中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
22期
27-28
,共2页
腹腔镜%肾脏部分切除术%冷缺血
腹腔鏡%腎髒部分切除術%冷缺血
복강경%신장부분절제술%랭결혈
Laparoscope%Kidney partial resection%Cold ischemia
目的：探索简单易行且安全有效的后腹腔镜下肾脏低温保护技术。方法：选取20例后腹腔镜肾脏低温保护下部分手术患者，分为对照组和研究组。研究组在后腹腔镜肾脏低温保护下行保留肾单位手术；对照组行常规后腹腔镜下保留肾单位手术。比较两组直肠温度和肾脏温度变化以及肾功能在手术前后的变化情况。结果：20例患者手术顺利；术后无继发出血、感染及漏尿。研究组冷缺血时间(45.2±5.8)分钟，平均最低肾脏温度(15.72±2.93)℃。研究组术前ECT示患肾肾小球滤过率(GFR)(33.57±1.07) mL/min，术后1个月患肾GFR(24.91±5.50)mL/min。对照组术前ECT示患肾GFR(35.65±0.45)mL/min，术后1个月患肾GFR(15.50±5.90)mL/min。患者术后随访1～16个月，未见局部复发、无转移。结论：后腹腔镜下肾脏低温保护技术简单易行、效果确切。
目的：探索簡單易行且安全有效的後腹腔鏡下腎髒低溫保護技術。方法：選取20例後腹腔鏡腎髒低溫保護下部分手術患者，分為對照組和研究組。研究組在後腹腔鏡腎髒低溫保護下行保留腎單位手術；對照組行常規後腹腔鏡下保留腎單位手術。比較兩組直腸溫度和腎髒溫度變化以及腎功能在手術前後的變化情況。結果：20例患者手術順利；術後無繼髮齣血、感染及漏尿。研究組冷缺血時間(45.2±5.8)分鐘，平均最低腎髒溫度(15.72±2.93)℃。研究組術前ECT示患腎腎小毬濾過率(GFR)(33.57±1.07) mL/min，術後1箇月患腎GFR(24.91±5.50)mL/min。對照組術前ECT示患腎GFR(35.65±0.45)mL/min，術後1箇月患腎GFR(15.50±5.90)mL/min。患者術後隨訪1～16箇月，未見跼部複髮、無轉移。結論：後腹腔鏡下腎髒低溫保護技術簡單易行、效果確切。
목적：탐색간단역행차안전유효적후복강경하신장저온보호기술。방법：선취20례후복강경신장저온보호하부분수술환자，분위대조조화연구조。연구조재후복강경신장저온보호하행보류신단위수술；대조조행상규후복강경하보류신단위수술。비교량조직장온도화신장온도변화이급신공능재수술전후적변화정황。결과：20례환자수술순리；술후무계발출혈、감염급루뇨。연구조랭결혈시간(45.2±5.8)분종，평균최저신장온도(15.72±2.93)℃。연구조술전ECT시환신신소구려과솔(GFR)(33.57±1.07) mL/min，술후1개월환신GFR(24.91±5.50)mL/min。대조조술전ECT시환신GFR(35.65±0.45)mL/min，술후1개월환신GFR(15.50±5.90)mL/min。환자술후수방1～16개월，미견국부복발、무전이。결론：후복강경하신장저온보호기술간단역행、효과학절。
Objective:To explore the simple,safe and effective retroperitoneoscopy kidney low temperature protection technology. Methods:20 cases with partial resection under the retroperitoneoscopy kidney low temperature protection were selected.They were divided into the control group and the research group.The research group were given nephron sparing surgery under the retroperitoneoscopy kidney low temperature protection.The control group were given nephron sparing surgery under the conventional retroperitoneoscopy.The rectal temperature and kidney temperature changes,renal function changes before and after operation of patients in two groups were compared.Results:20 cases had smooth operation.They had no secondary bleeding, infection and leakage of urine after operation.The cold ischemia time of the research group was (45.2±5.8) minutes;the average minimum kidney temperature was (15.72 ± 2.93)℃ .The preoperative ECT of the research group showed that the glomerular filtration rate(GFR) of the diseased kidney was (33.57 ± 1.07) ml one minute;GFR of the diseased kidney of 1 month after operation was (24.91±5.50) ml one minute.The preoperative ECT of the control group showed that GFR of the diseased kidney was (35.65±0.45) ml one minute;GFR of the diseased kidney of 1 month after operation was (15.50±5.90) ml one minute. Patients were followed up for 1~16 months after operation.There was no local recurrence and metastasis.Conclusion:The retroperitoneoscopy kidney low temperature protection technology is simple,and it has exact effect.
