视力在内分泌检查 (VIEW):气体和盐水囊镜的比较
Jeison Caruso1, Lukas John Hefermehl1, Jan Birzele2
1Department of Surgery, Division of Urology, Kantonsspital Baden, Baden, CHE.
Cureus
|February 25, 2026
概括
气体囊镜 (GASCYS) 在模拟的宏血期间,与盐水相比,提高了可见性和可用性. 这项研究表明,环境空气囊镜可能是流血损害可视化的手术的可行选择.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械 医疗器械
- 手术模拟器手术模拟器
背景情况:
- 巨血常常会损害囊镜的可见性,使诊断和程序复杂化.
- 当前使用盐水的囊镜法在出现大量出血时可能不理想.
- 替代性膨胀介质需要在具有挑战性的血情景中评估其有效性.
研究的目的:
- 为了比较基于气体的与盐水的囊镜的可见性和程序性表现,在一个ex vivo模型的宏观血.
- 评估主观可用性和与每个囊镜法相关的阳性创伤.
主要方法:
- 一项随机交叉试点研究使用ex vivo猪膀模拟人类解剖学.
- 使用类似血液的溶液模仿宏血,膀被环境空气或盐水膨胀.
- 医生评估了预定义目标的可见性,易用性,视力障碍和技术技能 (OSATS).
主要成果:
- 所有参与者都成功地确定了气体和盐水膨胀的目标.
- 气体囊镜 (GASCYS) 在可见性 (92.3%对38.5%) 和易用性 (p=0.0012) 方面显示出明显更高的评级.
- 在GASCYS (p=0.067) 中观察到较低感知视力损伤的趋势.
结论:
- 环境空气囊镜在模拟的宏血模型中是可行的,提供了更好的感知可见性和可用性.
- 气体囊镜显示出因出血而复杂的诊断程序的潜力,这需要进一步的临床研究.
- 未来的研究必须确定临床有效性,安全参数 (气体类型,压力控制) 和气体膨胀的指示.
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