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输尿管镜超声技术测量肾结石碎片大小:使用猪模型中的微型探头验证原理。

Ureteroscopic ultrasound technology to size kidney stone fragments: proof of principle using a miniaturized probe in a porcine model.

机构信息

Department of Urology, University of Washington School of Medicine, Seattle, Washington 98195, USA.

出版信息

J Endourol. 2010 Jun;24(6):939-42. doi: 10.1089/end.2009.0395.

DOI:10.1089/end.2009.0395
PMID:20136398
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2913873/
Abstract

PURPOSE

A prototype ultrasound-based probe for use in ureteroscopy was used for in vitro measurements of stone fragments in a porcine kidney.

METHODS

Fifteen human stones consisting of three different compositions were placed deep in the collecting system of a porcine kidney. A 2 MHz, 1.2 mm (3.6F) needle hydrophone was used to send and receive ultrasound pulses for stone sizing. Calculated stone thicknesses were compared with caliper measurements.

RESULTS

Correlation between ultrasound-determined thickness and caliper measurements was excellent in all three stone types (r(2) = 0.90, p < 0.0001). All 15 ultrasound measurements were accurate to within 1 mm, and 10 measurements were accurate within 0.5 mm.

CONCLUSION

A 3.6F ultrasound probe can be used to accurately size stone fragments to within 1 mm in a porcine kidney.

摘要

目的

一种基于超声的输尿管镜用探头原型,用于在猪肾中对结石碎片进行体外测量。

方法

将 15 个人工结石(由三种不同成分组成)放置在猪肾收集系统的深处。使用 2MHz、1.2mm(3.6F)针状水听器发送和接收用于结石尺寸测量的超声脉冲。计算出的结石厚度与卡尺测量值进行比较。

结果

在所有三种结石类型中,超声确定的厚度与卡尺测量值之间的相关性都非常好(r²=0.90,p<0.0001)。所有 15 个超声测量值的误差均在 1mm 以内,10 个测量值的误差在 0.5mm 以内。

结论

3.6F 超声探头可用于准确测量猪肾中结石碎片的大小,误差在 1mm 以内。

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本文引用的文献

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J Endourol. 2009 Jul;23(7):1161-4. doi: 10.1089/end.2009.0047.
2
Ultrasonic measurement of condensate film thickness.冷凝液膜厚度的超声测量。
J Acoust Soc Am. 2008 Oct;124(4):EL196-202. doi: 10.1121/1.2968297.
3
Comparison of holmium laser and pneumatic lithotripsy in managing upper-ureteral stones.钬激光与气压弹道碎石术治疗输尿管上段结石的比较。
J Endourol. 2007 Dec;21(12):1425-7. doi: 10.1089/end.2006.0350.
4
Handling and prevention of complications in stone basketing.结石篮取术的并发症处理与预防
Eur Urol. 2006 Nov;50(5):991-8; discussion 998-9. doi: 10.1016/j.eururo.2006.02.033. Epub 2006 Feb 28.
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Systematic evaluation of ureteral access sheaths.输尿管通路鞘的系统评估
Urology. 2004 May;63(5):834-6. doi: 10.1016/j.urology.2003.12.025.
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Treatment of ureteral calculi with ballistic lithotripsy.用弹道碎石术治疗输尿管结石。
J Endourol. 2003 Dec;17(10):887-90. doi: 10.1089/089277903772036208.
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Use of the holmium:YAG laser for the impacted stone basket.钬激光在用于嵌顿结石篮中的应用。
J Urol. 2000 Nov;164(5):1602-3.
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Management of entrapped ureteral stone baskets.输尿管结石圈套器的管理
Tech Urol. 2000 Sep;6(3):231-3.
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Acoustic and mechanical properties of artificial stones in comparison to natural kidney stones.人造结石与天然肾结石的声学和力学特性比较。
J Urol. 2000 Aug;164(2):537-44.
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Holmium:YAG lithotripsy yields smaller fragments than lithoclast, pulsed dye laser or electrohydraulic lithotripsy.钬激光碎石术产生的碎片比超声碎石术、脉冲染料激光或液电碎石术产生的碎片更小。
J Urol. 1998 Jan;159(1):17-23. doi: 10.1016/s0022-5347(01)63998-3.