中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
6期
78-79
,共2页
后腹腔镜%肾脏小肿瘤%应用
後腹腔鏡%腎髒小腫瘤%應用
후복강경%신장소종류%응용
After laparoscopic%Small renal tumor%Application
目的 探讨后腹腔镜肾部分切除术治疗肾脏小肿瘤的应用价值.方法 将64例肾脏小肿瘤患者,随机分为后腹腔镜组和开腹组,各32例,开腹组采用传统的开腹治疗,后腹腔镜组采用后腹腔镜肾部分切除术.结果 后腹腔镜组手术时间为(40±10) min,术中出血量为(110±8) ml,术后肠功能恢复时间为(9.3±1.2)h,术后下床活动时间为(12.2±2.6)h,恢复工作时间为(8.2±1.4)d,住院总天数为(6.2±1.2)d；对照组手术时间为(95±16) min,术中出血量为(143±6) ml,术后肠功能恢复时间为(48.5±6.4)h,术后下床活动时间为(48.3±8.4)h,恢复工作时间为(15.2±3.7)d,住院总天数为(9.5±1.5)d,两组比较差异有统计学意义(P＜0.05).结论 后腹腔镜肾部分切除术治疗肾脏小肿瘤创伤小、出血少、恢复快,值得临床推广应用.
目的 探討後腹腔鏡腎部分切除術治療腎髒小腫瘤的應用價值.方法 將64例腎髒小腫瘤患者,隨機分為後腹腔鏡組和開腹組,各32例,開腹組採用傳統的開腹治療,後腹腔鏡組採用後腹腔鏡腎部分切除術.結果 後腹腔鏡組手術時間為(40±10) min,術中齣血量為(110±8) ml,術後腸功能恢複時間為(9.3±1.2)h,術後下床活動時間為(12.2±2.6)h,恢複工作時間為(8.2±1.4)d,住院總天數為(6.2±1.2)d；對照組手術時間為(95±16) min,術中齣血量為(143±6) ml,術後腸功能恢複時間為(48.5±6.4)h,術後下床活動時間為(48.3±8.4)h,恢複工作時間為(15.2±3.7)d,住院總天數為(9.5±1.5)d,兩組比較差異有統計學意義(P＜0.05).結論 後腹腔鏡腎部分切除術治療腎髒小腫瘤創傷小、齣血少、恢複快,值得臨床推廣應用.
목적 탐토후복강경신부분절제술치료신장소종류적응용개치.방법 장64례신장소종류환자,수궤분위후복강경조화개복조,각32례,개복조채용전통적개복치료,후복강경조채용후복강경신부분절제술.결과 후복강경조수술시간위(40±10) min,술중출혈량위(110±8) ml,술후장공능회복시간위(9.3±1.2)h,술후하상활동시간위(12.2±2.6)h,회복공작시간위(8.2±1.4)d,주원총천수위(6.2±1.2)d；대조조수술시간위(95±16) min,술중출혈량위(143±6) ml,술후장공능회복시간위(48.5±6.4)h,술후하상활동시간위(48.3±8.4)h,회복공작시간위(15.2±3.7)d,주원총천수위(9.5±1.5)d,량조비교차이유통계학의의(P＜0.05).결론 후복강경신부분절제술치료신장소종류창상소、출혈소、회복쾌,치득림상추엄응용.
Objective To investigate the application value of after laparoscopic partial nephrectomy in treatment of small renal tumors.Methods Sixty-four cases of renal small tumors being collected in our hospital from January 2009 to April 2012,randomly divided into after laparoscopic group and laparotomy group,each group in 32 cases,the laparotomy group using traditional open surgery treatment,after laparoscopic group using after laparoscopic renal partial nephrectomy resection.Results After laparoscopic operative time was(40 ± 10) min,perioperative blood loss was (110 ± 8) ml,postoperative intestinal function recovery time was(9.3 ± 1.2) hours,postoperative ambulation time was(12.2 ± 2.6) hours,return to work time was (8.2 ± 1.4) days,total hospital stays was (6.2 ± 1.2) days; The control group operation time was(95 ± 16)min,peri-operative blood loss was (143 ± 6)ml,postoperative intestinal function recovery time was (48.5 ± 6.4) hours,postoperative ambulation time was (48.3 ± 8.4) hours,return to work time was(15.2 ±3.7) days,hospital total stays was(9.5 ± 1.5) days.The difference was statistically significant between the two groups (P ＜ 0.05).Conclusions After laparoscopic partial nephrectomy for small renal tumor with little trauma,less bleeding,rapid recovery,worthy of clinical application.
