图像融合指南用于内血管大动脉-阴茎手术:系统性审查和元分析
Yiren Lai1,2, Li Tang2, Xinghua Liu2
1School of Health Sciences and Engineering; University of Shanghai for Science and Technology, Shanghai, China.
概括
与传统技术相比,成像融合 (IF) 显著减少了内血管大动脉 - 阴茎手术中的手术时间,辐射暴露和对比剂的使用. 这为血管外科医生提供了更安全,更有效的方法.
科学领域:
- 血管外科 血管外科
- 医疗成像医学成像
- 血管内干预 血管内干预
背景情况:
- 在治疗血管疾病方面,内血管动脉 - 阴茎手术至关重要.
- 传统的成像技术存在辐射暴露和对比剂使用的风险.
- 图像融合 (IF) 技术提供了可视化和安全方面的潜在改进.
研究的目的:
- 为了比较成像融合 (IF) 和常规成像在内血管大动脉-阴茎手术中的术后结果和辐射暴露.
- 提供IF技术有效性的现有证据的更新综合分析.
- 评估IF对程序效率和患者安全的影响.
主要方法:
- 在PubMed,Cochrane图书馆,Embase和Web of Science的系统文献搜索到2023年10月.
- 包括13项符合条件的英语研究,包括1498名患者 (732名IF与766名对照).
- 结果分析包括手术时间,光镜时间,对比剂,剂量区域产品 (DAP),辐射剂量,停留时间,技术成功,30天死亡率和主要不良事件.
主要成果:
- 聚合分析显示,手术时间缩短,光镜时间缩短,对比剂量,DAP和辐射剂量减少,IF指导.
- 在技术成功,停留时间,30天死亡率或重大不良事件方面没有发现显著差异.
- 基线特征相似,在对照组中较少发现先前的大动脉疾病.
结论:
- 影像融合 (IF) 通过减少辐射和对比介质暴露,显著提高了内血管大动脉-脉手术的安全性和效率.
- IF技术提供了改进的解剖学可视化,而不会增加不良结果,为传统成像提供了更安全的替代方案.
- 血管外科医生应根据经验和患者特定因素考虑IF,特别是在复杂的病例中,可能会将临床实践转向更广泛的采用.
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