腹腔镜肾部分切除术治疗肾肿瘤的疗效分析  

作　　者：房杰群[1] 黄建生[1] 肖克峰[1] 

机构地区：[1]深圳市人民医院泌尿外科,广东518020

出　　处：《当代医学》2014年第16期56-57,共2页Contemporary Medicine

摘　　要：目的分析腹腔镜肾部分切除术治疗肾肿瘤的临床治疗效果。方法选取2007年2月～2013年7月深圳市人民医院收治的肾脏肿瘤患者58例，随机均分为2组（n=29）。对照组采用开放性肾部分切除术进行治疗，实验组采用腹腔镜肾部分切除术进行治疗，比较2组治疗效果。结果实验组手术时间为（141．78±30．25）min，术中出血量为（11987±10．11）mL，住院时间为（998±1．32）d，肠道恢复时间为（2．19±0.32）d；对照组手术时间为（1．132±21．98）min，术中出血量为（246.63±52．48）mL，住院时间为（14．72±2.75）d，肠道恢复时间为（3.51±0.28）d。实验组出现并发症2例（6．90％），对照组出现并发症8例（2759％）。结论腹腔镜肾部分切除术对于治疗肾肿瘤具有比较好的治疗效果，手术安全可靠，创伤较小、患者恢复快，并发症比较少，值得临床推广应用。Objective To analyze the laparoscopic partial nephrectomy for renal tumors clinical effect, determine its therapeutic significance. Methods 58 cases in our hospital kidney cancer patients for the study, the average randomly divided into two groups of 29 patients were referred to the control group and the experimental group and the control group were treated with open partial nephrectomy for treatment, experimental group, laparoscopic partial nephrectomy for treatment, comparing two treatment groups. Results The operative time was （141.78±30.25） min, bleeding volume was （119.87 ± 10.11 ） mL, length of stay was （9.98 ± 1.32） d, intestinal recovery time of （2.19 ± 0.32） d; control group operative time was （111.32 ± 21.98） min, intraoperative blood loss was （246.63 ±52.48） mL, length of stay was （14.72± 2.75） d, intestinal recovery time of （3.51 ± 0.28） d. Experimental group 2 patients had complications, the probability of 6.90%; the control group, 8 patients had complications, the probability is 27.59%. Conclusion Laparoscopic partial nephrectomy for renal tumors better therapeutic effect, safe and reliable operation, less trauma, patients recover quickly, relatively few complications, is worthy of clinical.

关 键 词：腹腔镜 肾部分切除术 肾肿瘤 开放性 

分 类 号：R737.11[医药卫生—肿瘤]