


[摘要] 目的 探索后腹腔鏡保留腎臟手術治療腎腫瘤的臨床效果。方法 隨機選取該院收治100例腎腫瘤患者,時間均集中在2010年3月—2016年3月期間,并對此次研究患者進行動態隨機化分為2組,每組50例患者,對照組采用常規開放性手術治療,觀察組采用后腹腔鏡保留腎臟手術治療,治療后將兩組患者的肛門排氣時間、住院總耗時、住院費用、術后并發癥發生率、總有效率、術中出血量以及手術總耗時進行對比。結果 觀察組較對照組患者的手術總耗時為(107.89±2.89)min、術中出血量為(156.89±2.89)mL、術后肛門排氣時間為(14.98±2.98)h、住院總耗時為(5.68±1.78)d,總有效率和術后并發癥發生率分別為98.00%和2.00%,均均優于對照組患者,但觀察組患者的住院費用高于對照組,以上數據對比差異均具有統計學意義(P<0.05)。結論 后腹腔鏡保留腎臟手術治療腎腫瘤患者效果顯著。
[關鍵詞] 腹腔鏡;腎臟手術;腎腫瘤
[中圖分類號] R737.11 [文獻標識碼] A [文章編號] 1674-0742(2016)10(b)-0095-03
[Abstract] Objective To explore the clinical effect of retroperitoneal laparoscopic renal surgery in the treatment of renal tumor. Methods Random selection our hospital 100 cases of kidney cancer patients, admitted time are concentrated in the March 2010-March 2016 period, and the study patients were randomized into two dynamic groups of 50 patients in the control group with conventional open surgery, laparoscopic observation group reservations kidney surgery, two groups of patients after treatment of anal exhaust time, total time in hospital, hospital costs, incidence of postoperative complications, the total efficiency, bleeding The total amount of time-consuming and surgery were compared. Results Observation group than the control group of patients with total time of operation (107.89 ± 2.89) min, blood loss was (156.89 ± 2.89) mL, anal exhaust time was(14.98 ± 2.98) h, total time of hospitalization(5.68 ± 1.78) d, the total effective rate and complication rate was 98.00% and 2.00%, respectively, were better than the control group patients, but hospital costs of the observation group were higher, the above comparison of the data have significant differences(P <0.05). Conclusion Retroperitoneal laparoscopic renal surgery in the treatment of renal tumor patients with significant effect.
[Key words] Laparoscopy; Renal surgery; Renal tumor
腎腫瘤具有發病率高、死亡率高等特點,屬于臨床常見疾病,若未及時干預,可直接影響患者腎臟功能,臨床上常采用手術治療,早期常使用傳統手術,其不僅創傷性較大,也容易導致患者出現較多并發癥,因此在臨床上不廣泛應用,近年來,隨著人們生活方式的提高,人們對手術要求不斷提高,因此腹腔鏡保留腎臟手術開始廣泛應用于臨床[1-2]。該文以該院2010年3月—2016年3月收治的100例腎腫瘤患者作為研究對象,旨在探索后腹腔鏡保留腎臟手術治療腎腫瘤的手術方法和臨床意義,現報道如下。……