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目的后腹腔镜肾部分切除术(LPN)治疗肾肿瘤的临床疗效观察。方法 62例肾肿瘤患者,根据治疗方法不同分为观察组(行LPN治疗,32例)和对照组[行开放性肾部分切除术(OPN)治疗,30例]。对比两组的手术时间、术中出血量、住院时间、肾蒂阻断时间、术后进食时间、术后并发症发生情况。结果两组患者的手术时间和肾蒂阻断时间对比差异无统计学意义(P>0.05)。观察组的术中出血量(58.53±16.32)ml明显少于对照组的(140.68±82.34)ml,住院时间(7.35±1.18)d和术后进食时间(1.04±1.03)d均显著短于对照组的(10.34±1.15)、(2.42±0.88)d,差异均具有统计学意义(P<0.05)。观察组术后并发症发生率为12.50%,对照组术后并发症发生率为10.00%,两组患者的术后并发症发生率比较差异无统计学意义(χ2=0.097,P>0.05)。结论 LPN治疗肾肿瘤疗效确切,较传统OPN而言,创伤较小,显著减少术中出血量,促进患者术后的快速康复,有临床推广价值。
Objective To observe the clinical effect of laparoscopic partial nephrectomy (LPN) on renal tumors. Methods Sixty - two patients with renal tumors were divided into observation group (32 cases treated with LPN) and control group (30 cases treated with open partial nephrectomy (OPN) according to different treatment methods). The operation time, intraoperative blood loss, hospital stay, renal pedicle block time, postoperative eating time and postoperative complications were compared between the two groups. Results There was no significant difference in operative time and renal pedicle block time between the two groups (P> 0.05). The intraoperative blood loss (58.53 ± 16.32) ml in the observation group was significantly less than that in the control group (140.68 ± 82.34) ml, the hospitalization time (7.35 ± 1.18) days and the postoperative eating time (1.04 ± 1.03) days were significantly shorter than the control Group (10.34 ± 1.15) and (2.42 ± 0.88) d, the differences were statistically significant (P <0.05). The incidence of postoperative complications in the observation group was 12.50%, while the incidence of postoperative complications in the control group was 10.00%. There was no significant difference in the incidence of postoperative complications between the two groups (χ2 = 0.097, P> 0.05). Conclusions LPN is effective in treating renal tumors. Compared with traditional OPN, trauma is less and the amount of intraoperative bleeding is significantly reduced. It is of great value in clinical application to promote rapid recovery after operation.