无线超高清腔镜系统在经皮肾镜取石术中的应用

Application of a wireless ultra-high-definition endoscopic system in percutaneous nephrolithotomy

摘要:

目的 探讨无线超高清腔镜系统应用于经皮肾镜取石术（PCNL）的有效性、安全性和便利性。方法 选取2021年5月－2021年7月安徽医科大学第一附属医院收治的肾结石患者74例，分为有线腔镜组（n = 38，使用传统有线腔镜系统行PCNL）和无线腔镜组（n = 36，使用无线超高清腔镜系统行PCNL）。患者年龄18～70岁，肾结石最大长径20～40 mm，肾功能正常。比较两组患者手术有效性、安全性和操作便利性的差异。结果 两组患者均顺利完成手术，两组患者手术时间、血红蛋白下降值、并发症发生率、术后住院时间和一期结石清除率分别为（44.45±12.04）和（43.78±10.11）min（P = 0.797）、（10.05±3.45）和（9.78±4.24）g/L（P = 0.760）、47.4%和52.8%（P = 0.642）、（5.32±1.25）和（5.19±1.04）d（P = 0.652）、89.5%和91.7%（P = 0.747），两组患者比较，差异均无统计学意义（P > 0.05）。结论 无线超高清腔镜系统用于PCNL安全有效。相较传统有线腔镜系统，其没有光源线和摄像头电缆线的限制，操作上更加便利，值得在PCNL中推广应用。

Abstract:

Objective To discuss the effectiveness, safety and convenience of the wireless ultra-high-definition endoscopic system in percutaneous nephrolithotomy (PCNL).Methods Selected 74 patients with kidney stone from May to July 2021, they were divided into two groups: linear endoscope group (n = 38, PCNL using traditional linear endoscope system) and non-linear endoscope group (n = 36, PCNL using wireless UHD endoscope system). The inclusion criteria were 18 ~ 70 years old, 20 ~ 40 mm kidney stones, and normal renal function. Compare the effectiveness and safety of the operation, and evaluate the difference in operation convenience between the two groups.Results All PCNL was successfully completed. The operation time, hemoglobin drop, complication rates, the postoperative hospital stay and the stone clearance rate of the two groups were (44.45 ± 12.04) and (43.78 ± 10.11) min (P = 0.797), (10.05 ± 3.45) and (9.78 ± 4.24) g/L (P = 0.760), 47.4%和52.8%（P = 0.642), (5.32±1.25) and (5.19 ± 1.04) d (P = 0.652), 89.5% and 91.7% (P = 0.747), the differences were not statistically significant.Conclusion The wireless ultra-high-definition endoscopic system was safe and effective when used in PCNL. Compared with the traditional endoscopic system, it has no restrictions on the light source line and camera cable line, and more convenient in operation. It is worthy of popularization and application in PCNL.