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

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

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。

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 fexible 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,ureteroscopy group and the wireless intelligent fexible ureteroscopy group(P>0.05).The grip feeling of the wireless intlligent fexible 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 intlligent 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.