无线智能腔镜在经尿道膀胱肿瘤电切中的应用  

Application of wireless intelligent endoscopy in transurethral resection of bladder tumor

作　　者：尹水平[1] 施浩强[1] 周骏[1] 杨诚[1] 邰胜[1] 牛迪 梁朝朝[1] YIN Shuiping;SHI Haoqiang;ZHOU Jun;YANG Cheng;TAI Sheng;NIU Di;LIANG Chaozhao(Department of Urology,First Affiliated Hospital of Anhui Medical University,Hefei 230022,China)

机构地区：[1]安徽医科大学第一附属医院泌尿外科,合肥230022

出　　处：《现代泌尿生殖肿瘤杂志》2022年第6期333-336,共4页Journal of Contemporary Urologic and Reproductive Oncology

基　　金：安徽省科技重大专项(202103a07020012);安徽高校协同创新项目(GXXT-2019-014)。

摘　　要：目的探讨无线智能腔镜在经尿道膀胱肿瘤电切中的应用效果。方法回顾性分析2021年5月至7月在安徽医科大学第一附属医院行经尿道膀胱肿瘤等离子电切术的40例膀胱肿瘤患者的临床资料,根据术中使用腔镜的不同分为观察组(使用无线智能腔镜)和对照组(使用传统高清腔镜),观察组23例,对照组17例,比较两组患者在手术时间、腔镜连接时间、肿瘤切除完整性以及术者操作舒适度等方面的差异。结果40例手术均顺利完成,未出现严重失血及中转开放病例,观察组腔镜连接时间较对照组显著缩短[(3.45±0.85)min vs(4.76±1.25)min,P<0.01],但两组总体手术时间差异无统计学意义(P=0.52)。观察组1例术后病理证实为肿瘤残留,余22例肿瘤基底部未见肿瘤;对照组肿瘤基底部均未见肿瘤残留。观察组高级别恶性肿瘤比例高于对照组(P=0.02),观察组术者操作舒适度评分明显高于对照组(3分vs 2分,P=0.03)。结论无线智能腔镜的使用缩短了术前准备时间,提高了术者操作舒适度,有利于患者手术顺利进行。Objective To investigate the application of wireless intelligent endoscopy in transurethral resection of bladder tumor.Methods The clinical data of 40 patients with bladder tumor who underwent transurethral plasmakinetic resection in First Affiliated Hospital of Anhui Medical University from May to July 2021 were retrospectively analyzed.According to the used endoscopy during the operation,patients were divided into observation group(wireless intelligent endoscopy)and control group(traditional high-definition endoscopy).There were 23 cases in the observation group,and 17 cases in the control group.The differences of operation time,the connecting time of endoscopy,tumor integrity and operation comfort between the two groups were compared.Results Forty cases of operation were successfully completed.No serious blood loss or conversion to open surgery happened.The connecting time of endoscopy in the observation group was significantly shorter than that of the control group[(3.45±0.85)min vs(4.76±1.25)min,P<0.01],but there was no difference in the overall operation time between the two groups(P=0.52).One case in the observation group was confirmed as tumor residue by postoperative pathology,while no tumor residue was found in the base of the tumor in the control group.The proportion of high-grade malignant tumor in the observation group was higher than that in the control group(P=0.02),and the operation comfort score in the observation group was higher than that in the control group(3 points vs 2 points,P=0.03).Conclusions The application of wireless intelligent endoscopy is expected to shorten the preoperative preparation time and comfort the operators,which may increase the efficiency of operation.

关 键 词：无线腔镜 膀胱肿瘤 经尿道电切 

分 类 号：R737.14[医药卫生—肿瘤]