首页|良3D打印导板在肾结石经皮肾镜碎石取石术中的应用

良3D打印导板在肾结石经皮肾镜碎石取石术中的应用

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目的 基于改良3D打印导板的设计理念与材质,探讨其在经皮肾镜碎石取石术中的应用效果.方法 采用镂空"D"形设计、光敏树脂材料对3D打印导板进行改良.53例经皮肾镜碎石取石术的患者中,采用改良3D打印导板辅助下经皮肾镜碎石取石术(实验组)10例,传统超声引导下经皮肾镜碎石取石术(对照组)43例,对比两组患者的肾镜通路建立时间、手术时间、术中出血、术前术后肌酐和血红蛋白变化幅度及住院时间等临床数据.结果 实验组的肾镜通路建立时间、术中出血量、住院时长均少于对照组(P均<0.05).而手术时间、术后肌酐变化幅度、术后血红蛋白变化幅度等指标,两组间差异均无统计学意义(P均>0.05).结论 改良3D打印导板辅助经皮肾镜碎石取石术可提高手术精准性,减少并发症,降低患者住院花费,值得临床推广应用.
The Application of Improved 3D Printing Percutaneous Guide Plate in Percutaneous Nephrolithotomy for Kidney Stones
Objective To explore the application efficacy of the improved 3D printing template in percutaneous nephrolithotomy for fragmenting and removing kidney stones,focusing on the design concept and material of the template.Methods The improved 3D printing template was designed with a hollow"D"shape and fabricated using photosensitive resin material.Among 53 patients undergoing percutaneous nephrolithotomy,10 patients were assigned to the experimental group,where the surgery were performed with the assistance of the improved 3D printing template,while 43 patients were assigned to the control group,where the surgeries were guided by traditional ultrasound.Clinical data,including the time for establishing the renal access,surgical duration,in-traoperative bleeding,postoperative infection rate,residual stone rate,pre-operative and post-operative creati-nine and hemoglobin changes,and length of hospital stay,were compared between the two groups.Results The experimental group exhibited shorter renal scope access time,less intraoperative bleeding,and reduced hospital stay compared to the control group(P all<0.05).However,there was no statistically significant differ-ence in surgical duration,changes in postoperative creatinine and hemoglobin levels,stone-free rate,and post-operative infection rate between the two groups(P all>0.05).Conclusion The improved 3D printing template can enhance surgical precision,reduce complications,and decrease hospital expenses in percutaneous nephrolithotomy procedures.It is worthy of clinical promotion and application.

kidney stonepercutaneous nephrolithotomy3D printingpuncture board

刘世煜、聂黎虹、李亚杰、田国林、赵瑞宁

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宁夏医科大学总医院泌尿外科,宁夏医科大学第一临床医学院,银川 750004

宁夏医科大学基础医学院生理学系,银川 750004

宁夏回族自治区人民医院,宁夏医科大学第三临床医学院,银川 750002

肾结石 经皮肾镜碎石取石术 3D打印 导板

宁夏回族自治区高等学校一流学科建设(宁夏医科大学国内一流建设学科临床医学)资助项目宁夏医学3D打印技术临床与研发应用人才小高地项目

宁人社函[2020]362号

2024

宁夏医科大学学报
宁夏医科大学

宁夏医科大学学报

CSTPCD
影响因子:0.84
ISSN:1674-6309
年,卷(期):2024.46(3)
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