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Abstract: [ Abstract ] Objective Toinvestigatetheapplicationof3Dvirtualendoscopytechnologyin kidneystonepatientswhoacceptedsofturetermirrortreatmentandtofurtherdiscusswhetherit canimprovetheefficiencyandsecurityoflithotripsy.Methods Thepatientsweredividedinto researchgroupandcontrolgrouprandomlyaccordingtotheodevityofthelastnumberoftheID number , theformerusing3Dvirtualendoscopyandthelatterusingtheconventionalradiographic inspection.The30casesallaccepted64layersspiralCTscanwithnon-andenhancementandthin layerwerereconstructedafterthescan.TheCTresultsofresearchgroupwerestoredbyDICOM formatfile , whichlatertreatedby Mimicssoftwareinordertoobtainthepatients'kidney collectingsystem3D modelsby3Dvirtualendoscopy.Thefollowingparametersin2groupsof surgicalpatientswereobserved : thetimeofthetarget , thefirsttimethesystemtoexplorethe timeofthekidney , thetimeofremovingthecatheter , thetimeofgettingoutofbedandrateof stoneclearanceandincidenceofcomplications.Results Thirtycasesofsurgerywerecompleted successfully.The3Dvirtualendoscopymodelsof15patientsinresearchgroupweresuccessfully established , whichshowedclearlyimagesinthekidneycollectingsystem , thesizeandthe locationofthestone , locationandthegoodrelationshipbetweenkidneyandstone.Thetimeto determinethetargetkidneycalicesandthefirsttimetodetecteverykidneycaliceswerelessin3D virtualendoscopy models.Theremovingstonerateandthepostoperativecomplicationswere significantlysuperiortotheconventionalradiographicinspectiongroup ( P <0.05 ) .Thereisno statisticallysignificantdifferenceinrecoverytime ( suchasurethralcathetertime , postoperative activitytime , etc ) and daysofhospitalization.Conclusion Theapplication of3D virtual endoscopytechniquescanimprovetheefficiencyofgravelandreducepostoperativecomplications intheprocessofusingsofturetermirrorinkidneystonepatients.
Key words: kidney calices, ureteral soft lens lithotripsy; , virtual endoscopy techniques
JIAXiao-peng,GUOYue-xian,WANG Wei. The clinical value of 3D virtual endoscopy technology in ureteral soft lens lithotripsy in the treatment of kidney stones[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2016.10.004.
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URL: https://xuebao.hebmu.edu.cn/EN/10.3969/j.issn.10073205.2016.10.004
https://xuebao.hebmu.edu.cn/EN/Y2016/V37/I10/1126