肾实质肿瘤术后腰部切口长期不适的手术相关因素分析  

Analysis of the operation correlative factors of postoperative chronic lumbar discomfort of renal parenchyma tumors

作　　者：熊祖泉[1] 于洋[1] 冯陈陈[1] 丁强[1] 方祖军[1] 郑捷[1] 

机构地区：[1]复旦大学附属华山医院泌尿外科,上海200040

出　　处：《中国临床医学》2016年第4期466-469,共4页Chinese Journal of Clinical Medicine

基　　金：上海市卫生和计划生育委员会科研课题(20154Y0043)~~

摘　　要：目的:探讨肾实质肿瘤手术术后腰部切口长期不适的影响因素,以期改善现有治疗方案,从而提高患者的生存质量。方法:收集2012年1月—2014年12月行肾实质性肿瘤手术患者的临床资料,并随访其手术后切口长期不适的情况,通过多因素分析,探讨术后腰部切口长期不适的原因。结果:患者术后切口长期不适表现为慢性疼痛、天气变化时麻木、瘙痒。开放术式较腹腔镜手术更易导致切口长期不适(P=0.013);手术时间越长,切口长期不适的发生率越高(P=0.007);女性较男性更易出现切口长期不适(P=0.017)。结论:腹腔镜手术有助于减少肾实质性肿瘤手术后腰部切口长期不适的发生;女性在肾实质性肿瘤手术后较男性更易出现切口长期不适,应给予其更多的疼痛治疗指导。Objective：To investigate the factors involved in the postoperative lumbar discomfort of renal parenchyma tumors ,to make improvements in nowadays treatment to enhance the patients’ quality of life .Methods：The clinical and following‐up data of renal parenchyma tumor patients ,who had operations through lumbar approach from January 1st 2012 to December 31th 2014 ,were collected .Multiple factor logistic regression analysis had been used to investigate the influencing factors of lumbar wound discomfort .Results：The chronic postoperative discomforts were the chronic pain ,numbness and pruritus in weather variations .Compared to the laparoscopic operation ,open operation was more easily lead to the long‐term discomfort of the incision （P=0 .013） .The longer the operation time ,the higher the possibility of long‐term wound discomfort （P=0 .007） .Females ,instead of males ,were more likely to have complaints of long‐term wound discomfort （P=0 .017） . Conclusions：Laparoscopic surgery could help reduce the long‐term postoperative discomfort . Females , instead of males , should be concerned about the incision in the long‐term recovery process ,and provide them with targeted treatment and g uidance .

关 键 词：肾肿瘤 腹腔镜手术 根治性肾切除术 部分肾切除术 慢性疼痛 

分 类 号：R737.9[医药卫生—肿瘤]