相关实验视频
Updated: Jun 28, 2025
12:10
Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
7.7K
在前列腺癌的机器人辅助腹腔镜激进前列腺切除术中,不同姿势对下肢血液动力学的影响
Zheng Wang1, Xinyu Wang2, Xiaofen Yu3,4
1Cancer Center, Gamma Knife Treatment Center, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.
BMC urology
|April 20, 2024
概括
在机器人辅助激进前列腺切除术 (RARP) 中,分腿位置与小腿逆形更好地保持下肢血液动力学,而不是低光切除位置. 这可能会降低前列腺癌手术后深静脉血栓的风险.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 血管外科 血管外科
- 手术瘤学手术瘤学
背景情况:
- 机器人辅助腹腔镜激进前列腺切除术 (RARP) 涉及特定的患者定位,这可能会影响下肢血液动力学.
- 了解这些血液动力学变化对于预防术后并发症,如深静脉血栓症 (DVT),至关重要.
研究的目的:
- 为了比较两个不同的患者位置在前列腺癌RARP期间对下肢血液动力学的影响.
- 评估Trendelenburg姿势与分腿姿势和小腿逆弓对Trendelenburg姿势与低石解剖姿势的影响.
主要方法:
- 接受RARP治疗的196名患者被分为观察组 (分腿与小腿逆) 和对照组 (低石头切除术).
- 深腿静脉直径,血流速度和体积都用超声波在多个时间点测量.
- 在离开手术室之前,评估了静脉血液流通的通透性.
主要成果:
- 肺上皮膜最初增加了深股骨静脉直径,并在两组中降低了血液流动速度和体积.
- 与对照组相比,观察组对血液动力学的影响较小,并且保持了较好的静脉血液流通通率.
- 具体来说,从T2到T6,观察组的股骨静脉直径较小,但血流速度和体积增加 (P<0.05).
结论:
- 在RARP过程中,分腿位置与小腿逆弧显示出对下肢血液动力学的影响不如低石解剖位置那么严重.
- 这种定位策略可以在前列腺癌患者中相对降低术后深静脉血栓形成的风险.
相关概念视频
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
563
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
563
01:11Anatomical Positions
10.1K
In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
10.1K