摘要
目的观察零缺血微波消融辅助腹腔镜肾部分切除术治疗肾脏肿瘤的安全性及临床疗效。方法选取2020年10月至2022年1月于本院治疗的80例临床分期Ⅰ期(pT1)肾癌患者为研究对象。根据来诊时间排序,单双号分别为A、B两组,每组40例,A组为采用微波消融联合腹腔镜下零缺血肾部分切除术,B组为采用传统腹腔镜下肾部分切除术(阻断肾动脉)。研究零缺血微波消融辅助腹腔镜肾脏肿瘤肾部分切除术的临床治疗效果,比较两组手术及恢复时间、术后的肾脏功能、复发率和并发症发生率。结果与B组比较,A组手术时间更长,热缺血时间、引流管拔出时间、出院时间更短,术后6个月A组Cr、BUN、Hcy水平更低,Ccr水平更高,差异有统计学意义(P<0.05)。两组复发率比较,差异无统计学意义(P>0.05)。A组并发症发生率低于B组,差异有统计学意义(P<0.05)。结论零缺血微波消融辅助腹腔镜下肾部分切除术是一种安全可行及有效的技术。
Objective To observe the safety and clinical efficacy of zero-ischemic microwave ablation-assisted laparoscopic partial nephrectomy for renal tumors.Methods Eighty patients with stageⅠ(pT1)renal cancer treated in our hospital from October 2020 to January 2022 were selected as the study objects.According to the order of visit time,the odd-even numbers were divided into group A and group B,with 40 cases in each group.In group A,microwave ablation combined with laparoscopic zero-ischemic partial nephrectomy was performed,and in group B,traditional laparoscopic partial nephrectomy(blocking renal artery)was performed.To study the clinical treatment effect of zero-ischemia microwave ablation-assisted laparoscopic partial nephrectomy of renal tumors,and to compare the operation and recovery time,postoperative renal function,recurrence rate and complication rate in the two groups.Results Compared with group B,the operation time of group A was longer,the heat ischemia time,drainage tube extraction time and discharge time were shorter,the Cr,BUN and Hcy levels of group A were lower and the Ccr level was higher 6 months after the operation,the difference was statistically significant(P<0.05).There was no significant difference in recurrence rate between the two groups(P>0.05).The complication rate of group A was lower than that of group B,and the difference was statistically significant(P<0.05).Conclusion Zero-ischemia microwave ablation-assisted laparoscopic partial nephrectomy is a safe,feasible and effective technique.
作者
郑慧杰
余明主
陈亚梅
谭公祥
杜盛庭
刘明
ZHENG Huijie;YU Mingzhu;CHEN Yamei;TAN Gongxiang;DU Shengting;LIU Ming(Department of Urology,The 908 Hospital,Joint Logistic Support Force of PLA,Nanchang,Jiangxi 330002,China)
出处
《重庆医学》
CAS
2023年第S01期39-42,共4页
Chongqing medicine
关键词
零缺血
微波消融
肾部分切除术
肾脏肿瘤
zero ischemia
microwave ablation
partial nephrectomy
kidney tumor
