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腹腔镜与开放肾部分切除术对局限性肾肿瘤疗效分析 被引量:3

Analysis of the effect of laparoscopic and open partial nephrectomy in the treatment of localized renal tumors
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摘要 目的:研究腹腔镜与开放肾部分切除术对局限性肾肿瘤的疗效。方法:收治患者68例,平分为两组。观察组实施腹腔镜肾部分切除术,对照组实施开放肾部分切除术,对比相关指标。结果:观察组患者术中出血量、胃肠道恢复时间以及患者的平均住院时间均优于对照组患者,两组之间的差异存在统计学意义(P<0.05)。观察组患者并发症状发生率2.94%,低于对照组的14.71%。结论:相较于开放肾部分切除术,腹腔镜部分切除术治疗局限性肾肿瘤的临床治疗效果更为显著,有助于减少患者术中出血量,促进患者术后机体的康复,能够降低患者并发症发生率,临床治疗的有效性与安全性较高。 Objective:To study the effect of laparoscopic and open partial nephrectomy in the treatment of localized renal tumors.Methods:68 patients were divided into the two groups on average,the observation group was treated with laparoscopic partial nephrectomy,while the control group with the implementation of open partial nephrectomy,the correlation indexes were compared.Results:The intraoperative blood loss,gastrointestinal recovery time and average hospital stay of patients in the observation group were better than those in the control group,the differences between the two groups were statistically significant(P<0.05).The incidence of symptoms in the observation group was 2.94% lower than that in the control group of 14.71%.Conclusion:Compared with open partial nephrectomy,laparoscopic partial nephrectomy has a more significant effect on the treatment of localized renal tumors,it is helpful to reduce the amount of bleeding during operation and promote the rehabilitation of patients after operation,which can reduce the incidence of adverse symptoms,the effectiveness and safety of clinical treatment are higher.
作者 梅傲冰 Mei Aobing(The Second People's Hospital of Guiyang City 550002)
出处 《中国社区医师》 2016年第23期61-62,共2页 Chinese Community Doctors
基金 贵州省技术厅基金资助项目:课题名称:<腹腔镜下肾周腹膜后筋膜间隙手术路径的相关应用解剖与临床研究> 课题编号:黔科合J字[2012]2053号 已结题。主持负责 贵阳市科技局项目:课题名称:<经肾前筋膜间平面无血腹腔镜肾癌根治术解剖关键与临床研究> 课题编号:筑科合[20141001]66号。未结题。主持负责 贵州省卫生厅科学技术基金项目:课题名称:<解剖性经肾前筋膜间平面无血腹腔镜上尿路手术入路研究> 课题编号:(黔卫发[2013]71号gzwkj2013-1-021)。未结题。参与课题指导~~
关键词 腹腔镜 开放肾部分切除术 局限性肾肿瘤 Laparoscopy Open partial nephrectomy Localized renal tumor
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