基于多检测器计算机断层扫描的组件分离指数在大腹的管理中的作用
D Sharma1, V Upadhyay1, U C Garga2
1Department of Surgery, Lady Hardinge Medical College & Associated Dr RML Hospital, India.
概括
组件分离指数 (CSI) 有效地预测在大腹修复中需要进行组件分离 (CS). 这种基于多探测器计算机断层扫描 (MDCT) 的索引有助于外科医生规划开放和腹腔镜手术.
科学领域:
- 腹壁的重建 腹壁的重建
- 手术成像分析的分析.
- Hernia 修复结果的结果
背景情况:
- 大型腹腔带来了挑战,没有组件分离 (CS) 完全关闭.
- 基于多探测器计算机断层扫描 (MDCT) 的组件分离指数 (CSI) 实用性被评估为这些.
研究的目的:
- 推导和评估基于MDCT的CSI的临床实用性,用于预测在腹修复中需要CS.
- 在开放式和腹腔镜方法中为CSI建立参考点.
主要方法:
- 在60名腹腔患者的MDCT扫描中计算出CSI.
- 组I (开放式维修) 建立了一个CSI参考点,用于CS的必要性.
- 第二组 (镜修复) 使用参考点指导修复策略 (IPOM-plus或ECS,其次是IPOM-plus).
主要成果:
- 开放式修复需要CS为CSI>0.067;腹腔镜修复需要CS为CSI>0.044.
- 如果CSI>0.25 (开放式) 或>0.125 (透镜),CS无法完全关闭缺陷.
结论:
- CSI是一个全面的参数,用于腹腔的评估,超过2D方法.
- 在开放式和腹腔镜内修复中,CSI准确地预测了关闭缺陷的部件分离的必要性.
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