摘要
目的分析腹腔镜手术治疗泌尿系肿瘤的临床疗效及对不良反应的影响。方法回顾分析本院2019年3月—2020年1月期间收治的泌尿系肿瘤患者80例,按治疗方式分组,其中40例接受开腹手术治疗(对照组),另40例接受腹腔镜手术治疗(观察组),比较治疗效果,如疗效、不良反应等。结果观察组并发症总发生率5.00%低于对照组27.50%,数据差异有统计学意义(P<0.05),观察组手术时间、术中出血量、肠功能恢复时间、住院时间均低于对照组,数据差异有统计学意义(P<0.05)。比较血气指标,治疗前组间数据差异无统计学意义(P>0.05),治疗后,观察组pH、PaO2低于对照组,PaCO2高于对照组,数据差异有统计学意义(P<0.05)。结论腹腔镜手术治疗泌尿系肿瘤,安全高效,血气指标稳定,术后恢复速度快。
Objective To analyze the clinical effect and adverse reactions of laparoscopic surgery in treatment of urinary tract tumors.Methods 80 cases of patients with urinary tract tumor and who treated in our hospital from March 2019 to January 2020 were retrospectively analyzed,and the patients were grouped according to treatment mode.40 cases received open surgery(control group),and another 40 cases received laparoscopic surgery(observation group).Then,the treatment effect were compared,such as the clinical effect and adverse reactions.Results The total incidence of complications in the observation group(5.00%)was lower than that in the control group(27.50%),and the difference was statistically significant(P<0.05).The operation time,intraoperative blood loss,intestinal function recovery time and hospitalization time in the observation group were lower than those in the control group,and the data difference was statistically significant(P<0.05).There was no significant difference in blood gas indexes between the groups before treatment(P>0.05).After treatment,pH and PaO2 in the observation group were lower than those in the control group,while PaCO2 was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The laparoscopic surgery in treatment of urinary tract tumors are safe and efficient,stable blood gas indexes,fast postoperative recovery speed.
作者
喻卫东
YU Weidong(Department of Urology,the First People's Hospital of Xiaogan,Xiaogan Hubei 432000,China)
出处
《中国继续医学教育》
2021年第29期166-169,共4页
China Continuing Medical Education
关键词
泌尿系肿瘤
腹腔镜手术
开腹手术
疗效
不良反应
血气指标
PH
PAO2
urological tumor
laparoscopic surgery
open surgery
clinical effect
adverse reactions
blood gas index
pH
PaO2
