摘要
目的:探讨后腹腔镜治疗肾肿瘤的疗效和安全性。方法:回顾性分析我院2010年4月-2013年1月收治的61例肾肿瘤患者临床资料,按治疗术式分为RLPN组(后腹腔镜肾部分切除术)和OPN组(开放性肾部分切除术)。比较两组患者手术时间、阻断时间、术中出血量、引流量、拔管时间、术后住院时间、肠道恢复时间、血清肌酐、患侧GFR以及并发症发生情况。结果:RLPN组患者除阻断时间和手术时间高于OPN组患者外,术中出血量、引流量、拔管时间、术后住院时间和肠道恢复时间均低于OPN组,差异均有统计学意义(P<0.05)。两组患者患侧GFR术后较术前均有较大改善,差异均有统计学意义(P<0.05)。两组患者并发症及复发情况对比差异无统计学意义(χ2=1.374,P>0.05)。结论:后腹腔镜治疗肾肿瘤难度高于传统开放性术式,安全性相近,但其创伤小、恢复快,治疗效果明显较好。
Objective：To evaluate the efficacy and safety in retroperitoneal laparoscopic partial nephrectomy for renal tumor.Methods：Clinical data of 61 cases of patients from April 2010 to January 2013 in our hospital were retrospectively analysed,and were divided into RLPN group and OPN group.Operation time,blocking time,amount of bleeding,drainage,extubation time,postoperative hospitalization time,intestinal recovery time,serum creatinine,the ipsilateral GFR and complications were compared.Results：Patients in group RLPN except for the blocking time and operation time is higher than that of group OPN,the amount of intraoperative bleeding,drainage,extubation time,postoperative hospitalization time and intestinal recovery time were lower than those of OPN group patients（P〈0.05）.Two groups of patients with ipsilateral GFR after operation were greatly improved（P〈0.05）.No statistically significant difference between the two groups of patients with recurrent complications level comparison（χ^2=1.374,P〈0.05）.Conclusion：Retroperitoneal laparoscopy for renal tumor is higher than that of the traditional open operation,safety their natures are much the same,but its small trauma,quick recovery,the treatment effect is obvious better.
出处
《医学理论与实践》
2015年第1期6-7,10,共3页
The Journal of Medical Theory and Practice
关键词
后腹腔镜
肾肿瘤
肾部分切除术
Retroperitoneoscopy
Renal tumor
Partial nephrectomy
