在口腔内镜肌切除术期间,使用红外成像的印ocyanine绿色对远端肌切除术终点的增强可视化
Yuichiro Ikebuchi1,2, Takuki Sakaguchi1, Moe Eizawa1
1Department of Multidisciplinary Internal Medicine Division of Gastroenterology and Nephrology Tottori University Hospital Tottori Japan.
DEN open
|December 12, 2025
概括
红外成像 (ICG-IRI) 的印ocyanine绿色可靠地通过可视化食管胃交叉路口来指导口腔内镜肌切除术 (POEM). 这种技术提高了程序的准确性,并改善了阿喀拉西亚治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
- 医疗成像医学成像
背景情况:
- 口腔内镜肌切除术 (POEM) 是治疗阿喀拉西亚的一个关键方法.
- 在POEM期间准确识别远端肌肉切割终点是具有挑战性的.
- 红外成像 (ICG-IRI) 带有印ocyanine绿色,可以为食管胃结的手术内可视化提供潜力.
研究的目的:
- 评估ICG-IRI在指导POEM程序中的有效性和安全性.
- 评估ICG-IRI在确定远端骨髓瘤终点方面的成功率.
- 分析ICG-IRI指导的POEM对患者结果的影响.
主要方法:
- 一项涉及39名接受ICG-IRI的POEM患者的研究.
- 主要结果:ICG-IRI的成功率,用于清晰可视化远端肌瘤终点.
- 二次结果:技术上的成功,综合放松压力的变化和埃卡德得分.
主要成果:
- 在ICG-IRI中,成功率高达94.9% (37/39名患者).
- 对于POEM的技术成功率为100%.
- 综合放松压力 (26.9~10.8mmHg) 和埃卡特评分 (5.0~1.0) 显著改善,p<0.01.
结论:
- ICG-IRI是一种可靠的工具,用于识别POEM中远端肌肉瘤终点.
- 这种技术可以提高POEM过程中的程序准确性.
- 根据ICG-IRI指导的POEM显示,它有望改善阿喀拉西亚患者的临床结果.
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