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目的比较后腹腔镜下肾癌剜除术和传统肾肿瘤部分切除术的临床效果。方法 64例肾癌患者,随机分为对照组和观察组,各32例。对照组行传统开放性肾肿瘤部分切除术治疗,观察组行后腹腔镜下肾癌剜除术治疗,观察两组手术情况和有效随访1年后的生存率和并发症结果。结果观察组手术时间、手术出血量、住院时间以及术后VAS评分明显低于对照组(P<0.05);观察组并发症发生率3.13%低于对照组18.75%,差异具有统计学意义(P<0.05)。结论两种方法治疗均较为有效,但后腹腔镜下肾癌剜除术方便安全,能降低术后不良反应和并发症风险,综合治疗效果较好。
Objective To compare the clinical effects of retroperitoneal laparoscopic nephrectomy and traditional partial nephrectomy. Methods 64 patients with renal cell carcinoma were randomly divided into control group and observation group, with 32 cases in each group. The control group underwent traditional open partial nephrectomy, and the observation group underwent laparoscopic resection of renal cell carcinoma. The survival rate and complications of the two groups after one year of operation and the effective follow-up were observed. Results The operation time, blood loss, length of hospital stay and postoperative VAS score in the observation group were significantly lower than those in the control group (P <0.05). The incidence of complications in the observation group was 3.13% lower than that in the control group (18.75%), the difference was statistically significant (P <0.05). Conclusion Both methods are effective, but laparoscopic renal cell resection is convenient and safe, which can reduce the postoperative adverse reactions and the risk of complications, and the comprehensive treatment is better.