将3D技术与Sampaio分类进行整合,用于复杂结石治疗中增强的皮肤通结石切除术
Jiamo Zhang1, Jing Qing1, Ke Hu1
1Department of Urology, Yangchuan Hospital, Chongqing Medical University, Chongqing, China.
Frontiers in surgery
|November 6, 2024
概括
三维 (3D) 打印与Sampaio分类相结合,改善了复杂结石的皮肤通结石切除术 (PCNL). 这种综合方法提高了手术规划和石头清除,从而在治疗结石方面取得更好的结果.
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:
- 复杂的结石会给治疗带来重大挑战.
- 穿皮骨切除术 (PCNL) 是治疗结石的一个关键手术.
- 将先进的成像与解剖学分类相结合可以优化PCNL结果.
研究的目的:
- 评估3D计算机断层扫描 (CT) 重建的安全性和有效性,与复杂结石中PCNL的Sampaio分类相集成.
- 为了比较接受3D打印模型和接受标准CT成像的患者之间的结果.
主要方法:
- 对64名患有复杂结石的患者进行了回顾性分析,他们接受了PCNL.
- 分为一个实验组 (3D打印) 和一个控制组 (CT成像).
- 在实验组中利用CT数据的3D重建和Sampaio分类来进行手术规划.
主要成果:
- 3D打印模型准确地代表了Sampaio分类.
- 3D打印组在穿孔时间,针数,通道精度和石头清理度方面显示出显著的改进.
- 在手术时间,血液损失,住院时间或并发症方面没有发现显著差异.
结论:
- 将3D技术与Sampaio分类集成,可以提高PCNL的手术前评估和规划.
- 这种综合方法为治疗复杂结石提供了更精确的方法.
- 通过3D引导的PCNL,在石头清除方面提高了效率和有效性.
相关概念视频
Urinary Tract Calculi I: Introduction
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
Urinary Tract Calculi III: Medical Management
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Urinary Tract Calculi V: Nursing Management
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Imaging Studies III: Computed Tomography
DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...


