Abstract：Objective： To investigate the application of 3D visualization technology based on 3D slicer software in flexible ureteroscopic holmium laser lithotripsy. Methods： The clinical data of 92 patients who underwent ureteroscopic holmium laser lithotripsy in our hospital between January 2019 and June 2021 were analyzed retrospectively. A total of 30 cases were treated by flexible ureteroscopic holmium laser lithotripsy based on three-dimensional visualization technology,and 62 cases were treated by traditional flexible ureteroscopic holmium laser lithotripsy.We used the match of tendentious score by SPSS26.0 to choose 30 cases in each group.The clinical data were compared and analyzed. Results： The baseline data of patients in the three-dimensional visualization guided ureteroscopic lithotripsy group （three-dimensional visualization group） and the traditional ureteroscopic lithotripsy group （traditional group） were comparable. The operation time in the three-dimensional visualization group was shorter （P= 0.04）, and the stone clearance rate at 4th week after operation in the three-dimensional visualization group was higher than that in the traditional group （P= 0.03）. Conclusions： The 3D visualization model of kidney and stone reconstructed by 3D slicer software can accurately display the shape of the collection system and the specific location of the stone. Through the intraoperative cognitive fusion of the operator, it is helpful to shorten the operation time and reduce the rate of postoperative residual stone.
赵伟, 周士明, 李玉侨, 高辉, 马征, 李江松, 林涛, 马云波. 基于3DSlicer软件的三维可视化技术在输尿管软镜钬激光碎石取石术中的应用[J]. 微创泌尿外科杂志, 2022, 11(4): 229-234.
Zhao Wei, Zhou Shiming, Li Yuqiao, Gao Hui, Ma Zheng, Li Jiangsong, Lin Tao, Ma Yunbo. Clinical application of three-dimensional visualization technology based on 3D Slicer software in flexible ureteroscopic lithotripsy. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2022, 11(4): 229-234.
[1] 徐桂彬,李协照,何永忠,等.输尿管软镜治疗上尿路结石十年经验总结:单中心10413例临床分析[J].中国内内镜杂志,2020,26(6):64-68.
[2] GHONEIM IA, ZIADA AM, ELKATIB SED. Predictive factors of lower calyceal stone clearance after Extracorporeal Shockwave Lithotripsy (ESWL): a focus on the infundibulopelvic anatomy[J]. Eur Urol,2005,48(2): 296-302.
[3] HÄCKER A, WENDT-NORDAHL G, HONECK P, et al. A biological model to teach percutaneous nephrolithotomy technique with ultrasound-and fluoroscopy-guided access[J]. J Endourol,2007,21(5): 545-550.
[4] SANGUEDOLCE F, LIATSIKOS E, VERZE P, et al. Use of flexible ureteroscopy in the clinical practice for the treatment of renal stones: results from a large European survey conducted by the EAU Young Academic Urologists-Working Party on Endourology and Urolithiasis[J]. Urolithiasis,2014,42(4): 329-334.
[5] FEDOROV A, BEICHEL R, KALPATHY-CRAMER J, et al. 3D Slicer as an image computing platform for the Quantitative Imaging Network[J]. Magn Reson Imaging,2012,30(9): 1323-1341.
[6] 谷清阳,郝斌,许长宝,等.肾结石患者逆行肾内结石手术后结石清除的影响因素及术前累计结石直径,结石体积的预测效能[J].山东医药,2020,60(36):24-28.
[7] 李钧,田野,肖荆,等.泌尿外科手把手培训学习班在输尿管软镜教学中的探讨[J].中国病案,2016,17(6):77-79.
[8] 李显永,李同海,陈印,等.肾下盏结石手术治疗的研究进展[J].山东医药,2018,58(48):100-103.
[9] 郑蒙蒙,丁光璞,朱伟杰,等.术前三维影像重建在治疗肾盂输尿管连接部梗阻中的应用[J].北京大学学报:医学版,2020,52(4): 705-710.
[10] WANG Z, QI L, YUAN P, et al. Application of three-dimensional visualization technology in laparoscopic partial nephrectomy of renal tumor: a comparative study[J]. JJ Laparoendosc Adv Surg Tech A,2017,27(5): 516-523.
[11] 陈远波,李虎林,刘春晓,等.数字化肾结石三维模型的建立及虚拟手术仿真[J].南方医科大学学报,2013,33(2):267-270.
[12] 邵明峰,邹建安,徐久平.基于CT三维重建技术的预置通道法经皮肾镜碎石术在治疗梗阻性肾、输尿管上段结石中的运用[J].微创泌尿外科杂志,2020,9(5): 310-315.
[13] 丘捷文,李春,文博,等.3D打印技术在经皮肾镜取石术中的应用[J].临床泌尿外科杂志,2017,32(7): 524-528.
[14] 伍博,周赤忠,潘德锐.3Dslicer 软件辅助定位老年高血压脑出血微创治疗的临床应用[J].临床外科杂志,2020,28(6): 537-540.
