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实时膀输液评估使用ICG光成像使得成功重建
Kosuke Iwatani1, Mahito Atsuta1, Yuma Okamoto1
1Department of Urology The Jikei University School of Medicine, Kashiwa Hospital Chiba Japan.
IJU case reports
|December 31, 2025
概括
在手术中用绿色氨酸 (ICG) 成像评估了膀输液,允许成功保存膀和尿管再植入. 这种技术有助于在复杂的骨盆瘤切除中进行手术决定.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 医疗成像医学成像
背景情况:
- 反复出现的盆腔瘤可能会损害膀和尿路结构.
- 评估膀输液对于复杂瘤手术期间的器官保存至关重要.
研究的目的:
- 评估手术内绿色 (ICG) 光成像用于评估膀输液的实用性.
- 为了确定ICG成像是否可以指导在血管供应受损的情况下保持膀.
主要方法:
- 一个案例报告详细介绍了ICG光成像在骨盆瘤切除过程中的使用.
- 使用ICG成像来评估双侧膀动脉牺牲后的膀壁 perfusion.
- 手术后的评估包括对比度增强的CT和囊镜.
主要成果:
- ICG光成像显示出均的膀壁 perfusion,支持膀的保存.
- 术后成像和囊镜证实了保持膀输液和粘膜完整性的情况.
- 患者在没有功能障碍的情况下实现了自发排泄.
结论:
- 术内ICG成像可实时评估膀输液,促进安全的膀保存.
- 这种技术在涉及潜在血管损害的复杂骨盆手术中对手术内决策有价值.
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