中国医学前沿杂志（电子版）
中國醫學前沿雜誌（電子版）
중국의학전연잡지（전자판）
CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
2014年
8期
104-107
,共4页
王英磊%李忠海%刘庆鹏%谭桂耿%陈晔%孟琳
王英磊%李忠海%劉慶鵬%譚桂耿%陳曄%孟琳
왕영뢰%리충해%류경붕%담계경%진엽%맹림
肾肿瘤%腹腔镜%肾部分切除
腎腫瘤%腹腔鏡%腎部分切除
신종류%복강경%신부분절제
Renal tumor%Laparoscopic%Partial nephrectomy
目的：探讨腹腔镜下肾部分切除术治疗肾肿瘤的临床疗效，为肾肿瘤患者的治疗提供依据。方法选择本院2011年12月至2013年12月收治的64例肾肿瘤患者，按照临床试验随机对照原则将患者分为观察组和对照组，每组各32例，观察组患者采取腹腔镜下肾部分切除术，对照组患者采用常规开放手术，观察并比较两组患者术后疗效、术中出血量、手术时间、肠道恢复时间、热缺血时间、住院天数以及术后相关并发症情况。结果观察组患者术中出血量为（134.7±15.3）ml、手术时间为（5.7±1.3）小时、肠道恢复时间为（2±1）天、热缺血时间为（16.4±3.6）分钟、平均住院天数为（4±1）天；对照组患者术中出血量为（312.3±14.7）ml、手术平均时间为（7.1±1.9）小时、肠道恢复时间为（4±1）天、热缺血时间为（32.7±3.5）分钟、平均住院天数为（12±2）天，两组各项指标比较差异均有显著性（P＜0.05）；观察组患者术后总肾小球滤过率显著优于治疗前和对照组，差异有显著性（P＜0.05）；对照组患者发生切口感染2例、泌尿道感染1例、尿瘘1例、术后腹痛2例，并发症发生率为18.75%，而观察组患者仅有2例术后发生腹痛，并发症发生率为6.25%，两组比较差异有显著性（P＜0.05）。结论腹腔镜肾部分切除术治疗肾肿瘤具有安全、创伤小、恢复快等优点，值得临床进一步推广应用。
目的：探討腹腔鏡下腎部分切除術治療腎腫瘤的臨床療效，為腎腫瘤患者的治療提供依據。方法選擇本院2011年12月至2013年12月收治的64例腎腫瘤患者，按照臨床試驗隨機對照原則將患者分為觀察組和對照組，每組各32例，觀察組患者採取腹腔鏡下腎部分切除術，對照組患者採用常規開放手術，觀察併比較兩組患者術後療效、術中齣血量、手術時間、腸道恢複時間、熱缺血時間、住院天數以及術後相關併髮癥情況。結果觀察組患者術中齣血量為（134.7±15.3）ml、手術時間為（5.7±1.3）小時、腸道恢複時間為（2±1）天、熱缺血時間為（16.4±3.6）分鐘、平均住院天數為（4±1）天；對照組患者術中齣血量為（312.3±14.7）ml、手術平均時間為（7.1±1.9）小時、腸道恢複時間為（4±1）天、熱缺血時間為（32.7±3.5）分鐘、平均住院天數為（12±2）天，兩組各項指標比較差異均有顯著性（P＜0.05）；觀察組患者術後總腎小毬濾過率顯著優于治療前和對照組，差異有顯著性（P＜0.05）；對照組患者髮生切口感染2例、泌尿道感染1例、尿瘺1例、術後腹痛2例，併髮癥髮生率為18.75%，而觀察組患者僅有2例術後髮生腹痛，併髮癥髮生率為6.25%，兩組比較差異有顯著性（P＜0.05）。結論腹腔鏡腎部分切除術治療腎腫瘤具有安全、創傷小、恢複快等優點，值得臨床進一步推廣應用。
목적：탐토복강경하신부분절제술치료신종류적림상료효，위신종류환자적치료제공의거。방법선택본원2011년12월지2013년12월수치적64례신종류환자，안조림상시험수궤대조원칙장환자분위관찰조화대조조，매조각32례，관찰조환자채취복강경하신부분절제술，대조조환자채용상규개방수술，관찰병비교량조환자술후료효、술중출혈량、수술시간、장도회복시간、열결혈시간、주원천수이급술후상관병발증정황。결과관찰조환자술중출혈량위（134.7±15.3）ml、수술시간위（5.7±1.3）소시、장도회복시간위（2±1）천、열결혈시간위（16.4±3.6）분종、평균주원천수위（4±1）천；대조조환자술중출혈량위（312.3±14.7）ml、수술평균시간위（7.1±1.9）소시、장도회복시간위（4±1）천、열결혈시간위（32.7±3.5）분종、평균주원천수위（12±2）천，량조각항지표비교차이균유현저성（P＜0.05）；관찰조환자술후총신소구려과솔현저우우치료전화대조조，차이유현저성（P＜0.05）；대조조환자발생절구감염2례、비뇨도감염1례、뇨루1례、술후복통2례，병발증발생솔위18.75%，이관찰조환자부유2례술후발생복통，병발증발생솔위6.25%，량조비교차이유현저성（P＜0.05）。결론복강경신부분절제술치료신종류구유안전、창상소、회복쾌등우점，치득림상진일보추엄응용。
Objective To analysis of clinical efficacy and experience the treatment of laparoscopic partial nephrectomy to treat the renal tumors. It could provide a better way to treat the renal tumors. Method 64 patients with the renal tumors from December 2011 to December 2013 in our hospital were studied. They were divided into two groups by randomly. Observation group laparoscopic partial nephrectomy, the control group using conventional open surgery, patients after treatment efifcacy, blood loss, two groups of patients, operative time, intestinal recovery time, warm ischemia time, and number of hospital days comparison of postoperative complications. Result Laparoscopic partial resection of renal blood loss was (134.7±15.3) ml, operation time was (5.7±1.3) hours, intestinal recovery time was (2±1) days, warm ischemia time was (16.4±3.6) minutes, the average hospital stay was (4±1) days, while the conventional open surgical blood loss was (312.3±14.7) ml, mean operation time was (7.1±1.9) hours, intestinal recovery time was (4±1) days, warm ischemia time was (32.7±3.5) minutes, the average number of days of hospitalization was (12±2) days, compared two groups of indicators, differences were statistically signiifcant (P<0.05);total observed postoperative renal small ball ifltration rate was signiifcantly better than before the treatment and control group, the difference was statistically signiifcant (P<0.05);wound infection in two cases of patients with conventional open surgery group, one case of urinary tract infection, urinary ifstula, postoperative 2 cases of abdominal pain, complication rate was 18.75%, while the laparoscopic group only two cases of postoperative pain, complication rate was 6.25%, compared to the two groups, the difference was statistically signiifcant (P<0.05). Conclusion Laparoscopic partial nephrectomy for renal tumors is safe, minimally invasive, quick recovery, worthy of further promotion and research.
