在儿童的内科手术MRI内,用于内镜内外形外科手术
Neevya Balasubramaniam1, Jean-Pierre Farmer1, Marc A Tewfik2,3
11Department of Pediatric Surgery, Division of Neurosurgery, Montreal Children's Hospital, Montreal, Quebec.
Journal of neurosurgery. Pediatrics
|January 22, 2026
概括
术内核磁共振成像 (iMRI) 显示为儿科内镜内透膜外科手术 (EETS) 的前景,有助于目标验证. 然而,在这项研究中,结果并不优于没有iMRI的程序.
科学领域:
- 神经外科 神经外科
- 儿科手术 儿科手术
- 医疗成像医学成像
背景情况:
- 术内核磁共振成像 (iMRI) 是为成年人内镜内外科手术 (EETS) 建立的.
- 关于iMRI在儿科EETS中的应用存在有限的数据.
- 这项研究评估了iMRI在儿科EETS中的实用性.
研究的目的:
- 评估iMRI在儿科EETS中的有用性,有效性和安全性.
- 在使用和不使用iMRI的儿科EETS之间比较外科结果.
- 确定iMRI是否提高了手术目标的实现.
主要方法:
- 从2005年到2024年,对儿科EETS病例 (18岁以下) 的回顾性审查.
- 使用和不使用iMRI的病例的比较.
- 收集的数据:手术目标,iMRI时间/发现,手术管理影响,结果,并发症和复发.
主要成果:
- 13例儿科EETS病例使用iMRI (6-17岁),主要用于喉腺瘤和垂体腺瘤.
- 在92.3%的iMRI病例中,手术目标得到了实现.
- 在IMRI和非IMRI组之间,目标实现 (p=0.264),手术时间,LOS或并发症率没有统计学上显著的差异.
结论:
- 在儿科EETS中,iMRI似乎是安全有效的辅助工具,用于手术内目标验证.
- 目前的结果测量没有显示出与没有iMRI的EETS相比的优势.
- 进一步的研究可能会澄清iMRI在儿科神经外科手术中的特定益处.
相关概念视频
Endoscopic Studies II: Thoracocentesis
1.3K
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...
1.3K
Endoscopic Procedures I: Esophagogastroduodenoscopy
1.0K
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
1.0K
Endoscopic Procedures II: Colonoscopy
661
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
661
Imaging Studies I: CT and MRI
838
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
838
Drug Dosing: Infants and Children
265
Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
265
Endoscopic Procedures V: ERCP
3.0K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
3.0K


