儿科呼吸道外科手术中的光学连贯断层扫描:一个案例系列和集中审查
Rebecca Paquin1, Jenny Zablah2, Marta Kulich1
1Division of Pediatric Otolaryngology - Head and Neck Surgery, Children's Hospital Colorado, Aurora, Colorado, USA.
The Laryngoscope
|January 15, 2026
概括
光学连贯断层扫描 (OCT) 为儿科呼吸道疾病提供了详细的,无辐射的成像. 这项研究表明,在复杂的病例中,OCT可以改善诊断和手术规划.
科学领域:
- 医疗成像医学成像
- 儿科肺病学 儿科肺病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 复杂的儿科气道病理需要精确的诊断和手术规划工具.
- 目前的成像模式可能在可视化微型气道结构方面存在局限性.
研究的目的:
- 评估光学连贯性断层扫描 (OCT) 在评估和规划儿童患者复杂呼吸道问题的手术中的作用.
主要方法:
- 一个回顾四名儿科患者的病例系列,他们接受了气管和主要支气管的手术内OCT.
- 在全身麻醉下使用基于微导管的导管进行了OCT成像.
- 结果与支气管镜检查,手术前成像和手术报告相关联.
主要成果:
- 海外和海外国家提供了高分辨率的结构细节,完善了诊断和手术计划.
- 它有效地划分了狭窄的程度,主要支气管的干涉和支架状态.
- 超越国土国家和地区对于手术前评估和术后后续治疗都非常有价值.
结论:
- 光学连贯性断层扫描是一种高分辨率,无辐射的选择,用于儿科气道评估.
- 它作为一个可行的辅助,提供结构细节,与操作发现保持一致.
- 需要进一步的前性研究来确定其工作流程,性能和对患者结果的影响.
相关概念视频
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
526
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
526
Suctioning the Oropharyngeal Airway
790
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
790
Endoscopic Studies II: Thoracocentesis
1.2K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.2K
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
469
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
469


