摘要
目的:分析腹腔镜保留肾单位肾肿瘤切除术治疗肾细胞癌的效果。方法:2015年6月-2019年2月收治肾细胞癌患者46例,按手术方案不同分为两组,各23例。对照组采用腹腔镜根治性肾切除术;观察组采用腹腔镜保留肾单位肾肿瘤切除术。比较两组患者术后3个月血肌酐水平、生存质量评分及复发率。结果:观察组术后3个月血肌酐水平低于对照组,生活质量(GQOL-74)评分高于对照组,差异均有统计学意义(P<0.05),两组患者术后3个月均未见复发。结论:腹腔镜保留肾单位肾肿瘤切除术治疗肾细胞癌,能提高患者生存质量,对患者肾功能影响较小,且近期复发率低。
Objective:To explore the effect of laparoscopic nephron sparing nephrectomy in the treatment of patients with renal cell carcinoma.Methods:From June 2015 to February 2019,46 patients with renal cell carcinoma were selected,and they were divided into two groups with 23 cases in each group according to different operation plans.The control group was treated with laparoscopic radical nephrectomy;the observation group was treated with laparoscopic nephron sparing nephrectomy.We compared the serum creatinine level,quality of life score and recurrence rate of the two groups at 3 months after operation.Results:In the observation group,at 3 months after operation,the serum creatinine level was lower than that of the control group and the quality of life(GQOL-74)score was higher than that of the control group,the difference was statistically significant(P<0.05).There was no recurrence in the two groups at 3 months after operation.Conclusion:The application of laparoscopic nephron sparing nephrectomy in the treatment of patients with renal cell carcinoma can improve the quality of life of patients,it has little effect on renal function,and has a low recurrence rate in the near future.
作者
农健
Nong Jian(The People's Hospital of Wenshan Prefecture,Yunnan Wenshan 663000)
出处
《中国社区医师》
2020年第12期45-46,共2页
Chinese Community Doctors
关键词
腹腔镜
保留肾单位
肾肿瘤切除
肾细胞癌
Laparoscopy
Nephron sparing
Nephrectomy
Renal cell carcinoma
