临床合理用药杂志
臨床閤理用藥雜誌
림상합리용약잡지
CHINESE JOURNAL OF CLINICAL RATIONAL DRUG USE
2015年
4期
36-37
,共2页
刘建震%付焕明%孟宪辉%周玉琴%韩永君
劉建震%付煥明%孟憲輝%週玉琴%韓永君
류건진%부환명%맹헌휘%주옥금%한영군
IUPU%自制气囊%单孔腹腔镜%肾囊肿
IUPU%自製氣囊%單孔腹腔鏡%腎囊腫
IUPU%자제기낭%단공복강경%신낭종
IUPU%Homemade balloon%Single port laparoscopic%Renal cyst
目的：探讨用镜体直接分离建立后腹腔的方法（ IUPU）与自制气囊两种建腔方式用于单孔单通道后腹腔镜肾囊肿手术中的综合疗效及安全性差异。方法将208例肾囊肿患者随机分为试验组和对照组各104例。试验组以IUPU法建立后腹腔经腹腔镜肾囊肿手术切除术，对照组经自制气囊法腹腔镜下肾囊肿手术切除术。观察2组手术情况、临床疗效及不良反应发生情况。结果试验组建腔时长短于对照组，手术时长长于对照组，差异均有统计学意义（P＜0．05）。2组术中出血量、术后引流时间、术后住院时间及术后24h疼痛评分差异无统计学意义（P＞0．05）。试验组总有效率低于对照组，差异有统计学意义（ P＜0．05）。试验组不良反应总发生率虽高于对照组，但差异均无统计学意义（P＞0．05）。结论自制气囊建腔在单孔单通道后腹腔镜肾囊肿手术中的治疗效果较IUPU方式优越，且安全性无明显减退。
目的：探討用鏡體直接分離建立後腹腔的方法（ IUPU）與自製氣囊兩種建腔方式用于單孔單通道後腹腔鏡腎囊腫手術中的綜閤療效及安全性差異。方法將208例腎囊腫患者隨機分為試驗組和對照組各104例。試驗組以IUPU法建立後腹腔經腹腔鏡腎囊腫手術切除術，對照組經自製氣囊法腹腔鏡下腎囊腫手術切除術。觀察2組手術情況、臨床療效及不良反應髮生情況。結果試驗組建腔時長短于對照組，手術時長長于對照組，差異均有統計學意義（P＜0．05）。2組術中齣血量、術後引流時間、術後住院時間及術後24h疼痛評分差異無統計學意義（P＞0．05）。試驗組總有效率低于對照組，差異有統計學意義（ P＜0．05）。試驗組不良反應總髮生率雖高于對照組，但差異均無統計學意義（P＞0．05）。結論自製氣囊建腔在單孔單通道後腹腔鏡腎囊腫手術中的治療效果較IUPU方式優越，且安全性無明顯減退。
목적：탐토용경체직접분리건립후복강적방법（ IUPU）여자제기낭량충건강방식용우단공단통도후복강경신낭종수술중적종합료효급안전성차이。방법장208례신낭종환자수궤분위시험조화대조조각104례。시험조이IUPU법건립후복강경복강경신낭종수술절제술，대조조경자제기낭법복강경하신낭종수술절제술。관찰2조수술정황、림상료효급불량반응발생정황。결과시험조건강시장단우대조조，수술시장장우대조조，차이균유통계학의의（P＜0．05）。2조술중출혈량、술후인류시간、술후주원시간급술후24h동통평분차이무통계학의의（P＞0．05）。시험조총유효솔저우대조조，차이유통계학의의（ P＜0．05）。시험조불량반응총발생솔수고우대조조，단차이균무통계학의의（P＞0．05）。결론자제기낭건강재단공단통도후복강경신낭종수술중적치료효과교IUPU방식우월，차안전성무명현감퇴。
Objective To comparative observe the clinical effect of IUPU and homemade built cavity mode balloon in hole single-channel retroperitoneoscopic renal cyst surgery .Methods 208 patients with renal cyst were randomly divided into test group and control group,each of 104 cases.Test group adopted IUPU,and control group adopted homemade balloon meth-od.After treatment,compared the built chamber time ,surgery duration,blood loss,time after pulling drainage tube postoperative hospital stay,postoperative 24h pain scores of 2 groups.Results The built chamber time of test time was shorter than that of control group,and surgery duration was longer than that of control group (P<0.05).The blood loss,time after pulling drainage tube,postoperative hospital stay and postoperative 24 pain scores of 2 groups has no statistically significant (P>0.05).Total effective rate of the test group lower than that of the control group ,the difference was statistically significant (P<0.05).The adverse reactions incidence of test group was higher than that of control group , the difference was no statistically significant (P>0.05).Conclusion The clinical effect of homemade balloon built chamber in hole-channel laparoscopic renal cyst sur-gery is better than that of IUPU ,and security without significantly diminished .
