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针对脏瘤的计算机断层成像引导冷过程中的水解剖:逆膜中有效的液体积聚空间在哪里?
Yosuke Maehara1, Natsuko Hayashi2, Tatsuya Hirota2
1Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kamigyo-ku, Kyoto, 602-8566, Japan. yamaehara@koto.kpu-m.ac.jp.
Cardiovascular and interventional radiology
|February 13, 2024
概括
水解剖在计算机断层扫描指导的冷过程中有效地将脏瘤与相邻器官分开. 逆中心平面被确定为这种分离的最有效的流体空间,无论针的位置如何.
科学领域:
- 干预性放射学 干预性放射学
- 在瘤学瘤学.
- 手术解剖学 手术解剖学
背景情况:
- 计算机断层扫描 (CT) 引导的冷处理是一种对脏瘤的微创治疗方法.
- 水解剖被用来创建一个分离平面,可能提高安全性.
- 了解背骨解剖学对于优化水解剖的有效性至关重要.
研究的目的:
- 为了评估在CT指导结缩过程中水解剖的疗效.
- 分析 retroperitoneal 解剖和面膜间平面内的液体分布.
- 确定瘤与邻近器官分离的最佳流体空间.
主要方法:
- 用冷和水解剖治疗的52种瘤的回顾性分析 (2014年3月至2021年3月).
- 基于面膜间平面,评估 retroperitoneal空间的液体扩散.
- 评估针尖位置与有效流体空间之间的关系.
主要成果:
- 水解剖在所有病例中都是有效的,显著增加了瘤和相邻器官之间的距离 (7.5毫米到22.6毫米).
- 在67.3%的病例中,逆中平面是最有效的流体空间,优于周围空间 (21.2%).
- 逆流中心平面证明是最有效的,无论水解剖针尖的位置如何.
结论:
- 逆中介质平面是结过程中水解剖的高效空间.
- 这种平面有助于瘤与相邻器官的分离,提高了手术的安全性.
- 不管针的位置如何,可以通过回心中平面实现最佳的液体分布.
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