Revue de laryngologie - otologie - rhinologie最新文献

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[Hearing aids at the International Center of Auditory rehabilitation in Abidjan: Prosthetics gains and satisfaction in patients]. [阿比让国际听觉康复中心的助听器:患者的假肢收益和满意度]。
M N A Mobio, S Ilé, N Yavo, V Koffi-Aka, J Kouassi-Ndjeundo, B Tea
{"title":"[Hearing aids at the International Center of Auditory rehabilitation in Abidjan: Prosthetics gains and satisfaction in patients].","authors":"M N A Mobio,&nbsp;S Ilé,&nbsp;N Yavo,&nbsp;V Koffi-Aka,&nbsp;J Kouassi-Ndjeundo,&nbsp;B Tea","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Subject: </strong>To evaluate patients wearing hearing aid at the International Center of Auditory Correction in Abidjan.</p><p><strong>Method and material: </strong>It is a descriptif and transversal study from 07/01/99 to 06/30/10. We have included the files of patients completely filled. We have stu­died the indications, prosthetics gains and the satisfaction after hearing aid.</p><p><strong>Results: </strong>We have achieved 536 files. The ave­rage was 36 years. The indications have been in 76.1% cases of sensorineural hearing loss. The hearing loss has been associa­ted in 13.2% cases to language disorder. For all patient we have noticed bilateral hearing loss in 496 cases (92.5%). The behind the ear aids have been chosen in 69% cases. The type was analogical or digital respectively in 65% and 35% des cas. The prosthetic pure tonal gain was more than 30 dB in 66.8% cases and the prosthetic speech reception threshold gain more than 30 dB in 55.3% cases. The patients have been respectively satisfied less satisfacted, no satisfacted in 68.47%, 22.76% and 8.7% cases.</p><p><strong>Conclusion: </strong>The hearing aids have improved the audition in most of the indications. The proportion of patients satisfied was proportionally equivalent to the audiometric results.</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"136 5","pages":"197-202"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35793762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial. 社论。
Didier Portmann
{"title":"Editorial.","authors":"Didier Portmann","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"136 2","pages":"50"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34725562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Peptide receptor radionuclide therapy in head and neck paragangliomas – Report of 14 cases. 肽受体放射性核素治疗头颈部副神经节瘤14例报告。
R Estêvão, H Duarte, F Lopes, J Fernandes, E Monteiro
{"title":"Peptide receptor radionuclide therapy in head and neck paragangliomas – Report of 14 cases.","authors":"R Estêvão,&nbsp;H Duarte,&nbsp;F Lopes,&nbsp;J Fernandes,&nbsp;E Monteiro","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Peptide receptor radionuclide therapy (PRRT) is a very promising treatment option in neuroendocrine tumours, with good results, but there are only few reports regar­ding its use in paragangliomas.</p><p><strong>Methods: </strong>The authors conduc­ted a retrospective study during the period of May 2011 to February 2014 in an Oncological Centre. Ten patients with jugular-tympanic paragangliomas and four with carotid body paragangliomas were treated with three cycles of Lutetium labelled peptide (177 Lu-DOTATATE). Treatment response was assessed with a PET-CT with 68 Ga-DOTANOC and clinical crite­ria.</p><p><strong>Results: </strong>Ten of the fourteen patients showed a decrea­se in the tumor standard uptake value (SUV) after treat­ment. 90% of patients with Jugulotympanic paraganglio­mas had symptomatic improvement or stabilization. Patients with carotid body paragangliomas and patients with a low uptake of 68 Ga-DOTANOC had a worse response to the treatment. The tumor SUV value was a predictor of treatment response [R= 0,64; F= 8,212; p= 0,014].</p><p><strong>Conclusion: </strong>Peptide receptor radio­nuclide therapy can be a therapeutic option in selected cases of head and neck paragangliomas.</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"136 4","pages":"155-8"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35793758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Benefit of skull vibration-induced nystagmus test in occupational medicine]. [颅骨振动诱发眼球震颤试验在职业医学中的应用]。
F Beatrice, A Karkas, S Bucolo, A Palermo, F Perottino, A Lion, G Dumas
{"title":"[Benefit of skull vibration-induced nystagmus test in occupational medicine].","authors":"F Beatrice,&nbsp;A Karkas,&nbsp;S Bucolo,&nbsp;A Palermo,&nbsp;F Perottino,&nbsp;A Lion,&nbsp;G Dumas","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Nystagmus induced by vibrations (NIV), has been optimized by the present authors this last decade. The skull vibration-induced nystagmus test (SVINT) can be designated as a high-frequency global \"vestibular Weber test\" and can be considered as an office-based examination to detect vestibular asymmetry. The aim of this study is to define the tolerance of the SVINT as well as its comparison to the simplified caloric test of Veits (CTV) in normal workers during the pre-employment visit at the occupational medicine center.</p><p><strong>Material and methods: </strong>The vestibular function has been evaluated by the SVINT and the CTV in 87 healthy workers. The tolerance of the two procedures has been evaluated by a 4-items questionnaire (nausea, vomiting, sweating, asthenia).</p><p><strong>Results: </strong>The caloric test was normal in each worker. The SVINT was positive in one patient who had a partial unilateral vestibular dysfunction related to trauma. The mean duration of the procedure was 15 min for CTV and 1 min for SVINT. Side effects (nausea, vomiting, sweating, asthenia) were present in 50% of the workers following CTV and in only one patient after SVINT. The SVINT demonstrated significantly less side effects for each item (p < 0.0001).</p><p><strong>Conclusions: </strong>SVINT is a valid, rapid, low-cost clinical screening test and does not cause patient discomfort. It is suggested that this test which explores vestibular high frequencies and is not modified by vestibular compensation is useful for the diagnostic screening of workers' vestibular dysfunction, when combined with other vestibular tests and complements the CTV.</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"135 1","pages":"19-24"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34128374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sentinel lymph node biopsy in head and neck melanoma: A single institution analysis. 头颈部黑色素瘤的前哨淋巴结活检:单机构分析。
M Penicaud, S Cammilleri, R Giorgi, J J Grob, Taïeb D, A Giovanni, P Dessi, N Fakhry
{"title":"Sentinel lymph node biopsy in head and neck melanoma: A single institution analysis.","authors":"M Penicaud, S Cammilleri, R Giorgi, J J Grob, Taïeb D, A Giovanni, P Dessi, N Fakhry","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of our study was to analyze a series of patients from our institution who underwent surgery for head and neck cutaneous melanoma and who received sentinel lymph node biopsy (SLNB).</p><p><strong>Material and methods: </strong>A single-center observational cohort of 120 head and neck melanoma patients was investigated from 2002 to 2011.</p><p><strong>Results: </strong>Among the 107 patients (89.2%) with lymph node identified during lymphoscintigraphy, at least one node was collected and analyzed in 96 patients (90.6%). A positive sentinel lymph node was found in 9.4% of patients. Our data showed higher failure rate of lymphoscintigraphic identification (11.7%), lower rate of SLN positivity (9.4%), and higher false-negative rate of SLNB (24.1%) than the usualfigures established for malignant melanomas in other locations. After a mean follow-up of 38.1 months, the disease-free survival (DFS) rate in the positive SLN group was 53% vs 75% for the negative SLN after 2 years of follow-up and 53% vs 48% after 5 years (p = 0.44).</p><p><strong>Conclusion: </strong>The complexity of lymphatic drainage and the anatomy of the cervical region probably accounts for a specificities which result in a lower predictive value of SLNB in head and neck melanoma than in MM in other locations.</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"135 3","pages":"115-20"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138815206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Retrospective evaluation of short tympanostomy tubes efficacy in case of recurrent acute otitis media on an infant population]. [回顾性评价短鼓室造瘘管治疗婴幼儿复发性急性中耳炎的疗效]。
J Majer, M Drouillard, C Perrot, F Tabarino, S Quesnel, N Teissier, M Francois
{"title":"[Retrospective evaluation of short tympanostomy tubes efficacy in case of recurrent acute otitis media on an infant population].","authors":"J Majer,&nbsp;M Drouillard,&nbsp;C Perrot,&nbsp;F Tabarino,&nbsp;S Quesnel,&nbsp;N Teissier,&nbsp;M Francois","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study is to appreciate the results of short-tympanostomy tubes (ST) in case of recurrent acute otitis media (AOM), and to appreciate the risk factors of recurrent AOM.</p><p><strong>Methods: </strong>This retrospective chart study concerns infants who had STT placement surgery forrecurrent AOM, between 2007 and 2011. Demographic data, anamnesis, efficacy and postoperative follow-up were analyzed.</p><p><strong>Results: </strong>Forty-nine children were included in the study (30 boys, 19 girls; 7 months to 2 years-old, median age 1.4 year). Two-thirds attended a day-care center, one third was an onlychild. One quarter had an anemia. Anti-Haemophilus and anti-pneumococcus vaccinations were up-to-date in 87.5%. After STT placement, 20 children (40.8%) did not present any new episode of AOM. This result did not vary with adenoidectomy. Among the ones that relapsed AOM after STT, 48.3% presented with only one episode. For two thirds of the patients, no general antibiotic treatment was necessary as long as the STT were in place. Half STT have been spontaneously expulsed between 6 and 12 months. Thirteen infants (37.1%) had new episodes of AOM after STT expulsion and 5 (38.5%) needed new tube placement.</p><p><strong>Conclusion: </strong>This study confirms that day care and siblings are risk factors of recurrent AOM, but does not confirm potential role of the anemia. STT placement decreased effectively AOM recurrences, their severity and the need for antibiotics prescriptions. No residual perforation was encountered in this study.</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"135 1","pages":"33-9"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34128376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Tympanoplasty: Experience of the ENT department in Yopougon hospital (Ivory Cost)]. [鼓室成形术:尧坡岗医院耳鼻喉科经验(象牙成本)]。
F Buraima, J Kouassi-Ndjeundo, M I Yoda, M Kouassi, E Badou, M J Tanon-Anoh, T D Nkana, B Kouassi
{"title":"[Tympanoplasty: Experience of the ENT department in Yopougon hospital (Ivory Cost)].","authors":"F Buraima,&nbsp;J Kouassi-Ndjeundo,&nbsp;M I Yoda,&nbsp;M Kouassi,&nbsp;E Badou,&nbsp;M J Tanon-Anoh,&nbsp;T D Nkana,&nbsp;B Kouassi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>Perform an analysis of epidemiological, diagnostic and therapeutic aspects of tympanoplasty in Ivory Coast.</p><p><strong>Materials and methods: </strong>Retro and prospective study over 13 years conducted in the ENT department of Yopougon Teaching Hospital. Our study concerned 104 patients.</p><p><strong>Results: </strong>The study population was dominated by young adults with an average age of 30.61 years. Chronic otitis media accounted for 80.76% of past medical history, a condition that was also the main indication (74.04%). Otoscopy pre- and intraoperative found essentially a non-marginal tympanic perforation (74.03%) and preoperative hearing assessment noted a conductive hearing loss in 72% of cases. The retroauricular surgical incision was performed in all patients. Surgical treatment consisted of a tympanoplasty type I in 76.3% of cases. The anatomical results were good in 81% of cases and functionally, 75% of our patients had interaural intensity difference of less than 20 decibels.</p><p><strong>Conclusion: </strong>The tympanoplasty performed in our hospital apparently gives results that are similar to those of western countries to the patients who got a post operative control.</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"135 1","pages":"41-4"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34128377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Facial nerve monitoring during middle ear surgery: Results of a French survey]. [中耳手术中面神经监测:一项法国调查结果]。
O Mazzaschi, J-M Juvanon, M Mondain, J-P Lavieile, D Ayache
{"title":"[Facial nerve monitoring during middle ear surgery: Results of a French survey].","authors":"O Mazzaschi,&nbsp;J-M Juvanon,&nbsp;M Mondain,&nbsp;J-P Lavieile,&nbsp;D Ayache","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Facial nerve injury is a rare complication of middle ear surgery. To date there is no widely accepted consensus on the use of intraoperative facial nerve monitoring during middle ear surgery, whereas its use has been proved as a valuable adjunct in neurotologic surgery. The purpose of our study was to identify introperative facial nerve monitoring practice patterns in France for middle ear surgery.</p><p><strong>Methods: </strong>A 19-item survey has been made up by three experienced otologists under the auspices of the French Otology and Neurotology Association. With the support of the French Society of Otolaryngology--Head and Neck Surgery, the survey was electronically sent by email to 1249 practicing ENT with a valid email address. Answers were analyzed two months later.</p><p><strong>Results: </strong>Among 1249 email sent, 299 were opened (24%) and 83 answers were collected (6,6%). Of the respondents, 66% had access to intraoperative facial nerve monitoring. Otolaryngologists involved in academic setting were influenced by their teaching duty in 27%. Intraoperative facial nerve monitoring should not be required for stapes surgery, ossiculoplasty, myringoplasty for, respectively, 92%, 93 % and 98% of the respondents. In cochlear implantation, 78% of ear surgeons used facial nerve monitoring. Answers were more controversial for chronic ear surgery, ear atresia and middle ear implant. Revision surgery and CT scan can influence answers.</p><p><strong>Conclusion: </strong>Despite a low response rate, results of this national survey revealed interesting findings. For most of the respondents, intraoperative facial nerve monitoring was not indicated in stapes surgery, myringoplasty and ossiculoplasty. The use of intraoperative facial nerve monitoring for cochlear implantation was supported by the majority of respondents. Variations in response rate were more significant for chronic ear surgery, including middle ear cholesteatoma, and for ear atresia surgery.</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"135 1","pages":"11-7"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34128373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Acute acoustic trauma, a retrospective analysis about 225 military cases]. [225例军人急性声创伤回顾性分析]。
G Bonfort, D Billot, D Trendel, E Salf, P Lindas, J P Barberot
{"title":"[Acute acoustic trauma, a retrospective analysis about 225 military cases].","authors":"G Bonfort,&nbsp;D Billot,&nbsp;D Trendel,&nbsp;E Salf,&nbsp;P Lindas,&nbsp;J P Barberot","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>Studying the epidemiology, the evolutionary audiometric profile and the after-effects of acute acoustic trauma managed in military environment. Assessing the influence beyond the audiometric recovery of earplugs, precocity of the treatment and hyperbaric oxygen therapy.</p><p><strong>Materials and methods: </strong>This retrospective cohort gathered 225 military cases of acute acoustic trauma hospitalized between 2003 and 2008. The cochlear supportive therapy associated intravenous methyl-prednisolone and pentoxyfilline, completed sometimes with hyperbaric oxygen therapy. The evolution was appreciated with pure-tone audiometry at the admission, at the end of hospitalization and one month after. Perceptive deafness and recovery shifts were statically calculated on 109 ears.</p><p><strong>Results: </strong>On the 225 cases, 90% were males, middle-aged of 23 years. Initially 95% of the patients complained about tinnitus, associated with hearing loss felt for 71%. The left ear was more frequently affected. The initial audiometric loss was average of 34 dB HL, concentrated on 4000 and 6000 Hz frequencies. The therapy allowed an average recovery of +18,3 dB in a month. The audiometric sequela concerned 40% of the cases, and residual tinnitus a third. These rates were significantly higher with people whose initial hearing loss average exceeded 40 dB HL. Concerning the audiometric recovery and the after-effects, no significantly difference was found between the groups treated before or after 12 hours. There were either no difference with the earplugs and hyperbaric oxygen groups.</p><p><strong>Conclusion: </strong>Despite the effectiveness of early corticotherapy, after-effects of acute acoustic trauma remain frequent and invalidating. Its prevention suffers from non-observance and malposition of earplugs.</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"135 1","pages":"25-31"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34128375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Post operative Caldwell-Luc procedure maxillary cyst: Report of a case]. [术后Caldwell-Luc上颌囊肿1例报告]。
P Clarós, Clarós A, M Sarr, A Cardesa
{"title":"[Post operative Caldwell-Luc procedure maxillary cyst: Report of a case].","authors":"P Clarós,&nbsp;Clarós A,&nbsp;M Sarr,&nbsp;A Cardesa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Rare complication of radical surgery (Caldwell Luc procedure) of the maxillary sinus, maxillary cyst can occurred several years after. We describe the case of a patient 56 years old, who came to our consultationfor repeated pain in the right maxillary region with moderate facial asymmetry. In her history we noted a previous sinus surgery (Caldwell Luc) more than 10 years before. The imaging showed an expansive process filled with proteinic tissue of the posterior wall of the maxillary. With the history of the former surgery, we suspected the existence of a mucocele. She underwent an endonasal surgery and the pathological examination of the specimen revealed an intra osseous cyst lined with ciliated respiratory type mucosa post surgery of the maxillary sinus. The diagnosis of a maxillary cyst complicating a Caldwell Luc was established based on the results obtained with the clinico-radiological and pathological results.</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"135 1","pages":"45-7"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34128378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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