临床评估一种新的光镜模式,用于改善干预性内镜超声波 (带视频) 期间的可见性
Naoto Aoyama1, Takeshi Ogura2,1, Saori Ueno1
1Second Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
突出模式在干预内镜超声波 (I-EUS) 期间显著改善设备的可见性,从而缩短了手术时间. 需要进一步的随机试验来确认EUS引导胆管排水的这些好处.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 内镜手术 进行内镜手术
背景情况:
- 干预性内镜超声波 (I-EUS) 对于像EUS引导胆管排水等程序至关重要.
- 在I-EUS期间设备可见性不足是一个重大挑战.
- 一个新的可视性增强功能",口音模式",现在可用于光镜系统.
研究的目的:
- 为了在I-EUS期间在Accent模式和Original模式之间比较设备和胰腺胆道可见性.
- 评估Accent模式对程序效率的影响.
主要方法:
- 一个单一中心的非随机研究评估了接受I-EUS的患者.
- 程序视频由专家和实习生使用五项可见度表来评估.
- 导线,扩展装置和支架的可见性得分在Accent和Original模式之间进行了比较.
主要成果:
- 与原始模式相比,重音模式显示导线,扩展装置和支架的可见性得分明显更高 (p < 0.001).
- 在Accent组 (10.3分钟) 与原始组 (17.2分钟;p = 0.0012) 中,平均手术时间显著缩短.
- 专家和实习观察员都报告说,使用Accent模式提高了可见性.
结论:
- 在I-EUS期间,重音模式似乎可以提高设备的可见性.
- 突出模式所带来的更好的可见性可能会减少整体手术时间.
- 建议进行前性随机对照试验以验证这些发现.
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