中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
22期
51-52
,共2页
肾肿瘤%后腹腔镜%临床效果
腎腫瘤%後腹腔鏡%臨床效果
신종류%후복강경%림상효과
Renal tumors%Retroperitoneal laparoscopy%Clinical effects
目的：探讨后腹腔镜与传统手术治疗肾肿瘤的临床疗效。方法随机抽取该院泌尿科2012年6月-2015年1月收治的60例肾肿瘤患者，随机数字表法分为观察组和对照组，每组30例，术前均相应的手术前准备，观察组给予后腹腔镜手术，对照组给予传统手术治疗，观察两组手术基本情况和不良反应。结果观察组手术时间、术中出血量、术后活动时间、尿管停留时间、住院时间以及胃肠功能恢复时间等明显短于对照组，差异有统计学意义(P<0.05)。观察组出现脾脏损伤1例、术后出血1例，对照组胸膜损伤1例，术后出血1例、肠麻痹1例、尿瘘1例、肾功能不全1例、感染1例，观察组发生为6.67%，对照组为26.67%，差异有统计学意义(P<0.05)。结论后腹腔镜治疗肾肿瘤治疗效果优于传统手术治疗，并且具有一定安全性。
目的：探討後腹腔鏡與傳統手術治療腎腫瘤的臨床療效。方法隨機抽取該院泌尿科2012年6月-2015年1月收治的60例腎腫瘤患者，隨機數字錶法分為觀察組和對照組，每組30例，術前均相應的手術前準備，觀察組給予後腹腔鏡手術，對照組給予傳統手術治療，觀察兩組手術基本情況和不良反應。結果觀察組手術時間、術中齣血量、術後活動時間、尿管停留時間、住院時間以及胃腸功能恢複時間等明顯短于對照組，差異有統計學意義(P<0.05)。觀察組齣現脾髒損傷1例、術後齣血1例，對照組胸膜損傷1例，術後齣血1例、腸痳痺1例、尿瘺1例、腎功能不全1例、感染1例，觀察組髮生為6.67%，對照組為26.67%，差異有統計學意義(P<0.05)。結論後腹腔鏡治療腎腫瘤治療效果優于傳統手術治療，併且具有一定安全性。
목적：탐토후복강경여전통수술치료신종류적림상료효。방법수궤추취해원비뇨과2012년6월-2015년1월수치적60례신종류환자，수궤수자표법분위관찰조화대조조，매조30례，술전균상응적수술전준비，관찰조급여후복강경수술，대조조급여전통수술치료，관찰량조수술기본정황화불량반응。결과관찰조수술시간、술중출혈량、술후활동시간、뇨관정류시간、주원시간이급위장공능회복시간등명현단우대조조，차이유통계학의의(P<0.05)。관찰조출현비장손상1례、술후출혈1례，대조조흉막손상1례，술후출혈1례、장마비1례、뇨루1례、신공능불전1례、감염1례，관찰조발생위6.67%，대조조위26.67%，차이유통계학의의(P<0.05)。결론후복강경치료신종류치료효과우우전통수술치료，병차구유일정안전성。
Objective To investigate the clinical effects of retroperitoneal laparoscopy and traditional operation in the treatment of renal tumors. Methods 60 cases of renal tumors patients in Department of Urology of our hospital from June 2012 to January 2015 were selected and randomly divided into the observation group and control group in accordance with the random number table. Each group contained 30 cases, and the preoperative preparations were all conducted. The observation group was given laparo-scopic surgery, and the control group was given traditional operation. The operative basic conditions and adverse reactions of the two groups were observed. Results The operative time, intraoperative blood loss, postoperative ambulation, duration of indwelling catheter, duration of hospitalization and recovery time of gastrointestinal function in the observation group were significantly shorter than those in the control group, and the differences were statistically significant(P<0.05). In the observation group, there were 1 case of spleen injury, 1 case of postoperative bleeding, while in the control group, there were 1 case of pleural injury, 1 case of postoperative bleeding, 1 case of intestinal paralysis, 1 case of fistula, 1 case of renal insufficiency, and 1 case of infection, and there was statistically significant between the adverse reactions of the two groups, which were 6.67%vs 26.67%,(P<0.05).Conclu-sion The clinical effect of retroperitoneal laparoscopy, which shows higher safety, is better than that of traditional operation in the treatment of renal tumors.
