没有光镜的超声导向皮肤透光瘤切除术:早期的手术经验与基于视频的技术见解
Chenghao Tan1, Xin Li1, Xiaochun Zhang1
1Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China.
Frontiers in surgery
|November 17, 2025
概括
超声导向皮肤穿神经切除术 (PCNL) 是一种安全有效的无辐射的结石切除选择. 这种技术对于职业生涯早期的泌尿科医生来说是可行的,即使没有光镜.
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
- 手术创新 在外科创新.
背景情况:
- 皮肤穿神经切除术 (PCNL) 传统上依赖于光镜作为指导.
- 光镜涉及电离辐射,对患者和工作人员构成风险.
- 需要在泌尿外科手术中提供无辐射替代方案.
研究的目的:
- 评估超声波引导PCNL的可行性,安全性和短期结果.
- 评估这种技术在职业生涯早期的泌尿科医生进行时的有效性.
- 确定超声波引导是否可以取代PCNL中的光学.
主要方法:
- 70个连续的超声波引导PCNL病例的回顾性分析.
- 由一名职业生涯早期的泌尿科医生使用刚性泌尿显微镜辅助访问进行的程序.
- 实时超声波指导是专门使用的,没有光镜.
主要成果:
- 高无结石率:经过一次手术后75.7%,六个月后88.6%.
- 没有报告任何重大并发症.
- 在所有情况下成功访问,平均访问时间为9分钟.
结论:
- 超声导向PCNL是一种安全,有效和无辐射的替代方案.
- 这种技术对于有结构化指导的早期职业生涯外科医生来说是可行的.
- 这种方法适用于资源有限的设置和高体积的中心.
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