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超声波引导的帕拉萨克鲁姆Infrapiriformis深盆腔的排水:一个解剖学安全研究使用SYNAPSE VINCENT
Daisuke Muroya1,2, Hisaaki Shimokobe1, Takamichi Nishida1
1Department of Surgery, Tobata Kyoritsu Hospital, Kitakyusyu, Japan.
Journal of the anus, rectum and colon
|May 1, 2024
概括
超声波指导的质体排水为深层盆腔提供了一种安全有效的方法,可以减少辐射暴露. 这种技术允许实时指导,提高穿孔精度和患者安全.
科学领域:
- 干预性放射学 干预性放射学
- 医疗成像医学成像
- 手术排水器手术排水器
背景情况:
- 由于周围的重要结构,深层盆腔形成了外科手术的挑战.
- 传统的计算机断层扫描 (CT) 引导的方法具有辐射风险.
- 需要替代的成像指导,以便更安全地排出.
研究的目的:
- 为了评估超声波导向的深盆腔的透排水的疗效和安全性.
- 评估使用3D图像分析的可行性,以精确理解刺穿路线的解剖学.
主要方法:
- 对五名患有深层盆腔的患者进行了回顾性研究.
- 使用光镜进行的超声波引导的质体排水.
- 使用3D图像分析系统 (SYNAPSE VINCENT) 在手术前进行解剖绘图.
主要成果:
- 在所有五个案例中都成功排水,平均持续时间为11天.
- 的病因包括术后结肠直肠癌,尾炎和西格分泌炎.
- 没有报告出血或神经损伤等并发症.
结论:
- 在深部骨盆液排水中,parasacral infrapiriformis 跨质方法是安全有效的.
- 超声指导与光学相结合,可以实现精确的实时穿孔.
- 3D图像分析有助于理解复杂的盆腔解剖,以实现最佳的导管插入.
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