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中华腔镜泌尿外科杂志(电子版)

中华腔镜泌尿外科杂志(电子版) ›› 2022, Vol. 16 ›› Issue (04) : 298 -301. doi: 10.3877/cma.j.issn.1674-3253.2022.04.003

临床研究

无线智能腔镜系统在泌尿系结石输尿管镜治疗中的初步应用
胡庆庆1, 王建忠1, 樊松1, 赵磊1, 徐汉江1, 刘明1, 詹长生1, 郝宗耀1, 傅强2, 梁朝朝1,†()   
  1. 1. 230022　安徽医科大学第一附属医院泌尿外科；230022　安徽医科大学泌尿外科研究所；230022　泌尿生殖系统疾病安徽省重点实验室
    2. 231202　安徽合肥德铭电子有限公司
  • 收稿日期:2021-11-01 出版日期:2022-08-01
  • 通信作者: 梁朝朝
  • 基金资助:
    安徽高校协同创新项目(GXXT-2019-014); 安徽省转化医学研究院科研基金2020年省转化医学研究重大项目(ZHYX2020A003); 2021年临床医学大学和医院共建学科建设项目(2021lcxk013)

Preliminary exploration of wireless intelligent endoscopic system in the application of ureteroscopy in the treatment of urinary calculi

Qingqing Hu1, Jianzhong Wang1, Song Fan1, Lei Zhao1, Hanjiang Xu1, Ming Liu1, Changsheng Zhan1, Zongyao Hao1, Qiang Fu2, Chaozhao Liang1,†()   

  1. 1. Department of Urology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China; Institute of Urology, Anhui Medical University, Hefei 230022, China; Anhui Province Key Laboratory of Genitourinary Diseases, Anhui Medical University, Hefei 230022, China
    2. Hefei Deming Electronics Co Ltd, Hefei 231202, China
  • Received:2021-11-01 Published:2022-08-01
  • Corresponding author: Chaozhao Liang
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胡庆庆, 王建忠, 樊松, 赵磊, 徐汉江, 刘明, 詹长生, 郝宗耀, 傅强, 梁朝朝. 无线智能腔镜系统在泌尿系结石输尿管镜治疗中的初步应用[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2022, 16(04): 298-301.

Qingqing Hu, Jianzhong Wang, Song Fan, Lei Zhao, Hanjiang Xu, Ming Liu, Changsheng Zhan, Zongyao Hao, Qiang Fu, Chaozhao Liang. Preliminary exploration of wireless intelligent endoscopic system in the application of ureteroscopy in the treatment of urinary calculi[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2022, 16(04): 298-301.

目的

探究无线智能腔镜系统在泌尿系结石输尿管硬镜、纤维软镜术中的应用经验。

方法

回顾性分析80例需要通过输尿管硬镜、纤维软镜治疗的输尿管肾结石患者相关资料，40例患者采用常规输尿管镜手术治疗：硬镜（20例）、纤维软镜（20例）；40例患者采用无线智能腔镜系统输尿管镜手术治疗：硬镜（20例）、纤维软镜（20例）；分别比较输尿管硬镜两组及纤维软镜两组间在术前准备时间、手术时间、清晰度、握持感、图像延迟等的差异。

结果

在术前准备时间、手术时间、清晰度、图像延迟、术中的握持感上，高清输尿管硬镜手术组与无线智能输尿管硬镜手术组比较差异无统计学意义（P>0.05）；在术前准备时间、手术时间、清晰度、图像延迟上比较，输尿管纤维软镜手术组与无线智能输尿管软镜手术组差异无统计学意义（P>0.05）；无线智能输尿管软镜组术者术中的握持感要优于传统纤维输尿管软镜组，两者比较差异具有统计学意义（P<0.05）。

结论

无线智能腹腔手术系统在结石内镜手术治疗中是一种安全、有效的腹腔镜系统，可以提高术者对腔镜镜头的握持感，降低术者疲劳感，具有广泛的应用前景。

关键词: 无线智能腔镜, 结石, 输尿管镜, 软镜
Objective

To explore the experiences of using wireless intelligent endoscopy system in rigid ureteroscopy and flexible fiberscopy for urinary calculi.

Methods

80 ureteral stone patients who needed the treatment of rigid ureteroscopy or flexible fiberscopy were included, 40 cases were treated by conventional ureteroscopy: rigid ureteroscopy (20 cases) and flexible fiberscopy (20 cases) , 40 cases were treated by wireless intelligent ureteroscopy: rigid ureteroscopy (20 cases) and flexible fiberscopy (20 cases). The differences in preoperative preparation time, operative time, clarity, grip sense and image delay between conventional ureteroscope groups and flexible fiberscope groups were compared.

Results

There was no statistically significant difference in preoperative preparation time, operative time, clarity, image delay or intraoperative grip feeling between the conventional rigid ureteroscopy group and the wireless intelligent rigid ureteroscopy group (P>0.05). There were no statistically significant differences in preoperative preparation time, operation time, clarity and image delay between the conventional flexible ureteroscopy group and the wireless intelligent flexible ureteroscopy group (P>0.05). The grip feeling of the wireless intelligent flexible ureteroscope group was better than that of the traditional flexible fiberscopy group, and the comparison between the two groups was statistically significant (P<0.05).

Conclusion

Wireless intelligent abdominal surgery system is a safe and effective laparoscopic system in the treatment of endoscopic calculi, which can improve the grip feeling of the endoscopic lens and reduce the sense of fatigue of the operator, and has a wide application prospect.

Key words: Wireless intelligent endoscopy, Urolithiasis, Ureteroscopy, Flexible ureteroscope
表1 80例泌尿系结石患者一般资料介绍
组别 例数 性别（例） 年龄[岁，(±s)] 结石大小[cm，(±s)] 结石位置（例） CT值[Hu，(±s)]
男 女 肾内 输尿管上段 输尿管中段 输尿管下段
输尿管硬镜 20 12 08 040±10 1.2±0.4 0 0 1 19 837±163
无线智能硬镜 20 10 10 40±9 1.3±0.4 0 0 2 18 793±160
纤维软镜 20 14 06 41±9 2.1±0.5 13 7 0 0 944±173
无线智能软镜 20 12 08 41±9 2.0±0.5 12 8 0 0 1 023±154 0
图1 无线智能腔镜整体外观
图2 无线智能腔镜系统术中应用外景图
表2 传统高清腹腔镜与无线智能腔镜组患者情况、术中情况比较（±s）
项目 术前准备时间(min) 手术时间(min) 清晰度(分) 图像延迟(次) 握持舒适度(分)
高清输尿管硬镜组 6.1±0.2 31±6 3.8±0.8 0 4.0±1.0
无线智能硬镜组 5.9±0.2 29±5 3.3±0.7 1 4.0±0.7
纤维输尿管软镜组 7.3±0.3 .69±6 4.0±0.9 1 .3.0±0.8*
无线智能软镜组 7.0±0.2 66±6 3.6±0.8 2 .4.0±0.9*
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