CAJ | 학술논문

目的探讨腹膜后腹腔镜下根治性肾切除术的临床疗效.方法分析腹膜后腹腔镜下根治性肾切除术65例(观察组)的临床资料,并与同期开放性手术治疗的50例(对照组)进行比较.结果观察组手术时间、术中出血量、住院时间、切口感染、肺感染、高碳酸血症、肠损伤均低于对照组(t =7.60、8.38、8.83,x2 =8.33、6.19、4.08、4.08,均P＜0.05)；两组肾癌患者切缘阳性率、局部复发率、远处转移率差异均无统计学意义(均P＞0.05).结论腹膜后腹腔镜下根治性肾切除术创伤小、恢复快、并发症少,预后良好,值得临床推广应用.
목적 탐토복막후복강경하근치성신절제술적림상료효.방법 분석복막후복강경하근치성신절제술65례(관찰조)적림상자료,병여동기개방성수술치료적50례(대조조)진행비교.결과 관찰조수술시간、술중출혈량、주원시간、절구감염、폐감염、고탄산혈증、장손상균저우대조조(t =7.60、8.38、8.83,x2 =8.33、6.19、4.08、4.08,균P＜0.05)；량조신암환자절연양성솔、국부복발솔、원처전이솔차이균무통계학의의(균P＞0.05).결론 복막후복강경하근치성신절제술창상소、회복쾌、병발증소,예후량호,치득림상추엄응용.
Objective To explore the clinical effect of laparoscopic radical nephrectomy by retroperitoneal in 65 cases.Methods 65 patients who received retroperitoneal laparoscopic radical nephrectomy were selected as the observation group,and their clinical data were analyzed.At the same period,S0 patients treated by open operation were selected as the control group.The clinical effect was compared between the two groups.Results The operation time,intraoperative blood loss,hospital stay,incision infection,pulmonary infection,hypercapnia,intestinal injury of observation group were lower than those of control group (t =7.60,8.38,8.83,x2 =8.33,6.19,4.08,4.08,all P ＜0.05).The positive margin rate,local recurrence rate,distant metastasis rate of two groups were not significantly different (P ＞ 0.05).Conclusion Laparoscopic radical nephrectomy by retroperitoneal has advantages of small wound,quicker recovery,less complications and good prognosis,which is worthy of clinical application.