[1]丘捷文,李春,文博,等.基于CT的肾结石三维模型在经皮肾镜中的应用[J].中华腔镜泌尿外科杂志(电子版),2017,11(05):309-314.[doi:10.3877/cma.j.issn.1674-3253.2017.05.005 ]
　Qiu Jiewen,Li Chun,Wen Bo,et al.The application of the renal calculus 3D model based on CT in percutameous nephrolithotomg[J].,2017,11(05):309-314.[doi:10.3877/cma.j.issn.1674-3253.2017.05.005 ]
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基于CT的肾结石三维模型在经皮肾镜中的应用()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
11
期数:
2017年05期
页码:
309-314
栏目:
临床研究
出版日期:
2017-10-08

文章信息/Info

Title:
The application of the renal calculus 3D model based on CT in percutameous nephrolithotomg
作者:
丘捷文1; 李春1; 文博2; 邱建忠1; 李俊1; 汪清1; 何及夫3; 曹茂诚3; 周永生4
518101 深圳市宝安区人民医院泌尿外科1, 计算计管理办公室3，CT 室4；深圳市宝安区沙井人民医院泌尿外科2
Author(s):
Qiu Jiewen1;  Li Chun1;  Wen Bo2;  Qiu Jianzhong1;  Li Jun1;  Wang Qing1;  He Jifu3;  Cao Maocheng3;  Zhou Yongsheng4.
Department of Urology, the People's Hospital of Shajing, Shenzhen 518104, China
关键词:
肾结石;  三维模型;  经皮肾镜; 术前规划
DOI:
10.3877/cma.j.issn.1674-3253.2017.05.005
摘要:
目的 探讨基于CT 的肾结石三维模型在经皮肾镜碎石取石术（PCNL）中的应用。方法 选取深圳市宝安区人民医院泌尿外科2016 年7 月至9 月收治的12 例临床确诊为肾结石并拟行PCNL 手术的患者临床资料，男6 例，女6 例，其中右肾结石7 例，左肾结石5 例，年龄28～46 岁，平均39 岁。CT 提示结石最大径为2.3～4.2 cm，平均3.2 cm。采集肾结石患者的CT 数据，利用三维重建软件MIMICS 17.0 进行图像分割和三维重建，建立个性化肾结石三维模型。由4 名手术医师于术前根据3D 肾结石模型结合影像学资料设计具体手术方案，术中记录实操数据，术后填写3D模型评估调查问卷，以评估该3D 模型的有效性。以3D 肾结石模型作为术前谈话工具，与患者及家属进行术前谈话，并请患者及家属填写3D 结石模型评估调查问卷。结果 成功重建出12 例患者的3D 肾结石模型，该模型直观显示了肾结石的大小及位置，肾内集合系统和肾盂、肾动、静脉以及肾周毗邻脏器的关系。术前利用3D 肾结石模型预估的穿刺肾盏、穿刺点及是否需要双或多通道与实际手术基本符合，预估的穿刺深度为（6.6±0.8）cm，实际穿刺深度为（7.1±0.7）cm，两者差异无统计学意义（P>0.05）。手术医师对3D 结石模型的总体评价得分为（8.5±0.6）分，患者及家属对使用3D结石模型的术前谈话的总体满意度得分为（8.4±0.7）分。结论 基于CT 的3D 肾结石模型能够很好地反映肾结石的大小、位置以及肾脏与周边脏器的关系，在PCNL 术前规划中起到积极的作用，同时可作为PCNL 术前医患沟通的有效工具。

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备注/Memo

备注/Memo:
基金项目：2015 年深圳市科技计划项目（JCYJ20150402152005640）
通讯作者：文博，Email：tjwb001@126.com
更新日期/Last Update: 2017-10-25