超声波在远距离半径飞行器固定方面优于光镜吗?
Álvaro Toro-Aguilera1, Javier Arenas-Romera1, Ion Carrera1
1Trauma Unit. Orthopaedic and Trauma Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Hand surgery & rehabilitation
|July 27, 2023
概括
超声波 (美国) 在远距离半径固定过程中没有显著改善背穿透的评估. 在美国和光镜视图之间发现了很高的一致性,外科手术时间增加最小.
科学领域:
- 整形外科手术 整形外科手术
- 医学成像医学成像
- 生物医学工程 生物医学工程
背景情况:
- 评估背部螺丝穿透在远端半径固定对于外科手术的结果至关重要.
- 传统的光镜视图可能不足以进行准确的评估.
- 超声波 (美国) 已被提议作为辅助成像技术.
研究的目的:
- 评估手术内超声波和光镜视图之间的一致性,以评估背部螺丝透.
- 量化外科手术内US在远半径固定所需的额外时间.
主要方法:
- 一项前性描述性研究,涉及30名接受飞远端半径固定治疗的患者.
- 使用了手术内光镜视图 (AP,横向,倾斜的横向,背部触角视图).
- 随后进行了超声波,以评估背皮质的完整性和螺丝突出.
主要成果:
- 在153个螺丝中,发现了4个突出的螺丝.
- 在手术中的超声波检测到一个突出错过了光学.
- 在Dorsal Tangential View和US.之间观察到几乎完美的一致性 (k=0.83).
- 美国的外科手术平均增加了4分钟.
结论:
- 在外科手术中的超声波并没有在临床上显著地改善在远半径固定中评估背穿透的情况.
- 美国和光镜成像之间存在很高的一致性.
- 在手术中添加US是一种耗时极小的程序.
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