The ultrasound evaluation system and its clinical application for the renal wound after robotic-assisted nephron-sparing surgery
10.19405/j.cnki.issn1000-1492.2023.06.028
- Author:
Liang Li
1
;
Di Niu
2
;
Cheng Yang
2
;
Chaozhao Liang
2
Author Information
1. Dept of Ultrasound，The First Affiliated Hospital of Anhui Medical University，Hefei 230022
2. Dept of Urology，The First Affiliated Hospital of Anhui Medical University，Hefei 230022
- Publication Type:Journal Article
- Keywords:
routine ultrasonography;
contrast-enhanced ultrasound;
robotic-assisted nephron-sparing surgery;
post- operative complication
- From:
Acta Universitatis Medicinalis Anhui
2023;58(6):1041-1045
- CountryChina
- Language:Chinese
-
Abstract:
Objective : To evaluate the application of routine ultrasound combined with contrast-enhanced ultra- sound( CEUS) for the renal wound after robotic-assisted nephron-sparing surgery(RANSS) and analyze the correla- tion with the postoperative complications．
Methods :80 patients underwent RANSS were involved. Routine ultra- sound was performed to evaluate the morphological features the first day after the surgery．A classification system named the grades of ultrasound images ( GUIs) was build to evaluate the severity of the renal wound．CEUS was performed on postoperative day 1 to confirm the contrast agent extravasation from the renal wound．The incidence of postoperative complications in different grades was compared，meanwhile compared in the two groups of extravasa- tion or not.
Results :In GUIs，the routine ultrasound images were classified to three grades : Grade1，Grade2， Grade3．The incidence of postoperative complications increased with GUIs(P＜0. 05) ，meanwhile higher in the ex- travasation group(P＜0. 05) ．This trend matched up with GUIs especially in Grade 2 and 3．The incidence of the cases with extravasation increased with GUIs(P＜0. 05) ．
Conclusion :Routine ultrasound and CEUS are feasible to evaluate the morphologic changes of renal wound after RANSS．There is a certain correlation between the evalua- tion results and the postoperative complications.
- Full text:2024101510135905655机器人辅助肾部分切除术后创...评价体系构建及临床应用分析_李亮.pdf
