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Hirokuni Hashikata¹, Yoshinori Maki², Gen Futamura¹

¹Department of Neurosurgery, Medical Research Institute Kitano Hospital, PIIF Tazuke-Kofukai, Osaka, Japan.

World neurosurgery

|September 8, 2023

概括

与手术显微镜 (SMs) 相比,数字外显镜在微血管解压 (MVD) 手术中提供了卓越的功能和可用性,有可能减少神经外科医生的压力,而不会影响结果.

科学领域:

神经外科神经外科
手术技术手术技术
医疗器械医疗器械

背景情况:

有限的研究比较了神经外科手术中的外视镜和外科显微镜 (SM) 的功能.
这项研究侧重于在微血管减压 (MVD) 期间对外镜的可用性.

研究的目的:

评估4K,3D数字外显镜在MVD手术中的功能和可用性.
为了比较外观镜性能与传统的SM.

主要方法:

七位神经外科医生使用视觉模拟尺度 (VAS; 1-10) 评估了MVD中的外视镜效用.
问卷评估了易于使用,仪器交换,程序流程和身体压力.
通过VAS评分评估早期与晚期病例的学习曲线.

主要成果:

在MVD中的外观镜功能超过了SMs (P < 0.001).
在外显镜处理,仪器交换,程序方便和减少身体压力方面获得高VAS分数.
在外視鏡 (P < 0.001) 報告的內科手術性喘視增加 (P < 0.001).
外镜和SM MVD之间在操作时间或患者结果 (出院,1年) 没有显著差异.

结论:

在MVD中使用外镜可能会降低神经外科医生的压力.
外視鏡是對MVD的一種可行的工具,它顯示了與SMs相似的患者結果.

关键词:

外观镜外观镜是指外观镜的外观镜.微血管压缩减压的方法问卷调查问卷问卷调查问卷手术手术手术手术显微镜的使用方法视觉模拟尺度是一个视觉模拟尺度.

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