發(fā)布時(shí)間：2018-03-24 19:54

  本文選題：裸眼D　切入點(diǎn)：腔鏡甲狀腺切除　出處：《暨南大學(xué)學(xué)報(bào)(自然科學(xué)與醫(yī)學(xué)版)》2017年01期

【摘要】：目的:評(píng)價(jià)裸眼3D腔鏡甲狀腺手術(shù)的安全性和療效.方法:按制定的納入和排除標(biāo)準(zhǔn),納入2015年4月至2016年12月間接受完全經(jīng)口腔前庭3D腔鏡甲狀腺切除術(shù)的患者14名,其中偏光3D系統(tǒng)手術(shù)組患者8名,采用裸眼3D系統(tǒng)手術(shù)組患者6名,回顧比較兩組患者的臨床結(jié)局,以及手術(shù)醫(yī)生的操作感受;患者隨訪1~6個(gè)月.結(jié)果:偏光3D腔鏡手術(shù)組平均年齡(43.13±15.69)歲,BMI(24.49±3.42)kg/m2,裸眼3D系統(tǒng)手術(shù)組平均年齡(37.83±8.80)歲,BMI(20.97±2.36)kg/m2,兩組比較無(wú)顯著差異.偏光3D手術(shù)組的平均手術(shù)時(shí)間(218.30±46.30)min,術(shù)中失血量為(10.43±4.96)m L,術(shù)后平均住院天數(shù)為(4.50±0.54)d;裸眼3D手術(shù)組平均手術(shù)時(shí)間為(203.83±58.40)min,術(shù)中失血量為(12.12±5.99)m L,術(shù)后平均住院天數(shù)為(4.63±1.48)d;兩組比較,均無(wú)統(tǒng)計(jì)學(xué)差異,兩組患者均無(wú)圍手術(shù)期并發(fā)癥;術(shù)后6 h可進(jìn)食涼全流,術(shù)后第1天即可恢復(fù)正常飲食;所有患者對(duì)手術(shù)效果和外觀滿意.裸眼3D系統(tǒng)能明顯降低手術(shù)者的眼疲勞,手術(shù)醫(yī)生主觀評(píng)價(jià)使用裸眼3D系統(tǒng)的眼疲勞評(píng)分(3.67±0.52)明顯低于使用偏光3D系統(tǒng)的眼疲勞評(píng)分(7.00±0.76)(P0.05).腔鏡下畫面和非腔鏡下操作的轉(zhuǎn)換的視覺(jué)感受良好,符合2D操作的操作感受,畫面的色彩飽和度和亮度優(yōu)于偏光3D系統(tǒng).但由于目前的裸眼3D系統(tǒng)僅能對(duì)術(shù)者實(shí)施裸眼,助手的感受沒(méi)有得到相應(yīng)的改善.結(jié)論:在完全經(jīng)口腔前庭入路腔鏡甲狀腺手術(shù)中,裸眼3D顯像腔鏡手術(shù)系統(tǒng)的療效與安全性與常規(guī)偏光3D顯像腔鏡系統(tǒng)相當(dāng),并能明顯降低術(shù)者的眼疲勞,維持良好的畫面色彩飽和度和亮度,并可潛在提高手術(shù)效率.
[Abstract]:Objective: to evaluate the safety and efficacy of 3D endoscopic thyroidectomy with naked eyes. Methods: according to the criteria of inclusion and exclusion, 14 patients who were indirectly underwent 3D thyroidectomy through oral vestibule from April 2015 to December 2016 were included in this study. There were 8 patients in the polarizing 3D system operation group and 6 patients in the naked eye 3D system group. The clinical outcomes of the two groups were retrospectively compared, as well as the operating experience of the surgeon. Results: the mean age was 43.13 鹵15.69 years old and the mean age was 24.49 鹵3.42 kg 路m ~ (-2) in the 3D surgery group and 20.97 鹵2.36 kg / m ~ (2) in the naked eye 3D system group respectively. There was no significant difference between the two groups. The mean operative time was 218.30 鹵46.30 min in the polarizing 3D operation group and 20.83 鹵8.80 years old in the naked eye 3D system group, and the mean operative time was 218.30 鹵46.30 min. The average postoperative hospitalization time was 4.50 鹵0.54 / d, the mean operative time was 203.83 鹵58.40 min, the intraoperative blood loss was 12.12 鹵5.99mL, and the average postoperative hospital stay was 4.63 鹵1.48mL in the naked eye 3D operation group, and the mean postoperative hospitalization time was 4.63 鹵1.48mL, the mean postoperative hospitalization time was 4.63 鹵1.48mL, the mean operative time was 203.83 鹵58.40 min, and the mean postoperative blood loss was 12.12 鹵5.99mL, respectively. There was no statistical difference between the two groups, there were no perioperative complications in the two groups, the patients in the two groups could eat cool whole stream at 6 hours after operation, and the normal diet could be restored on the first day after operation. All the patients were satisfied with the effect and appearance of the operation. The subjective evaluation by the surgeon was that the eye fatigue score using the naked eye 3D system was 3.67 鹵0.52significantly lower than that with the polarizing 3D system (7.00 鹵0.76) P0.05. The visual perception of the conversion between the image under the mirror and the non-endoscopic operation was good, which was in line with the operational feeling of 2D operation. The color saturation and brightness of the image are superior to that of the polarizing 3D system. However, because the current naked 3D system can only be applied to the naked eye, the assistant's feeling has not been improved. Conclusion: in the endoscopic thyroidectomy through the oral vestibule approach, The efficacy and safety of the endoscopic surgery system of naked eye 3D imaging is similar to that of the conventional polarizing 3D imaging system, and it can obviously reduce the fatigue of the eyes, maintain good color saturation and brightness, and potentially improve the efficiency of the operation.
【作者單位】： 廣州醫(yī)科大學(xué)附屬第一醫(yī)院胃腸外科;廣州醫(yī)科大學(xué)附屬第一醫(yī)院口腔科;
【基金】：廣東省科技計(jì)劃項(xiàng)目(2014A020212610) 廣東省醫(yī)學(xué)科學(xué)技術(shù)研究基金項(xiàng)目(A2015515)
【分類號(hào)】：R653

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相關(guān)期刊論文 前8條

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本文編號(hào)：1659796