摘要
目的比较两种不同手术方式治疗局限性肾癌的临床效果。方法研究对象为局限性肾癌患者。例数30例。采用抽签分组方式对研究对象分组,患者收取时间为2006年1月—2016年12月,分为观察组(15例)及对照组(15例),分别实施腹腔镜下肾部分切除术及腹腔镜下肾癌根治性切除术,将两组患者的住院时间、手术时间、术中出血量、并发症发生率及2年生存率进行比较。结果观察组局限性肾癌患者的2年生存率86.67%与对照组局限性肾癌患者的2年生存率差异有统计学意义(χ^2=3.9683;P<0.05)。观察组局限性肾癌患者的住院时间、手术时间短于对照组局限性肾癌患者;观察组术中出血量高于对照组(t=8.643、24.742、7.335;P<0.05);观察组局限性肾癌患者的并发症发生率6.67%与对照组相比差异无统计学意义(χ^2=1.154;P>.05)。结论通过对局限性肾癌患者实施腹腔镜下肾部分切除术后,取得显著效果,其与腹腔镜下肾癌根治术性切除术相比,具有多种优势,缩短患者住院时间和手术时间,能有效降低并发症,2年生存率有差别能改善局限性肾癌患者预后。
Objective To compare the clinical effects of two different surgical methods in the treatment of localized renal cell carcinoma.Methods The study subjects were patients with localized renal cell carcinoma.The number of cases was 30 cases.The subjects were grouped by lottery.The patients were collected from January 2006 to December,2016.They were divided into observation group (15 cases) and control group (15 cases).The laparoscopic kidney part was performed separately.Resection and laparoscopic radical nephrectomy were performed to compare the length of hospital stay,operation time,intraoperative blood loss,complication rate and 2-year survival rate.Results The 2-year survival rate of patients with localized renal cell carcinoma was 86.67% in the observation group and the 2-year survival rate in patients with localized renal cell carcinoma in the control group (χ^2=3.968 3;P<0.05).The hospitalization time and operation time of patients with localized renal cell carcinoma in the observation group were shorter than those in patients with localized renal cell carcinoma in the control group.The intraoperative blood loss was higher in the observation group than in the control group (t= 8.643,24.742,7.335;P<0.05);The complication rate of 6.67% in patients with localized renal cell carcinoma was not significantly different from that in the control group (χ^2=1.154;P>0.05).Conclusion Through laparoscopic partial nephrectomy in patients with localized renal cell carcinoma,significant results have been achieved.Compared with laparoscopic radical nephrectomy,it has multiple advantages,shortening the length of hospital stay and operation time.It can effectively reduce complications,and the difference in 2-year survival rate can improve the prognosis of patients with localized renal cancer.
作者
梁佳林
郭郁
伍剑
LIANG Jia-lin;GUO Yu;WU Jian(Yunnan Kunming Iron and Steel Hospital,Anning,Yunnan Province,650302 China)
出处
《世界复合医学》
2019年第4期151-153,共3页
World Journal of Complex Medicine
关键词
两种不同方式手术
局限性肾癌
临床效果
Two different methods of surgery
Localized renal cell carcinoma
Clinical effect
