Annals of Thoracic and Cardiovascular Surgery最新文献_第4页

Restrictive Ventilatory Impairment as a Poor Prognostic Factor in Patients Who Undergo Surgical Resection for Metachronous Second Primary Lung Cancer. 限制性通气功能障碍是异时性第二原发性肺癌手术切除患者预后不良的因素。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-08-20 DOI: 10.5761/atcs.oa.22-00182

Hiroaki Komatsu, Nobuhiro Izumi, Takuma Tsukioka, Hidetoshi Inoue, Ryuichi Ito, Satoshi Suzuki, Noritoshi Nishiyama

{"title":"Restrictive Ventilatory Impairment as a Poor Prognostic Factor in Patients Who Undergo Surgical Resection for Metachronous Second Primary Lung Cancer.","authors":"Hiroaki Komatsu, Nobuhiro Izumi, Takuma Tsukioka, Hidetoshi Inoue, Ryuichi Ito, Satoshi Suzuki, Noritoshi Nishiyama","doi":"10.5761/atcs.oa.22-00182","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00182","url":null,"abstract":"Purpose: To evaluate the prognostic impact of restrictive ventilatory impairment in patients who undergo pulmonary resection of metachronous second primary lung cancer.Methods: The clinical characteristics and surgical outcomes of 70 patients with metachronous second primary lung cancer were analyzed.Results: The surgical procedures consisted of wedge resection in 40 patients, segmentectomy in 17, lobectomy in 12, and completion pneumonectomy in one. Patients who underwent ipsilateral pulmonary resection developed more perioperative complications (p = 0.0339). Three-year and 5-year overall survival rates were 78.2% and 69.2%, respectively. In univariate analysis, sex, restrictive ventilatory impairment, and histology of second primary lung cancer were significantly poor prognostic factors (all p <0.05). Multivariate analysis identified restrictive ventilatory impairment to be an independent predictor of a poor prognosis (p = 0.0193). In the 22 patients who died, the cause of death was lung cancer in 11 and other diseases, including pneumonia and respiratory failure, in 11. Death from another disease was significantly more common in patients with restrictive ventilatory impairment (p = 0.0216).Conclusion: Restrictive ventilatory impairment was an independent predictor of a poor prognosis in patients with a second primary lung cancer. Restrictive ventilatory impairment as a result of repeated thoracic surgery may increase the likelihood of death from another disease.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/66/d0/atcs-29-185.PMC10466115.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10126692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Complete Resection of a Cavoatrial Metastatic Liposarcoma under Hypothermic Circulatory Arrest. 低温循环停止下完全切除一例腔房转移性脂肪肉瘤。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-08-20 DOI: 10.5761/atcs.cr.21-00226

Ryumon Matsumoto, Toshiki Fujiyoshi, Kentaro Kamiya, Jun Matsubayashi, Shoji Fukuda, Toshiya Nishibe, Hitoshi Ogino

引用次数: 0

Annual Report for 2019 by the Japanese Association for Coronary Artery Surgery. 日本冠状动脉手术协会2019年年度报告。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-08-20 DOI: 10.5761/atcs.sr.23-00026

Aya Saito, Noboru Motomura, Hiraku Kumamaru, Hiroaki Miyata, Hirokuni Arai

{"title":"Annual Report for 2019 by the Japanese Association for Coronary Artery Surgery.","authors":"Aya Saito, Noboru Motomura, Hiraku Kumamaru, Hiroaki Miyata, Hirokuni Arai","doi":"10.5761/atcs.sr.23-00026","DOIUrl":"https://doi.org/10.5761/atcs.sr.23-00026","url":null,"abstract":"Purpose: Continuous annual reporting on coronary artery bypass grafting (CABG) surgical practice is key for quality control and improvement of clinical results. In this report, Japanese nationwide features and trends in the extent of coronary artery disease and the characteristics of those undergoing CABG procedures in 2019 are presented. Clinical results of related ischemic heart disease are also presented.Methods and results: The Japanese Cardiovascular Surgery Database (JCVSD) is a nationwide surgical case registry system. Data regarding CABG cases in the year 2019 (1 January-31 December) were captured with questionnaires regularly administered by the Japanese Association for Coronary Artery Surgery (JACAS). We analyzed trends in the number and types of grafts selected according to the number of diseased vessels in patients undergoing CABG. We also analyzed descriptive clinical results of those undergoing surgery for acute myocardial infarction or ischemic mitral regurgitation.Conclusions: This is the second publication summarizing the results following the JACAS annual report based on JCVSD Registry data from the year 2019. Clinical outcomes and surgical strategy trends were relatively stable. Further accumulation of information with a similar data collection system is expected.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0c/5a/atcs-29-163.PMC10466117.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10177941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case of Esophageal Cancer Treated by Thoracoscopic Esophagectomy after Bilateral Cadaveric Lung Transplantation. 双侧尸体肺移植术后胸腔镜食管切除术治疗食管癌1例。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-08-20 DOI: 10.5761/atcs.cr.21-00203

Toshiaki Fukutomi, Yusuke Taniyama, Chiaki Sato, Hiroshi Okamoto, Hiromichi Niikawa, Yoshinori Okada, Takashi Kamei

{"title":"A Case of Esophageal Cancer Treated by Thoracoscopic Esophagectomy after Bilateral Cadaveric Lung Transplantation.","authors":"Toshiaki Fukutomi, Yusuke Taniyama, Chiaki Sato, Hiroshi Okamoto, Hiromichi Niikawa, Yoshinori Okada, Takashi Kamei","doi":"10.5761/atcs.cr.21-00203","DOIUrl":"https://doi.org/10.5761/atcs.cr.21-00203","url":null,"abstract":"Purpose: With de novo cancer, esophagectomy after lung transplantation (LTx) can be challenging because of intrathoracic adhesions, delayed wound healing, and postoperative pulmonary complications, which might be lethal.Case presentation: A 52-year-old woman with esophageal cancer had undergone bilateral LTx for end-stage diffuse panbronchiolitis at 50 years of age. Thoracoscopic esophagectomy was performed. Bilateral bronchial arteries and subcarinal and bilateral bronchial lymph nodes were preserved to maintain blood supply to the transplanted bronchi. No ischemic changes were observed in either bronchi. The patient's postoperative course was uneventful. Although she underwent chemoradiation therapy for recurrence at the left cervical paraesophageal lymph node, she remains alive with good disease control and well-maintained respiratory function.Conclusion: Minimally invasive surgery with careful attention to blood supply to the transplanted bronchi was useful for treating esophageal cancer after LTx.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/92/98/atcs-29-200.PMC10466120.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10478456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Robotic-Assisted Esophagectomy: Current Situation and Future Perspectives. 机器人辅助食管切除术:现状与未来展望。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-08-20 DOI: 10.5761/atcs.ra.23-00064

Masayuki Watanabe, Kengo Kuriyama, Masayoshi Terayama, Akihiko Okamura, Jun Kanamori, Yu Imamura

{"title":"Robotic-Assisted Esophagectomy: Current Situation and Future Perspectives.","authors":"Masayuki Watanabe, Kengo Kuriyama, Masayoshi Terayama, Akihiko Okamura, Jun Kanamori, Yu Imamura","doi":"10.5761/atcs.ra.23-00064","DOIUrl":"https://doi.org/10.5761/atcs.ra.23-00064","url":null,"abstract":"Robotic-assisted minimally invasive esophagectomy (RAMIE) has been rapidly spreading worldwide as a novel minimally invasive approach for esophageal cancer. This narrative review aimed to elucidate the current situation and future perspectives of RAMIE for esophageal cancer. References were searched using PubMed and Embase for studies published up to 8 April 2023. Search terms included \"esophagectomy\" or \"esophageal cancer\" and \"robot\" or \"robotic\" or \"robotic-assisted.\" There are several different uses for the robot in esophagectomy. Overall complications are equivalent or may be less in RAMIE than in open esophagectomy and conventional (thoracoscopic) minimally invasive esophagectomy. Several meta-analyses demonstrated the possibility of RAMIE in reducing pulmonary complications, although the equivalent incidence was observed in two randomized controlled trials. RAMIE may increase the number of dissected lymph nodes, especially in the left recurrent laryngeal nerve area. Long-term outcomes are comparable between the procedures, although further research is required. Further progress in robotic technology combined with artificial intelligence is expected.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/90/0f/atcs-29-168.PMC10466119.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10479852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Patient with Werner's Syndrome Who Underwent Aortic Valve Replacement through Minimally Invasive Cardiac Surgery. 一例维尔纳综合征患者通过微创心脏手术行主动脉瓣置换术。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-08-20 DOI: 10.5761/atcs.cr.21-00214

Riki Sumiyoshi, Hideki Morita, Sho Kusadokoro, Kento Fujii, Hiroyuki Kawaura, Masakazu Aoki, Hiroshi Nagano

引用次数: 0

Thoracic Endovascular Aortic Repair versus Optimal Medical Treatment in Patients with Type B Intramural Hematoma: A Meta-Analysis. B型颅内血肿患者的胸血管内主动脉修复与最佳药物治疗:一项荟萃分析

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-08-20 DOI: 10.5761/atcs.ra.22-00219

Jingyuan Li, Xiaoyu Qu, Xiu Jia, Yinghui Gong, Tienan Zhou, Xiaozeng Wang

{"title":"Thoracic Endovascular Aortic Repair versus Optimal Medical Treatment in Patients with Type B Intramural Hematoma: A Meta-Analysis.","authors":"Jingyuan Li, Xiaoyu Qu, Xiu Jia, Yinghui Gong, Tienan Zhou, Xiaozeng Wang","doi":"10.5761/atcs.ra.22-00219","DOIUrl":"https://doi.org/10.5761/atcs.ra.22-00219","url":null,"abstract":"Purpose: We intended to study the effect of thoracic endovascular aortic repair (TEVAR) and optimal medical treatment (OMT) on type B intramural hematoma (BIMH).Methods: We searched PubMed, EMbase, Cochrane Library, and China National Knowledge Infrastructure databases that compared TEVAR and OMT in patients with BIMH. Two authors independently assessed the risk of bias using the Newcastle-Ottawa Scale. The rate ratio (RR) and 95% confidence interval were used to calculate the outcome. The primary endpoints were aortic-related death and regression/resolution. Secondary endpoints were all-cause death, progression to dissection, and secondary intervention.Results: Eight observational studies were included in the analysis. TEVAR reduced aortic-related death (RR 0.22, 95% CI 0.08-0.56, P = 0.002, I² = 24%) and promoted hematoma regression/resolution (RR 1.48, 95% CI 1.05-2.10, P <0.05, I² = 71%) compared to OMT. Moreover, TEVAR was associated with a reduction in progression to dissection (RR 0.32, 95% CI 0.13-0.81, P <0.02, I² = 39%) and secondary intervention (RR 0.18, 95% CI 0.09-0.37, P <0.00001, I² = 38%) compared to OMT. However, all-cause death has no significant difference between the two groups (RR 0.45, 95% CI 0.17-1.19, P = 0.11, I² = 58%).Conclusions: The results of this meta-analysis suggested that TEVAR is an effective treatment for BIMH, which can delay the progression of intramural hematoma and promotes regression/resolution. More research about indications of TEVAR is still needed.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/64/50/atcs-29-177.PMC10466118.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10478993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sex Differences in the Outcomes of Degenerative Mitral Valve Repair. 退行性二尖瓣修复结果的性别差异。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-08-20 DOI: 10.5761/atcs.oa.22-00210

Kemin Liu, Qing Ye, Yichen Zhao, Cheng Zhao, Li Song, Jiangang Wang

{"title":"Sex Differences in the Outcomes of Degenerative Mitral Valve Repair.","authors":"Kemin Liu, Qing Ye, Yichen Zhao, Cheng Zhao, Li Song, Jiangang Wang","doi":"10.5761/atcs.oa.22-00210","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00210","url":null,"abstract":"Purpose: This study explored the sex differences in the outcomes of degenerative mitral valve repair (MVr).Methods: From 2010 to 2019, 1069 patients who underwent MVr due to degenerative mitral disease at Beijing Anzhen Hospital were analyzed. The average patient follow-up was 5.1 years (interquartile range: 5-7 years). The primary endpoint was overall survival. Secondary endpoints were freedom from reoperation and recurrent mitral regurgitation. A propensity-matched analysis was used to compare the outcomes of males and females.Results: Females were older, had a higher prevalence of atrial fibrillation and moderate-to-severe tricuspid regurgitation, and had smaller left atrial, left ventricular end-diastolic, and left ventricular end-systolic diameters. Males were more likely to undergo concomitant coronary artery bypass grafting and had longer cardiopulmonary bypass and aortic cross-clamp times. The in-hospital mortality was <1% (10/1,069). After propensity score matching of 331 pairs of patients, most variables were well balanced. Before and after propensity score matching, the long-term survival and freedom from reoperation rates were similar. Males had higher durability after surgery compared with females.Conclusions: Females were referred to surgery later and had more complications than males. Long-term survival and freedom from reoperation rates were not significantly different between the sexes.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/12/59/atcs-29-192.PMC10466113.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10479009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long-Term Outcomes of the Maze Procedure Combined with Endoatriectomy for Patients with Calcified Left Atria. 迷宫手术联合心房内膜切除术治疗左心房钙化的远期疗效。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-06-20 DOI: 10.5761/atcs.oa.23-00013

Yochun Jung, Kyo Seon Lee, Sang Gi Oh, Byoung Hee Ahn

{"title":"Long-Term Outcomes of the Maze Procedure Combined with Endoatriectomy for Patients with Calcified Left Atria.","authors":"Yochun Jung, Kyo Seon Lee, Sang Gi Oh, Byoung Hee Ahn","doi":"10.5761/atcs.oa.23-00013","DOIUrl":"https://doi.org/10.5761/atcs.oa.23-00013","url":null,"abstract":"Purpose: Left atrial calcification (LAC) is found in long-lasting rheumatic valvular disease and is almost always accompanied by atrial fibrillation (AF). In the presence of LAC, endoatriectomy is required when performing the maze procedure. However, the technical feasibility of endoatriectomy and the long-term outcomes of the maze procedure in patients with LAC are uncertain.Methods: The medical records of 18 consecutive patients who underwent combined endoatriectomy and maze procedure were analyzed retrospectively.Results: Accompanying operations were mitral valve replacement (n = 16) and commissurotomy (n = 2). There was 1 operative death from sepsis following mediastinitis. When patients were divided into \"broad\" (n = 11) and \"limited\" (n = 7) groups, with the extent of LAC either greater or less than half of the left atrium, respectively, there was no intergroup difference in postoperative complications. During follow-up (median, 11.4 years), AF recurred in 11 patients. At the last follow-up visits, electrocardiography revealed significantly fewer patients in the broad group maintaining sinus rhythm (1/11 vs 4/6, P = 0.03). The 10-year AF recurrence-free survival rates were 13.9% and 66.7% in the broad and limited groups, respectively (P = 0.01).Conclusions: The maze procedure combined with endoatriectomy seems technically feasible with acceptable long-term rhythm outcomes if the LAC extent is limited.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6e/14/atcs-29-141.PMC10284664.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9706363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury. 胸主动脉血管内修复术治疗钝性胸主动脉损伤的疗效。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-06-20 DOI: 10.5761/atcs.oa.22-00095

Jun Okadome, Noritsugu Morishige, Yuta Sukehiro, Hirofumi Norio, Kazuhide Maetani, Go Yanase, Hiroyuki Ito

{"title":"Effectiveness of Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury.","authors":"Jun Okadome, Noritsugu Morishige, Yuta Sukehiro, Hirofumi Norio, Kazuhide Maetani, Go Yanase, Hiroyuki Ito","doi":"10.5761/atcs.oa.22-00095","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00095","url":null,"abstract":"Purpose: Blunt thoracic aortic injury (BTAI) has a high mortality rate, and the occurrence of clinical complications is high. Several studies have reported the efficacy of thoracic endovascular aortic repair (TEVAR) for BTAI. This study aimed to clarify the use of TEVAR for BTAI.Methods: We analyzed 10 cases of TEVAR for BTAI from July 2011 to December 2020 at our hospital. Five of 10 cases of BTAI were caused by road traffic accidents, while five were caused by falls from a height.Results: The mean patient age was 59.3 years. When arriving at our hospital, seven of 10 patients were in shock. Nine of 10 cases of BTAI were at the aortic isthmus. With respect to BTAI severity, five of 10 patients were categorized as grade IV. Ps of non-survivors were extremely low. All patients underwent TEVAR. The mean surgical duration and volume of intraoperative blood loss were 77.5 minutes and 234 ml, respectively.Conclusion: The results of TEVAR for BTAI at our institution support previous reports, which show excellent clinical results. To further improve the outcomes, we must clarify the adaptation of nonoperative management (delayed repair), the optimal timing of invasive treatment, and the importance of long-term follow-up.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b1/4b/atcs-29-133.PMC10284661.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9695795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0