中国医药
中國醫藥
중국의약
China Medicine
2015年
12期
1822-1824
,共3页
巨大肾积水%肾切除术%腹膜后腹腔镜%传统手术
巨大腎積水%腎切除術%腹膜後腹腔鏡%傳統手術
거대신적수%신절제술%복막후복강경%전통수술
Giant hydronephrosis%Nephrectomy%Retroperitoneal laparoscopy%Traditional operation
目的 探讨巨大肾积水致无功能肾腹膜后腹腔镜下肾脏切除术的特点及临床应用.方法 选取广州市番禺区何贤纪念医院2013年5月至2014年11月因巨大肾积水致无功能肾行切除术患者共50例,按照随机数字表法分为观察组和对照组,各25例.对照组采用传统肾切除术,观察组采用腹膜后腹腔镜下肾切除手术.比较2组患者手术时间、术中出血量、术后下床活动时间和住院时间.结果 观察组患者手术所用平均时间为(105±25) min,对照组为(134±28) min,观察组明显短于对照组,差异有统计学意义(P＜0.01);观察组患者术中平均出血量为(56 ± 14) ml,对照组为(118 ± 26) ml,观察组明显少于对照组,差异均有统计学意义(P＜0.01).观察组患者术后平均下床活动时间为(2.2±0.8)d,对照组为(5.2±1.7)d,观察组明显短于对照组,差异有统计学意义(P＜0.01);观察组患者平均住院时间为(4.9±1.5)d,对照组为(8.1±2.2)d,观察组明显短于对照组,差异有统计学意义(P＜0.01).结论 巨大肾积水致无功能肾腹膜后腹腔镜肾脏切除术具有创伤轻、出血少、术后康复快特点,是安全可行的一种临床治疗途径.
目的 探討巨大腎積水緻無功能腎腹膜後腹腔鏡下腎髒切除術的特點及臨床應用.方法 選取廣州市番禺區何賢紀唸醫院2013年5月至2014年11月因巨大腎積水緻無功能腎行切除術患者共50例,按照隨機數字錶法分為觀察組和對照組,各25例.對照組採用傳統腎切除術,觀察組採用腹膜後腹腔鏡下腎切除手術.比較2組患者手術時間、術中齣血量、術後下床活動時間和住院時間.結果 觀察組患者手術所用平均時間為(105±25) min,對照組為(134±28) min,觀察組明顯短于對照組,差異有統計學意義(P＜0.01);觀察組患者術中平均齣血量為(56 ± 14) ml,對照組為(118 ± 26) ml,觀察組明顯少于對照組,差異均有統計學意義(P＜0.01).觀察組患者術後平均下床活動時間為(2.2±0.8)d,對照組為(5.2±1.7)d,觀察組明顯短于對照組,差異有統計學意義(P＜0.01);觀察組患者平均住院時間為(4.9±1.5)d,對照組為(8.1±2.2)d,觀察組明顯短于對照組,差異有統計學意義(P＜0.01).結論 巨大腎積水緻無功能腎腹膜後腹腔鏡腎髒切除術具有創傷輕、齣血少、術後康複快特點,是安全可行的一種臨床治療途徑.
목적 탐토거대신적수치무공능신복막후복강경하신장절제술적특점급림상응용.방법 선취엄주시번우구하현기념의원2013년5월지2014년11월인거대신적수치무공능신행절제술환자공50례,안조수궤수자표법분위관찰조화대조조,각25례.대조조채용전통신절제술,관찰조채용복막후복강경하신절제수술.비교2조환자수술시간、술중출혈량、술후하상활동시간화주원시간.결과 관찰조환자수술소용평균시간위(105±25) min,대조조위(134±28) min,관찰조명현단우대조조,차이유통계학의의(P＜0.01);관찰조환자술중평균출혈량위(56 ± 14) ml,대조조위(118 ± 26) ml,관찰조명현소우대조조,차이균유통계학의의(P＜0.01).관찰조환자술후평균하상활동시간위(2.2±0.8)d,대조조위(5.2±1.7)d,관찰조명현단우대조조,차이유통계학의의(P＜0.01);관찰조환자평균주원시간위(4.9±1.5)d,대조조위(8.1±2.2)d,관찰조명현단우대조조,차이유통계학의의(P＜0.01).결론 거대신적수치무공능신복막후복강경신장절제술구유창상경、출혈소、술후강복쾌특점,시안전가행적일충림상치료도경.
Objective To explore the characteristics and clinical application of retroperitoneal laparoscopic nephrectomy of nonfunctional kidney with giant hydronephmsis.Methods Totally 50 patients with no functional renal caused by giant hydronephrosis from May 2013 to November 2014 were randomly divided into observation group (25 cases) undergoing retroperitoneal laparoscopic nephrectomy and control group (25 cases) undergoing traditional operation.The duration of operation, intraoperative blood loss, time of ambulation and hospital stay time were compared between the two groups.Results The duration of operation in observation group was significantly shorter than that in control group [(105 ±25) min vs (134 ±28) min] (P ＜0.01).The intraoperative blood loss in observation group was significantly less than that in control group [(56 ± 14) ml vs (118 ± 26) ml] (P ＜0.01).The time of ambulation in observation group was significantly shorter than that in control group [(2.2 ±0.8) d vs (5.2 ± 1.7) d] (P ＜0.01).The stay time in hospital in observation group was significantly shorter than that in control group [(4.9 ± 1.5) d vs (8.1 ±2.2) d] (P＜0.01).Conclusion Retroperitoneal laparoscopic nephrectomy of no functional renal caused by giant hydronephrosis is safe and feasible with light trauma,less bleeding, and quicker recovery.
