摘要
目的肾盂肿瘤患者联合应用电切镜与后腹腔镜的治疗安全性分析。方法便利选取2010年7月—2019年9月期间该院收治的64例肾盂肿瘤患者为研究对象,结合患者就诊日期的奇偶性与单组32例分组条件,分别归纳为对照组(传统开放手术)与观察组(后腹腔镜与电切镜联合手术),对比分析两组患者的手术相关指标、住院时间以及治疗后的肾功能水平、不良反应情况。结果观察组患者在术中出血量(112.10±42.02)mL、手术时间(186.00±31.13)min、肛门通气时间(2.03±0.20)d、置管时间(4.45±1.31)d、住院时间(10.70±2.10)d、血清肌酐(58.78±1.22)μmol/L、尿素氨(2.99±1.05)mmol/L水平均小于对照组患者,组间差异有统计学意义(t=8.136、5.051、8.708、2.644、2.511、20.664、12.791,P<0.05);观察组患者的不良反应发生率(3.13%)低于对照组的31.25%,差异有统计学意义(χ^(2)=8.892,P<0.05)。结论联合后腹腔镜与电切镜手术治疗肾盂肿瘤,操作具有较好的安全性保障,在解除患者病症的同时,还能减少患者出现不良反应的风险,对于患者早期康复有积极影响。
Objective To analyze the safety of combined application of resection and retroperitoneal laparoscopy in patients with renal pelvic tumors.Methods convenient selection 64 patients with renal elvic tumors admitted to the hospital from July 2010 to September 2019 were taken as the research objects,combined with the parity of the patient’s visit date and the grouping conditions of 32 cases in a single group,respectively,they were grouped into the control group(traditional open surgery)and the observation group(retro-laparoscopic and resectoscope combined surgery),compared and analyzed the operation-related indicators,hospitalization time,renal function level after treatment,and adverse reactions of the two groups of patients.Results The patients in the observation group had intraoperative blood loss(112.10±42.02)mL,operation time(186.00±31.13)min,anal ventilation time(2.03±0.20)d,catheterization time(4.45±1.31)d,hospitalization time(10.70±2.10)d,serum creatinine(58.78±1.22)μmol/L,urea ammonia(2.99±1.05)mmol/L levels were smaller than those of the control group,and the difference between the groups was statistically significant(t=8.136,5.051,8.708,2.644,2.511,20.664,12.791,P<0.05);the incidence of adverse reactions in the observation group(3.13%)was lower than that of the control group(31.25%),and the difference was statistically significant(χ^(2)=8.892,P<0.05).Conclusion Combined retroperitoneal laparoscopy and resection surgery for renal pelvic tumors has a good safety guarantee.It can relieve the patient’s symptoms while reducing the risk of adverse reactions in the patient,which has a positive impact on the early recovery of the patient.
作者
范刚
FAN Gang(Department of Urology,Peking University Luzhong Medicine Hospital,Zibo,Shandong Province,255400 China)
出处
《中外医疗》
2021年第10期49-51,共3页
China & Foreign Medical Treatment
关键词
肾盂肿瘤
后腹腔镜
电切镜
手术指标
治疗安全性
Renal pelvis tumor
Retroperitoneal laparoscopy
Resection microscope
Surgical index
Treatment safety
