简介:技术突破推进了诊断成像的时间、空间的决定,并且3维(3-D)重建技术被介绍了进日常临床的实践。虚拟内视镜检查法(VE)是在3-D空格放大代表性的图象的感觉的一种非侵略的技术,提供病理学的区域和他们的包围结构的精确空间关系。许多计算机算法能被用来产生3-D图象,利用螺线计算了断层摄影术或磁性的回声成像(MRI)的在也固有的信息。VE图象通过空机关启用endoluminal航行,因此模仿常规内视镜检查法。几临床的研究验证了虚拟膀胱镜检查的诊断用途,它在膀胱肿瘤的察觉有高敏感和特性率。在肾盂,输尿管和尿道的虚拟探索的出版经验令人鼓舞却仍然少见。VE是一只保险箱,能与ureteropelvic连接阻塞在病人的长期的后续被使用的非侵略的方法,膀胱肿瘤和输尿管或尿道狭窄。它的主要限制是无能为组织病理学说的检查和联系电离放射危险提供活体检视织物标本(除非MRI被使用)。在endoluminal狭窄或阻塞的情况中,然而,VE向头部地允许虚拟endoluminal航行并且对小型机关枪的一种尾耳的片断。得出结论,VE提供评估泌尿道的一个不太侵略的方法,特别为比放射线学者不太熟悉代表性的成像的临床医生。
简介:AbstractArtificial intelligence (AI) is now a trendy subject in clinical medicine and especially in gastrointestinal (GI) endoscopy. AI has the potential to improve the quality of GI endoscopy at all levels. It will compensate for humans’ errors and limited capabilities by bringing more accuracy, consistency, and higher speed, making endoscopic procedures more efficient and of higher quality. AI showed great results in diagnostic and therapeutic endoscopy in all parts of the GI tract. More studies are still needed before the introduction of this new technology in our daily practice and clinical guidelines. Furthermore, ethical clearance and new legislations might be needed. In conclusion, the introduction of AI will be a big breakthrough in the field of GI endoscopy in the upcoming years. It has the potential to bring major improvements to GI endoscopy at all levels.
简介:AbstractThere has been a rapid increase in endoscopic ear surgery for the management of middle ear and lateral skull base disease in children and adults over the last decade. In this review paper, we discuss the current trends and applications of the endoscope in the field of otology and neurotology. Advantages of the endoscope include excellent ergonomics, compatibility with pediatric anatomy, and improved access to the middle ear through the external auditory canal. Transcanal endoscopic ear surgery has demonstrated comparable outcomes in the management of cholesteatoma, tympanic membrane perforations, and otosclerosis as compared to microscopic approaches, while utilizing less invasive surgical corridors and reducing the need for postauricular incisions. When a postauricular approach is required, the endoscopic-assisted transmastoid approach can avoid a canal wall down mastoidectomy in cases of cholesteatoma. The endoscope also has utility in treatment of superior canal dehiscence and various skull base lesions including glomus tumors, meningiomas, and vestibular schwannomas. Outside of the operating room, the endoscope can be used during examination of the outer and middle ear and for debridement of complex mastoid cavities. For these reasons, the endoscope is currently poised to transform the field of otology and neurotology.
简介:摘要目的探讨门诊无痛内窥镜检查术麻醉恢复期护理的特点。方法1831例门诊行无痛膀胱镜、无痛胃镜、无痛肠镜的患者按手术方式分为三组,术毕入恢复室观察患者SPO2、心率、BP、呼吸、清醒时间及术后不良反应发生情况。结果1831例患者中有1770例术后SPO2、心率、BP、呼吸变化均在正常范围内,1779例患者术毕即呼之睁眼,其余52例均在3分钟内清醒。出现不良反应有181例,其中恶心呕吐31例,术后腹痛腹胀79例,心率过缓33例,呼吸缓慢38例,入恢复室后针对不良反应采取相应护理措施,患者均恢复正常自行离院,无一严重并发症发生。结论门诊无痛内窥镜检查术虽然较为舒适,但由于麻醉及药物影响均可导致患者术后呼吸、循环抑制,只有加强麻醉恢复期患者的管理,特别是对SPO2、心率、BP、呼吸的监测,针对不良反应采取一些相应的护理措施,才能使患者安全离院。
简介:[目的]探讨人文关怀在耳鼻喉内窥镜检查护理中的应用效果。[方法]将人文关怀护理应用于内窥镜检查护理中,通过采用本科室制定的门诊病人满意度调查表,以不记名的方式进行问卷调查。对在我科门诊耳鼻喉内窥镜检查患者中实施人文关怀护理前的150例患者满意率,与2007年7月至12月实施人文关怀护理后150例患者满意率进行比较。[结果]病人对护理的满意率由上半年的92.9%提高至下半年的98.6%。[结论]在耳鼻喉内窥镜检查病人中实施人文关怀护理,可以大大改善护患关系,提高患者满意度。
简介:摘要:目的:主要研究分析人文关怀措施的应用在耳鼻喉内窥镜检查工作进行中的作用和意义。方法:将2018年1月至2019年1月在我院门诊就诊的耳鼻喉患者进行研究,有100例患者,全部经过耳鼻喉内窥镜方面的检查,按照随机原则分为常规护理组以及人文关怀护理组,各50例患者。护理工作结束后,对比两组满意度指标,并且进行抑郁评分。结果:人文护理组的满意度水平较高,并且抑郁评分比较低,各项数据有统计差异(P<0.05)。结论:针对于耳鼻喉内窥镜检查之下的患者可以根据需要采取人文关怀的护理方法,可以有效的消除患者存在的抑郁情绪,实现护理满意度水平的全面提升,消除负面情绪带来的影响,可以在临床中应用。