在手术期间的光尿路可视化用于跨阴道的高子宫神经带悬浮严重的骨盆器官脱落
Marta Barba1, Alice Cola1, Matteo Frigerio2
1Department of Gynecology, Fondazione IRCCS San Gerardo Dei Tintori-University of Milano-Bicocca, Via Pergolesi 33, Monza, Italy.
International urogynecology journal
|May 23, 2024
概括
这项研究表明,尿道内氨酸绿色 (ICG) 和近红外光 (NIRF) 成像是一种可行的技术,用于尿道导航在失落修复期间,降低损伤的风险.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科外科手术 妇科外科
- 医疗成像医学成像
背景情况:
- 尿道损伤是骨盆重建手术期间的风险.
- 准确的尿路鉴定对于预防阳性损伤至关重要.
研究的目的:
- 评估尿道内绿色 (ICG) 和近红外光 (NIRF) 成像用于尿道导航的可行性.
- 为了降低尿路损伤的风险,在经阴道的高子宫神经带悬浮期间进行缩修复.
主要方法:
- 通过尿管导管,ICG被插入尿管.
- 在手术期间使用NIRF成像可视化尿路路径.
- 在直接尿管可视化下,将 sutures 放置在子宫神经带中.
主要成果:
- 使用ICG-NIRF成像,成功实现了尿道导航和识别.
- 位被安全放置,没有观察到手术内或术后并发症.
- 诊断性囊镜证实了手术后的尿路通透性.
结论:
- 尿道内ICG-NIRF成像是一种简单,廉价和可重复的手术内尿道检测方法.
- 这种技术可以增强外科医生的信心,特别是在可能出现尿路异常的复杂病例中.
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