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Article History

Received: 11 January 2026

Accepted: 6 April 2026

First Online: 30 April 2026

Declarations

:

: All the authors have declared that there are no conflicts of interest in relation to this study.

: Not applicable.

: The protocol was approved before the start of the study by the institutional review boards at the Air Force Medical Center, Chinese People’s Liberation Army, and the study adhered to the principles of the Declaration of Helsinki and the guidelines for Good Clinical Practice.

: All patients or legally authorized representatives provided written informed consent before enrollment in the study.

: Not applicable.

: Data supporting the findings in the present study are reported in the article and in the supplementary materials. The data collected and analyzed for the current study are available directly from the corresponding author upon reasonable request.

: D. Chen, J. Shi, X. Chang, B. Pan, Y. Li, F. Qiu, Y, Tang, X. Gao contributed to concept and design of the study. Y. Yin, X. Ma, Y. Wang, J. Zhang, M. Wang, Z. Zhu, Guo, D. Sun, Tian, H. Yu, Wei, Y. Yu, Zhao, M. Sun, Hou, H. Li, S. Wu, J. Wu, F. Wang, Liu, Lin, C. Wang, H. Zhu, X. Pan, J. Chang, B. Zhang, X. Zhu, B. Huang, Dong, Dai, He, Q. Ma, W. Wang, Yang, Cao, B. Yan, F. Huang and X. Yan contributed to the acquisition, analysis, and interpretation of data. D. Chen, X. Chang and J. Shi contributed to the drafting of the manuscript. All the authors reviewed and revised the manuscript, and approved the final submitted version.