skin quality and radiance), patient satisfaction and adverse events (if any).</p><p><strong>Results: </strong>Our study comprised 15 females, with a mean age of 38.5 years. Tear trough grading ranged from 1 to 3, with a mean grading of 1.93. Mean PDLLA-HA used: 0.41 (RE), 0.41 (LE) at first visit; 0.45 (RE), 0.45 (LE) at second visit; and 0.45 (RE), 0.45 (LE) at third visit. Mean GAIS for tear trough for investigator improved from 2.93 to 2.2 to 2.13, and for patients from 2.73 to 1.93 to 1.8 after first treatment, second treatment and third treatment, respectively. There was significant improvement in scores for lower lid skin elasticity, hydration, quality and radiance (p<0.001, Friedman). All patients were keen to repeat the treatment when asked at the second, third and fourth visits. There were no adverse events reported.</p><p><strong>Conclusion: </strong>PDLLA-HA is a potential injectable for tear trough correction as well as for improvement in under eye skin elasticity, hydration, quality and radiance.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Local Tranexamic Acid Worth Using in Hair Transplantation? An Intrapatient Comparison.","authors":"Ümit Akpınar, Mehmet Semih Çelik","doi":"10.1007/s00266-026-05864-6","DOIUrl":"https://doi.org/10.1007/s00266-026-05864-6","url":null,"abstract":"<p><strong>Background: </strong>Excessive bleeding during donor area harvesting may impair surgical control and graft quality in hair transplantation. While adrenaline-based tumescent solutions are routinely used, the additional value of local tranexamic acid (TXA) in this setting remains unclear.</p><p><strong>Objective: </strong>To evaluate whether local TXA provides additional benefit compared with standard adrenaline-based tumescence during donor area follicular unit excision (FUE).</p><p><strong>Methods: </strong>This intrapatient-controlled, single-blinded study included 57 male patients undergoing FUE. In each patient, two adjacent 4 cm² donor areas were infiltrated with either an adrenaline-only tumescent solution or a combination of adrenaline and TXA (50 mg/mL). Approximately 20 grafts were harvested from each area. Intraoperative bleeding was assessed immediately after graft excision using a validated 10-point visual bleeding scale. Paired comparisons were performed using the Wilcoxon signed-rank test.</p><p><strong>Results: </strong>Bleeding scores were significantly lower in the adrenaline-only control areas compared with TXA-treated areas (median [IQR] 2 [2-3] vs. 3 [2-4]; p < 0.001), with a large effect size (r = 0.56).</p><p><strong>Conclusion: </strong>Within the specific protocol applied in this study, adrenaline-based tumescence demonstrated more effective immediate intraoperative hemostasis. However, given the difference in total adrenaline exposure between groups, the independent contribution of tranexamic acid cannot be conclusively determined.</p><p><strong>Level of evidence iii: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kintsugi and Wabi-Sabi: Reframing Aesthetic Surgery as the Art of Golden Repair.","authors":"Tim Papadopoulos, Kathleen Lim","doi":"10.1007/s00266-026-05862-8","DOIUrl":"https://doi.org/10.1007/s00266-026-05862-8","url":null,"abstract":"<p><p>The Japanese art of kintsugi-repairing broken ceramics with gold-offers a philosophical framework for reconceptualising aesthetic plastic surgery. Rather than concealing damage, kintsugi uses precious metal to honour an object's history of breakage, creating beauty through respectful repair. Together with wabi-sabi, the aesthetic philosophy that celebrates imperfection and transience, kintsugi challenges surgical practice to move beyond the pursuit of standardised perfection. This perspective examines how these Japanese aesthetic philosophies can inform contemporary surgical practice, from patient consultation through outcome evaluation. The framework draws on the convergence between kintsugi philosophy, film-maker Guillermo del Toro's artistic vision, and clinical observations about the psychological dimensions of aesthetic concerns-particularly the role of childhood appearance-related injuries in shaping patients' relationships with their features. While not all patients carry such histories, deepened consultation practices that explore the context of aesthetic dissatisfaction may improve patient selection and long-term satisfaction. Seven principles adapted from Juniper's interpretive wabi-sabi framework-including kanso (restraint), shizen (naturalness), and seijaku (tranquillity)-provide operational guidance for surgical planning and outcome evaluation. The metaphor's value is acknowledged as heuristic rather than literal: surgery modifies tissue, whereas kintsugi preserves structure, but the productive tension between these processes prompts clinically important questions about identity preservation, ethnic authenticity, and the limits of intervention. The framework prioritises ethnic identity preservation and age-appropriate enhancement over beauty ideals driven by social media homogenisation, positioning aesthetic surgery within the broader human project of healing and self-reconstruction.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combined and Layered Fat Injection for Lower Eyelid Wrinkles: Comparative Efficacy in Mild and Severe Cases.","authors":"Shu-Wen Sheng, Wen-Li Tu, Yu-Lu Zhou, Xiao-En Zhang, Hui-Cai Wen","doi":"10.1007/s00266-026-05867-3","DOIUrl":"https://doi.org/10.1007/s00266-026-05867-3","url":null,"abstract":"<p><strong>Background: </strong>Lower eyelid wrinkles pose a persistent challenge in facial rejuvenation. Layered autologous fat grafting using Coleman fat, SVF-gel, and nanofat offers a regenerative approach with potential synergistic benefits.</p><p><strong>Objective: </strong>To assess the efficacy and safety of this layered technique in patients with mild and severe lower eyelid wrinkles.</p><p><strong>Methods: </strong>Sixty patients presenting with lower eyelid wrinkles were divided into mild and severe groups according to baseline wrinkle severity. All patients received layered injections of Coleman fat, SVF-gel, and nanofat. Outcomes were evaluated using standardized wrinkle scores, patient satisfaction ratings, and VISIA imaging system analysis, both preoperatively and at 12 months postoperatively.</p><p><strong>Results: </strong>Significant improvements in wrinkle scores, VISIA analysis results, and patient satisfaction were observed in both groups at 12 months. Greater wrinkle reduction and satisfaction were achieved in the mild group compared to the severe group. No serious complications were reported.</p><p><strong>Conclusions: </strong>Layered injection of Coleman fat, SVF-gel, and nanofat is a safe and effective therapeutic approach for lower eyelid wrinkles. It offers superior and more predictable rejuvenation, particularly for patients with mild wrinkles, supporting its role as an advanced option for lower eyelid wrinkle treatment.</p><p><strong>Level of evidence iii: </strong>Therapeutic study. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of Concomitant Abdominoplasty and Breast Surgery versus Isolated Procedures: A Systematic Review and Meta-analysis.","authors":"Ron Skorochod, Yoram Wolf","doi":"10.1007/s00266-026-05863-7","DOIUrl":"https://doi.org/10.1007/s00266-026-05863-7","url":null,"abstract":"<p><strong>Background: </strong>Concomitant abdominoplasty and breast surgery has gained popularity among women seeking comprehensive esthetic rejuvenation. However, concerns remain regarding whether combining procedures increases perioperative risk compared with performing them in isolation.</p><p><strong>Purpose: </strong>Compare complication rates following concomitant abdominoplasty and breast surgery versus isolated procedures.</p><p><strong>Materials and methods: </strong>A systematic search of PubMed, EMBASE, Web of Science, and Cochrane Library was conducted. Eligible studies included patients undergoing abdominoplasty, breast surgery, or both, with direct comparison of complication rates. Risk of bias was assessed using ROBINS-I, and certainty of evidence was graded with GRADE. Random-effects meta-analysis was performed to calculate pooled odds ratios with 95% confidence intervals.</p><p><strong>Results: </strong>Eight studies encompassing 138,020 patients were included. Of these, 9,422 underwent concomitant procedures, 11,700 underwent abdominoplasty alone, and 106,898 underwent isolated breast surgery. Pooled analysis showed no statistically significant difference in overall complication rates between concomitant and isolated procedures (OR 1.11; 95% CI 0.63-1.96; I² = 97.9%). Subgroup analysis demonstrated a nonsignificant reduction in complications compared with abdominoplasty alone (OR 0.66; 95% CI 0.37-1.16), but a significantly increased risk compared with breast surgery alone (OR 2.71; 95% CI 1.74-4.23). Single-institution studies yielded consistent results with, while database analyses were highly heterogeneous. Certainty of evidence ranged from moderate to very low.</p><p><strong>Conclusion: </strong>Concomitant abdominoplasty and breast surgery carries a complication profile comparable to abdominoplasty alone but elevated relative to breast surgery alone. These findings suggest that combined procedures are generally safe in carefully selected patients.</p><p><strong>Level of evidence iii: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can Artificial Intelligence Replicate Clinical Judgment in Aesthetic Surgery? A Comparison of ChatGPT and Plastic Surgeons' Recommendations.","authors":"Tomás González, Stefan Danilla, Rocío Las Heras, Susana Benítez, Claudia Albornoz, Ruth Konhenkampf, Carlos Domínguez","doi":"10.1007/s00266-026-05816-0","DOIUrl":"https://doi.org/10.1007/s00266-026-05816-0","url":null,"abstract":"<p><strong>Background: </strong>Since the emergence of the Chat Generative Pre-Trained Transformer (ChatGPT), artificial intelligence (AI) has change how medical information is accessed, processed, and utilized. However, its use in clinical environments, particularly in plastic surgery, poses ethical, medical, and safety challenges, especially when it is employed to generate aesthetic recommendations without appropriate professional supervision.</p><p><strong>Methods: </strong>A descriptive analysis was conducted using standardized medical photographs of 20 female patients under 50 years of age from the author's clinical database. Frontal projection images (thorax and abdomen) were uploaded to the ChatGPT-4 platform with the prompt: \"What physical changes do you suggest?\" and subsequently evaluated by board-certified plastic surgeons. The objective was to compare AI-generated recommendations with those provided by human specialists and to analyze the risks associated with using algorithms to validate or reinforce aesthetic standards.</p><p><strong>Results: </strong>In 18 of the 20 patients (90%), the AI suggested at least one surgical procedure, most commonly mastopexy (55%), classic abdominoplasty (55%), and liposculpture (20%). Combined breast and abdominal procedures were recommended in 15 cases (75%), whereas only 2 patients (10%) were advised to maintain their current physical condition. Overall similarity between AI and human recommendations was low (mean Jaccard index 0.1-0.2), with wide interpatient variability. Additionally, AI tended to recommend an equal or greater number of procedures compared with surgeons (median - 1, p < 0.05).</p><p><strong>Conclusion: </strong>Although artificial intelligence represents a promising tool in medicine, AI tends to over-recommend aesthetic procedures without considering the reason for consultation, timing, or patient comorbidities. Its indiscriminate use in the aesthetic domain may contribute to reinforcing distorted perceptions of body image. Lacking clinical judgment, empathy, and sociocultural context, the application of AI in plastic surgery must be carefully regulated and guided by ethical principles.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}