新型激光定位导航系统在人体组织内异物取出中的应用

doi:10.3969/j.issn.1002-1949.2018.08.003

Chinese Journal of Critical Care Medicine

2018, Vol. 38

Issue (8): 660-664 DOI: 10.3969/j.issn.1002-1949.2018.08.003

Application of a new laser positioning and navigation system in the removal of foreign body in human soft tissue

Lu Pei-hua, Jiang Li-qiang, Zhou Pan-yu, Wu Jiang-hong, Sun Tao, Li Yan, Xu Shuo-gui

Department of Orthopedic, Shanghai Fourth People′s Hospital, Shanghai 200081, China

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Abstract Objective To explore a safe, accurate and rapid way to remove foreign body in human tissue. Methods From September 2013 to December 2017, we treated 40 cases of metallic foreign bodies in human tissue, ranging from 5 to 75 years old, and foreign body remaining time from 30 minutes to 40 years. The position of foreign bodies were not fixed, covering the head, neck, trunk (including abdominal cavity), limbs and other parts. Important anatomy of organs surrounded including the internal carotid sheath membrane, peritoneal wall, tissue around kidney, pelvic floor, perianal, etc. The shape of foreign bodies had greater variability, and the most fine diameter was only 0.3 mm. Results All the cases were successfully detected by the new laser positioning and navigation system, and the complications such as vascular nerve injury, metallic foreign material residue and the formation of the sinus tract were not found during and after the operation. Conclusion With the aid of new laser positioning and navigation system, the operation can quickly and accurately locate the metallic foreign body in soft tissue, the laser direction is the operative path, and the safety and success rate of foreign body removal are effectively improved.

Key words： Laser Positioning Navigation Metallic foreign body

Corresponding Authors: Xu Shuo-gui, E-mail: shuogui126@126.com

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	Lu Pei-hua
	Jiang Li-qiang
	Zhou Pan-yu
	Wu Jiang-hong
	Sun Tao
	Li Yan
	Xu Shuo-gui

Cite this article:

Lu Pei-hua,Jiang Li-qiang,Zhou Pan-yu, et al. Application of a new laser positioning and navigation system in the removal of foreign body in human soft tissue[J]. Chinese Journal of Critical Care Medicine, 2018, 38(8): 660-664.

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http://www.cnemergency.org.cn/EN/10.3969/j.issn.1002-1949.2018.08.003 OR http://www.cnemergency.org.cn/EN/Y2018/V38/I8/660

［1］Ginsburg MJ, Ellis GL, Flom LL. Detection of soft-tissue foreign bodies by plain radiography, xerography, computed tomography, and ultrasonography［J］. Ann Emerg Med, 1989, 19(6): 701-703. ［2］吴孟超, 吴在德. 黄家驷外科学［J］. 北京：人民卫生出版社， 2008: 3265-3266. ［3］范峻, 邢光富, 秦贤举, 等. 软组织内金属异物取出方法的探讨(附7390例报告)［J］. 中国实用外科杂志, 2007, 27(4): 308-309. ［4］鲍兴儿, 陈军民, 陈志敏, 等. 纤维支气管镜对儿科呼吸道异物的诊治作用［J］. 中华急诊医学杂志, 2004, 13(5): 337-338. ［5］孙振兴, 王东, 李兆申, 等. 上消化道异物的内镜处理——附802例报告［J］. 解放军医学杂志, 2004, 29(1): 48-51. ［6］唐新, 李棋, 薛镜, 等. 全关节镜下24例膝关节异物取出术的方法和疗效［C］. 海峡两岸骨科专委会学术交流会、抗震救灾五周年学术研讨会暨华西国际骨科论坛, 2013. ［7］陈丹磊, 胡旭光, 季新荣, 等. 腹腔镜在胃肠道异物取出中的应用［J］. 中华胃肠外科杂志, 2010, 13(2): 156-157. ［8］Farahmand S, Bagherihariri S, Mehran S, et al. A simplified training method for soft tissue foreign body detection using ultrasound in emergency medicine residency program［J］. Ultrasound, 2014, 22(3): 168-172. ［9］邢光富, 史常文. 人体软组织内金属异物取出的方法［J］. 中华创伤杂志, 2007, 23(8): 602-604. ［10］Nwawka OK, Kabutey NK, Locke C M, et al. Ultrasound-guided needle localization to aid foreign body removal in pediatric patients［J］. Journal of Foot & Ankle Surgery Official Publication of the American College of Foot & Ankle Surgeons, 2014, 53(1): 67-70. ［11］Chen Z, Si X, Hu JX, et al. C-arm guided single needle orientation together with the use of a special protractor for the removal of metallic foreign bodies imbedded in soft-tissue［J］. Journal of Interventional Radiology, 2012，12（1）:66-68. ［12］Xing GF, Shi C W, Qian H X, et al. Novel methods of removing metallic foreign body from human soft tissue: a report of 7390 cases［J］. J Surg Res, 2013, 183(1): 337. ［13］Liao H, Ishihara H, Tran HH, et al. Precision-guided surgical navigation system using laser guidance and 3D autostereoscopic image overlay［J］. Computerized Medical Imaging & Graphics the Official Journal of the Computerized Medical Imaging Society, 2010, 34(1): 46. ［14］陆兴, 言伟强, 姚利, 等. 颈部微小金属异物的定位及取出［J］. 罕少疾病杂志, 2003, 10(3): 15-16. ［15］Horton LK, Jacobson JA, Powell A, et al. Sonography and Radiography of Soft-Tissue Foreign Bodies［J］. Am J Roentgenol, 2001, 176(5): 1155-1159. ［16］Schwend RM, Dewire PJ, Kowalski TM. Accuracy of fluoroscopically assisted laser targeting of the cadaveric thoracic and lumbar spine to place transpedicular screws［J］. J Spinal Disorders, 2000, 13(5): 412-418. ［17］He B, Xu C, Mao Y, et al. A novel navigation system to guide metallic foreign body extraction［J］. International Journal of Computer Assisted Radiology & Surgery, 2016, 11(11): 1-6.