Journal of Hebei Medical University

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The clinical value of 3D virtual endoscopy technology in ureteral soft lens lithotripsy in the treatment of kidney stones

  

  1. DepartmentofUrology , theThirdHospitalofHebeiMedicalUniversity,Shijiazhuang 050051 , China
  • Online:2016-10-25 Published:2016-11-04

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