将三维技术与桑帕约分类法相结合,加强经皮肾镜碎石术在复杂肾结石治疗中的应用。

IF 1.6 4区 医学 Q2 SURGERY Frontiers in Surgery Pub Date : 2024-10-22 eCollection Date: 2024-01-01 DOI:10.3389/fsurg.2024.1471958
Jiamo Zhang, Jing Qing, Ke Hu, Honglin Cheng
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引用次数: 0

摘要

背景:目的:通过将三维(3D)计算机断层扫描(CT)重建与Sampaio肾集合系统分类相结合,研究经皮肾镜取石术(PCNL)治疗复杂肾结石的安全性和有效性:对2019年1月至2023年10月期间接受PCNL的64例连续复杂肾结石患者进行回顾性分析,并根据患者对3D成像的付费意愿分为实验组(3D打印)和对照组(CT成像)。两组均进行术前 CT 尿路造影。实验组的 CT 成像中的数字成像和通信(DICOM)医学数据被用于三维重建和模型打印。然后,利用桑帕约分类系统设计穿刺通道并制定手术策略:结果:实验组的三维打印模型成功显示了桑帕约分类系统。两组的基线参数无明显差异。与对照组相比,实验组在穿刺时间、穿刺针数、穿刺通道数、靶萼稠度、首次穿刺通道数和结石清除率方面均有显著改善。两组在手术总时间、血红蛋白水平下降、住院时间和术后并发症方面无明显差异:结论:将三维技术与桑帕约肾集合系统分类相结合,可提高经皮肾通路的术前评估和规划。结论:将三维技术与桑帕约肾集合系统分类相结合,可加强术前评估和经皮肾通路规划,从而采用更精确的 PCNL 方法治疗复杂的肾结石。
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Integrating 3D technology with the Sampaio classification for enhanced percutaneous nephrolithotomy in complex renal calculi treatment.

Background: To investigate the safety and efficacy of percutaneous nephrolithotomy (PCNL) in the treatment of complicated renal calculi by integrating three-dimensional (3D) computed tomography (CT) reconstruction with the Sampaio classification of the renal collecting system.

Methods: Sixty-four consecutive patients with complex kidney calculi who underwent PCNL between January 2019 and October 2023 were retrospectively analyzed and divided into experimental group (3D printing) and control group (CT imaging) according to their willingness to pay for 3D imaging. Both groups underwent preoperative CT urography. The Digital Imaging and Communications (DICOM) in Medicine data of the experimental group from CT imaging were used for 3D reconstruction and model printing. Then, the Sampaio classification system was used to design the puncture channel and develop a surgical strategy.

Results: The 3D-printed models of the experimental group successfully displayed the Sampaio classification system. There was no significant difference in the baseline parameters between the groups. Compared with the control group, the experimental group exhibited significant improvements in the puncture time, number of puncture needles, number of puncture channels, target calyx consistency, number of first puncture channels, and stone clearance. There were no significant differences in the total operative time, decrease in the hemoglobin level, length of hospital stay, and postoperative complications between the groups.

Conclusions: Integration of 3D technology with the Sampaio classification of the renal collecting system can enhance the preoperative evaluation and planning of percutaneous renal access. This approach allows a more precise method of PCNL for treating complex renal calculi.

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来源期刊
Frontiers in Surgery
Frontiers in Surgery Medicine-Surgery
CiteScore
1.90
自引率
11.10%
发文量
1872
审稿时长
12 weeks
期刊介绍: Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.
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