后腹腔镜肾部分切除术治疗肾肿瘤的疗效及安全性分析

发布时间：2018-02-26 12:14

本文关键词： 后腹腔镜肾部分切除术肾肿瘤安全性　出处：《中国现代医学杂志》2017年23期 　论文类型：期刊论文

【摘要】：目的探讨后腹腔镜肾部分切除术治疗肾肿瘤的临床疗效及安全性。方法选取2010年1月-2015年7月该院42例肾肿瘤患者,根据随机数字法,将其分为开放手术组(开放肾部分切除术)和腹腔镜手术组(后腹腔镜肾部分切除术),每组各21例,比较两组手术时间、Scr水平、术后胃肠功能恢复时间、住院时间、根据视觉模拟疼痛评分(VAS)及术后并发症。结果腹腔镜手术组手术时间及手术前后Scr水平与开放手术组比较,差异无统计学意义(P0.05);与开放手术组比较,腹腔镜手术组术后胃肠功能恢复时间、住院时间均缩短,术中出血量更少,术后1周VAS降低;与开放手术组比较,腹腔镜手术组术后并发症发生率降低。结论对于肾肿瘤患者,后腹腔镜肾部分切除术作为一种安全、有效的手术方式,值得临床推广。
[Abstract]:Objective to investigate the clinical efficacy and safety of retroperitoneal laparoscopic partial nephrectomy in the treatment of renal tumors. The patients were divided into open operation group (open partial nephrectomy group) and laparoscopic surgery group (retroperitoneal laparoscopic partial nephrectomy group, 21 cases in each group). The time of operation, recovery time of gastrointestinal function and hospitalization time were compared between the two groups. Results according to visual analog pain score (VAS) and postoperative complications, there was no significant difference in the time of operation and the level of Scr before and after operation between the laparoscopic group and the open group, but there was no significant difference between the laparoscopy group and the open operation group (P 0.05). The recovery time and hospitalization time of gastrointestinal function in laparoscopic operation group were shortened, the amount of intraoperative bleeding was less, and the VAS was decreased 1 week after operation, compared with open operation group, the incidence of postoperative complications in laparoscopic operation group was lower than that in open operation group. Conclusion the incidence of postoperative complications in laparoscopic operation group is lower than that in open operation group. Retroperitoneal laparoscopic partial nephrectomy as a safe and effective surgical method is worthy of clinical promotion.
【作者单位】：吉林医药学院附属医院泌尿外科;
【分类号】：R737.11

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