摘要
目的 比较后腹腔镜肾部分切除术与开放肾部分切除术治疗肾肿瘤的临床效果.方法 以行肾部分切除术的60例肾肿瘤患者为对象,根据手术方式分为两组各30例,对照组实施开放手术,观察组实施后腹腔镜手术,比较两组手术情况、术后恢复情况、并发症发生率、肾功能指标.结果 观察组手术时间与对照组差异无统计学意义[（110.06±28.76）min比（108.43±29.64）min,t=0.216,P=0.830],但观察组术中出血量明显更少[（45.17±16.42）mL比（132.46±41.37）mL,t=10.742,P=0.000],其胃肠功能恢复时间、住院时间均明显短于对照组[（2.48±1.07）d比（4.96±2.39）d,（7.31±4.32）d比（12.59±5.18）d,t=5.187、4.288,P=0.000、0.000];观察组并发症发生率（20.00%）明显低于对照组（3.33%）（x2=4.043,P=0.044）;两组术后肾小球滤过率与术前差异无统计学意义[（42.18±5.42）mL/min比（42.93±5.16）mL/min,t=0.549,P=0.585],且术后两组之间差异也无统计学意义[（41.34±4.96）mL/min比（40.85±5.08）mL/min,t=0.378,P=0.707].结论 采用后腹腔镜肾部分切除术治疗肾肿瘤的安全性可靠,对肾功能的影响并不明显,相对于开放手术,后腹腔镜手术可减轻手术创伤,加快术后恢复.
Objective To study and compare the clinical effect of laparoscopic partial nephrectomy and open partial nephrectomy for renal tumor.Methods 60 renal tumor patients underwent partial nephrectomy were selected as the research subjects.They were randomly divided into two groups.30 cases of the control group received open surgery, 30 patients of the observation group received the implementation of laparoscopic surgery.The postoperative recovery, complication rate, renal function indicators were compared between the two groups.Results The operation time between the two groups had no statistically significant difference[（110.06±28.76）min vs.（108.43±29.64）min,t=0.216,P=0.830].However, the amount of intraoperative blood loss was significantly less in the observation group[（45.17±16.42）mL vs.（132.46±41.37）mL,t=10.742,P=0.000].The gastrointestinal function recovery time, hospitalization time of the observation group were significantly shorter than those of the control group[（2.48±1.07）d vs.（4.96±2.39）d,（7.31±4.32）d vs.（12.59±5.18）d,t=5.187,4.288,P=0.000,0.000].The incidence rate of complications of observation group was significantly lower than the control group （3.33% vs.20.00%,x2=4.043,P=0.044）.After operation, the glomerular filtration rate of the two groups had no statistically significant difference compared with pre-operation[（42.18±5.42）mL/min vs （42.93±5.16）mL/min,t=0.549,P=0.585],and after operation, the comparison between the two groups also had no statistically significant difference[（41.34±4.96）mL/min vs.（40.85±5.08）mL/min,t=0.378,P=0.707].Conclusion The safety of retroperitoneal laparoscopic partial nephrectomy for renal tumor is reliable, the effect on renal function is not obvious, compared with open surgery, laparoscopic surgery can reduce surgical trauma, faster postoperative recovery.
出处
《中国基层医药》
CAS
2017年第11期1710-1713,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
肾肿瘤
肾切除术
腹腔镜
Kidney neoplasms
Nephrectomy
Laparoscopes
