3D和2D高清腹腔镜技术在肾脏切除术中的应用比较

发布时间：2018-05-15 12:52

本文选题：三维 + 二维　；参考：《中国内镜杂志》2015年12期

【摘要】：目的比较3D和2D高清腹腔镜技术在肾脏切除术中的应用效果。方法采用Storz 3D高清腹腔镜技术完成肾脏切除术32例(观察组),回顾性分析并与2013年1月-2013年12月采用Storz 2D高清腹腔镜技术完成肾脏切除术37例(对照组),记录手术时间、术中出血量、并发症、术后引流量、术后拔除引流管时间、术后住院时间和住院费用等,并进行统计学分析。结果观察组32例和对照组37例均顺利完成手术。前后两组手术时间为(124.41±52.90)和(149.00±33.68)min,术中出血量为(104.62±57.69)和(136.89±57.92)ml,组间比较差异均有统计学意义(P0.05);两组术后引流量、术后拔除引流管时间、术后住院时间和住院总费用分别为(65.59±76.95)和(83.78±76.38)ml、(2.78±1.18)和(3.43±1.66)d、(9.44±3.16)和(10.19±2.91)d、(20 954.31±1 745.10)和(20 635.65±1 376.92)元,组间比较差异均无统计学意义(P0.05)。术后两组发生并发症分别为2例和3例,经保守治疗均痊愈。术后随访2个月~2年,单侧无功能肾患者生活正常,肿瘤患者无复发和转移。结论 3D比2D高清腹腔镜技术在肾脏切除术中的应用立体感更强,解剖层次更清晰,准确性更好,降低手术的一定难度,更适合应用于高难度手术。
[Abstract]:Objective to compare the effects of 3 D and 2 D high-definition laparoscopy in nephrectomy. Methods Storz 3D high-definition laparoscopic nephrectomy was performed in 32 patients (observation group, retrospective analysis and Storz 2D high-definition laparoscopy from January 2013 to December 2013). The amount of blood loss, complications, postoperative drainage, the time of extubation, the time of hospitalization and the cost of hospitalization were analyzed statistically. Results 32 cases in the observation group and 37 cases in the control group successfully completed the operation. The operative time of the two groups was 124.41 卤52.90) and 149.00 卤33.68 min, the amount of intraoperative bleeding was 104.62 卤57.69) and 136.89 卤57.92 ml, there was significant difference between the two groups (P 0.05). The postoperative hospitalization time and total hospitalization cost were 65.59 卤76.95) and 83.78 卤76.38 / ml (2.78 卤1.18) and 3.43 卤1.66 (9.44 卤3.16) and 10.19 卤2.91 (20 954.31 卤1 745.10) and 20 635.65 卤1 376.92), respectively. There was no significant difference between the two groups (P 0.05). Complications occurred in 2 cases and 3 cases in the two groups, which were cured by conservative treatment. Follow-up for 2 months to 2 years showed that the patients with unilateral nonfunctional kidney had normal life and no recurrence or metastasis. Conclusion 3D high-definition laparoscopy is more effective in the application of renal surgery than 2D high-definition laparoscopy, and the anatomical level is clearer, the accuracy is better, the difficulty of operation is reduced, and it is more suitable to be used in high-difficulty surgery.
【作者单位】：广西自治区玉林市红十字会医院;
【基金】：广西壮族自治区卫生厅自筹经费科研课题(No:Z2014529) 玉林市科学研究与技术计划项目(No:玉科计字201426003)
【分类号】：R699.2

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