用CT导航辅助的横面切除结石:它有效吗?
Michele Gaffuri1,2, Ludovica Battilocchi1,2, Matteo Lazzeroni3,4
1Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Journal of clinical medicine
|April 12, 2025
概括
通过CT指导的横面切除对于较难的石是有效的. 这种微创手术在不可触摸和受影响的石头中具有很高的成功率,改善了腺石头的治疗选择.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
- 医疗成像医学成像
背景情况:
- 结石的最小侵入性手术失败率为10%,通常是由于大,受影响或深层的石头.
- 现有的方法在与石头进行斗争,这些石头是通过sialendoscopy看不见或无法访问的.
- 以CT为指导的方法为具有挑战性的石提供了潜在的解决方案.
研究的目的:
- 评估CT导航辅助跨面切除非触摸性和冲击性骨结石的疗效和安全性.
- 确定成功率和识别与程序失败相关的因素.
- 将这种方法与用于深层或难以进入的石头的传统方法进行比较.
主要方法:
- 22名患有不可触摸的,受影响的结石的患者接受了CT导航辅助的跨面切除.
- 这些手术是在2017年至2024年期间在一家专门的外科部门进行的.
- 记录了石头的大小和深度,并分析了结果,包括与失败相关的因素.
主要成果:
- 平均石块大小为7.4毫米,从皮肤表面平均深度为8.7毫米.
- 在77%的患者 (22人中有17人) 中,成功的石头去除.
- 手术失败与石头深度超过12毫米有显著的关联,这些患者接受了传统的切除术.
结论:
- 通过CT指导的跨面方法是治疗难以触摸的鼻结石的安全有效选择.
- 这种技术对于石头深深地冲击状腺外细胞特别有用.
- 对于深度大于10毫米的石头,如果体外石不存在,则可以选择传统的胸膜切除术.
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