术前沉浸式虚拟现实应用于皮肤性利切除术:对手术规划和临床结果的前性随机临床研究
Andrei D Cumpanas1, Mariah C Hernandez1, Amanda McCormac1
1Department of Urology, University of California Irvine, Orange, California.
The Journal of urology
|October 31, 2024
概括
沉浸式虚拟现实 (iVR) 通过增强外科手术规划,显著改善皮肤穿神经切除术 (PCNL) 的结果. 这项技术导致更高的无结石率和较少的结石管理并发症.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗成像医学成像
- 手术技术 手术技术
背景情况:
- 穿皮骨切除术 (PCNL) 是大型结石的标准.
- 术前规划依赖于解释众多CT图像,这对外科医生来说是一个挑战.
- 有效的手术规划对于成功的PCNL结果至关重要.
研究的目的:
- 评估沉浸式虚拟现实 (iVR) 对PCNL手术规划的影响.
- 评估iVR是否能改善手术结果,包括无结石率和并发症发生率.
主要方法:
- 175名接受PCNL治疗的患者随机分为CT-only或CT+iVR组.
- CT扫描被转换为iVR模型用于术前可视化和手术模拟.
- 手术后的结果根据无石头状态和并发症严重程度 (Clavien-Dindo) 分类.
主要成果:
- 在30%的案例中,iVR可视化导致了计划的入口杯的变化.
- CT+iVR组的绝对无结石率显著更高 (33.70%与20.22%) 和<4mm残留率更低 (48.20%与62.79%).
- 在IVR组中发生的Clavien-Dindo II+IIIa并发症较少 (3.48%对12.30%).
结论:
- 术前iVR模型可视化可改善PCNL手术规划.
- iVR增强了皮肤穿透式石头去除的安全性和有效性.
- 对于外科医生和患者来说,PCNL中iVR的好处是显著的.
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