健康发展与政策研究2025，Vol.28Issue(1)：51-56,6.DOI:10.12458/HDPR.202407010
便携式超声刀在泌尿系统肿瘤手术中的应用效果及成本分析
Clinical effectiveness and cost analysis of portable ultrasonic scalpel in urological tumor surgery
陶颖 1严俊涛 1陈英耀 1杨毅1
作者信息
- 1. 复旦大学公共卫生学院,上海 200032||国家卫生健康委员会卫生技术评估重点实验室(复旦大学),上海 200032
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摘要
Abstract
Objective To compare the clinical effectiveness and cost of portable ultrasonic scalpel with conventional ultrasonic scalpel in urological tumor surgeries,providing evidence for the clinical applications and management decisions.Methods Data were collected from December 2022 to May 2023 for patients undergoing laparoscopic urological tumor surgeries using either portable ultrasonic scalpel or conventional ultrasonic scalpel at Shanghai Ruijin Hospital,Beijing Anzhen Hospital,and Ningbo First Hospital.Patients were divided into two groups:portable ultrasonic scalpel group(n=39)and conventional ultrasonic scalpel group(n=43).Surgical outcomes and costs were compared between the two groups.Results All patients in both groups completed their surgeries.Baseline characteristics of the two groups were comparable,with no significant differences(P＞0.05).The portable ultrasonic scalpel group showed shorter surgical time,lower intraoperative blood loss,fewer than six hemostatic clips used,and shorter hospital stay compared to the conventional ultrasonic scalpel group,but the differences were not statistically significant(P＞0.05).The consumables cost(including or excluding the ultrasonic scalpel head)in the portable group was significantly lower than that in the conventional group(P＜0.05),while other cost differences were not statistically significant(P＞0.05).Subgroup analysis by tumor location showed that the portable ultrasonic scalpel group had lower intraoperative blood loss,shorter hospital stays,and lower consumables costs(P＞0.05).Conclusion The portable ultrasonic scalpel demonstrates favorable clinical outcomes and the potential to reduce hospital-related costs in urological tumor surgeries,though further large-scale clinical studies are needed to confirm its value.关键词
便携式超声刀/泌尿系统肿瘤/临床效果/成本Key words
portable ultrasonic scalpel/urological tumor/clinical effectiveness/cost分类
预防医学引用本文复制引用
陶颖,严俊涛,陈英耀,杨毅..便携式超声刀在泌尿系统肿瘤手术中的应用效果及成本分析[J].健康发展与政策研究,2025,28(1):51-56,6.
