| 夏宗禹,刘 银,李 风,何东林,鲁 鹏.复杂性结石患者术前应用3D数字打印肾脏仿真技术及手术过程模拟的效果分析[J].,2023,(6):1185-1189 |
| 复杂性结石患者术前应用3D数字打印肾脏仿真技术及手术过程模拟的效果分析 |
| Effects of Preoperative 3D Digital Printing Renal Simulation Technology and Surgical Process Simulation on Patients with Complex Stones |
| 投稿时间：2022-08-28 修订日期：2022-09-23 |
| DOI：10.13241/j.cnki.pmb.2023.06.037 |
| 中文关键词: 复杂性肾结石 3D数字打印 手术过程模拟 |
| 英文关键词: Complex renal calculi 3D digital printing Operation process simulation |
| 基金项目:重庆市科卫联合医学科研项目（2021MSXM152） |
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| 中文摘要: |
| 摘要 目的：探讨复杂性结石患者术前应用3D数字打印肾脏仿真技术及手术过程模拟的效果。方法：选入2020年9月至2021年5月在本院就诊的复杂性肾结石患者60例，分为对照组与研究组，各30例。对照组行经皮肾镜碎石术（PCNL）联合输尿管软镜手术，研究组在对照组基础上应用3D打印技术。评价并比较两组的围术期情况、肾功能指标、结石清石率、术后并发症情况等。结果：研究组总手术时间等围手术期指标较对照组低（P＜0.05）；研究组术后血清Scr水平明显低于对照组，BUN显著高于对照组（P＜0.05），两组术后血清Cys-C水平无明显差异（P＞0.05）；研究组残留结石直径明显小于对照组，结石清除率显著高于对照组（P＜0.05）；两组并发症发生率无明显差异（P>0.05）。结论：术前应用3D数字打印肾脏仿真技术及手术过程模拟可帮助术者快速、准确定位结石位置，提高手术效率及一次性结石清除率，减轻肾脏损伤，降低手术风险。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of preoperative 3D digital printing renal simulation technology and surgical process simulation on patients with complex stones. Methods: 60 patients with complex renal calculi who were admitted to our hospital from September 2020 to May 2021 were divided into the Matched group and the study group, 30 patients in each group. The Matched group received percutaneous nephrolithotripsy (PCNL) combined with flexible ureteroscopy, while the study group applied 3D printing technology on the basis of the Matched group. The perioperative condition, renal function index, stone removal rate and postoperative complications of the two groups were compared. Results: Perioperative indexes such as total operation time in the study group were lower than those in the matched group (P<0.05). The postoperative serum Scr level in the study group was lower than that in the Matched group, and BUN was higher than that in the matched group (P<0.05). There was no difference in the postoperative serum Cys-C level between the two groups (P>0.05). The residual stone diameter in the study group was smaller than that in the matched group, and the stone clearance rate was higher than that in the matched group (P<0.05). There was no difference in the incidence of complications between the two groups (P>0.05). Conclusion: The preoperative application of 3D digital printing kidney simulation technology and surgical process simulation can help the operator to quickly and accurately locate the stone position, improve the surgical efficiency and one-time stone removal rate, reduce kidney damage and reduce the risk of surgery. |
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